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Public Google reviewers rate this highly and often mention warm and enthusiastic staff. Schedule a visit to confirm the fit.
based on 7 Google reviews
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Public Google reviewers rate The Lodge at Old Trail highly. Reviewers highlight: warm and enthusiastic staff, beautiful grounds with mountain views. Reviewer identity is not verified, and online reviews may not capture everything. Schedule a visit to assess the fit directly.
The Lodge at Old Trail is highly regarded for its exceptionally caring staff and beautiful, luxurious environment featuring mountain views. While several reviews are brief or lack detail, long-term visitors praise the warm attitude of the entire team, from nursing to dining services.
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Key Review Excerpts
“I visited at least ten senior communities looking for a caring and wonderful place for my recently widowed 85 year old mom, and this is the best by far. Amazing caring ownership, management and front line staff, from chef and dining room to housekeeping to nursing to maintenance. Everyone I meet here has a warm, genuinely enthusiastic attitude. The grounds and building are lovely, with breathtaking mountain views and lots of open space for walking and socializing.”
“Great staff! Always a pleasant experience!”
Source: VA State Licensing Agency
Type of inspection: Monitoring Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 11-12-25 from 11:00 a.m.- 11:40 a.m. The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A self-reported incident was received by VDSS Division of Licensing on 10-21-25 regarding allegations in the area(s) of: resident care. Number of residents present at the facility at the beginning of the inspection: 60 Number of resident records reviewed: 2 Number of staff records reviewed: 1 Number of interviews conducted with staff: 2 An exit meeting was conducted to review the inspection findings. The evidence gathered during the investigation supported the self-report of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the self-report but identified during the course of the investigation can also be found on the violation notice. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Kimberly Davis, Licensing Inspector at (804) 356-3572 or by email at Kimberly.M.Davis@dss.virginia.gov
Based on a self-report received from the facility as well as staff interviews and a review of resident records, the facility failed to ensure that medications shall be administered in accordance with the physician's or other prescriber?s instructions. Evidence: -Progress notes for Resident # 1 as well as staff interviews indicated that on 10-13-25 Resident # 1 was given the medication (Carvedilol 12.5 mg for hypertension) of Resident # 2, for which Resident # 1 did not have an order. -The record for Resident # 1 documented that staff notified the resident?s physician, responsible party, and monitored the resident?s blood pressure, for which there were no ill effects from the medication error. -Per the interview with Staff # 2 as well as the Medication Administration record for Resident # 2, Resident # 2 was administered Carvedilol 12.5 mg as ordered on 10-13-25.
Type of inspection: Renewal Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 11-10-25 from 10:02 a.m.- 2:55 p.m. and 11-12-25 from 9:50 a.m.- 11:00 a.m. The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. Number of residents present at the facility at the beginning of the inspection: 59 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 6 Number of staff records reviewed: 3 Number of interviews conducted with residents: 3 Number of interviews conducted with staff: 2 Additional Comments/Discussion: The following items were also reviewed/observed during the inspection- facility documentation, facility postings, medication pass, physician?s orders, medication administration records, first aid kit. An exit meeting was conducted to review the inspection findings. The evidence gathered during the inspection determined non-compliance with applicable standard(s) or law, and violation(s) were documented on the violation notice issued to the facility. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Kimberly Davis, Licensing Inspector at (804) 356-3572 or by email at Kimberly.M.Davis@dss.virginia.gov
Based on a review of resident records the facility failed to ensure that a copy of the written discharge statement shall be retained in the resident's record. Evidence: -The record for Resident # 2 (discharge date:10-1-25) did not contain a written discharge statement. -The record for Resident # 5 (discharge date: 6-4-25) did not contain a written discharge statement. This was confirmed by staff.
Based on a review of staff records the facility failed to ensure that within four months of the starting date of employment, direct care staff shall attend six hours of training in working with individuals who have a cognitive impairment. Evidence: The record for Staff # 1 (date of hire: 5-19-25) did not contain documentation of cognitive impairment training. This was confirmed by staff.
Based on a review of resident records the facility failed to ensure that the written Do Not Resuscitate (DNR) order is included in the individualized service plan ( ISP
Based on a review of facility documentation the facility failed to ensure that there shall be oversight at least every six months of special diets by a dietitian or nutritionist for each resident who has such a diet. Evidence: The facility?s last dietician oversight report was dated 3-20-25. This was confirmed by staff.
Based on a review of facility documentation the facility failed to ensure that at least once every six months, all staff currently on duty on each shift shall participate in an exercise in which the procedures for resident emergencies are practiced. Documentation of each exercise shall be maintained in the facility for at least two years. Evidence: The facility?s last documented practice exercise for a resident emergency was dated 4-30-25. This was confirmed by staff.
Based on a review of resident records the facility failed to ensure that prior to his/her admission to a safe, secure environment, the resident shall have been assessed by an independent clinical psychologist licensed to practice in the Commonwealth or by an independent physician as having a serious cognitive impairment due to a primary psychiatric diagnosis of dementia with an inability to recognize danger or protect his own safety and welfare. Evidence: The record for Resident # 6 (admit date: 2-12-24) who resides in the safe, secure unit contained an assessment for serious cognitive impairment dated 11-10-25. This was confirmed by staff.
Type of inspection: Monitoring Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 4-29-25 from 10:58 a.m.-3:30 p.m. and 5-2-25 from 10:58 a.m.- 1:10 p.m. The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. Number of residents present at the facility at the beginning of the inspection: 59 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 6 Number of staff records reviewed: 3 Number of interviews conducted with residents: 5 Number of interviews conducted with staff: 4 Additional Comments/Discussion: The following items were also reviewed/observed during the inspection- facility documentation, facility postings, first aid kit, medication pass, physician?s orders, medication administration records. An exit meeting was conducted to review the inspection findings. The evidence gathered during the inspection determined non-compliance with applicable standard(s) or law, and violation(s) were documented on the violation notice issued to the facility. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Kimberly Davis, Licensing Inspector at (804) 356-3572 or by email at Kimberly.M.Davis@dss.virginia.gov
Based on a review of resident records the facility failed to ensure that based upon review of the UAI
Based on a review of the facility?s fire and evacuation drills documentation the facility failed to ensure that fire and emergency evacuation drill frequency and participation shall be in accordance with the current edition of the Virginia Statewide Fire Prevention Code (13VAC5-51). Evidence: The facility?s last documented date for a fire and emergency evacuation drill was dated 2-27-25.
Based on a review of the first aid kit the facility failed to ensure that first aid kits shall be checked at least monthly to ensure that all items are present and items with expiration dates are not past their expiration date. Evidence: The last documented date of the review of the first aid kit was 3-13-25 and the expiration date of the antiseptic ointment was September 2022.
Based on a review of criminal history record reports the facility failed to ensure that the criminal history record report shall be obtained on or prior to the 30th day of employment for each employee. Evidence: There was no criminal history record report for Staff # 24 (date of hire: 8-28-24).
Based on a review of facility documentation as well as an interview with staff, the facility failed to ensure that it shall develop and implement an orientation and semi-annual review on the emergency preparedness and response plan for all staff, residents, and volunteers, with emphasis placed on an individual's respective responsibilities. The review shall be documented by signing and dating. The orientation and review shall cover responsibilities for: 1. Alerting emergency personnel and sounding alarms; 2. Implementing evacuation, shelter in place, and relocation procedures; 3. Using, maintaining, and operating emergency equipment; 4. Accessing emergency medical information, equipment, and medications for residents; 5. Locating and shutting off utilities; and 6. Utilizing community support services. Evidence: The facility provided documentation of a review of its emergency preparedness and response plan last dated 4-17-24 for staff only but it did not include residents and volunteers. This was confirmed by facility staff.
Type of inspection: Monitoring Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 7-23-24 from 9:49 a.m.-10:30 a.m. The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A self-reported incident was received by VDSS Division of Licensing regarding allegations in the area(s) of: resident care. Number of residents present at the facility at the beginning of the inspection: 62 Number of resident records reviewed: 1 Number of staff records reviewed: 1 Number of interviews conducted with staff: 2 An exit meeting was conducted to review the inspection findings. The evidence gathered during the investigation supported the self-report of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the self-report but identified during the course of the investigation can also be found on the violation notice. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact, Licensing Inspector at (804) 662-7578 or by email at Kimberly.M.Davis@dss.virginia.gov
Based on a self-report received from the facility as well as staff interviews, the facility failed to ensure that medications shall be administered in accordance with the physician's or other prescriber?s instructions. Evidence: -The record for Resident # 1 contained physician?s orders for the month of November 2023 that noted ? Lispro Insulin 100u/ML Inject subcutaneously per sliding scale before meals.? -The record for Resident # 2 contained physician?s orders for ?Lispro Insulin per sliding scale? (via pen). -Per the self-report from the facility as well as interviews with Staff # 1 and Staff # 2, on 11-18-23 the Medication Aide administered the insulin of Resident # 2 which was in an insulin pen, to Resident # 1, instead of Resident # 1?s insulin vial.
Type of inspection: Renewal Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 10-30-23 from 10:36 a.m.- 3:45 p.m. and 11-9-23 from 10:05 a.m.- 12:05 p.m. The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. Number of residents present at the facility at the beginning of the inspection: 67 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 10 Number of staff records reviewed: 5 Number of interviews conducted with residents: 3 Number of interviews conducted with staff: 3 Additional Comments/Discussion: The following items were also reviewed/observed during the inspection: facility documentation, facility postings, lunch meal/menu, resident activities, first aid kit, medication pass, physician?s orders, Medication Administration Records ( MAR
Based on a review of staff records the facility failed to ensure that all direct care staff shall attend at least 18 hours of training annually. EXCEPTION: Direct care staff who are licensed health care professionals or certified nurse aides shall attend at least 12 hours of annual training. Evidence: The record for Staff # 2 (date of hire: 6-28-22) did not contain documentation of 18 hours of annual training.
Based on observation, the facility failed to ensure the use of standard precautions for infection control. Evidence: During the medication pass observation, the med tech failed to sanitize or wash hands with soap and water between each med pass.
Based on a review of staff records the facility failed to ensure that each direct care staff member shall maintain current certification in first aid. Evidence: The record for Staff # 1 (date of hire: 4-20-23) did not contain documentation of first aid certification.
Type of inspection: Monitoring Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 7-12-23 from 12:20 p.m.- 1:20 p.m. The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A self-reported incident was received by VDSS Division of Licensing on 7-19-22 regarding allegations in the area(s) of: resident care. Number of residents present at the facility at the beginning of the inspection: 63 Number of resident records reviewed: 1 Number of interviews conducted with residents:0 Number of interviews conducted with staff: 2 An exit meeting was conducted to review the inspection findings. The evidence gathered during the inspection determined no violations with applicable standard(s) or law. The inspection summary will be posted to the VDSS website within five (5) business days of your receipt of the inspection summary. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Kimberly Davis, Licensing Inspector at (804) 662-7578 or by email at Kimberly.M.Davis@dss.virginia.gov
Type of inspection: Monitoring Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 7-12-23 from 11:00 a.m.-12:20 p.m. The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A self-reported incident was received by VDSS Division of Licensing on 6-16-22 regarding allegations in the area(s) of: resident care. Number of residents present at the facility at the beginning of the inspection: 63 Number of resident records reviewed: 1 Number of interviews conducted with staff: 3 An exit meeting was conducted to review the inspection findings. The evidence gathered during the inspection determined no violations with applicable standard(s) or law. The inspection summary will be posted to the VDSS website within five (5) business days of your receipt of the inspection summary. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Kimberly Davis, Licensing Inspector at (804) 662-7578 or by email at Kimberly.M.Davis@dss.virginia.gov
Type of inspection: Monitoring Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 5-8-23 from 11:00 a.m.- 5:00 p.m. and 5-16-23 from 10:20 a.m.- 1:30 p.m. The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. Number of residents present at the facility at the beginning of the inspection: 62 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 10 Number of staff records reviewed: 5 Number of interviews conducted with residents: 4 Number of interviews conducted with staff: 3 Additional Comments/Discussion: The following items were also reviewed/observed during the inspection: facility postings, facility documentation, first aid kit, emergency food and water, lunch meal/menu, medication pass, physician?s orders, Medication Administration Records ( MAR
Based on a review of staff records the facility failed to ensure that the rights and responsibilities of residents in assisted living facilities shall be reviewed annually with each staff person. Evidence of this review shall be the staff person?s written acknowledgment of having been so informed, which shall include the date of the review and shall be filed in the staff person's record. Evidence: The record for Staff # 4 (date of hire: 4-6-22) did not contain written acknowledgment of an annual review of resident rights.
Based on an interview with the administrator the facility failed to ensure that at least once every six months, all staff currently on duty on each shift shall participate in an exercise in which the procedures for resident emergencies are practiced. Evidence: The facility did not have documentation of a practice exercise for a resident emergency.
Based on a review of resident records the facility failed to ensure that the ISP
Based on a review of resident records the facility failed to ensure that the individualized service plan ( ISP
Based on a review of staff records the facility failed to ensure that each direct care staff member shall maintain current certification in first aid. Evidence: -The record for Staff # 3 (date of hire: 2-27-23) did not contain first aid certification. -The record for Staff # 4 (date of hire: 4-6-22) contained first aid certification that expired in January 2023.
Based on a review of resident records the facility failed to ensure that ISP
Based on a review of resident records the facility failed to ensure that the UAI
Based on a review of staff records the facility failed to ensure that the orientation and training required shall occur within the first seven working days of employment. Evidence: The record for Staff # 4 (date of hire: 4-6-22) did not contain documentation of staff orientation and initial training.
Based on a review of facility documentation the facility failed to ensure that when any portion of an assisted living facility is subject to inspection by the Virginia Department of Health, the facility shall be in compliance with those regulations, as evidenced by an initial and subsequent annual reports from the Virginia Department of Health. Evidence: The facility?s last health inspection was dated 3-22-22.
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