I had a very good experience here - the staff (Kelly and Mary Beth stood out) were caring and professional, the building is spotless and well-maintained with bright open spaces, secure memory care and a lovely courtyard, and the meals and dining were high quality. Plenty of activities and on-site amenities (library, hairdresser, sensory room) and attentive medical care kept my loved one safe, engaged, and well cared for during COVID precautions and reopening.
Loved one of resident
Jul 2026
Pricing
Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.
Schedule a Tour
Amenities
Healthcare services
Activities of daily living assistance
Assistance with bathing
Assistance with dressing
Assistance with transfers
Medication management
Mental wellness program
Healthcare staffing
12-16 hour nursing
24-hour call system
24-hour supervision
Meals and dining
Diabetes diet
Meal preparation and service
Restaurant-style dining
Special dietary restrictions
Room
Air-conditioning
Cable
Fully furnished
Housekeeping and linen services
Kitchenettes
Private bathrooms
Telephone
Wifi
Memory care community services
Mild cognitive impairment
Specialized memory care programming
Transportation
Community operated transportation
Transportation arrangement
Transportation arrangement (non-medical)
Common areas
Beauty salon
Computer center
Dining room
Fitness room
Gaming room
Garden
Outdoor space
Small library
Wellness center
Community services
Concierge services
Fitness programs
Move-in coordination
Activities
Community-sponsored activities
Planned day trips
Resident-run activities
Scheduled daily activities
Reviews
4.23·(31)
Overall rating
5
4
3
2
1
Care
3.7
Staff
3.7
Meals
4.3
Amenities
4.7
Value
2.7
Pros
Compassionate and attentive caregiving staff
Clean, well-maintained building and grounds
Bright, open floorplans with high ceilings and wide hallways
Secure memory-care unit with enclosed courtyard
On-site library organized by Dewey Decimal system
On-site salon/hairdresser and laundry services
Dining room with courtyard views and hot meal service
Varied apartment types including private studios and cottages with kitchenettes
Robust activities program (crafts, music, bingo, Wii bowling, outings)
Scheduled transportation and bus trips for residents
Sensory room and garden/courtyard amenities
Responsive maintenance and housekeeping services
Cons
Inconsistent staffing levels and coverage
Variability in care responsiveness and staff conduct
Intermittent disruptions to communal dining and meal-service continuity
Higher-than-average cost relative to local alternatives
Gaps in communication with families during incidents or transitions
Inconsistent infection-control staffing practices
Incident-management and legal dispute handling
Summary of reviews
Overall impression: Runk & Pratt at Smith Mountain Lake presents as a well-appointed senior living community with multiple levels of care (independent living, assisted living, memory care) and a range of on-site amenities. The physical plant is repeatedly described as clean, bright, and well maintained; residents and visitors note high ceilings, wide hallways, a landscaped courtyard, an organized library, a sensory room, and on-site services such as a hairdresser and laundry. Private studio apartments and cottage options with kitchenettes are available, and the memory-care neighborhood is secure and enclosed.
Care and staff: Many reviewers describe staff as kind, helpful, and attentive — with examples of on-call availability, individualized pairing of new residents with compatible peers, and staff willingness to go beyond routine duties. At the same time, there is a pattern of uneven staffing and coverage that has affected responsiveness for some families. This variability has translated into delays in attending to residents at times and inconsistent experiences with staff conduct. In addition, a few serious complaints have involved legal action and claims about incident handling; these stand in contrast to the broader set of positive caregiving accounts and warrant direct inquiry by prospective families.
Dining and activities: Dining is a noted strength for many: hot meals served multiple times daily, a pleasant dining room with courtyard views, and snack/hydration stations are all described positively. Some reviewers, however, described uneven meal quality or interruptions to communal dining during infection-control periods. The activity program is robust and varied, including crafts, music, bingo, Wii bowling, sing-alongs, art projects, and regular outings. Transportation for bus trips and community excursions is available and frequently used.
Facilities and infection control: The community emphasizes safety and infection-control measures, including visitation restrictions and remote/window visit options during outbreaks; several families credited the facility with preventing a larger outbreak. There are, however, concerns about inconsistent infection-control staffing practices and occasional staffing shortages that affected routine operations during high-demand periods. Maintenance and housekeeping are generally reported as responsive and proactive (for example, room repainting and prompt repairs).
Management and notable patterns: Strengths include a home-like environment, visible engagement activities, and a number of dedicated caregivers. Recurrent operational weaknesses include inconsistent staffing levels, occasional gaps in family communication during incidents or transitions, intermittent disruptions to communal dining during contingency periods, and comparatively high cost. There are also concerns about how certain incidents were managed administratively, including at least one legal dispute; prospective families should request up-to-date documentation on staffing ratios, recent health-inspection records, infection-control policies, vaccination practices, and the facility’s process for incident reporting and family communication. Conducting an in-person tour, speaking with current residents and families, and reviewing written policies will help clarify whether the facility’s typical performance matches a prospective resident’s priorities.
Reviews written on Mirador
We have no reviews to show about Runk & Pratt at Smith Mountain Lake.
Help other families by writing a review about your experience with this community.
Location
Runk & Pratt at Smith Mountain Lake is located at 115 Retirement Dr, Hardy, VA, 24101.
About Runk & Pratt at Smith Mountain Lake
Runk & Pratt at Smith Mountain Lake sits on over 25 acres and offers a mix of independent living, assisted living, and memory support services, and it's a family-owned place that's been serving seniors for years. The main building is pretty large, at about 45,000 square feet, and they've even got Liberty Ridge nearby for apartment-style social living, and Smith Mountain Lake Village with cottage-style two-bedroom independent homes, some privately owned and some available in a group of fourteen cottages. Their independent living cottages let folks handle things like maintenance and meal plans on their own, but help's always nearby if it's needed. Residents can get help with bathing, grooming, dressing, medication management, and other daily activities, and there's 24-hour staff including nurses, with a full emergency call system, and on-site medical folks like physicians and nurse practitioners who keep an eye on health needs. There's a special secured area for people dealing with Alzheimer's or other kinds of dementia, with memory support and even a Multisensory Room for calming activities, and there's room for around 30 folks who need that higher level of care. Wellness centers, therapy rooms, access to Carilion Wellness memberships, and services like x-ray, podiatry, physical, occupational, and speech therapy are all on-site, and people can even get help with incontinence care and lab work without leaving the community.
Life there tends to be busy and social, with a big calendar filled with exercise, art, cooking, music, outings, games, and features like a movie theater, fitness center, activity rooms, and beautifully landscaped gardens and walking paths, plus there's a library and several dining options, with chef-prepared meals made in line with dietitian guidance. Most rooms are furnished, many have private bathrooms, kitchenettes, air conditioning, Wi-Fi, phone, and cable TV, and folks mostly stay comfortable no matter the weather. Residents can join daily and seasonal events, go on shopping trips, or relax at home, and everything from transportation to laundry, housekeeping, and even dry cleaning is covered. There's a concierge for help and an emergency alert system for safety. Loved ones can try out their family support services, and everyone can use private or shared rooms or cottage homes as needed. The community gets moderate reviews overall, with a rating of 3.7 from 6 reviews, and while things are well-kept and modern, they're always growing, since there's room for more in the future. The staff tries to make sure each person's care plan fits their own changing needs and lifestyle, so folks can focus more on enjoying the lakeside and each other, knowing there's support all along the way.
People often ask...
Runk & Pratt at Smith Mountain Lake offers competitive pricing, with rates starting at a cost of $6,069 per month.
Runk & Pratt at Smith Mountain Lake offers independent living, assisted living, and memory care.
There are 23 photos of Runk & Pratt at Smith Mountain Lake on Mirador.
Yes, Runk & Pratt at Smith Mountain Lake allows residents to age in place and adjust their level of care as needed.
The full address for this community is 115 Retirement Dr, Hardy, VA 24101.
No, Runk & Pratt at Smith Mountain Lake does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In Virginia, the Department of Social Services licenses assisted living facilities and publishes the results of its routine and complaint inspections.
Identified a deficiency where resident records did not consistently include signed orders from physicians or prescribers.
22VAC40-73-(6)-650-E
15 May 2026Inspection
15 May 2026Inspection
Investigated a complaint alleging additional requirements for facilities caring for adults with serious cognitive impairments and found no violations.
22 Jan 2026Inspection
22 Jan 2026Inspection
Identified a deficiency where cleaning supplies were not stored in a locked area. A violation was issued for improper storage of hazardous materials.
22VAC40-73-(8)-860-I
22 Jan 2026Inspection
22 Jan 2026Inspection
Found deficiencies in medication documentation and prescriber orders, including missing MAR entries and lack of valid orders for therapies and treatments.
22VAC40-73-(6)-680-H
22VAC40-73-(6)-650-E
22VAC40-73-(6)-650-A
02 Sept 2025Inspection
02 Sept 2025Inspection
Identified staffing deficiencies in the safe/secure unit; during the second shift with 23 residents, only 2 direct care staff were on duty, not meeting the required awake/on-duty coverage.
22VAC40-73-(10)-1130-A
02 Sept 2025Inspection
02 Sept 2025Inspection
Investigated a complaint and found no deficiencies.
23 Jul 2025Inspection
23 Jul 2025Inspection
Found multiple deficiencies across record-keeping, safety, and care management, including missing background checks, incomplete assessments, medication management issues, and safety/compliance gaps.
22VAC40-73-(6)-680-E
22VAC40-73-(10)-1090-A
22VAC40-73-(6)-440-D
22VAC40-73-(6)-450-F
22VAC40-73-(5)-325-B
22VAC40-90-(BC3)-40-B
22VAC40-73-(9)-950-E
22VAC40-73-(10)-1180-B
22VAC40-73-(8)-870-A
22VAC40-73-(6)-640-A
22VAC40-73-(10)-1110-B
22VAC40-73-(6)-680-D
22VAC40-73-(6)-550-G
22VAC40-73-(6)-470-B
23 Jul 2025Inspection
23 Jul 2025Inspection
Identified a deficiency where uniform assessment instruments were not completed as required. The finding cited missing behavior details and signatures.
22VAC40-73-(6)-440-D
12 May 2025Inspection
12 May 2025Inspection
Identified a deficiency where the uniform assessment instrument was not completed prior to admission or updated to reflect significant changes in a resident’s condition.
22VAC40-73-(6)-440-A
12 May 2025Inspection
12 May 2025Inspection
Identified a deficiency related to medication self-administration. Documentation did not clearly support a resident's ability to self-administer, and medications were found in a resident's room.
22VAC40-73-(6)-660-B
12 May 2025Inspection
12 May 2025Inspection
Found no deficiencies during the monitoring visit.
12 May 2025Inspection
12 May 2025Inspection
Found no deficiencies related to the self-reported allegations.
12 May 2025Inspection
12 May 2025Inspection
Investigated the complaint and found no deficiencies.
10 Dec 2024Inspection
10 Dec 2024Inspection
Investigated a mail privacy violation where staff opened a resident’s mail without a request or legal authorization.
22VAC40-73-(7)-800-C
10 Dec 2024Inspection
10 Dec 2024Inspection
Identified multiple deficiencies related to medication administration, care oversight, assessment documentation, and safety storage.
22VAC40-73-(6)-680-B
22VAC40-73-(6)-440-A
22VAC40-73-(6)-490-A
22VAC40-73-(6)-680-I
22VAC40-73-(8)-860-I
10 Dec 2024Inspection
10 Dec 2024Inspection
Found multiple training and supervision deficiencies, including late orientation, no written supervision plan for untrained staff, and incomplete 40-hour direct care training, plus administration oversight issues.
22VAC40-73-(3)-120-A
22VAC40-73-(3)-200-E
22VAC40-73-(3)-150-C
22VAC40-73-(3)-200-C
10 Dec 2024Inspection
10 Dec 2024Inspection
Identified deficiencies in resident assessments and in maintaining written work schedules, with two violations cited.
22VAC40-73-(6)-440-A
22VAC40-73-(4)-290-A
10 Dec 2024Inspection
10 Dec 2024Inspection
Investigated the allegation and found no deficiencies.
10 Dec 2024Inspection
10 Dec 2024Inspection
Found no deficiencies after investigating a complaint alleging concerns about adults with serious cognitive impairments. The evidence did not support the allegation.
10 Dec 2024Inspection
10 Dec 2024Inspection
Investigated a complaint alleging issues with buildings and grounds; evidence did not support non-compliance with standards or laws.
10 Dec 2024Inspection
10 Dec 2024Inspection
Investigated a self-reported incident and found no deficiencies.
28 Aug 2024Inspection
28 Aug 2024Inspection
Identified deficiencies: failure to report a terminated staff member to the Department of Health Professions and missing required elements in PRN medication orders.
22VAC40-73-(3)-150-D
22VAC40-73-(6)-680-K
28 Aug 2024Inspection
28 Aug 2024Inspection
Identified deficiencies in resident assessments and health care oversight for residents, including an incorrect UAI and missing six-month oversight.
22VAC40-73-(6)-440-A
22VAC40-73-(6)-490-A
13 Aug 2024Inspection
13 Aug 2024Inspection
Identified deficiencies in medication management, rounds documentation, bathing frequency, and storage of hazardous materials.
22VAC40-73-(6)-680-M
22VAC40-73-(8)-930-D
22VAC40-73-(8)-860-J
22VAC40-73-(6)-460-H
22VAC40-73-(6)-440-A
22VAC40-73-(6)-680-D
17 Jul 2024Inspection
17 Jul 2024Inspection
Identified a medication administration violation for resident 4 where hydrochlorothiazide was given despite a hold for blood pressure below 120/70. MARs showed administration on dates when the hold conditions were met.
22VAC40-73-(6)-680-D
12 Jun 2024Inspection
12 Jun 2024Inspection
Identified a deficiency for failing to notify the attending physician about significant weight loss and to document and follow physician instructions for nutritional care.
22VAC40-73-(6)-580-F
08 May 2024Inspection
08 May 2024Inspection
Investigated allegations found multiple deficiencies including care planning, safety, medication, incident reporting, private duty records, and maintenance; a violation notice was issued.
22VAC40-73-(6)-450-F
22VAC40-73-(8)-860-J
22VAC40-73-(5)-325-C
22VAC40-73-(3)-220-B
22VAC40-73-(6)-680-D
22VAC40-73-(8)-870-E
22VAC40-73-(2)-70-A
22VAC40-73-(5)-325-B
22VAC40-73-(2)-70-C
08 May 2024Inspection
08 May 2024Inspection
Found deficiencies in medication administration per prescriber orders and in transcription of orders to MARs within required timelines.
22VAC40-73-(6)-680-D
22VAC40-73-(6)-640-A
18 Apr 2024Inspection
18 Apr 2024Inspection
Found that medications were not administered in accordance with prescriber orders.
22VAC40-73-(6)-680-D
08 Mar 2024Inspection
08 Mar 2024Inspection
Identified deficiencies in narcotics counting and documentation during staff shift changes. Medication management did not ensure accurate counts of controlled substances as required.
22VAC40-73-(6)-640-A
08 Mar 2024Inspection
08 Mar 2024Inspection
Found no deficiencies.
24 Jul 2023Inspection
24 Jul 2023Inspection
Found multiple deficiencies in water supply, signaling devices, medication handling, care planning, staffing, and building upkeep.
22VAC40-73-(9)-980-H
22VAC40-73-(8)-930-A
22VAC40-73-(6)-640-A
22VAC40-73-(6)-450-C
22VAC40-73-(8)-870-A
22VAC40-73-(6)-680-D
22VAC40-73-(10)-1130-A
22VAC40-73-(5)-320-A
22VAC40-73-(10)-1020-A
24 Jul 2023Inspection
24 Jul 2023Inspection
Investigated a complaint and found no deficiencies. No violations were cited.
31 Jan 2023Inspection
31 Jan 2023Inspection
Identified deficiencies in medication management, including insulin administration errors, inadequate narcotics control during staff changes, and unlocked medication storage.
22VAC40-73-(6)-680-D
22VAC40-73-(6)-640-A
22VAC40-73-(6)-660-A-1
31 Jan 2023Inspection
31 Jan 2023Inspection
Found no deficiencies.
31 Aug 2022Inspection
31 Aug 2022Inspection
Found multiple deficiencies including unsafe building conditions, incomplete individualized service plans, improper medication storage and management, unclear medication orders, and incomplete assessments.
22VAC40-73-(8)-870-A
22VAC40-73-(6)-450-C
22VAC40-73-(6)-660-B
22VAC40-73-(6)-640-A
22VAC40-73-(6)-650-B
22VAC40-73-(6)-440-D
31 Aug 2022Inspection
31 Aug 2022Inspection
Found no deficiencies.
11 Aug 2022Inspection
11 Aug 2022Inspection
Investigated and found a deficiency where private duty personnel not employed by a licensed home care organization provided direct care without the required documentation.
22VAC40-73-(3)-220-B
28 Jun 2022Inspection
28 Jun 2022Inspection
Identified nighttime staffing deficiencies. Insufficient direct care staff on duty during the night shift in the special care unit and in the mixed population section.
22VAC40-73-(10)-1130-C
22VAC40-73-(10)-1020-A
25 Apr 2022Inspection
25 Apr 2022Inspection
Investigated a prior complaint about special diets and found no repeat or additional violations.
23 Feb 2022Inspection
23 Feb 2022Inspection
Found that diets prescribed by physicians were not consistently prepared or served according to orders; two residents on mechanical soft diets were sometimes served regular meals, and the kitchen's special-diet list did not reflect those orders.
22VAC40-73-(6)-610-D
08 Nov 2021Inspection
08 Nov 2021Inspection
Found no deficiencies identified during a focused follow-up visit reviewing prior high-risk issues.
24 Aug 2021Inspection
24 Aug 2021Inspection
Investigated multiple deficiencies in medication documentation, orders, staff training, diet administration, ISP updates, and building safety.
22VAC40-73-(6)-680-E
22VAC40-73-(3)-260-A
22VAC40-73-(6)-700-1
22VAC40-73-(6)-610-D
22VAC40-73-(8)-870-A
22VAC40-73-(8)-860-I
22VAC40-73-(6)-450-F
22 Jul 2021Inspection
22 Jul 2021Inspection
Found no deficiencies. Evidence did not establish any non-compliance with standards or law during the monitoring inspection.
20 May 2021Inspection
20 May 2021Inspection
Investigated a complaint alleging care and building condition concerns; found a deficiency related to cleanliness of furnishings and fixtures during a virtual check.
22VAC40-73-(8)-870-E
Disclaimer
Mirador Living is not affiliated with the owner or operator(s) of Runk & Pratt at Smith Mountain Lake. The information above has not been verified or approved by the owner or operator. For exact information, please contact Runk & Pratt at Smith Mountain Lake directly. There is no cost for this service. We are compensated by the community you select.
Are you an owner or operator of this community?
Claim this listing to receive messages from prospective customers and manage your community page.
