history of administrative or legal conflicts affecting families
Summary of reviews
Runk & Pratt at Smith Mountain Lake presents as a well-maintained, amenity-rich senior living community with clear strengths in physical environment and programming. The campus is frequently described as clean, bright, and accessible, with high ceilings, wide hallways, garden areas, and a secured memory-care wing with an enclosed courtyard. Onsite amenities include a well-organized library, hair salon, laundry services, sensory/therapeutic spaces, and a variety of apartment layouts including private studios and units with kitchenettes. The community supports a continuum of care spanning independent living through memory care, and several comments highlight careful attention to resident matching and transition support.
Care and staffing receive mixed but generally positive emphasis. Many families praised empathetic, attentive caregivers and noted knowledgeable medical oversight and on-call availability. Staff are also credited with providing daily assistance and a range of personal services (meals delivered to rooms, assistance with laundry and haircuts) and with creating a welcoming arrival experience. However, there are recurring operational concerns: periodic understaffing that can lead to delayed service, inconsistent staff responsiveness, and variability in individual staff performance. Prospective families should confirm current staffing levels, staffing ratios for the required level of care, and expectations for response times.
Dining and activities are commonly cited strengths. Several reviewers described high-quality meals served three times daily, a pleasant dining room with courtyard views, and accessible snack/hydration stations. The activity program appears broad and engaging, including crafts, music, bingo, Wii bowling, sing-alongs, art projects, puzzles, and regular bus outings; there are also memory-care-appropriate social opportunities. That said, meal satisfaction is not uniform—some residents praised the cuisine while others felt meals could improve—so food quality may vary by occasion or individual tastes.
Management, safety, and policy areas show both positive practices and noteworthy concerns. The community implemented visible infection-control measures during COVID-19 and in several accounts these measures limited transmission; visitation was restricted during outbreaks and later reopened in phases. Maintenance responsiveness and facility upkeep are frequently praised. At the same time, a small number of families described serious administrative conflicts, including legal action and challenging dispute-resolution experiences; these accounts indicate potential gaps in family communication and in how difficult situations are handled. Other operational issues raised include inconsistent staff vaccination/compliance practices and a higher-than-average cost relative to the local market.
Overall, Runk & Pratt at Smith Mountain Lake offers strong physical amenities, diverse programming, and many examples of compassionate caregiving. The primary operational cautions are variability in staffing and responsiveness, occasional inconsistencies in dining satisfaction, and administrative dispute history that some families found distressing. Prospective residents and their families would be advised to tour the community, ask for current staffing ratios, review vaccination and infection-control policies, discuss communication channels and grievance procedures, and request recent references from current resident families to assess consistency with their priorities.
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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.
Investigated the self-reported allegations and found no deficiencies; evidence did not support non-compliance.
08 Sept 2026Inspection
08 Sept 2026Inspection
Found no deficiencies. Investigated allegations related to resident care and cognitive impairment requirements; evidence did not support non-compliance.
08 Sept 2026Inspection
08 Sept 2026Inspection
Investigated the self-reported incident alleging non-compliance; found no deficiencies.
08 Sept 2026Inspection
08 Sept 2026Inspection
Found no deficiencies. Allegations regarding resident care and related services and requirements for adults with serious cognitive impairments were not supported.
17 Aug 2026Inspection
17 Aug 2026Inspection
Found that staff were not considerate or respectful toward a resident, violating rights and dignity; the involved employee was terminated.
22VAC40-73-(3)-110-1
17 Aug 2026Inspection
17 Aug 2026Inspection
Identified multiple deficiencies related to health care services, medication management, bathing, service planning, staffing, and TB screening. Violations documented.
22VAC40-73-(6)-470-A
22VAC40-73-(6)-680-I
22VAC40-73-(6)-460-H
22VAC40-73-(6)-450-F
22VAC40-73-(6)-640-A
22VAC40-73-(4)-290-B
22VAC40-73-(6)-640-A
22VAC40-73-(6)-440-A
22VAC40-73-(10)-1020-A
22VAC40-73-(5)-320-A
17 Aug 2026Inspection
17 Aug 2026Inspection
Investigated a medication administration incident and found that medications were removed from the pharmacy container by one staff member but administered by another, violating policy.
22VAC40-73-(6)-680-B
17 Aug 2026Inspection
17 Aug 2026Inspection
Found no deficiencies. The evidence did not support non-compliance with standards or law related to resident care and related services.
24 Jun 2026Inspection
24 Jun 2026Inspection
Investigated a self-reported incident related to personnel and found no deficiencies.
15 May 2026Inspection
15 May 2026Inspection
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-(6)-450-F
22VAC40-73-(6)-440-D
22VAC40-73-(10)-1090-A
22VAC40-73-(6)-640-A
22VAC40-73-(9)-950-E
22VAC40-73-(6)-680-D
22VAC40-73-(8)-870-A
22VAC40-73-(6)-550-G
22VAC40-73-(10)-1180-B
22VAC40-90-(BC3)-40-B
22VAC40-73-(5)-325-B
22VAC40-73-(6)-470-B
22VAC40-73-(10)-1110-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 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
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
Found no deficiencies related to the self-reported allegations.
12 May 2025Inspection
12 May 2025Inspection
Investigated the complaint and found no deficiencies.
12 May 2025Inspection
12 May 2025Inspection
Found no deficiencies during the monitoring visit.
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-(8)-860-I
22VAC40-73-(6)-490-A
22VAC40-73-(6)-680-I
10 Dec 2024Inspection
10 Dec 2024Inspection
Identified deficiencies in resident assessments and in maintaining written work schedules, with two violations cited.
22VAC40-73-(4)-290-A
22VAC40-73-(6)-440-A
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
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)-150-C
22VAC40-73-(3)-200-C
22VAC40-73-(3)-120-A
22VAC40-73-(3)-200-E
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 self-reported incident and found no deficiencies.
10 Dec 2024Inspection
10 Dec 2024Inspection
Investigated the allegation and found no deficiencies.
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.
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-(6)-680-K
22VAC40-73-(3)-150-D
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)-490-A
22VAC40-73-(6)-440-A
13 Aug 2024Inspection
13 Aug 2024Inspection
Identified deficiencies in medication management, rounds documentation, bathing frequency, and storage of hazardous materials.
22VAC40-73-(8)-860-J
22VAC40-73-(8)-930-D
22VAC40-73-(6)-680-M
22VAC40-73-(6)-460-H
22VAC40-73-(6)-680-D
22VAC40-73-(6)-440-A
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-(3)-220-B
22VAC40-73-(2)-70-A
22VAC40-73-(2)-70-C
22VAC40-73-(5)-325-B
22VAC40-73-(6)-680-D
22VAC40-73-(6)-450-F
22VAC40-73-(8)-870-E
22VAC40-73-(8)-860-J
22VAC40-73-(5)-325-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)-640-A
22VAC40-73-(6)-680-D
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-(6)-680-D
22VAC40-73-(10)-1020-A
22VAC40-73-(8)-870-A
22VAC40-73-(10)-1130-A
22VAC40-73-(6)-450-C
22VAC40-73-(6)-640-A
22VAC40-73-(8)-930-A
22VAC40-73-(5)-320-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)-660-A-1
22VAC40-73-(6)-680-D
22VAC40-73-(6)-640-A
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-(6)-440-D
22VAC40-73-(6)-660-B
22VAC40-73-(6)-650-B
22VAC40-73-(6)-640-A
22VAC40-73-(6)-450-C
22VAC40-73-(8)-870-A
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.
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