Hills Home for Adults

What is Hills Home for Adults licensed to provide in Chesapeake, VA?

Hills Home for Adults at 1443 Commerce Avenue, Chesapeake is an assisted living facility licensed by the Virginia Department of Social Services (VDSS) for up to 48 residents. Its license covers both levels Virginia licenses -- residential living care and assisted living care. VDSS does not list a special care unit for dementia here.

VDSS lists the license as One Year, expiring Aug. 9, 2026, with Mr. Earl Hill named as administrator. Families sometimes skip past the license term, but in Virginia it carries information -- a facility on a conditional or provisional license is either new or being watched more closely than one on a one- or two-year license.

The record lists this building as ambulatory only, so residents must be able to leave the building on their own in an emergency.

What did Virginia inspectors find at Hills Home for Adults?

VDSS has posted 9 inspections for Hills Home for Adults; two fall in the 24 months before October 28, 2026. Of those recent visits, one was complaint-related and two documented at least one violation. The most recent inspection on file is dated July 29, 2026.

Violations VDSS cited in the past two years, in the inspector's own words (first sentence of each):

• 22VAC40-73-150-F (Administrator provisions and responsibilities, Aug. 15, 2025): Based on review, the facility licensed for both residential and assisted living care, the administrator shall serve on a full-time basis as the on-site agent of the licensee and shall be responsible for the day-to- day administration.
• 22VAC40-73-310-B (Admission and retention of residents, Aug. 15, 2025): Based on record review, the facility failed to document a required interview between the administrator or a designee responsible for admission and retention decisions, the individual, and his legal representative occurred.
• 22VAC40-73-330-A (Mental health screening, Aug. 15, 2025): Based on record review and staff interview, the facility failed to ensure a mental health screening shall be conducted prior to admission if behaviors or patterns of behavior occurred within the previous six months that were indicative.
• 22VAC40-73-340-A (Psychosocial and behavioral history, Aug. 15, 2025): Based on record review and interview, the facility failed to ensure if the prospective resident is coming from a private residence, information about the individual's psychosocial and behavioral functioning shall be gathered from.
• 22VAC40-73-390-A (Resident agreement with facility, Aug. 15, 2025): Based on documentation review, the facility failed to provide a written agreement/ acknowledgement of notification dated and signed by the resident or applicant for admission, or the appropriate legal representative, and by the license.
• 22VAC40-73-410-A (Orientation and related information for residents, Aug. 15, 2025): Based on resident record reviewed and staff interviewed, the facility failed to obtain an acknowledgment from the resident and/or their legal representative upon admission of receiving orientation and related information for new residents.
• 22VAC40-73-450-C (Individualized service plans, Aug. 15, 2025): Based on record review and staff interview, the facility failed to ensure the individualized service plan ( ISP ) included all assessment needs.
• 22VAC40-73-680-I (Administration of medications and related provisions, Aug. 15, 2025): Based on resident review and review of the Medication Administration Record ( MAR ), the facility failed to have all items required by standards on the MAR .
• 22VAC40-73-870-A (Maintenance of buildings and grounds, Aug. 15, 2025): Based on observation and staff interview, the facility failed to ensure the interior and exterior of all buildings shall be maintained in good repair and kept clean and free of rubbish.
• 22VAC40-73-870-G (Maintenance of buildings and grounds, Aug. 15, 2025): Based on observation, the facility failed to ensure the grounds shall be properly maintained to include mowing of grass and removal of snow and ice.
• 22VAC40-73-950-A (Emergency preparedness and response plan, Aug. 15, 2025): Based on staff interview, the facility failed to develop a written emergency preparedness and response plan that shall address documentation of initial and annual contact with the local emergency coordinator to determine (i) local.
• 22VAC40-80-120-E-2 (Licensing standard, Aug. 15, 2025): Based on document review and staff interview, the facility failed to ensure the findings of the most recent inspection of the facility was posted on the premises.

How does Hills Home for Adults compare with other Chesapeake assisted living?

At 48 licensed beds, Hills Home for Adults is smaller than the median assisted living facility in Chesapeake (76 beds) and smaller than the Hampton Roads median of 78. 12 facilities in Chesapeake are licensed for more residents.

By licensed size it ranks 13 of 15 in Chesapeake. The closest in size are Virginia Home for Adults (52 beds, no secure unit, three violation inspections in 24 months) and Parsons Residential Care Center (60 beds, no secure unit, five violation inspections in 24 months). A comparable building nearby gives you a second inspection record to read side by side.

What should families ask Hills Home for Adults before moving in?

Ask the administrator what changed after the citations on administrator provisions and responsibilities, admission and retention of residents, mental health screening, and ask to see the plan of correction VDSS received.

Ask what the 1 complaint investigation in the last two years involved and how the facility responded.

Ask what happens to a resident of Hills Home for Adults whose savings run out -- is there an Auxiliary Grant bed, or a required move?

Ask what the plan is if flooding or a long power outage hits Chesapeake -- which rooms keep power, and where residents would be taken.

Who can help a family considering Hills Home for Adults in Chesapeake?

For Chesapeake residents, Senior Services of Southeastern Virginia (SSSEVA) (757-461-9481) handles aging-services planning and the Bay Aging Long-Term Care Ombudsman Regional Office (Norfolk office) (757-222-4542) advocates for residents once they move in. Licensing complaints go to VDSS at 1-800-543-7545.

Source: Virginia Department of Social Services, Division of Licensing Programs, facility search -- data as of October 28, 2026.