nursing home in Roanoke, VA
Brandon Oaks Nursing and Rehabilitation Center
3837 Brandon Avenue SW, Roanoke, VA 24018 · (540) 776-2616
★★★★★5
Much above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★5
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Brandon Oaks Nursing and Rehabilitation Center at a glance
Brandon Oaks Nursing and Rehabilitation Center is a 62-bed non-profit nursing home in Roanoke, Virginia (Roanoke County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Virginia average of 3.
Residents receive about 5.4 hours of nursing care per day (0.9 of them from registered nurses), better than the state average of 3.8 hours.
Its most recent standard health inspection (September 8, 2023) found 3 health citations. The Virginia average is 14.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 34.6% per year (state average 48.1%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 62
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- April 1, 2004
- Continuing care retirement community
- Yes
- Resident/family council
- Resident
- County
- Roanoke County
- CMS Certification Number
- 495373
Ratings
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 3 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.7 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 5 / 5 | 2.4 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.9 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.6 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 5.40 hrs | 3.76 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.87 hrs | 0.69 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.82 hrs | 2.07 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 4.54 hrs | 3.29 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 34.6% | 48.1% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 47.1% | 48.2% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 3 | 14 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 24 | 122.3 | 80.6 | Better |
Penalties
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $23,688 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 62 | 113 | 107 | |
| Average residents per day | 59 | 99 | 86 | |
| Occupancy | 94.5% | 87.9% | 80.9% |
Long-stay residents
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.5% | 3.6% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 3.3% | 4.7% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 19.4% | 14.2% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 8.6% | 1.6% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.4% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 19% | 14.9% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 19.6% | 15.6% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 4.8% | 5.4% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 1.6% | 18.7% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 9.5% | 20.6% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 22.8% | 21.8% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 95% | 94% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 98.6% | 90.9% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.5% | 1.3% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 95.1% | 73.6% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 98.6% | 73.7% | 82% | Better |
Inspection citations
State inspectors cited this home for 12 health deficiencies and 21 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| September 8, 2023 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | D Potential harm, isolated | Corrected February 26, 2024 |
| September 8, 2023 Fire safety | Meet other general requirements. Smoke Deficiencies · Tag K0932 | D Potential harm, isolated | Corrected February 26, 2024 |
| September 8, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected November 8, 2023 |
| September 8, 2023 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected November 8, 2023 |
| September 8, 2023 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected November 8, 2023 |
| August 24, 2021 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected October 27, 2021 |
| August 24, 2021 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected October 27, 2021 |
| August 24, 2021 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected October 27, 2021 |
| August 24, 2021 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected October 27, 2021 |
| August 24, 2021 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | E Potential harm, pattern | Corrected November 23, 2021 |
| August 24, 2021 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected October 27, 2021 |
| August 24, 2021 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected October 27, 2021 |
| August 24, 2021 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | E Potential harm, pattern | Corrected November 23, 2021 |
| August 24, 2021 Fire safety | Properly install and monitor supervisory attachments on automatic sprinkler systems. Smoke Deficiencies · Tag K0352 | E Potential harm, pattern | Corrected October 27, 2021 |
| August 24, 2021 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected October 27, 2021 |
| August 24, 2021 Fire safety | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Tag K0325 | D Potential harm, isolated | Corrected October 27, 2021 |
| August 24, 2021 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected September 24, 2021 |
| August 24, 2021 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected September 24, 2021 |
| August 24, 2021 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected September 24, 2021 |
| February 27, 2020 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected October 6, 2020 |
| February 27, 2020 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Corrected October 6, 2020 |
| February 27, 2020 Fire safety | Install a two-hour-resistant firewall separation. Construction Deficiencies · Tag K0133 | F Potential harm, widespread | Corrected October 6, 2020 |
| February 27, 2020 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | F Potential harm, widespread | Corrected October 6, 2020 |
| February 27, 2020 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected October 6, 2020 |
| February 27, 2020 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected October 6, 2020 |
| February 27, 2020 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | F Potential harm, widespread | Corrected October 6, 2020 |
| February 27, 2020 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | F Potential harm, widespread | Corrected October 6, 2020 |
| February 27, 2020 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected April 10, 2020 |
| February 27, 2020 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected April 10, 2020 |
| February 27, 2020 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected April 10, 2020 |
| February 27, 2020 Standard | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected April 10, 2020 |
| February 27, 2020 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected April 10, 2020 |
| February 27, 2020 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected April 10, 2020 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| DURAN-BALLEN, J ESTEBAN Individual | adp of the snf | NOT APPLICABLE | 05/23/2024 |
| MITCHELL, WILLIAM Individual | adp of the snf | NOT APPLICABLE | 04/01/2025 |
| VIRGINIA LUTHERAN HOMES, INC. Organization | adp of the snf | NOT APPLICABLE | 04/01/2014 |
| DURAN-BALLEN, J ESTEBAN Individual | corporate director | NOT APPLICABLE | 05/23/2024 |
| DOWNS, CHARLES Individual | corporate officer | NOT APPLICABLE | 08/01/2022 |
| HICKLIN, JENNIFER Individual | corporate officer | NOT APPLICABLE | 08/22/2022 |
| DOWNS, CHARLES Individual | operational/managerial control | NOT APPLICABLE | 08/01/2022 |
| DURAN-BALLEN, J ESTEBAN Individual | operational/managerial control | NOT APPLICABLE | 05/23/2024 |
| SANDY, PHILLIP Individual | operational/managerial control | NOT APPLICABLE | 06/02/2025 |
| VIRGINIA LUTHERAN HOMES, INC. Organization | operational/managerial control | NOT APPLICABLE | 04/01/2014 |
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★★★★★4Above averageSouth Roanoke Nursing and Rehabilitation
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★★★★★3AverageSnyder Nursing Home
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Non-profit · 45 beds
- CMS high performer
★★★★★5Much above averageOld Southwest Health and Rehabilitation
324 King George Ave SW, Roanoke, VA 24016 · 3.6 mi
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★★★★★1Much below average
Frequently asked questions
What is Brandon Oaks Nursing and Rehabilitation Center's rating?
Brandon Oaks Nursing and Rehabilitation Center has 5 out of 5 stars on the CMS overall star rating. The average for Virginia nursing homes is 3 stars.
How many inspection citations did Brandon Oaks Nursing and Rehabilitation Center receive?
Its most recent standard health inspection found 3 citations, compared with a Virginia average of 14.4. Every citation is listed on this page with its severity.
Does Brandon Oaks Nursing and Rehabilitation Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Brandon Oaks Nursing and Rehabilitation Center?
It is non profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Brandon Oaks Nursing and Rehabilitation Center and how do I contact it?
Brandon Oaks Nursing and Rehabilitation Center is at 3837 Brandon Avenue SW, Roanoke, VA 24018. Phone: (540) 776-2616.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.