nursing home in Roanoke, VA
Friendship Health and Rehab Center - South
5647 Starkey Road, Roanoke, VA 24018 · (540) 777-8300
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★4
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Friendship Health and Rehab Center - South at a glance
Friendship Health and Rehab Center - South is a 120-bed non-profit nursing home in Roanoke, Virginia (Roanoke County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Virginia average of 3.
Residents receive about 4.2 hours of nursing care per day (0.6 of them from registered nurses), better than the state average of 3.8 hours.
Its most recent standard health inspection (April 25, 2024) found 11 health citations. The Virginia average is 14.4.
Federal regulators fined it 1 time in the past three years, totaling $8,281.
Nursing staff turnover is 48.4% per year (state average 48.1%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 120
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- May 16, 2016
- Resident/family council
- Resident
- County
- Roanoke County
- CMS Certification Number
- 495421
Ratings
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 4 / 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) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 4 / 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) | 4.24 hrs | 3.76 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.57 hrs | 0.69 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.31 hrs | 2.07 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.56 hrs | 3.29 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 48.4% | 48.1% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 40% | 48.2% | 42.9% | Better |
| 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) | 11 | 14 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 47 | 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) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $8,281 | $23,688 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 120 | 113 | 107 | |
| Average residents per day | 112 | 99 | 86 | |
| Occupancy | 93.7% | 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) | 1.8% | 3.6% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 6.9% | 4.7% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 14.1% | 14.2% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.3% | 1.6% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.2% | 0.4% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 14.3% | 14.9% | 13.9% | Average |
| Long-stay residents whose walking worsened (lower is better) | 10.7% | 15.6% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 2.2% | 5.4% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 12% | 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) | 21.2% | 20.6% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 14.2% | 21.8% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 96.6% | 94% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 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) | 0.3% | 1.3% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 95.4% | 73.6% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 99.3% | 73.7% | 82% | Better |
Inspection citations
State inspectors cited this home for 19 health deficiencies and 17 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 18, 2025 Complaint | 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 | J Immediate jeopardy, isolated | Corrected January 29, 2025 |
| June 18, 2025 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected January 29, 2025 |
| April 25, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected June 21, 2024 |
| April 25, 2024 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | B No harm, pattern | Corrected June 21, 2024 |
| April 25, 2024 Standard | 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 | E Potential harm, pattern | Corrected June 20, 2024 |
| April 25, 2024 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected June 20, 2024 |
| April 25, 2024 Standard | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Tag F0887 | D Potential harm, isolated | Corrected June 20, 2024 |
| April 25, 2024 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected June 20, 2024 |
| April 25, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected June 20, 2024 |
| April 25, 2024 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected June 20, 2024 |
| April 25, 2024 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected June 20, 2024 |
| April 25, 2024 Standard | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Tag F0636 | D Potential harm, isolated | Corrected June 20, 2024 |
| April 25, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected June 20, 2024 |
| April 25, 2024 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected June 20, 2024 |
| April 25, 2024 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected June 20, 2024 |
| April 25, 2024 Standard | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected June 20, 2024 |
| October 13, 2022 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected March 3, 2023 |
| October 13, 2022 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected March 3, 2023 |
| October 13, 2022 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected March 3, 2023 |
| October 13, 2022 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected December 5, 2022 |
| October 13, 2022 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected March 3, 2023 |
| October 13, 2022 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected December 5, 2022 |
| October 13, 2022 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | E Potential harm, pattern | Corrected December 5, 2022 |
| October 13, 2022 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | E Potential harm, pattern | Corrected December 5, 2022 |
| October 13, 2022 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | D Potential harm, isolated | Corrected December 5, 2022 |
| October 13, 2022 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | D Potential harm, isolated | Corrected December 5, 2022 |
| October 13, 2022 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 | E Potential harm, pattern | Corrected November 15, 2022 |
| October 13, 2022 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected November 15, 2022 |
| October 13, 2022 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected November 15, 2022 |
| December 5, 2019 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 | F Potential harm, widespread | Corrected January 23, 2020 |
| December 5, 2019 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | E Potential harm, pattern | Corrected January 23, 2020 |
| December 5, 2019 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected January 23, 2020 |
| December 5, 2019 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected January 23, 2020 |
| December 5, 2019 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 | D Potential harm, isolated | Corrected January 23, 2020 |
| December 5, 2019 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 December 13, 2019 |
| December 5, 2019 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected December 13, 2019 |
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 1 federal penalty in the past three years, including $8,281 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| June 18, 2025 | Fine | $8,281 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| FRIENDSHIP FOUNDATION INC Organization | 5% or greater direct ownership interest | 100% | 03/15/2012 |
| BISHOP, NATHANIEL Individual | corporate director | NOT APPLICABLE | 07/01/2021 |
| COMBS, GLEN Individual | corporate director | NOT APPLICABLE | 03/15/2012 |
| FEINOUR, EDWIN Individual | corporate director | NOT APPLICABLE | 03/15/2012 |
| GROVE, LUCIAN Individual | corporate director | NOT APPLICABLE | 03/15/2012 |
| JOHNSON, CYNDA Individual | corporate director | NOT APPLICABLE | 03/15/2012 |
| LAWSON, ROBERT Individual | corporate director | NOT APPLICABLE | 03/15/2012 |
| OELSCHLAGER, KATHRYN Individual | corporate director | NOT APPLICABLE | 03/15/2012 |
| SANDEL, ROBERT Individual | corporate director | NOT APPLICABLE | 03/15/2012 |
| WILLIAMSON, JOHN Individual | corporate director | NOT APPLICABLE | 07/01/2021 |
| HOFF, JOSEPH Individual | corporate officer | NOT APPLICABLE | 07/18/2017 |
| MITCHELL, CYNTHIA Individual | corporate officer | NOT APPLICABLE | 04/06/2016 |
| SHANNON, CHARLES Individual | corporate officer | NOT APPLICABLE | 03/15/2012 |
| EVANS, BRANDON Individual | w-2 managing employee | NOT APPLICABLE | 09/24/2018 |
Other nursing homes near Friendship Health and Rehab Center - South
Pheasant Ridge Nursing and Rehabilitation
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For-profit · 101 beds · Part of Avardis Health
- Abuse citation
★★★★★1Much below averageSouth Roanoke Nursing and Rehabilitation
3823 Franklin Rd, SW, Roanoke, VA 24014 · 2.2 mi
For-profit · 98 beds · Part of Heritage Hall
★★★★★3AverageRaleigh Court Health and Rehabilitation Center
1527 Grandin Road Southwest, Roanoke, VA 24015 · 4 mi
For-profit · 120 beds · Part of Lifeworks Rehab
★★★★★4Above averageBrandon Oaks Nursing and Rehabilitation Center
3837 Brandon Avenue SW, Roanoke, VA 24018 · 4.2 mi
Non-profit · 62 beds
★★★★★5Much above averageOld Southwest Health and Rehabilitation
324 King George Ave SW, Roanoke, VA 24016 · 4.4 mi
For-profit · 130 beds · Part of Eastern Healthcare Group
★★★★★1Much below averageSalem Health & Rehabilitation
1945 Roanoke Blvd, Salem, VA 24153 · 5.2 mi
For-profit · 240 beds · Part of Lifeworks Rehab
★★★★★2Below average
Frequently asked questions
What is Friendship Health and Rehab Center - South's rating?
Friendship Health and Rehab Center - South has 3 out of 5 stars on the CMS overall star rating. The average for Virginia nursing homes is 3 stars.
How many inspection citations did Friendship Health and Rehab Center - South receive?
Its most recent standard health inspection found 11 citations, compared with a Virginia average of 14.4. Every citation is listed on this page with its severity.
Does Friendship Health and Rehab Center - South 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 Friendship Health and Rehab Center - South?
It is non profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Friendship Health and Rehab Center - South and how do I contact it?
Friendship Health and Rehab Center - South is at 5647 Starkey Road, Roanoke, VA 24018. Phone: (540) 777-8300.
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.