FRIENDSHIP HEALTH AND REHAB CENTER – Nursing Home, ROANOKE, Virginia
Medicare and Medicaid
CMS quality ratings
Overall
Health inspection
Quality of care
Staffing
RN staffing
5 substantiated complaints
Last cited survey: 29 October 2024 · 52 health and 48 fire safety citations on file
Source: CMS Care Compare nursing home data. Ratings are updated when CMS publishes new inspection results.
Main info
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Location
327 HERSHBERGER RD NW
ROANOKE, VA 24012
Phone: (540) 265-2100
Compare to VA average
See how this facility compares to the VA state average among rated nursing homes (290 homes). Peer best shows the highest rating among similar homes in the same city.
| Metric | This facility | VA average | Peer best (city) |
|---|---|---|---|
| Overall CMS stars | 4 | 3.03 | 5 |
| Health inspection | 4 | 2.8 | 5 |
| Staffing | 3 | 2.44 | 5 |
| Quality measures | 4 | 3.93 | 5 |
| Certified beds | 253 | 112.2 | — |
| Citations on file (health + fire) | 100 | ~12.3 health* | — |
- BRANDON OAKS NURSING AND REHABILITATION CENTER — 5★ overall
- Davis and McDaniel Veterans Care Center — 5★ overall
- FRIENDSHIP HEALTH AND REHAB CENTER - SOUTH — 3★ overall
- OLD SOUTHWEST HEALTH AND REHABILITATION — 1★ overall
- OUR LADY OF THE VALLEY — 5★ overall
* State deficiency average uses CMS rating-cycle health deficiency counts.
Owners information
| Name | Role Description | Type | Ownership Percentage | Association Date |
|---|---|---|---|---|
| MITCHELL, CYNTHIA D | CORPORATE OFFICER | Individual | 0.00 | 04/06/2016 |
| GROVE, LUCIAN Y | CORPORATE DIRECTOR | Individual | - | 09/01/1999 |
| SANDEL, ROBERT H | CORPORATE DIRECTOR | Individual | - | 03/07/2007 |
| FEINOUR, EDWIN R | CORPORATE DIRECTOR | Individual | - | 12/01/1990 |
| WILLIAMSON, JOHN B | CORPORATE DIRECTOR | Individual | - | 07/01/2021 |
| HOFF, JOSEPH | CORPORATE OFFICER | Individual | - | 07/18/2017 |
| COMBS, GLEN C | CORPORATE DIRECTOR | Individual | - | 03/01/2000 |
| SHANNON, CHARLES M | CORPORATE OFFICER | Individual | - | 04/01/2014 |
| SHANNON, CHARLES M | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 11/30/2004 |
| JOHNSON, CYNDA ANN | CORPORATE DIRECTOR | Individual | - | 07/01/2011 |
| OELSCHLAGER, KATHRYN | CORPORATE DIRECTOR | Individual | - | 07/01/2011 |
| FRIENDSHIP FOUNDATION INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | 100.00 | 08/11/1987 |
| LAWSON, ROBERT C | CORPORATE DIRECTOR | Individual | - | 03/07/2007 |
| BISHOP, NATHANIEL | CORPORATE DIRECTOR | Individual | - | 07/01/2021 |
Inspections & deficiencies
CMS inspection citations for this nursing home. Filter by type or recency, and use severity chips to spot higher-risk findings.
100 citations on file · Latest survey: 29 October 2024 · 52 health · 48 fire safety
Health deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2024-10-29 | F849 | D — Minimal harm, isolated | Health | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. |
| 2024-10-29 | F849 | D — Minimal harm, isolated | Health | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. |
| 2024-10-29 | F849 | D — Minimal harm, isolated | Health | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. |
| 2024-10-29 | F842 | D — Minimal harm, isolated | Health | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| 2024-10-29 | F842 | D — Minimal harm, isolated | Health | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| 2024-10-29 | F842 | D — Minimal harm, isolated | Health | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| 2024-10-29 | F684 | D — Minimal harm, isolated | Health | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2024-10-29 | F684 | D — Minimal harm, isolated | Health | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2024-10-29 | F684 | D — Minimal harm, isolated | Health | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2024-10-29 | F679 | E — Minimal harm, pattern | Health | Provide activities to meet all resident's needs. |
| 2024-10-29 | F679 | E — Minimal harm, pattern | Health | Provide activities to meet all resident's needs. |
| 2024-10-29 | F679 | E — Minimal harm, pattern | Health | Provide activities to meet all resident's needs. |
| 2024-10-29 | F584 | D — Minimal harm, isolated | Health | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. |
| 2024-10-29 | F584 | D — Minimal harm, isolated | Health | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. |
| 2024-10-29 | F584 | D — Minimal harm, isolated | Health | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. |
| 2023-03-23 | F658 | D — Minimal harm, isolated | Health | Ensure services provided by the nursing facility meet professional standards of quality. |
| 2022-03-10 | F761 | D — Minimal harm, isolated | Health | 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. |
| 2022-03-10 | F761 | D — Minimal harm, isolated | Health | 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. |
| 2022-03-10 | F761 | D — Minimal harm, isolated | Health | 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. |
| 2022-03-10 | F690 | D — Minimal harm, isolated | Health | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
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Fire safety deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2024-10-29 | K932 | D — Minimal harm, isolated | Fire Safety | Meet other general requirements. |
| 2024-10-29 | K932 | D — Minimal harm, isolated | Fire Safety | Meet other general requirements. |
| 2024-10-29 | K932 | D — Minimal harm, isolated | Fire Safety | Meet other general requirements. |
| 2022-03-10 | K363 | E — Minimal harm, pattern | Fire Safety | Install corridor and hallway doors that block smoke. |
| 2022-03-10 | K511 | D — Minimal harm, isolated | Fire Safety | Have properly installed electrical wiring and gas equipment. |
| 2022-03-10 | K761 | D — Minimal harm, isolated | Fire Safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. |
| 2022-03-10 | K161 | E — Minimal harm, pattern | Fire Safety | Use approved construction type or materials. |
| 2022-03-10 | K161 | E — Minimal harm, pattern | Fire Safety | Use approved construction type or materials. |
| 2022-03-10 | K324 | D — Minimal harm, isolated | Fire Safety | Provide properly protected cooking facilities. |
| 2022-03-10 | K325 | D — Minimal harm, isolated | Fire Safety | Have properly installed hallway dispensers for alcohol-based hand rub. |
| 2022-03-10 | K324 | D — Minimal harm, isolated | Fire Safety | Provide properly protected cooking facilities. |
| 2022-03-10 | K363 | E — Minimal harm, pattern | Fire Safety | Install corridor and hallway doors that block smoke. |
| 2022-03-10 | K511 | D — Minimal harm, isolated | Fire Safety | Have properly installed electrical wiring and gas equipment. |
| 2022-03-10 | K761 | D — Minimal harm, isolated | Fire Safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. |
| 2022-03-10 | K161 | E — Minimal harm, pattern | Fire Safety | Use approved construction type or materials. |
| 2022-03-10 | K324 | D — Minimal harm, isolated | Fire Safety | Provide properly protected cooking facilities. |
| 2022-03-10 | K325 | D — Minimal harm, isolated | Fire Safety | Have properly installed hallway dispensers for alcohol-based hand rub. |
| 2022-03-10 | K353 | E — Minimal harm, pattern | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2022-03-10 | K363 | E — Minimal harm, pattern | Fire Safety | Install corridor and hallway doors that block smoke. |
| 2022-03-10 | K511 | D — Minimal harm, isolated | Fire Safety | Have properly installed electrical wiring and gas equipment. |
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Additional information
Full CMS quality rating tables
Quality Ratings
| Name | Value |
|---|---|
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| Quality of Resident Care Rating | 4 |
| Quality of Resident Care Rating (Long Stay) | 4 |
| Quality of Resident Care Rating (Short Stay) | 4 |
| Staffing Rating | 3 |
| RN Staffing Rating | 2 |
| Reported CNA Staffing Hours per Resident per Day | 1.84206 |
| Reported LPN Staffing Hours per Resident per Day | 1.18645 |
| Reported RN Staffing Hours per Resident per Day | 0.46456 |
| Reported Licensed Staffing Hours per Resident per Day | 1.65101 |
| Reported Total Nurse Staffing Hours per Resident per Day | 3.73637 |
| Reported Physical Therapist Staffing Hours per Resident per Day | 0.06338 |
| Casemix CNA Staffing Hours per Resident per Day | 2.03393 |
| Casemix LPN Staffing Hours per Resident per Day | 0.73634 |
| Casemix RN Staffing Hours per Resident per Day | 0.36482 |
| Casemix Total Nurse Staffing Hours per Resident per Day | 3.1351 |
| Adjusted CNA Staffing Hours per Resident per Day | 1.86968 |
| Adjusted LPN Staffing Hours per Resident per Day | 1.25649 |
| Adjusted RN Staffing Hours per Resident per Day | 0.49198 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 3.95694 |
Health Inspection and Deficiency Ratings
| Name | Value |
|---|---|
Date of Standard Health Survey (Cycle 1) | 2018-11-16 |
Date of Standard Health Survey (Cycle 2) | 2017-08-10 |
Total Number of Health Deficiencies (Cycle 1) | 20 |
Number of Standard Health Deficiencies (Cycle 1) | 13 |
Number of Complaint Health Deficiencies (Cycle 1) | 7 |
Health Deficiency Score (Cycle 1) | 88 |
Number of Health Revisits (Cycle 1) | 1 |
Health Revisit Score (Cycle 1) | 0 |
Total Health Score (Cycle 1) | 88 |
Total Number of Health Deficiencies (Cycle 2) | 9 |
Number of Standard Health Deficiencies (Cycle 2) | 9 |
Number of Complaint Health Deficiencies (Cycle 2) | 1 |
Health Deficiency Score (Cycle 2) | 48 |
Number of Health Revisits (Cycle 2) | 1 |
Total Health Score (Cycle 2) | 48 |
Date of Standard Health Survey (Cycle 3) | 2016-08-04 |
Total Number of Health Deficiencies (Cycle 3) | 8 |
Number of Standard Health Deficiencies (Cycle 3) | 8 |
Number of Health Revisits (Cycle 3) | 1 |
Health Deficiency Score (Cycle 3) | 40 |
Total Health Score (Cycle 3) | 40 |
Total Weighted Health Survey Score | 23 |
Complaints, Fines, and Penalties
| Name | Value |
|---|---|
Number of Substantiated Complaints | 5 |
Cited for Abuse | |
Most Recent Health Inspection More Than 2 Years Ago | |
Provider Changed Ownership in Last 12 Months | |
With a Resident and Family Council | Resident |
Automatic Sprinkler Systems in All Required Areas | Yes |
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