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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D22 | E7 | F4 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Oct 29, 2024 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Oct 29, 2024 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Mar 10, 2022 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Mar 10, 2022 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Jun 17, 2021 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Jun 17, 2021 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D22 | E7 | F4 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Oct 29, 2024 | K-0932 | Meet other general requirements. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 12, 2025 | |
| Oct 29, 2024 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 11, 2024 | |
| Oct 29, 2024 | F-0679 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Friendship Foundation Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 11, 1987 |
| Charles Shannon | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 30, 2004 |
| Nathaniel Bishop | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2021 |
| Glen Combs | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Mar 1, 2000 |
| Edwin Feinour | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 1, 1990 |
| Lucian Grove | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 1, 1999 |
| Cynda Johnson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2011 |
| Robert Lawson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Mar 7, 2007 |
| Kathryn Oelschlager | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2011 |
| Robert Sandel | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Mar 7, 2007 |
| John Williamson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2021 |
| Joseph Hoff | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 18, 2017 |
| Cynthia Mitchell | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Apr 6, 2016 |
| Charles Shannon | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Apr 1, 2014 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Star City Rehabilitation and Nursing 1047 Mecca Street NE, Roanoke, VA 24012 CCN 495427 | 5 km | 116 | Feb 18, 2025 | 37 | — | |
| Our Lady of the Valley 650 North Jefferson Street, Roanoke, VA 24016 CCN 495357 | 5 km | 70 | Aug 25, 2023 | 35 | $16k | |
| Springtree Healthcare & Rehab Center 3433 Springtree Drive, Roanoke, VA 24012 CCN 495378 | 5.2 km | 120 | Mar 11, 2026 | 58 | — | |
| Old Southwest Health and Rehabilitation 324 King George Ave SW, Roanoke, VA 24016 CCN 495156 | 7 km | 130 | Jul 16, 2024 | 1533 harm | $136k | |
| Raleigh Court Health and Rehabilitation Center 1527 Grandin Road Southwest, Roanoke, VA 24015 CCN 495209 | 7.3 km | 120 | Aug 15, 2024 | 481 harm | — | |
| Berkshire Health & Rehabilitation Center 705 Clearview Drive, Vinton, VA 24179 CCN 495293 | 7.7 km | 180 | May 27, 2026 | 34 | — | |
| Davis and Mcdaniel Veterans Care Center 4550 Shenandoah Ave N W, Roanoke, VA 24017 CCN 495274 | 7.8 km | 180 | Jan 8, 2026 | 20 | — | |
| Daleville Health and Rehabilitation 290 Commons Parkway, Daleville, VA 24083 CCN 495386 | 8.5 km | 90 | Apr 10, 2024 | 58 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 495092 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 495092 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care |
| E · Potential harm Pattern |
| Corrected Dec 11, 2024 |
| Oct 29, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 11, 2024 |
| Oct 29, 2024 | F-0842 | 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 · Clinical care | D · Potential harm Isolated | Corrected Dec 11, 2024 |
| Oct 29, 2024 | F-0849 | 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. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Dec 11, 2024 |
| Mar 10, 2022 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 27, 2022 |
| Mar 10, 2022 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 27, 2022 |
| Mar 10, 2022 | K-0325 | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 27, 2022 |
| Mar 10, 2022 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 27, 2022 |
| Mar 10, 2022 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 27, 2022 |
| Mar 10, 2022 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 27, 2022 |
| Mar 10, 2022 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 27, 2022 |
| Mar 10, 2022 | F-0657 | 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 · Clinical care | D · Potential harm Isolated | Corrected Apr 20, 2022 |
| Mar 10, 2022 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 20, 2022 |
| Mar 10, 2022 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 20, 2022 |
| Mar 10, 2022 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 20, 2022 |
| Mar 10, 2022 | F-0761 | 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 · Medication management | D · Potential harm Isolated | Corrected Apr 20, 2022 |
| Jun 17, 2021 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 13, 2021 |
| Jun 17, 2021 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 13, 2021 |
| Jun 17, 2021 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 13, 2021 |
| Jun 17, 2021 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 13, 2021 |
| Jun 17, 2021 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 13, 2021 |
| Jun 17, 2021 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 13, 2021 |
| Jun 17, 2021 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 13, 2021 |
| Jun 17, 2021 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 13, 2021 |
| Jun 17, 2021 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 28, 2021 |
| Jun 17, 2021 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 28, 2021 |
| Jun 17, 2021 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 28, 2021 |
| Jun 17, 2021 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 28, 2021 |
| Jun 17, 2021 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jul 28, 2021 |
| Jun 17, 2021 | F-0761 | 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 · Medication management | D · Potential harm Isolated | Corrected Jul 28, 2021 |
| Jun 17, 2021 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jul 28, 2021 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.25 (case-mix index 1.29).