Brandon Oaks Nursing and Rehabilitation Center — nursing home in Roanoke, VA

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid · part of a continuing care retirement community (CCRC)
Certified beds: 62 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 57.3 CMS, MDS-derived
CMS Certification Number: 495373
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Apr 1, 2004
Ownership type: Non profit - Corporation
Operator (legal business name): Virginia Lutheran Homes, Inc
CMS chain: Not part of a CMS-reported chain
Phone: (540) 776-2616
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest Aug 13, 2026

Citations

34

13 health · 21 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D14	E6	F14
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.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 495373
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 62
First approved: Apr 1, 2004
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Virginia.

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.

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.

Date	Domain	Survey types	Citations	Most severe	Open
Aug 13, 2026	Health	Health Complaint	1	Potential harm	1	Open →
Sep 8, 2023	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Sep 8, 2023	Health	Health Standard	3	Potential harm	—	Open →
Aug 24, 2021	Fire safety	Fire Safety Standard	11	Potential harm	—	Open →
Aug 24, 2021	Health	Health Standard	3	Potential harm	—	Open →
Feb 27, 2020	Fire safety	Fire Safety Standard	8	Potential harm	—	Open →
Feb 27, 2020	Health	Health Standard	6	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D14	E6	F14
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Aug 13, 2026	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Plan of correction, not yet verified Sep 18, 2026	Complaint
Sep 8, 2023	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 26, 2024
Sep 8, 2023	K-0932	Meet other general requirements. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 26, 2024
Sep 8, 2023	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 8, 2023
Sep 8, 2023	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Nov 8, 2023
Sep 8, 2023	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	F · Potential harm Widespread	Corrected Nov 8, 2023
Aug 24, 2021	K-0222	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 · Environment & life safety	D · Potential harm Isolated	Corrected Oct 27, 2021
Aug 24, 2021	K-0293	Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Nov 23, 2021
Aug 24, 2021	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 27, 2021
Aug 24, 2021	K-0325	Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 27, 2021
Aug 24, 2021	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 27, 2021
Aug 24, 2021	K-0352	Properly install and monitor supervisory attachments on automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 27, 2021
Aug 24, 2021	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 27, 2021
Aug 24, 2021	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 27, 2021
Aug 24, 2021	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 27, 2021
Aug 24, 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 Oct 27, 2021
Aug 24, 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 Nov 23, 2021
Aug 24, 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 Sep 24, 2021
Aug 24, 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 Sep 24, 2021
Aug 24, 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	F · Potential harm Widespread	Corrected Sep 24, 2021
Feb 27, 2020	K-0133	Install a two-hour-resistant firewall separation. Construction Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 6, 2020
Feb 27, 2020	K-0223	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 · Environment & life safety	F · Potential harm Widespread	Corrected Oct 6, 2020
Feb 27, 2020	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 6, 2020
Feb 27, 2020	K-0293	Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 6, 2020
Feb 27, 2020	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 6, 2020
Feb 27, 2020	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 6, 2020
Feb 27, 2020	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 6, 2020
Feb 27, 2020	K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 6, 2020
Feb 27, 2020	F-0578	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 · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 10, 2020
Feb 27, 2020	F-0580	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 · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 10, 2020
Feb 27, 2020	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 10, 2020
Feb 27, 2020	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 10, 2020
Feb 27, 2020	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 10, 2020
Feb 27, 2020	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	E · Potential harm Pattern	Corrected Apr 10, 2020

“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.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 2.8

Staffingstate 2.5

Quality measuresstate 4

Long-stay QM

Short-stay QM

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.

Nurse staffing · hours per resident per day

Total nurse staffing5.63

State avg 3.88US avg 3.90

Registered nurse (RN)0.77

State avg 0.71US avg 0.69

Licensed practical nurse1.93

State avg 1.03US avg 0.86

Nurse aide2.93

State avg 2.14US avg 2.35

Weekend total nurse4.88

State avg 3.35US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 6.16 (case-mix index 1.28).

Staff turnover

Total nursing staff turnover27.5%

State avg 47.5%US avg 45.3%

Registered nurse turnover28.6%

State avg 46.5%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Sep 8, 2023
Cycle 1 health score: 28
Total weighted score: 27

Operating entity

Virginia Lutheran Homes, Inc

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

10

Organizations

1

Individuals

8

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Virginia Lutheran Homes, Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2014
Charles Downs	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 1, 2022
J Esteban Duran-Ballen	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 23, 2024
Phillip Sandy	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 2, 2025
J Esteban Duran-Ballen	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	May 23, 2024
Charles Downs	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Aug 1, 2022
Jennifer Hicklin	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Aug 22, 2022
Virginia Lutheran Homes, Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2014
J Esteban Duran-Ballen	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 23, 2024
William Mitchell	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2025

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 3837 Brandon Avenue SW, Roanoke, VA 24018
ZIP: 24018
County: Roanoke County FIPS 51161
State: Virginia
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Salem Health & Rehabilitation 1945 Roanoke Blvd, Salem, VA 24153 CCN 495087	1.6 km	240	May 6, 2026	57	—
Davis and Mcdaniel Veterans Care Center 4550 Shenandoah Ave N W, Roanoke, VA 24017 CCN 495274	1.8 km	180	Jan 8, 2026	20	—
Raleigh Court Health and Rehabilitation Center 1527 Grandin Road Southwest, Roanoke, VA 24015 CCN 495209	3.2 km	120	Aug 15, 2024	481 harm	—
South Roanoke Nursing and Rehabilitation 3823 Franklin Rd, SW, Roanoke, VA 24014 CCN 495002	5 km	98	Apr 24, 2025	59	—
Snyder Nursing Home 11 North Broad St, Salem, VA 24153 CCN 49E076	5.2 km	45	Oct 29, 2025	10	—
Old Southwest Health and Rehabilitation 324 King George Ave SW, Roanoke, VA 24016 CCN 495156	5.9 km	130	Jul 16, 2024	1533 harm	$136k
Pheasant Ridge Nursing and Rehabilitation 4355 Pheasant Ridge Road, Roanoke, VA 24014 CCN 495325Abuse icon	6.4 km	101	Jul 28, 2026	594 IJ6 harm18 open	$192k
Our Lady of the Valley 650 North Jefferson Street, Roanoke, VA 24016 CCN 495357	6.7 km	70	Aug 25, 2023	35	$16k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	495373	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	495373	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

Record-level source links for CCN 495373

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction