Davis and McDaniel Veterans Care Center

Nursing home in Roanoke, VA

Medicare & Medicaid certified5★ overall (CMS)

Call (540) 982-2860 Send a message Map ↗

Public-record details

Address: 4550 Shenandoah Ave N W, Roanoke, VA 24017
Phone: (540) 982-2860
Listed under: Government-owned, 4–5 star overall rating, No fines in 3 years
Medicare CCN: 495274
Overall star rating: 5 of 5 ★★★★★
Health inspection rating: 5 of 5
Staffing rating: 5 of 5
Quality measures rating: 5 of 5
Certified beds: 180
Average residents per day: 183
Ownership: Government, state
Legal business name: Virginia Veterans Care Center
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Nov 17, 1992
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 495274. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jan 8, 2026. CMS lists 10 health citations for this facility across its last three standard inspection cycles and complaint inspections (May 23, 2019 to Jan 8, 2026): 0 from complaint inspections, 0 at the “actual harm” level or higher.

Inspection	Citation	Severity
Jan 8, 2026	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	D Potential for more than minimal harm, isolated
Jan 8, 2026	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care	D Potential for more than minimal harm, isolated
Jan 8, 2026	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights	E Potential for more than minimal harm, pattern
Jan 27, 2022	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care	D Potential for more than minimal harm, isolated
May 23, 2019	Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights	D Potential for more than minimal harm, isolated
May 23, 2019	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation	D Potential for more than minimal harm, isolated
May 23, 2019	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
May 23, 2019	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care	D Potential for more than minimal harm, isolated
May 23, 2019	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	D Potential for more than minimal harm, isolated
May 23, 2019	Ensure that residents are free from significant medication errors. Pharmacy Service	D Potential for more than minimal harm, isolated

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 3.99 hours
Registered nurse (RN) time per resident per day: 0.80 hours
Nurse aide time per resident per day: 2.47 hours
Total nurse staffing on weekends: 3.36 hours
Nursing staff turnover (yearly): 29%
RN turnover (yearly): 20%
Administrators who left in the past year: 1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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