Friendship Health and Rehab Center - South

Nursing home in Roanoke, VA

Medicare & Medicaid certified3★ overall (CMS)

Call (540) 777-8300 Send a message Map ↗

Public-record details

Address: 5647 Starkey Road, Roanoke, VA 24018
Phone: (540) 777-8300
Listed under: Nonprofit
Medicare CCN: 495421
Overall star rating: 3 of 5 ★★★☆☆
Health inspection rating: 3 of 5
Staffing rating: 4 of 5
Quality measures rating: 4 of 5
Certified beds: 120
Average residents per day: 112
Ownership: Nonprofit, corporation
Legal business name: Friendship Health and Rehab Center South INC
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: May 16, 2016
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 495421. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 25, 2024. CMS lists 19 health citations for this facility across its last three standard inspection cycles and complaint inspections (Dec 5, 2019 to Jun 18, 2025): 3 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

Inspection	Citation	Severity
Jun 18, 2025	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning · complaint inspection	D Potential for more than minimal harm, isolated
Jun 18, 2025	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… Pharmacy Service · complaint inspection	J Immediate jeopardy, isolated
Apr 25, 2024	Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights	D Potential for more than minimal harm, isolated
Apr 25, 2024	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
Apr 25, 2024	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	D Potential for more than minimal harm, isolated
Apr 25, 2024	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service	D Potential for more than minimal harm, isolated
Apr 25, 2024	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and… Pharmacy Service	D Potential for more than minimal harm, isolated
Apr 25, 2024	Ensure that residents are free from significant medication errors. Pharmacy Service	D Potential for more than minimal harm, isolated
Apr 25, 2024	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	D Potential for more than minimal harm, isolated
Apr 25, 2024	Provide and implement an infection prevention and control program. Infection Control	D Potential for more than minimal harm, isolated
Apr 25, 2024	Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control	D Potential for more than minimal harm, isolated
Apr 25, 2024	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… Infection Control	D Potential for more than minimal harm, isolated

Showing the 12 most recent of 19. Full inspection reports are on Medicare Care Compare.

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 1 fine totalling $8,281 in the last three years.

Jun 18, 2025

Fine: $8,281

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: 4.24 hours
Registered nurse (RN) time per resident per day: 0.57 hours
Nurse aide time per resident per day: 2.31 hours
Total nurse staffing on weekends: 3.56 hours
Nursing staff turnover (yearly): 48%
RN turnover (yearly): 40%
Administrators who left in the past year: 0

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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