Friendship Health and Rehab Center - South
5647 Starkey Road, Roanoke, VA 24018
Friendship Health and Rehab Center - South, a 120-bed non profit - corporation nursing facility in Roanoke, VA, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #118 of 286 rated homes in VA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 5407778300
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- 3 / 5
- Average · CMS overall · nat'l 3.0
- #118 of 286
- In-state rank among rated VA homes
- 4.24
- Above average · nurse hrs/day · nat'l 3.86
- 19
- Inspection findings · 1 serious
If a nursing-home resident is in immediate danger, call 911.
For elder abuse or neglect concerns, contact your state's Adult Protective Services (search "APS" + your state) or call the Eldercare Locator at 1-800-677-1116. For facility advocacy, reach your Long-Term Care Ombudsman. CMS ratings and inspection data below are a research screen, not an emergency channel.
The verdict
Friendship Health and Rehab Center - South, a 120-bed non profit - corporation nursing facility in Roanoke, VA, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #118 of 286 rated homes in VA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
- 3 / 5
- CMS overall · national 3.0
- #118 of 286
- In-state rank among rated VA homes
- 4.24
- Nurse hrs/resident-day · national 3.86
- 19
- Inspection findings · 1 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 289 VA nursing homes split by ownership sector
This facility is recorded as Non profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 495421
- Ownership
- Non profit - Corporation
- Provider Type
- Medicare and Medicaid
- Beds
- 120
- Residents
- 112
- In Hospital
- No
- County
- Roanoke
- Last Inspection
- Apr 25, 2024
Staffing Data
How the 4.24 total nursing hours per resident-day are staffed:
- RN Hours
- 0.57 (nat'l avg: 0.69)
- LPN Hours
- 1.37
- CNA Hours
- 2.31
- Total Nursing Hours
- 4.24 (nat'l avg: 3.86)
- PT Hours
- 0.09
- Nursing Turnover
- 48.4%
- RN Turnover
- 40.0%
What the CMS Record Reveals About Friendship Health and Rehab Center - South
According to CMS Nursing Home Compare, Friendship Health and Rehab Center - South ranks #118 of 286 rated nursing homes in VA on overall stars (tie-broken by health+staffing+quality, then fewer fines). Friendship Health and Rehab Center - South operates 120 certified beds in Roanoke, VA with approximately 112 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars (health inspection 3★ · staffing 4★ · quality 4★).
The inspection file contains 19 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $8K against this provider. Per resident day, this facility reports 4.24 total nursing hours (national average 3.86) and 0.57 RN hours.
Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Friendship Health and Rehab Center - South falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 48.4% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (19 most recent)
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jan 29, 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 locked compartments, separately locked, compartments for controlled drugs.
Category: Pharmacy Service Deficiencies
Corrected: Jan 29, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 20, 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 member's vaccination status.
Category: Infection Control Deficiencies
Corrected: Jun 20, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Category: Infection Control Deficiencies
Corrected: Jun 20, 2024
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jun 20, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jun 20, 2024
Ensure that residents are free from significant medication errors.
Category: Pharmacy Service Deficiencies
Corrected: Jun 20, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Category: Pharmacy Service Deficiencies
Corrected: Jun 20, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Category: Pharmacy Service Deficiencies
Corrected: Jun 20, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jun 20, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jun 20, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Category: Resident Rights Deficiencies
Corrected: Jun 20, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category: Pharmacy Service Deficiencies
Corrected: Jun 20, 2024
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Nov 15, 2022
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Category: Pharmacy Service Deficiencies
Corrected: Nov 15, 2022
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.
Category: Pharmacy Service Deficiencies
Corrected: Nov 15, 2022
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.
Category: Pharmacy Service Deficiencies
Corrected: Dec 13, 2019
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Dec 13, 2019
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 14.3% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.2% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.8% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.7% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.9% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.1% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.3% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 2.2% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 12.0% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 21.2% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 96.6% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 14.2% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 99.3% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 95.4% | No |
Penalty History 1 penalties totaling $8K
| Date | Type | Amount |
|---|---|---|
| Jun 18, 2025 | Fine | $8K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Friendship Health and Rehab Center - South, both outside VA so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside VA (120 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside VA (4.49 here).
Nearby Nursing Homes in VA
288 other nursing homes are on record in VA; 6 are shown here.
Abingdon Health & Rehab Center
Abingdon, VA
Albemarle Health & Rehabilitation Center
Charlottesville, VA
Alexandria Rehabilitation and Healthcare Center
Alexandria, VA
Alleghany Health and Rehab
Clifton Forge, VA
Amelia Rehabilitation and Healthcare Center
Amelia, VA
Annandale Healthcare Center
Annandale, VA
Understanding Nursing Home Data
What the CMS records show for Friendship Health and Rehab Center - South
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The VA registry aggregates state averages and the highest-rated homes in this cohort. View VA registry
- Peer homes near 120 beds show how CMS stars vary at a similar scale in VA. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Friendship Health and Rehab Center - South?
Where does Friendship Health and Rehab Center - South rank among nursing homes in VA?
What are the staffing levels at Friendship Health and Rehab Center - South?
How many beds does Friendship Health and Rehab Center - South have?
Does Friendship Health and Rehab Center - South have any deficiencies on record?
Has Friendship Health and Rehab Center - South received any fines or penalties?
Who owns Friendship Health and Rehab Center - South?
When was Friendship Health and Rehab Center - South last inspected?
What quality measures are tracked for Friendship Health and Rehab Center - South?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
