PlainNursing
CMS Nursing Home Compare · August 2026

Star City Rehabilitation and Nursing

1047 Mecca Street NE, Roanoke, VA 24012

Star City Rehabilitation and Nursing, a 116-bed for profit - corporation nursing facility in Roanoke, VA, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #210 of 286 rated homes in VA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm 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: 5409240100

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2 / 5
Below average · CMS overall · nat'l 3.0
#210 of 286
In-state rank among rated VA homes
3.72
About average · nurse hrs/day · nat'l 3.86
31
Inspection findings

The verdict

Star City Rehabilitation and Nursing, a 116-bed for profit - corporation nursing facility in Roanoke, VA, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #210 of 286 rated homes in VA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.

2 / 5
CMS overall · national 3.0
#210 of 286
In-state rank among rated VA homes
3.72
Nurse hrs/resident-day · national 3.86
31
Inspection findings on file

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 For 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

3/5

Staffing

1/5

Quality Measures

3/5

Long-Stay Quality

2/5

Facility Information

Provider Number
495427
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
116
Residents
106
In Hospital
No
County
Roanoke City
Last Inspection
Feb 14, 2024

Staffing Data

How the 3.72 total nursing hours per resident-day are staffed:

RN Hours
0.19 (nat'l avg: 0.69)
LPN Hours
1.38
CNA Hours
2.15
Total Nursing Hours
3.72 (nat'l avg: 3.86)
PT Hours
0.15
Nursing Turnover
68.3%
RN Turnover
93.3%

What the CMS Record Reveals About Star City Rehabilitation and Nursing

According to CMS Nursing Home Compare, Star City Rehabilitation and Nursing ranks #210 of 286 rated nursing homes in VA on overall stars (tie-broken by health+staffing+quality, then fewer fines). Star City Rehabilitation and Nursing operates 116 certified beds in Roanoke, VA with approximately 106 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 3★ · staffing 1★ · quality 3★).

The inspection file contains 31 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider. Staffing is reported at 3.72 total nursing hours per resident day (national average 3.86), with RN coverage at 0.19 per resident day.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Star City Rehabilitation and Nursing falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 68.3% (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 (31 most recent)

D - Isolated - Minimal harm Feb 18, 2025 Tag: 0770

Provide timely, quality laboratory services/tests to meet the needs of residents.

Category: Administration Deficiencies

Corrected: Mar 25, 2025

D - Isolated - Minimal harm Feb 18, 2025 Tag: 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.

Category: Pharmacy Service Deficiencies

Corrected: Mar 25, 2025

D - Isolated - Minimal harm Feb 18, 2025 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 25, 2025

D - Isolated - Minimal harm Feb 18, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 25, 2025

D - Isolated - Minimal harm Feb 18, 2025 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 25, 2025

D - Isolated - Minimal harm Feb 18, 2025 Tag: 0660

Plan the resident's discharge to meet the resident's goals and needs.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 25, 2025

D - Isolated - Minimal harm Feb 18, 2025 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 25, 2025

D - Isolated - Minimal harm Feb 18, 2025 Tag: 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.

Category: Resident Rights Deficiencies

Corrected: Mar 25, 2025

E - Pattern - Minimal harm Feb 18, 2025 Tag: 0865

Have a plan that describes the process for conducting QAPI and QAA activities.

Category: Administration Deficiencies

Corrected: Mar 25, 2025

E - Pattern - Minimal harm Feb 18, 2025 Tag: 0842

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: Mar 25, 2025

E - Pattern - Minimal harm Feb 18, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 25, 2025

E - Pattern - Minimal harm Feb 18, 2025 Tag: 0809

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 25, 2025

E - Pattern - Minimal harm Feb 18, 2025 Tag: 0803

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 25, 2025

E - Pattern - Minimal harm Feb 18, 2025 Tag: 0802

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 25, 2025

E - Pattern - Minimal harm Feb 18, 2025 Tag: 0800

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 25, 2025

D - Isolated - Minimal harm Nov 8, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 12, 2024

D - Isolated - Minimal harm Nov 8, 2024 Tag: 0638

Assure that each resident’s assessment is updated at least once every 3 months.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 12, 2024

D - Isolated - Minimal harm Nov 8, 2024 Tag: 0636

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: Dec 12, 2024

E - Pattern - Minimal harm Nov 8, 2024 Tag: 0925

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category: Environmental Deficiencies

Corrected: Dec 12, 2024

E - Pattern - Minimal harm Nov 8, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 12, 2024

E - Pattern - Minimal harm Nov 8, 2024 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 12, 2024

E - Pattern - Minimal harm Nov 8, 2024 Tag: 0803

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 12, 2024

D - Isolated - Minimal harm Feb 14, 2024 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Apr 18, 2024

D - Isolated - Minimal harm Feb 14, 2024 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Apr 18, 2024

D - Isolated - Minimal harm Feb 14, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 18, 2024

D - Isolated - Minimal harm Feb 14, 2024 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 18, 2024

D - Isolated - Minimal harm Feb 14, 2024 Tag: 0625

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Category: Resident Rights Deficiencies

Corrected: Apr 18, 2024

D - Isolated - Minimal harm Feb 14, 2024 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Apr 18, 2024

D - Isolated - Minimal harm Feb 14, 2024 Tag: 0567

Honor the resident's right to manage his or her financial affairs.

Category: Resident Rights Deficiencies

Corrected: Apr 18, 2024

E - Pattern - Minimal harm Feb 14, 2024 Tag: 0887

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: Apr 18, 2024

E - Pattern - Minimal harm Feb 14, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 18, 2024

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 19.3% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.4% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 2.8% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 4.2% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 17.0% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 5.4% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 14.8% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.5% Yes
Percentage of long-stay residents who lose too much weight Long Stay 6.5% No
Percentage of long-stay residents who have depressive symptoms Long Stay 3.9% 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 83.2% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 23.5% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 54.2% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 21.2% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 53.4% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 32.1% No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Star City Rehabilitation and Nursing, both outside VA so the neighborhoods are not the same-state geography list below.

What the CMS records show for Star City Rehabilitation and Nursing

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 116 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 Star City Rehabilitation and Nursing?
Star City Rehabilitation and Nursing has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (3★), staffing levels (1★), and quality measures (3★).
Where does Star City Rehabilitation and Nursing rank among nursing homes in VA?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Star City Rehabilitation and Nursing ranks 210th among 286 rated nursing homes in VA (#210 of 286). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Star City Rehabilitation and Nursing?
Star City Rehabilitation and Nursing reports 3.72 total nursing hours per resident day (national average: 3.86). RN hours are 0.19 per resident day (national average: 0.69). Nursing staff turnover is 68.3%.
How many beds does Star City Rehabilitation and Nursing have?
Star City Rehabilitation and Nursing has 116 certified beds with approximately 106 residents. The facility is located at 1047 Mecca Street NE, Roanoke, VA 24012.
Does Star City Rehabilitation and Nursing have any deficiencies on record?
Yes, Star City Rehabilitation and Nursing has 31 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Star City Rehabilitation and Nursing received any fines or penalties?
No, Star City Rehabilitation and Nursing has no fines or penalties on record.
Who owns Star City Rehabilitation and Nursing?
Star City Rehabilitation and Nursing is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Star City Rehabilitation and Nursing last inspected?
The most recent health inspection for Star City Rehabilitation and Nursing was on Feb 14, 2024. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for Star City Rehabilitation and Nursing?
Star City Rehabilitation and Nursing is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
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.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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