Roanoke City County, Virginia · Nursing home
Davis and McDaniel Veterans Care Center
5 of 5 overall from CMS
4550 Shenandoah Ave N W, Roanoke, VA 24017
At a glance
- Overall rating 5 of 5 Above the state average of 3.0
- Nurse time per resident, per day 3.99 hours Above the state average of 3.76
- Nursing staff who left in a year 28.7% Below the state average of 48.1%
- Health citations, last 3 inspection cycles 10 None at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 101.7% of 180 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Davis and McDaniel Veterans Care Center is a 180-bed nursing home in Roanoke, Virginia (Roanoke City County). CMS rates it 5 of 5 stars overall as of Sep 2026. It reports 3.99 nurse staffing hours per resident per day, above the Virginia average of 3.76. CMS lists no fines in the past three years.
- Certified beds
- 180
- Residents per day (average)
- 183.1
- Certified since
- 1992 (34 yrs)
Government - State Participates in Medicare and Medicaid
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Davis and McDaniel Veterans Care Center
Chosen from this home's public data.
- Reported nurse staffing is 3.36 hours per resident on weekends against 3.99 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- About 101.7% of certified beds are in use on an average day. Is there a waiting list, and how long is it?Certified beds and average residents in CMS data
- What is the daily private-pay rate, and are Medicaid beds available now?CMS does not publish prices
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 5 of 5 Virginia average 3.0
- Health inspections 5 of 5 Virginia average 2.7
- Staffing 5 of 5 Virginia average 2.4
- Quality measures 5 of 5 Virginia average 3.9
The vertical line marks the Virginia average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.99 h Virginia average 3.76
- Nurse aides 2.47 h Virginia average 2.07
- Licensed practical nurses 0.73 h Virginia average 1.00
- Registered nurses 0.80 h Virginia average 0.69
- All staff, weekends 3.36 h Virginia average 3.29
How much nurse staffing is enough? All bars share one scale, 0 to 10 hours. The vertical line marks the Virginia average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover28.7%
- Virginia average48.1%
- Registered nurse turnover20.0%
- Virginia average48.2%
- Administrators who left1
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Virginia and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Virginia | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 17.2% | 14.9% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 5.4% | 5.4% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% | 0.4% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 2.2% | 1.6% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.0% | 18.7% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 2.7% | 3.6% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% | 90.9% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 15.0% | 15.6% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.1% | 20.6% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 94.0% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 0.9% | 4.7% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.7% | 21.8% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 24.1% | 14.2% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.28 | 1.52 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.23 | 1.48 | 1.78 |
Short-stay residents
| Measure | This home | Virginia | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.4% | 73.7% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 8.3% | 1.3% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.6% | 73.6% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 12.3% | 22.3% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 1.8% | 11.5% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 10 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jan 8, 2026 | 3 | 0 |
| Jan 27, 2022 | 1 | 9 |
| May 23, 2019 | 6 | 1 |
Virginia homes averaged 14.3 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (10)
-
EPotential for more than minimal harm, pattern
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights · Deficient, Provider has date of correction (Feb 20, 2026)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Feb 20, 2026)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 20, 2026)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 22, 2022)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights · Deficient, Provider has date of correction (Jul 10, 2019)
Show 5 more
-
DPotential for more than minimal harm, isolated
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jul 10, 2019)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 10, 2019)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 10, 2019)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Jul 10, 2019)
-
DPotential for more than minimal harm, isolated
Ensure that residents are free from significant medication errors.
Pharmacy Service · Deficient, Provider has date of correction (Jul 10, 2019)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
Virginia homes averaged 0.5 fines and $23,688 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Virginia
Common questions
What is the CMS star rating for Davis and McDaniel Veterans Care Center?
Davis and McDaniel Veterans Care Center has an overall rating of 5 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 5, staffing is 5 and quality measures is 5.
How many beds does Davis and McDaniel Veterans Care Center have?
Davis and McDaniel Veterans Care Center has 180 certified beds. It averages 183.1 residents per day, about 101.7% of its certified beds.
How much nursing care do residents get at Davis and McDaniel Veterans Care Center?
The home reports 3.99 hours of nurse staffing per resident per day, including 0.80 hours from registered nurses. The Virginia average is 3.76 hours and 0.69 hours from registered nurses.
Has Davis and McDaniel Veterans Care Center been fined?
CMS lists no fines for this home in the past three years.
Does Davis and McDaniel Veterans Care Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 2 of 5 Salem Health & Rehabilitation 240beds 83.6%in use 3.14nurse hours a day
- 5 of 5 Brandon Oaks Nursing and Rehabilitation Center 62beds 94.5%in use 5.40nurse hours a day
- 4 of 5 Raleigh Court Health and Rehabilitation Center 120beds 94.5%in use 3.48nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Roanoke City County
Who to call in Virginia
These offices serve residents of every nursing home in Virginia.
- Long-term care ombudsman Virginia Long-Term Care Ombudsman Program (Office of the State Long-Term Care Ombudsman) 800-552-5019 (Toll-free. Also 804-565-1600.) An advocate for residents and their families.
- File a complaint about a nursing home VDH Office of Licensure and Certification (OLC) Complaint Unit 1-800-955-1819 (Metro Richmond (804) 367-2106. Messages left after hours, on weekends or holidays are returned the next business day. An online complaint portal is also available.) The state agency that inspects nursing homes.
Virginia staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 495274. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.