Roanoke County, Virginia · Nursing home
Friendship Health and Rehab Center - South
3 of 5 overall from CMS
5647 Starkey Road, Roanoke, VA 24018
At a glance
- Overall rating 3 of 5 Same as the state average of 3.0
- Nurse time per resident, per day 4.24 hours Above the state average of 3.76
- Nursing staff who left in a year 48.4% Above the state average of 48.1%
- Health citations, last 3 inspection cycles 19 1 at the harm level or above
- Fines in 3 years $8,281 1 fine
- Certified beds in use 93.7% of 120 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.
Friendship Health and Rehab Center - South is a 120-bed nursing home in Roanoke, Virginia (Roanoke County). CMS rates it 3 of 5 stars overall as of Sep 2026. It reports 4.24 nurse staffing hours per resident per day, above the Virginia average of 3.76. CMS lists 1 fine totaling $8,281 in the past three years.
- Certified beds
- 120
- Residents per day (average)
- 112.4
- Certified since
- 2016 (10 yrs)
Non profit - Corporation 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 Friendship Health and Rehab Center - South
Chosen from this home's public data.
- CMS lists 1 fine totaling $8,281 in the past three years. What changed after the most recent one?Penalties in CMS data
- Nursing staff turnover is 48.4%, above the Virginia average of 48.1%. How often would the same aides care for my relative?Turnover in CMS data
- Reported nurse staffing is 3.56 hours per resident on weekends against 4.24 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 3 of 5 Virginia average 3.0
- Health inspections 3 of 5 Virginia average 2.7
- Staffing 4 of 5 Virginia average 2.4
- Quality measures 4 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 4.24 h Virginia average 3.76
- Nurse aides 2.31 h Virginia average 2.07
- Licensed practical nurses 1.37 h Virginia average 1.00
- Registered nurses 0.57 h Virginia average 0.69
- All staff, weekends 3.56 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 turnover48.4%
- Virginia average48.1%
- Registered nurse turnover40.0%
- Virginia average48.2%
- Administrators who left0
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 | 14.3% | 14.9% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 2.2% | 5.4% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% | 0.4% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.3% | 1.6% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 12.0% | 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 | 1.8% | 3.6% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 90.9% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 10.7% | 15.6% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.2% | 20.6% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.6% | 94.0% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 6.9% | 4.7% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 14.2% | 21.8% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 14.1% | 14.2% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.25 | 1.52 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.15 | 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 | 99.3% | 73.7% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.3% | 1.3% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.4% | 73.6% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.0% | 22.3% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 12.6% | 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 19 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level; the rest were graded as no actual harm. 3 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on 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 locked compartments, separately locked, compartments for controlled drugs.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Apr 25, 2024 | 11 | 2 |
| Oct 13, 2022 | 5 | 10 |
| Dec 5, 2019 | 3 | 5 |
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 (19)
-
JImmediate jeopardy, isolated
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.
Complaint investigation · Pharmacy Service · Past Non-Compliance (Jan 29, 2025)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint investigation · Resident Assessment and Care Planning · Past Non-Compliance (Jan 29, 2025)
-
EPotential for more than minimal harm, pattern
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · Deficient, Provider has date of correction (Jun 20, 2024)
-
DPotential for more than minimal harm, isolated
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights · Deficient, Provider has date of correction (Jun 20, 2024)
-
DPotential for more than minimal harm, isolated
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 20, 2024)
Show 14 more
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Jun 20, 2024)
-
DPotential for more than minimal harm, isolated
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service · Deficient, Provider has date of correction (Jun 20, 2024)
-
DPotential for more than minimal harm, isolated
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.
Pharmacy Service · Deficient, Provider has date of correction (Jun 20, 2024)
-
DPotential for more than minimal harm, isolated
Ensure that residents are free from significant medication errors.
Pharmacy Service · Deficient, Provider has date of correction (Jun 20, 2024)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Jun 20, 2024)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Jun 20, 2024)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control · Deficient, Provider has date of correction (Jun 20, 2024)
-
DPotential for more than minimal harm, isolated
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.
Infection Control · Deficient, Provider has date of correction (Jun 20, 2024)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jun 20, 2024)
-
EPotential for more than minimal harm, pattern
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.
Pharmacy Service · Deficient, Provider has date of correction (Nov 15, 2022)
-
DPotential for more than minimal harm, isolated
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service · Deficient, Provider has date of correction (Nov 15, 2022)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Nov 15, 2022)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 13, 2019)
-
DPotential for more than minimal harm, isolated
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.
Pharmacy Service · Deficient, Provider has date of correction (Dec 13, 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
| Date | Type | Amount |
|---|---|---|
| Jun 18, 2025 | Fine | $8,281 |
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 Friendship Health and Rehab Center - South?
Friendship Health and Rehab Center - South has an overall rating of 3 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 3, staffing is 4 and quality measures is 4.
How many beds does Friendship Health and Rehab Center - South have?
Friendship Health and Rehab Center - South has 120 certified beds. It averages 112.4 residents per day, about 93.7% of its certified beds.
How much nursing care do residents get at Friendship Health and Rehab Center - South?
The home reports 4.24 hours of nurse staffing per resident per day, including 0.57 hours from registered nurses. The Virginia average is 3.76 hours and 0.69 hours from registered nurses.
Has Friendship Health and Rehab Center - South been fined?
Yes. CMS lists 1 fine totaling $8,281 in the past three years.
Does Friendship Health and Rehab Center - South 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
- 1 of 5 Pheasant Ridge Nursing and Rehabilitation 101beds 87.1%in use 3.27nurse hours a day
- 3 of 5 South Roanoke Nursing and Rehabilitation 98beds 92.6%in use 3.23nurse 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 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 495421. 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.