FRIENDSHIP HEALTH AND REHAB CENTER - SOUTH
5647 STARKEY ROAD, ROANOKE, VA 24018 · CCN 495421
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 120
- Avg residents/day
- 113.8
- Phone
- 5402652117
Inspection history vs Virginia & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Virginia avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-04-25 | 13 | 14.4 | 9.5 | -1.4 better |
| 2 | 2022-10-13 | 4 | 12.3 | 9.8 | -8.3 better |
| 3 | 2019-12-05 | 2 | 11.9 | 9.3 | -9.9 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Resident assessment and care planning | 4 |
| Resident rights | 1 |
| Pharmacy service | 5 |
| Infection control | 3 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.17 | 42.4% |
| RN staffing (reported) | 0.57 | 38.5% |
| Total nurse staffing (adjusted) | 4.54 | — |
Fines & penalties
- Total fines
- $8,281
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Inspection citations (19)1 immediate jeopardy
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-06-18 · Health · corrected 2025-01-29
Potential for more than minimal harm
- JF0761Ensure 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.2025-06-18 · Health · corrected 2025-01-29
Immediate jeopardy
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-04-25 · Health · corrected 2024-06-20
Potential for more than minimal harm
- DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2024-04-25 · Health · corrected 2024-06-20
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-04-25 · Health · corrected 2024-06-20
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-04-25 · Health · corrected 2024-06-20
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-04-25 · Health · corrected 2024-06-20
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-04-25 · Health · corrected 2024-06-20
Potential for more than minimal harm
- DF0758Implement 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.2024-04-25 · Health · corrected 2024-06-20
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-04-25 · Health · corrected 2024-06-20
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-04-25 · Health · corrected 2024-06-20
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-04-25 · Health · corrected 2024-06-20
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-04-25 · Health · corrected 2024-06-20
Potential for more than minimal harm
- DF0887Educate 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.2024-04-25 · Health · corrected 2024-06-20
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-10-13 · Health · corrected 2022-11-15
Potential for more than minimal harm
- EF0761Ensure 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.2022-10-13 · Health · corrected 2022-11-15
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2022-10-13 · Health · corrected 2022-11-15
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2019-12-05 · Health · corrected 2019-12-13
Potential for more than minimal harm
- DF0761Ensure 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.2019-12-05 · Health · corrected 2019-12-13
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| FRIENDSHIP FOUNDATION INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2012-03-15 |
| BISHOP, NATHANIEL | Individual | CORPORATE DIRECTOR | — | 2021-07-01 |
| COMBS, GLEN | Individual | CORPORATE DIRECTOR | — | 2012-03-15 |
| FEINOUR, EDWIN | Individual | CORPORATE DIRECTOR | — | 2012-03-15 |
| GROVE, LUCIAN | Individual | CORPORATE DIRECTOR | — | 2012-03-15 |
| JOHNSON, CYNDA | Individual | CORPORATE DIRECTOR | — | 2012-03-15 |
| LAWSON, ROBERT | Individual | CORPORATE DIRECTOR | — | 2012-03-15 |
| OELSCHLAGER, KATHRYN | Individual | CORPORATE DIRECTOR | — | 2012-03-15 |
| SANDEL, ROBERT | Individual | CORPORATE DIRECTOR | — | 2012-03-15 |
| WILLIAMSON, JOHN | Individual | CORPORATE DIRECTOR | — | 2021-07-01 |
| HOFF, JOSEPH | Individual | CORPORATE OFFICER | — | 2017-07-18 |
| MITCHELL, CYNTHIA | Individual | CORPORATE OFFICER | — | 2016-04-06 |
| SHANNON, CHARLES | Individual | CORPORATE OFFICER | — | 2012-03-15 |
| EVANS, BRANDON | Individual | W-2 MANAGING EMPLOYEE | — | 2018-09-24 |
Other facilities in ROANOKE
| Name | Overall | Beds |
|---|---|---|
| VIRGINIA VETERANS CARE CENTER | ★★★★★ | 180 |
| BRANDON OAKS NURSING AND REHABILITATION CENTER | ★★★★★ | 62 |
| OUR LADY OF THE VALLEY | ★★★★★ | 70 |
| FRIENDSHIP HEALTH AND REHAB CENTER | ★★★★☆ | 253 |
| SOUTH ROANOKE NURSING AND REHABILITATION | ★★★☆☆ | 98 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.