Starfile / Virginia

SOUTH ROANOKE NURSING AND REHABILITATION

3823 FRANKLIN RD, SW, ROANOKE, VA 24014 · CCN 495002

Inspection history vs Virginia & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$0

Number of fines

0

Number of penalties

0

Payment denials

0

Chain

Chain

HERITAGE HALL

Facilities in chain

16

Chain avg overall

3.90 / 5

Inspection citations (39)

1. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2025-04-24 · Health · corrected 2025-06-03

   Potential for more than minimal harm

2. DF0637Assess the resident when there is a significant change in condition2025-04-24 · Health · corrected 2025-06-03

   Potential for more than minimal harm

3. EF0641Ensure each resident receives an accurate assessment.2025-04-24 · Health · corrected 2025-06-03

   Potential for more than minimal harm

4. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-24 · Health · corrected 2025-06-03

   Potential for more than minimal harm

5. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-04-24 · Health · corrected 2025-06-03

   Potential for more than minimal harm

6. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-24 · Health · corrected 2025-06-03

   Potential for more than minimal harm

7. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-24 · Health · corrected 2025-06-03

   Potential for more than minimal harm

8. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-04-24 · Health · corrected 2025-06-03

   Potential for more than minimal harm

9. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-04-24 · Health · corrected 2025-06-03

   Potential for more than minimal harm

10. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-04-24 · Health · corrected 2025-06-03

    Potential for more than minimal harm

11. FF0922Have enough backup water supply for essential areas of the nursing home.2025-04-24 · Health · corrected 2025-06-03

    Potential for more than minimal harm

12. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2022-03-24 · Health · corrected 2022-05-08

    Potential for more than minimal harm

13. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-03-24 · Health · corrected 2022-05-08

    Potential for more than minimal harm

14. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-03-24 · Health · corrected 2022-05-08

    Potential for more than minimal harm

15. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-03-24 · Health · corrected 2022-05-08

    Potential for more than minimal harm

16. 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.2022-03-24 · Health · corrected 2022-05-08

    Potential for more than minimal harm

17. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-03-24 · Health · corrected 2022-05-08

    Potential for more than minimal harm

18. FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2022-03-24 · Health · corrected 2022-05-08

    Potential for more than minimal harm

19. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2022-03-24 · Health · corrected 2022-05-08

    Potential for more than minimal harm

20. FF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2022-03-24 · Health · corrected 2022-05-08

    Potential for more than minimal harm

21. DF0880Provide and implement an infection prevention and control program.2022-03-24 · Health · corrected 2022-05-08

    Potential for more than minimal harm

22. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2022-03-24 · Health · corrected 2022-05-08

    Potential for more than minimal harm

23. DF0886Perform COVID19 testing on residents and staff.2022-03-24 · Health · corrected 2022-05-08

    Potential for more than minimal harm

24. 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.2022-03-24 · Health · corrected 2022-05-08

    Potential for more than minimal harm

25. DF0888Ensure staff are vaccinated for COVID-192022-03-24 · Health · corrected 2022-05-08

    Potential for more than minimal harm

26. EF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2019-07-09 · Health · corrected 2019-08-23

    Potential for more than minimal harm

27. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2019-07-09 · Health · corrected 2019-08-23

    Potential for more than minimal harm

28. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2019-07-09 · Health · corrected 2019-08-23

    Potential for more than minimal harm

29. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2019-07-09 · Health · corrected 2019-08-23

    Potential for more than minimal harm

30. DF0625Notify 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.2019-07-09 · Health · corrected 2019-08-23

    Potential for more than minimal harm

31. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2019-07-09 · Health · corrected 2019-08-23

    Potential for more than minimal harm

32. DF0695Provide safe and appropriate respiratory care for a resident when needed.2019-07-09 · Health · corrected 2019-08-23

    Potential for more than minimal harm

33. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2019-07-09 · Health · corrected 2019-08-23

    Potential for more than minimal harm

34. 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.2019-07-09 · Health · corrected 2019-08-23

    Potential for more than minimal harm

35. 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.2019-07-09 · Health · corrected 2019-08-23

    Potential for more than minimal harm

36. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-07-09 · Health · corrected 2019-08-23

    Potential for more than minimal harm

37. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2019-07-09 · Health · corrected 2019-08-23

    Potential for more than minimal harm

38. FF0880Provide and implement an infection prevention and control program.2019-07-09 · Health · corrected 2019-08-23

    Potential for more than minimal harm

39. DF0926Have policies on smoking.2019-07-09 · Health · corrected 2019-08-23

    Potential for more than minimal harm

Ownership

Other facilities in ROANOKE

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.