Davis and McDaniel Veterans Care Center
4550 Shenandoah Ave N W, Roanoke, VA 24017 · Roanoke City County · (540) 982-2860
180 certified beds, about 183 residents a day · Government - State · Medicare and Medicaid since 1992
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495274 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 8, 2026, inspectors cited 3 health deficiencies (the Virginia average is 14.3, the national average 9.2).
None of its 10 health citations since May 2019 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.99 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.80 of those hours.
28.7% of nursing staff left within the year CMS measured (Virginia average 48.1%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 10 health citations on file.
January 8, 2026Standard inspection · 3 citations
- E Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to notify the Office of the Long-term Care Ombudsman of resident transfers and/or discharges to higher levels of care and the facility staff failed to ensure the appropriate information was provided to the receiving healthcare institution(s) and/or resident(s) and resident representative(s) for 2 of 35 residents, Residents #6 and #125.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to review and revise the residents comprehensive care plan (CCP) to include the residents current code status for 1 of 35 current residents, Resident #9.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on staff interview, resident interview, clinical record review and facility document review, the facility staff failed to follow physician orders for 1 of 35 current residents, Resident #1.
January 27, 2022Standard inspection · 1 citation
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on staff interview, clinical record review, and during a medication pass and pour observation, the facility staff failed to administer the physician ordered vitamin Certavite senior for 1 of 33 residents, Resident #44.
May 23, 2019Standard inspection · 6 citations
- D Honor the resident's right to organize and participate in resident/family groups in the facility.
Inspectors wroteBased on observation the facility staff failed to provide a private uninterrupted space for council meeting.
- D Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspectors wroteBased on observation, Resident interview, and clinical record review, the facility staff failed to ensure that 1 of 37 Residents in the survey sample was free of restraints, Resident # 55.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on staff interview, clinical record review, facility document review, and during a medication pass and pour observation, the facility staff failed to follow standards of professional practice for 1 of 37 Residents, Resident #16.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to ensure 1 of 37 Residents were free of accident hazards (Resident #96).
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on clinical record review, Resident interview, and staff interview, the facility staff failed to ensure 1 of 37 residents in the survey sample had orders for Foley catheter, Resident # 55.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on staff interview, clinical record review, and during a medication pass and pour observation, the facility staff failed to ensure 1 of 37 residents (Resident #16) was free of a significant medication error.
Fire safety inspections
10 fire safety citations on file: 9 on January 27, 2022, 1 on May 23, 2019.
Every fire safety citation10 citations
- F Install corridor and hallway doors that block smoke.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Have approved installation, maintenance and testing program for fire alarm systems.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Have properly installed electrical wiring and gas equipment.
- E Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D Have properly located and lighted "Exit" signs.
- D Provide properly protected cooking facilities.
- F Inspect, test, and maintain automatic sprinkler systems.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Virginia | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.99 | 3.76 | 3.86 |
| Registered nurses | 0.80 | 0.69 | 0.69 |
| All nursing staff on weekends | 3.36 | 3.29 | 3.42 |
| Nurse aides | 2.47 | ||
| Licensed practical nurses | 0.73 | ||
| Nursing staff turnover (share who left in a year) | 28.7% | 48.1% | 45.8% |
| Registered nurse turnover | 20.0% | 48.2% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.10 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.25 on weekdays and 3.36 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.66 in April to June 2025 to 3.99 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.99 | 0.80 | 4.25 | 3.36 | 2.8% | 0 of 90 | 183 |
| Oct to Dec 2025 | 3.94 | 0.66 | 4.13 | 3.46 | 1.5% | 0 of 92 | 182 |
| Jul to Sep 2025 | 3.70 | 0.71 | 3.93 | 3.10 | 0.2% | 0 of 92 | 187 |
| Apr to Jun 2025 | 3.66 | 0.70 | 3.92 | 3.03 | 0.0% | 0 of 91 | 195 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Virginia, Jan to Mar 2026 | 3.58 | 0.56 | 3.76 | 3.12 | 5.7% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Virginia | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 17.2 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.4 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.2 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.7 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 8.3 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 15.1 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.9 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 24.1 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 12.3 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 1.8 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.5 | 1.8 |
Owners and operators
Legal business name: VIRGINIA VETERANS CARE CENTER.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Virginia Veterans Care Center | 5% or greater direct ownership interest | Organization | 11/17/1992 | |
| Barnes, Todd | Corporate officer | Individual | 12/10/2018 | |
| Barnes, Todd | Operational/managerial control | Individual | 08/10/2018 | |
| Barnes, Todd | Adp of the SNF | Individual | 09/02/2025 | |
| Jones, Ezekiel | Adp of the SNF | Individual | 01/20/2026 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on January 8, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on January 8, 2026: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on January 8, 2026: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on May 23, 2019: "Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Salem Health & Rehabilitation Salem, 0.5 mi · 2 of 5 stars · 32 citations
- Brandon Oaks Nursing and Rehabilitation Center Roanoke, 1.1 mi · 5 of 5 stars · 12 citations
- Raleigh Court Health and Rehabilitation Center Roanoke, 2.2 mi · 4 of 5 stars · 29 citations
- Snyder Nursing Home Salem, 2.7 mi · 5 of 5 stars · 10 citations
- Old Southwest Health and Rehabilitation Roanoke, 3.8 mi · 1 of 5 stars · 126 citations
- South Roanoke Nursing and Rehabilitation Roanoke, 3.9 mi · 3 of 5 stars · 39 citations
- Our Lady of the Valley Roanoke, 4 mi · 5 of 5 stars · 12 citations
- Pheasant Ridge Nursing and Rehabilitation Roanoke, 4.8 mi · 1 of 5 stars · 44 citations
Virginia contacts for a concern about a nursing home
These are the official offices in Virginia. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Virginia Department of Health, Office of Licensure and Certification, Division of Long-Term Care Services, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Virginia Office of the State Long-Term Care Ombudsman, 800-552-5019. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: VDH Nursing Home and ICF/IID Inspections and Surveys, where Virginia publishes its own records on licensed homes.
Common questions
- What is Davis and McDaniel Veterans Care Center's Medicare star rating?
- CMS rates Davis and McDaniel Veterans Care Center 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Davis and McDaniel Veterans Care Center get at its last inspection?
- 3 health deficiencies at the standard inspection on January 8, 2026. The Virginia average is 14.3.
- Has Davis and McDaniel Veterans Care Center been fined?
- CMS lists no fines in the last three years.
- Does Davis and McDaniel Veterans Care Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Davis and McDaniel Veterans Care Center?
- CMS lists 5 owners and managers. Legal business name: VIRGINIA VETERANS CARE CENTER.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.