Friendship Health and Rehab Center
327 Hershberger Rd Nw, Roanoke, VA 24012 · Roanoke City County · (540) 265-2100
253 certified beds, about 230 residents a day · Non profit - Corporation · Medicare and Medicaid since 1974
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495092 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on October 29, 2024, inspectors cited 5 health deficiencies (the Virginia average is 14.3, the national average 9.2).
None of its 17 health citations since June 2021 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 3.93 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.48 of those hours.
48.1% 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.
706/21
503/22
510/24
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
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 17 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
16D
1E
0F
Potential for minimal harm
0A
0B
0C
October 29, 2024Standard inspection · 5 citations
- E Provide activities to meet all resident's needs.
Inspectors wroteBased on observation, staff interview, and family interview the facility staff failed to provide an activities program designed to meet the needs of the residents for one of 5 units, memory care unit.
- D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation, staff interview and family interview the facility staff failed to maintain essential equipment for one of 35 residents, Resident #201.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on staff interviews and clinical record review, the facility staff failed to follow medical provider orders for one (1) of 35 sampled residents (Resident #88).
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on observations, staff interviews, clinical record review, and facility document review, the facility staff failed to ensure complete and/or accurate clinical records for three (3) of 35 sampled residents (Resident #5, Resident #29, and Resident #88).
- D Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Inspectors wroteBased on staff interview, clinical record review, and facility document review the facility staff failed to collaborate care with the contract Hospice company for 1 of 2 residents, Resident #331.
March 10, 2022Standard inspection · 5 citations
- 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 CCP (comprehensive care plan) for 1 of 38 Residents, Resident #153. Resident #153's CCP was not revised when they were diagnosed with bilateral fractures and still included the intervention for TED hose.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, resident interview, staff interview, and clinical record review, the facility staff failed to ensure that residents who are unable to carry out ADLs (activities of daily living) receive the necessary care and services to maintain personal hygiene and grooming for 2 of 38 residents in the survey sample, Resident #32 and #74. For Resident #32, the facility staff failed to assist the resident with bathing. The facility staff failed to provide nail care for Resident #74.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to follow physician's orders for 3 of 38 residents in the survey sample, Residents #16, #32, and #98. For Resident #16, the facility staff failed to apply an abdominal binder as ordered by the physician. For Resident #32, the facility staff failed to administered insulin as ordered by the physician. For Resident #98, the facility staff failed to administer insulin as ordered by the physician.
- 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 resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to provide urinary catheter care as ordered for 1 of 38 residents in the survey sample, Resident #165.
- D 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.
Inspectors wroteBased on observation, resident interview, staff interview, clinical record review, facility document review, and during a medication pass and pour observation, the facility staff failed to ensure medications were secure and stored in locked compartments for 1 of 38 residents in the survey sample, Resident #189. For Resident #189, facility staff failed to ensure an AirDuo RespiClick inhaler (a medication used to treat asthma) was secure and stored in a locked compartment. The inhaler was stored in the resident's room on a bedside table.
June 17, 2021Standard inspection · 7 citations
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to ensure accommodation of resident needs by failing to provide a method to call for staff assistance for 1 of 36 residents in the survey sample, Resident #79.
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to implement facility policy and procedures regarding reporting of all alleged violations involving abuse for 2 of 36 residents in the survey sample, Residents #173 and #131.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to ensure that all alleged violations involving abuse were reported for 2 of 36 residents in the survey sample, Residents # 173 and #131.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to ensure the residents receive treatment and care in accordance with the comprehensive person-centered care plan for 1 of 36 residents in the survey sample, Resident #79.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to ensure 1 of 36 Residents was free of an unnecessary medication (Resident #77).
- D 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.
Inspectors wroteBased on observation and staff interview the facility staff failed to dispose of stored expired laboratory tubes on 2 of 6 units, 2 South and 3 Main and failed to dispose of a stored expired medication on 1 of 6 units 2 North.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations and staff interviews the facility staff failed to maintain refrigerators in a safe and sanitary condition for 1 (one) of 6 (six) units (Unit 2 North).
Fire safety inspections
16 fire safety citations on file: 1 on October 29, 2024, 7 on March 10, 2022, 8 on June 17, 2021.
Every fire safety citation16 citations
- D Meet other general requirements.
- E Use approved construction type or materials.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Install corridor and hallway doors that block smoke.
- D Provide properly protected cooking facilities.
- D Have properly installed hallway dispensers for alcohol-based hand rub.
- D Have properly installed electrical wiring and gas equipment.
- D To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Use approved construction type or materials.
- F Have properly located and lighted "Exit" signs.
- F Have properly installed electrical wiring and gas equipment.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E Install an approved automatic sprinkler system.
- E Install corridor and hallway doors that block smoke.
- E To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
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) | 3.93 | 3.76 | 3.86 |
| Registered nurses | 0.48 | 0.69 | 0.69 |
| All nursing staff on weekends | 3.24 | 3.29 | 3.42 |
| Nurse aides | 2.21 | ||
| Licensed practical nurses | 1.23 | ||
| Nursing staff turnover (share who left in a year) | 48.1% | 48.1% | 45.8% |
| Registered nurse turnover | 37.0% | 48.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.69 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 4.20 on weekdays and 3.24 on weekends, 23% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 10.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.91 in April to June 2025 to 3.93 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 | 3.93 | 0.48 | 4.20 | 3.24 | 10.0% | 0 of 90 | 230 |
| Oct to Dec 2025 | 3.74 | 0.46 | 4.00 | 3.06 | 9.2% | 0 of 92 | 231 |
| Jul to Sep 2025 | 3.87 | 0.42 | 4.18 | 3.09 | 10.5% | 0 of 92 | 232 |
| Apr to Jun 2025 | 3.91 | 0.46 | 4.19 | 3.21 | 11.2% | 0 of 91 | 229 |
| 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 | 21.7 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.1 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.9 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.6 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.0 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 17.7 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.2 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 19.3 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.9 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.7 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.5 | 1.5 | 1.8 |
Owners and operators
Legal business name: FRIENDSHIP HEALTH AND REHAB CENTER, INC..
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bishop, Nathaniel | Corporate director | Individual | 07/01/2021 | |
| Combs, Glen | Corporate director | Individual | 03/01/2000 | |
| Feinour, Edwin | Corporate director | Individual | 12/01/1990 | |
| Grove, Lucian | Corporate director | Individual | 09/01/1999 | |
| Johnson, Cynda | Corporate director | Individual | 07/01/2011 | |
| Lawson, Robert | Corporate director | Individual | 03/07/2007 | |
| Oelschlager, Kathryn | Corporate director | Individual | 07/01/2011 | |
| Sandel, Robert | Corporate director | Individual | 03/07/2007 | |
| Williamson, John | Corporate director | Individual | 07/01/2021 | |
| Hoff, Joseph | Corporate officer | Individual | 07/18/2017 | |
| Mitchell, Cynthia | Corporate officer | Individual | 04/06/2016 | |
| Shannon, Charles | Corporate officer | Individual | 04/01/2014 | |
| Friendship Foundation Inc | Operational/managerial control | Organization | 08/11/1987 | |
| Shannon, Charles | Operational/managerial control | Individual | 11/30/2004 |
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 6 problems in this area, most recently on October 29, 2024: "Provide activities to meet all resident's needs."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on March 10, 2022: "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."
- 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 October 29, 2024: "Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on October 29, 2024: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.24 hours per resident per day, below the Virginia average of 3.29.
Other nursing homes nearby
- Star City Rehabilitation and Nursing Roanoke, 3.1 mi · 2 of 5 stars · 31 citations
- Our Lady of the Valley Roanoke, 3.1 mi · 5 of 5 stars · 12 citations
- Springtree Healthcare & Rehab Center Roanoke, 3.2 mi · 3 of 5 stars · 40 citations
- Old Southwest Health and Rehabilitation Roanoke, 4.3 mi · 1 of 5 stars · 126 citations
- Raleigh Court Health and Rehabilitation Center Roanoke, 4.5 mi · 4 of 5 stars · 29 citations
- Berkshire Health & Rehabilitation Center Vinton, 4.8 mi · 4 of 5 stars · 28 citations
- Davis and McDaniel Veterans Care Center Roanoke, 4.9 mi · 5 of 5 stars · 10 citations
- Daleville Health and Rehabilitation Daleville, 5.3 mi · 2 of 5 stars · 32 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 Friendship Health and Rehab Center's Medicare star rating?
- CMS rates Friendship Health and Rehab Center 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Friendship Health and Rehab Center get at its last inspection?
- 5 health deficiencies at the standard inspection on October 29, 2024. The Virginia average is 14.3.
- Has Friendship Health and Rehab Center been fined?
- CMS lists no fines in the last three years.
- Does Friendship Health and Rehab 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 Friendship Health and Rehab Center?
- CMS lists 14 owners and managers. Legal business name: FRIENDSHIP HEALTH AND REHAB CENTER, INC..
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.