How many deficiencies did Roanoke Rehabilitation & Healthcare Center get at its last inspection?

3 health deficiencies at the standard inspection on September 20, 2023. The Alabama average is 4.

Has Roanoke Rehabilitation & Healthcare Center been fined?

CMS lists no fines in the last three years.

Does Roanoke Rehabilitation & Healthcare 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 Roanoke Rehabilitation & Healthcare Center?

CMS lists 12 owners and managers, and links the home to Ball Healthcare Services. Legal business name: ROANOKE HEALTHCARE CENTER LLC.

Roanoke Rehabilitation & Healthcare Center: Inspections

The record in brief

At its most recent standard inspection, on September 20, 2023, inspectors cited 3 health deficiencies (the Alabama average is 4, the national average 9.2).

None of its 11 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 3.50 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.58 of those hours.

18.9% of nursing staff left within the year CMS measured (Alabama average 46.9%).

CMS links it to Ball Healthcare Services, an affiliated group of 9 nursing homes.

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.

405/19

403/22

309/23

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 11 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

September 20, 2023Standard inspection, Complaint inspection · 3 citations

F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 25, 2023

Inspectors wroteBased on observations, interviews, and policy review the facility failed to ensure food service employees washed their hands before they put on clean gloves. This deficient practice had the potential to affect all residents who received food from the kitchen.
D

Assure that each resident’s assessment is updated at least once every 3 months.

F638 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 25, 2023

Inspectors wroteBased on record review, document review, and interviews, the facility failed to complete a quarterly Minimum Data Set (MDS) for one of one sampled resident reviewed for resident assessments.
D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 25, 2023

Inspectors wroteBased on interviews, record review, and policy review, the facility failed to ensure staff transcribed wound care orders for one (Resident #154) of 16 sampled residents. The failure to transcribe the wound care orders resulted in staff not performing wound care as ordered.

March 3, 2022Standard inspection · 4 citations

F

Ensure residents have reasonable access to and privacy in their use of communication methods.

F576 · Resident Rights · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 4, 2022

Inspectors wroteBased on interviews, discussion during the resident group meeting, review of the facility's admission Agreement, and review of scheduled mail delivery days and times through the United States Postal Service (USPS) website, the facility failed to ensure mail was delivered to residents on Saturdays. This deficient practice had the potential to affect all 54 out of 54 residents residing in the facility. Findings Include: A review of the facility's, admission AGREEMENT, with a revised date of 10/08/2014, revealed: . RESIDENT'S RIGHTS .13. Resident rights .(i) Mail. The resident has the right to privacy in written communication, including the right to- (1) send and promptly receive mail that is unopened, . On 03/02/22 at 10:45 AM a group meeting was held with nine residents present. All nine residents confirmed that they do not receive mail on Saturdays. [...]
F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 4, 2022

Inspectors wroteBased on observations, interviews and review of facility policies, titled STORAGE OF REFRIGERATED FOODS, STORAGE OF FROZEN FOOD and FOOD SERVICE OPERATIONAL STANDARDS FOR PURCHASING, RECEIVING, COOKING AND STORAGE OF FOOD, the facility failed to ensure that all food items in the kitchen cooler/freezer were labeled with an open and use by date, and that food items were discarded when the use-by-date was exceeded. This had the potential to affect 49 of 49 residents who received meals from the kitchen.
D

Ensure a qualified health professional conducts resident assessments.

F642 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 4, 2022

Inspectors wroteBased on interview, medical record review, and review of the Centers for Medicare & Medicaid Services (CMS) Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual, the facility failed to ensure Resident Identifier (RI) #1's discharge Minimum Data Set (MDS) was signed off as completed by a Registered Nurse (RN). This deficient practice affected one of 16 sampled residents whose MDS assessments were reviewed.
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 4, 2022

Inspectors wroteBased on observation, interviews, record review and review of the facility policy titled Eye Ointment/Drops Administration, the facility failed to ensure a licensed staff member did not place the eye drop bottle in her pocket after giving Resident Identifier (RI) #25 scheduled eye drops. This was observed on 3/2/22 and affected one of two residents observed receiving eye drops during medication administration.

May 9, 2019Standard inspection · 4 citations

D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 28, 2019

Inspectors wroteBased on observation, interview, medical record review, and review of the facility's policy titled, Bath - Shower or Tub, the facility failed to ensure Resident Identifier (RI) #43 was not exposed while being transported back to his/her room after a shower on 5/8/19. This affected one of sixteen residents sampled. Findings Include: A review of the facility's policy titled, Bath - Shower or Tub, with an Effective Date of February 1, 2004 revealed: . PURPOSE: Shower and tub baths promote cleanliness and comfort for the resident. PROCESS: b) Drape the resident and transport to the bath area. c) Assist the resident the bath or shower keeping them draped . e) Assist resident out of the tub or shower and into the chair . h) Dress the resident RI #43 was re-admitted to the facility with diagnoses to include Cerebral Infarction, Schizophrenia, and Generalized Anxiety Disorder. [...]
D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 28, 2019

Inspectors wroteBased on record review and interview, the facility failed to ensure Resident Identifier (RI) #53 did not fall off the bed in September 2019 when only one Certified Nursing Assistant (CNA) was assisting with bed mobility. This affected one of one sampled resident reviewed for falls.
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.

F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 28, 2019

Inspectors wroteBased on observation, interview, record review, and review of a facility policy titled Urinary Catheter Care, the facility failed to ensure a licensed nurse did not wipe Resident Identifier (RI) #49 from back to front multiple times up to his/her catheter. This affected one of three residents sampled for catheters.
D

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 28, 2019

Inspectors wroteBased on observation, record review, interviews, review of a facility policy titled Administering Medications via Nasogastric / Gastrostomy Tube and review of the manufacturer's protocol for use Enteral Feeding Tube DeCloggers, the facility failed to ensure: 1) Licensed staff did not allow the tip of the DeClogger to come in contact with Resident Identifier (RI) #34's bed linens, prior to insertion into the gastrostomy tube; 2) Licensed staff rinsed and dried RI #34's syringe and plunger, and placed into a labeled bag after mediction administration via gastrostomy tube; 3) Licensed staff mixed crushed medications with water prior to administering to RI #34 via gastrostomy tube; and 4) Licensed staff used the DeClogger device to unclog RI #34's gastrostomy tube in accordance with the manufacturer's protocol for use. [...]

Fire safety inspections

13 fire safety citations on file: 10 on September 20, 2023, 1 on March 3, 2022, 2 on May 9, 2019.

Every fire safety citation13 citations

F
Develop and maintain an Emergency Preparedness Program (EP).

E 4 · September 20, 2023 · Corrected (the home has a date of correction)
F
Conduct testing and exercise requirements.

E 39 · September 20, 2023 · Corrected (the home has a date of correction)
F
Have corridors or aisles that are unobstructed and are at least 8 feet in width.

K 232 · September 20, 2023 · Corrected (the home has a date of correction)
F
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · September 20, 2023 · Corrected (the home has a date of correction)
F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.

K 346 · September 20, 2023 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · September 20, 2023 · Corrected (the home has a date of correction)
F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

K 354 · September 20, 2023 · Corrected (the home has a date of correction)
F
Have simulated fire drills held at unexpected times.

K 712 · September 20, 2023 · Corrected (the home has a date of correction)
D
Provide properly protected cooking facilities.

K 324 · September 20, 2023 · Corrected (the home has a date of correction)
D
Install an approved automatic sprinkler system.

K 351 · September 20, 2023 · Corrected (the home has a date of correction)
D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · March 3, 2022 · Corrected (the home has a date of correction)
D
Install an approved automatic sprinkler system.

K 351 · May 9, 2019 · Corrected (the home has a date of correction)
D
Inspect, test, and maintain automatic sprinkler systems.

K 353 · May 9, 2019 · Corrected (the home has a date of correction)

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	Alabama	United States
All nursing staff (RN, LPN and aides)	3.50	3.88	3.86
Registered nurses	0.58	0.65	0.69
All nursing staff on weekends	2.70	3.26	3.42
Nurse aides	2.16
Licensed practical nurses	0.77
Nursing staff turnover (share who left in a year)	18.9%	46.9%	45.8%
Registered nurse turnover	37.5%	39.5%	42.9%
Administrators who left	2

CMS expects 3.36 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 3.82 on weekdays and 2.70 on weekends, 29% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.97 in April to June 2025 to 3.50 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	3.50	0.58	3.82	2.70	0.1%	0 of 90	57
Oct to Dec 2025	3.78	0.62	4.12	2.93	0.0%	0 of 92	53
Jul to Sep 2025	3.48	0.53	3.77	2.75	0.0%	0 of 92	54
Apr to Jun 2025	2.97	0.34	3.10	2.65	0.0%	0 of 91	57
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Alabama, Jan to Mar 2026	3.88	0.63	4.13	3.27	0.9%	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.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Alabama

Job	Median	Middle half	Employed
Alabama, all employers
CNAs (nursing assistants)	$16.41	$14.45 to $17.49	25,250
LPNs and LVNs	$27.42	$23.15 to $29.71	11,580
Registered nurses	$37.06	$30.53 to $40.09	54,340
United States, nursing care facilities
CNAs (nursing assistants)	$20.67	$17.91 to $22.55	534,270
LPNs and LVNs	$33.86	$30.05 to $37.40	188,210
Registered nurses	$41.11	$37.85 to $47.68	142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

Measure	This home	Alabama	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	8.6	12.0	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	2.7	0.9	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	2.0	2.4	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	1.5	3.3	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	0.0	2.0	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	9.4	12.1	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	3.0	5.4	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	24.4	21.2	15.4
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.2	2.0	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	2.5	1.7	1.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Roanoke Rehabilitation & Healthcare Center's Medicare short-stay residents. How to read these, and what Medicare pays for.

Went home or back to the community

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

US median of homes 51.5% · Alabama: 41 better, 10 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 12 eligible stays.

Potentially preventable readmissions

10.8% this home

No different from the national rate

US median of homes 10.7% · Alabama: 1 better, 3 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 27 eligible stays.

Infections that led to a hospital stay

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

US median of homes 7.1% · Alabama: 0 better, 1 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 13 eligible stays.

Self-care and mobility at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Alabama50.0% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 12 residents counted.

Falls with major injury

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Alabama0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 13 residents counted.

New or worsened pressure ulcers

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Alabama2.1% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 13 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Alabama100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 1 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: ROANOKE HEALTHCARE CENTER LLC. CMS links this home to Ball Healthcare Services, a group of 9 nursing homes averaging 2.4 stars overall.

Name	Role	Type	Share	Since
Ball, Clarence	5% or greater direct ownership interest	Individual	100%	07/01/2003
Ball, Clarence	Corporate director	Individual		07/21/2003
Hall, Matthew	Corporate officer	Individual		09/16/2014
Caldwell, Hollie	Operational/managerial control	Individual		01/13/2011
Oubre, Wendy	Operational/managerial control	Individual		07/14/2025
Thomas, Carla	Operational/managerial control	Individual		01/12/2021
Ball Healthcare - Roanoke, Inc	Adp of the SNF	Organization		07/01/2003
Ball Healthcare Service, Inc	Adp of the SNF	Organization		04/15/2025
Caldwell, Hollie	Adp of the SNF	Individual		01/13/2011
Hall, Matthew	Adp of the SNF	Individual		10/01/2014
Oubre, Wendy	Adp of the SNF	Individual		10/08/2025
Thomas, Carla	Adp of the SNF	Individual		01/13/2011

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 September 20, 2023: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on September 20, 2023: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on September 20, 2023: "Assure that each resident’s assessment is updated at least once every 3 months."
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 March 3, 2022: "Ensure residents have reasonable access to and privacy in their use of communication methods."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.70 hours per resident per day, below the Alabama average of 3.26.
How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.

Other nursing homes nearby

Traylor Retirement Community
Roanoke, 1.4 mi · 4 of 5 stars · 10 citations
Lafayette Nursing Home
Lafayette, 17.1 mi · 2 of 5 stars · 13 citations
Lafayette Extended Care
Lafayette, 17.5 mi · 2 of 5 stars · 13 citations
Pruitthealth - Franklin
Franklin, 18.8 mi · 5 of 5 stars · 9 citations
Lagrange Trails of Journey LLC
Lagrange, 19.5 mi · 3 of 5 stars · 18 citations
Peachtree Nursing and Rehabilitation LLC
Lagrange, 20.2 mi · 3 of 5 stars · 9 citations
Diversicare of Lanett
Lanett, 22.4 mi · 4 of 5 stars · 4 citations
Green Acres Care Center LLC
Lagrange, 23.2 mi · 2 of 5 stars · 13 citations

Alabama contacts for a concern about a nursing home

These are the official offices in Alabama. NursingHomeClear cannot take or act on complaints.

Inspections and complaints: Alabama Department of Public Health, Bureau of Health Provider Standards, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Alabama Office of the State Long-Term Care Ombudsman Program, 334-242-5753. 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: Alabama Health Care Facilities Deficiencies, where Alabama publishes its own records on licensed homes.

Common questions

What is Roanoke Rehabilitation & Healthcare Center's Medicare star rating?: CMS rates Roanoke Rehabilitation & Healthcare Center 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Roanoke Rehabilitation & Healthcare Center get at its last inspection?: 3 health deficiencies at the standard inspection on September 20, 2023. The Alabama average is 4.
Has Roanoke Rehabilitation & Healthcare Center been fined?: CMS lists no fines in the last three years.
Does Roanoke Rehabilitation & Healthcare 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 Roanoke Rehabilitation & Healthcare Center?: CMS lists 12 owners and managers, and links the home to Ball Healthcare Services. Legal business name: ROANOKE HEALTHCARE CENTER LLC.

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.