Friendship Health and Rehab Center

Name: Friendship Health and Rehab Center
Address: 327 HERSHBERGER RD NW, Roanoke, VA, 24012, US
Telephone: 5402652100

327 Hershberger Rd NW, Roanoke, VA 24012 · Roanoke City County · 253 certified beds · avg 230 residents/day · certified since Aug 1, 1974

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.08

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (17)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Oct 29, 2024	E · Potential for harm, repeated	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Oct 29, 2024	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Oct 29, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Oct 29, 2024	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Oct 29, 2024	D · Potential for harm, one-off	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life.
Mar 10, 2022	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Mar 10, 2022	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Mar 10, 2022	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Mar 10, 2022	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Mar 10, 2022	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jun 17, 2021	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Jun 17, 2021	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Jun 17, 2021	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Jun 17, 2021	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jun 17, 2021	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Jun 17, 2021	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jun 17, 2021	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 5).

Year	Citations	Worst severity that year
2021	7	D
2022	5	D
2024	5	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Virginia avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.08	3.67	3.95	top 22% in Virginia; top 36% in the U.S.
Registered Nurse hours	0.50	0.66	0.69	bottom 47% in Virginia; bottom 38% in the U.S.
Weekend total nurse staffing	3.37	3.21	3.50	top 25% in Virginia; top 49% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.31	0.46	0.48	bottom 44% in Virginia; bottom 35% in the U.S.
Total nursing staff turnover (%)	48.1	48.1	45.8	top 49% in Virginia; bottom 42% in the U.S.
RN turnover (%)	37.0	48.2	42.9	top 30% in Virginia; top 42% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.93, RN 0.48, weekend 3.24. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Bishop, Nathaniel	Individual	Corporate Director	NOT APPLICABLE	07/01/2021
Combs, Glen	Individual	Corporate Director	NOT APPLICABLE	03/01/2000
Feinour, Edwin	Individual	Corporate Director	NOT APPLICABLE	12/01/1990
Friendship Foundation INC	Organization	Operational/Managerial Control	NOT APPLICABLE	08/11/1987
Grove, Lucian	Individual	Corporate Director	NOT APPLICABLE	09/01/1999
Hoff, Joseph	Individual	Corporate Officer	NOT APPLICABLE	07/18/2017
Johnson, Cynda	Individual	Corporate Director	NOT APPLICABLE	07/01/2011
Lawson, Robert	Individual	Corporate Director	NOT APPLICABLE	03/07/2007
Mitchell, Cynthia	Individual	Corporate Officer	NOT APPLICABLE	04/06/2016
Oelschlager, Kathryn	Individual	Corporate Director	NOT APPLICABLE	07/01/2011
Sandel, Robert	Individual	Corporate Director	NOT APPLICABLE	03/07/2007
Shannon, Charles	Individual	Corporate Officer	NOT APPLICABLE	04/01/2014
Shannon, Charles	Individual	Operational/Managerial Control	NOT APPLICABLE	11/30/2004
Williamson, John	Individual	Corporate Director	NOT APPLICABLE	07/01/2021

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you keep residents' medical records accurate, complete, and secure?"
"How do you coordinate hospice care, and can residents stay here while receiving it?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Our Lady of the Valley	3.1 mi	Roanoke, VA	★★★★☆	4/5
Star City Rehabilitation and Nursing	3.1 mi	Roanoke, VA	★★☆☆☆	3/5
Springtree Healthcare & Rehab Center	3.2 mi	Roanoke, VA	★★★☆☆	3/5
Old Southwest Health and Rehabilitation	4.3 mi	Roanoke, VA	★☆☆☆☆	1/5
Raleigh Court Health and Rehabilitation Center	4.5 mi	Roanoke, VA	★★★★☆	3/5
Berkshire Health & Rehabilitation Center	4.8 mi	Vinton, VA	★★★★☆	4/5
Davis and McDaniel Veterans Care Center	4.9 mi	Roanoke, VA	★★★★★	5/5
Daleville Health and Rehabilitation	5.3 mi	Daleville, VA	★★☆☆☆	3/5
Salem Health & Rehabilitation	5.4 mi	Salem, VA	★☆☆☆☆	2/5
Brandon Oaks Nursing and Rehabilitation Center	5.7 mi	Roanoke, VA	★★★★★	4/5
South Roanoke Nursing and Rehabilitation	6.3 mi	Roanoke, VA	★★★☆☆	2/5
Snyder Nursing Home	6.7 mi	Salem, VA	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Roanoke →

Facility data as of CMS processing date 2026-08-01. CCN 495092.

The Care File

Visit checklist — Friendship Health and Rehab Center

327 Hershberger Rd NW, Roanoke, VA 24012 · 5402652100

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "How do you coordinate hospice care, and can residents stay here while receiving it?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 495092 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)