Friendship Health and Rehab Center

327 Hershberger Rd NW, Roanoke, VA 24012 (opens Google Maps) · Roanoke City County · (540) 265-2100· 253 certified beds · avg 230 residents/day · certified since Aug 1, 1974 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

4/5

Health inspection rating (on-site)

inspected Oct 29, 2024

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)

New to these records? How to read an inspection report →

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 17 inspection findings. Open the full record below to read every finding.

Oct 29, 2024E · Potential for more than minimal harm, pattern
The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. F-0679
Oct 29, 2024D · Potential for more than minimal harm, isolated
The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. F-0584
Oct 29, 2024D · Potential for more than minimal harm, isolated
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. F-0684

View all 17 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

Date	Severity	What the facility was cited for
Oct 29, 2024	E · Potential for more than minimal harm, pattern	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · F-0679
Oct 29, 2024	D · Potential for more than minimal harm, isolated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Oct 29, 2024	D · Potential for more than minimal harm, isolated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Oct 29, 2024	D · Potential for more than minimal harm, isolated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Oct 29, 2024	D · Potential for more than minimal harm, isolated	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. · F-0849
Mar 10, 2022	D · Potential for more than minimal harm, isolated	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. · F-0657
Mar 10, 2022	D · Potential for more than minimal harm, isolated	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. · F-0677
Mar 10, 2022	D · Potential for more than minimal harm, isolated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Mar 10, 2022	D · Potential for more than minimal harm, isolated	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. · F-0690
Mar 10, 2022	D · Potential for more than minimal harm, isolated	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. · F-0761
Jun 17, 2021	D · Potential for more than minimal harm, isolated	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. · F-0558
Jun 17, 2021	D · Potential for more than minimal harm, isolated	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. · F-0607
Jun 17, 2021	D · Potential for more than minimal harm, isolated	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. · F-0609
Jun 17, 2021	D · Potential for more than minimal harm, isolated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Jun 17, 2021	D · Potential for more than minimal harm, isolated	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. · F-0757
Jun 17, 2021	D · Potential for more than minimal harm, isolated	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. · F-0761
Jun 17, 2021	D · Potential for more than minimal harm, isolated	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. · F-0812

Inspection trend by year

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

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2021

2022

2024

All bars start at zero. Exact values and supporting details remain below.

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)

How to file a complaint about care →

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

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

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01

This facilityVirginia averageU.S. average

Total nurse staffing (hours per resident per day)

4.08

3.67

3.95

Registered Nurse hours

0.50

0.66

0.69

Weekend total nurse staffing

3.37

3.21

3.50

All bars start at zero. Exact values and supporting details remain below.

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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.93 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

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

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Friendship Health and Rehab Center. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

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

All 14 owning or managing parties CMS has on file are shown — none excluded.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the plan of correction for the findings in your most recent state inspection?"
"CMS reports 48% total nursing staff turnover here — who on the care team has been with you longest?"
"The ownership record on file lists 14 owning or managing parties — who makes the decisions about staffing levels?"
"Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 17 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 →

Other facilities in the same county

CMS records place this facility in Roanoke City, VA — 9 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Pheasant Ridge Nursing and Rehabilitation — Roanoke, VA · overall 2/5

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Roanoke →

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

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

The Care File

Visit checklist — Friendship Health and Rehab Center

327 Hershberger Rd NW, Roanoke, VA 24012 · (540) 265-2100

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 plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 48% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "The ownership record on file lists 14 owning or managing parties — who makes the decisions about staffing levels?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"

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)