Friendship Health and Rehab Center - South
5647 Starkey Road, Roanoke, VA 24018 · Roanoke County · 120 certified beds · avg 112 residents/day · certified since May 16, 2016
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Jun 18, 2025 · F-0761 · triggered by a complaint
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.
Why it matters: Unlocked or mislabeled medications can be taken by the wrong person or given in error, with serious consequences.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jan 29, 2025 (Past Non-Compliance)
All citations in the current public record (19)
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 |
|---|---|---|
| Jun 18, 2025 | ▲ J · Immediate jeopardy, 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. · from a complaint |
| Jun 18, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Apr 25, 2024 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Apr 25, 2024 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Apr 25, 2024 | D · Potential for harm, one-off | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Apr 25, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Apr 25, 2024 | 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. |
| Apr 25, 2024 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Apr 25, 2024 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Apr 25, 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. |
| Apr 25, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Apr 25, 2024 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Apr 25, 2024 | D · Potential for harm, one-off | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. |
| Apr 25, 2024 | 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. · from a complaint |
| Oct 13, 2022 | E · Potential for harm, repeated | 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. |
| Oct 13, 2022 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Oct 13, 2022 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Dec 5, 2019 | 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. |
| Dec 5, 2019 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 11).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 2 | 0 | D |
| 2022 | 3 | 0 | E |
| 2024 | 12 | 0 | E |
| 2025 | 2 | 1 | J ▲ |
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)
1 fine totaling $8,281.
| Date | Type | Amount / length |
|---|---|---|
| Jun 18, 2025 | Fine | $8,281 |
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) | 4.49 | 3.67 | 3.95 | top 18% in Virginia; top 23% in the U.S. |
| Registered Nurse hours | 0.60 | 0.66 | 0.69 | top 36% in Virginia; top 48% in the U.S. |
| Weekend total nurse staffing | 3.76 | 3.21 | 3.50 | top 21% in Virginia; top 31% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.38 | 0.46 | 0.48 | top 39% in Virginia; bottom 48% in the U.S. |
| Total nursing staff turnover (%) | 48.4 | 48.1 | 45.8 | bottom 50% in Virginia; bottom 41% in the U.S. |
| RN turnover (%) | 40.0 | 48.2 | 42.9 | top 34% in Virginia; top 46% 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 4.24, RN 0.57, weekend 3.56. Staffing rating: 4/5.
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: 5/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Friendship Foundation INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 03/15/2012 |
| Bishop, Nathaniel | Individual | Corporate Director | NOT APPLICABLE | 07/01/2021 |
| Combs, Glen | Individual | Corporate Director | NOT APPLICABLE | 03/15/2012 |
| Evans, Brandon | Individual | W-2 Managing Employee | NOT APPLICABLE | 09/24/2018 |
| Feinour, Edwin | Individual | Corporate Director | NOT APPLICABLE | 03/15/2012 |
| Grove, Lucian | Individual | Corporate Director | NOT APPLICABLE | 03/15/2012 |
| Hoff, Joseph | Individual | Corporate Officer | NOT APPLICABLE | 07/18/2017 |
| Johnson, Cynda | Individual | Corporate Director | NOT APPLICABLE | 03/15/2012 |
| Lawson, Robert | Individual | Corporate Director | NOT APPLICABLE | 03/15/2012 |
| Mitchell, Cynthia | Individual | Corporate Officer | NOT APPLICABLE | 04/06/2016 |
| Oelschlager, Kathryn | Individual | Corporate Director | NOT APPLICABLE | 03/15/2012 |
| Sandel, Robert | Individual | Corporate Director | NOT APPLICABLE | 03/15/2012 |
| Shannon, Charles | Individual | Corporate Officer | NOT APPLICABLE | 03/15/2012 |
| 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 you show me how medications are stored and secured on the units, including controlled drugs?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "How soon after admission is a full assessment completed, and how are the findings shared with the family?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "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 | Flags |
|---|---|---|---|---|---|
| Pheasant Ridge Nursing and Rehabilitation | 1.9 mi | Roanoke, VA | ★★☆☆☆ | 2/5 | |
| South Roanoke Nursing and Rehabilitation | 2.2 mi | Roanoke, VA | ★★★☆☆ | 2/5 | |
| Raleigh Court Health and Rehabilitation Center | 4.0 mi | Roanoke, VA | ★★★★☆ | 3/5 | |
| Brandon Oaks Nursing and Rehabilitation Center | 4.2 mi | Roanoke, VA | ★★★★★ | 4/5 | |
| Old Southwest Health and Rehabilitation | 4.4 mi | Roanoke, VA | ★☆☆☆☆ | 1/5 | |
| Salem Health & Rehabilitation | 5.2 mi | Salem, VA | ★☆☆☆☆ | 2/5 | |
| Davis and McDaniel Veterans Care Center | 5.3 mi | Roanoke, VA | ★★★★★ | 5/5 | |
| Our Lady of the Valley | 5.7 mi | Roanoke, VA | ★★★★☆ | 4/5 | |
| Snyder Nursing Home | 7.2 mi | Salem, VA | ★★★★★ | 4/5 | |
| Berkshire Health & Rehabilitation Center | 7.4 mi | Vinton, VA | ★★★★☆ | 4/5 | |
| Star City Rehabilitation and Nursing | 7.9 mi | Roanoke, VA | ★★☆☆☆ | 3/5 | |
| Friendship Health and Rehab Center | 8.5 mi | Roanoke, VA | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 495421.