5647 Starkey Road, Roanoke, VA 24018 (opens Google Maps) · Roanoke County · (540) 777-8300· 120 certified beds · avg 112 residents/day · certified since May 16, 2016 · 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 →
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5 · how star ratings work →
⚠ 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 quality measures from resident assessments and claims.
▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jan 29, 2025 (Past Non-Compliance)
Showing the latest 3 of 19 inspection findings. Open the full record below to read every finding.
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 F-0761
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 F-0658
The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. F-0755
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 |
|---|---|---|
| Jun 18, 2025 | ▲ J · Immediate jeopardy, 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. · from a complaint · F-0761 |
| Jun 18, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0658 |
| Apr 25, 2024 | E · Potential for more than minimal harm, pattern | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
| Apr 25, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0554 |
| Apr 25, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0636 |
| Apr 25, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Apr 25, 2024 | 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 |
| Apr 25, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0758 |
| Apr 25, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0760 |
| Apr 25, 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 |
| Apr 25, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Apr 25, 2024 | D · Potential for more than minimal harm, isolated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883 |
| Apr 25, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0887 |
| Apr 25, 2024 | 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. · from a complaint · F-0677 |
| Oct 13, 2022 | E · Potential for more than minimal harm, pattern | 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 |
| Oct 13, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0756 |
| Oct 13, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Dec 5, 2019 | 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 |
| Dec 5, 2019 | 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 |
Citations from standard inspections increased between the last two inspection cycles (3 → 11).
All bars start at zero. Exact values and supporting details remain below.
| 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.
How to file a complaint about care →
1 fine totaling $8,281.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Jun 18, 2025 | Fine | $8,281 |
What these staffing numbers mean →
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) | 4.49 | 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 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 4.24, RN 0.57, weekend 3.56.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.24 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
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: 5/5 · short-stay residents: 4/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Friendship Health and Rehab Center - South. CMS inspection and staffing records do not tell us what this home will charge you.
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.
Understand who pays for care · How we handle price evidence · Report an incorrect price
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 |
|---|---|---|---|---|
| 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 |
All 14 owning or managing parties CMS has on file are shown — none excluded.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| 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 |
Facility data as of CMS processing date 2026-08-01. CCN 495421.
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