Roanoke Rehabilitation & Healthcare Center
680 Seymour Drive, Roanoke, AL 36274 · Randolph County · 65 certified beds · avg 57 residents/day · certified since Jul 12, 1993
Part of chain: BALL HEALTHCARE SERVICES (9 facilities, chain avg rating 2.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
⚠ 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.
All citations in the current public record (11)
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 |
|---|---|---|
| Sep 20, 2023 | F · Potential for harm, facility-wide | 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. |
| Sep 20, 2023 | D · Potential for harm, one-off | The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition. |
| Sep 20, 2023 | 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. · from a complaint |
| Mar 3, 2022 | F · Potential for harm, facility-wide | The facility did not give residents reasonable access to and privacy in using ways to communicate, such as phones, mail, and email. Residents have the right to stay in touch with the outside world privately. |
| Mar 3, 2022 | F · Potential for harm, facility-wide | 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. |
| Mar 3, 2022 | D · Potential for harm, one-off | The facility did not make sure resident assessments were done by a qualified health professional. Assessments guide all of a resident's care, so the person doing them must be properly trained. |
| Mar 3, 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. |
| May 9, 2019 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| May 9, 2019 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| May 9, 2019 | 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. |
| May 9, 2019 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 4 | 0 | D |
| 2022 | 4 | 0 | F |
| 2023 | 3 | 0 | F |
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 | Alabama avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.99 | 4.43 | 3.95 | bottom 24% in Alabama; top 40% in the U.S. |
| Registered Nurse hours | 0.66 | 0.74 | 0.69 | bottom 38% in Alabama; top 41% in the U.S. |
| Weekend total nurse staffing | 3.08 | 3.73 | 3.50 | bottom 13% in Alabama; bottom 35% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.26 | 0.36 | 0.48 | bottom 29% in Alabama; bottom 25% in the U.S. |
| Total nursing staff turnover (%) | 18.9 | 46.9 | 45.8 | top 1% in Alabama; top 2% in the U.S. |
| RN turnover (%) | 37.5 | 39.5 | 42.9 | top 49% in Alabama; 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 3.50, RN 0.58, weekend 2.70. 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: —/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ball, Clarence | Individual | 5% or Greater Direct Ownership Interest | 100% | 07/01/2003 |
| Ball Healthcare - Roanoke, INC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2003 |
| Ball Healthcare Service, INC | Organization | ADP of the SNF | NOT APPLICABLE | 04/15/2025 |
| Ball, Clarence | Individual | Corporate Director | NOT APPLICABLE | 07/21/2003 |
| Caldwell, Hollie | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/13/2011 |
| Caldwell, Hollie | Individual | ADP of the SNF | NOT APPLICABLE | 01/13/2011 |
| Hall, Matthew | Individual | Corporate Officer | NOT APPLICABLE | 09/16/2014 |
| Hall, Matthew | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2014 |
| Oubre, Wendy | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/14/2025 |
| Oubre, Wendy | Individual | ADP of the SNF | NOT APPLICABLE | 10/08/2025 |
| Thomas, Carla | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/12/2021 |
| Thomas, Carla | Individual | ADP of the SNF | NOT APPLICABLE | 01/13/2011 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you track that every resident's quarterly assessment happens on time?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How can my family member make private phone or video calls, and can we see where?"
- "Who conducts resident assessments here, and what are their qualifications?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "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 |
|---|---|---|---|---|---|
| Traylor Retirement Community | 1.4 mi | Roanoke, AL | ★★★★☆ | 2/5 | |
| Lafayette Nursing Home | 17.1 mi | Lafayette, AL | ★★☆☆☆ | 4/5 | |
| Lafayette Extended Care | 17.5 mi | Lafayette, AL | ★★☆☆☆ | 3/5 | |
| Pruitthealth - Franklin | 18.8 mi | Franklin, GA | ★★★★★ | 4/5 | |
| Lagrange Trails of Journey LLC | 19.5 mi | Lagrange, GA | ★★★☆☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 015424.