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Star City Rehabilitation and Nursing
1047 Mecca Street NE, Roanoke, VA 24012 (opens Google Maps) · Roanoke City County · (540) 924-0100· 116 certified beds · avg 106 residents/day · certified since Sep 8, 2021 · 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 →
Part of chain: EASTERN HEALTHCARE GROUP (18 facilities, chain avg rating 1.5★)
3/5
Health inspection rating (on-site)
inspected Feb 14, 2024
0
Serious findings on record
$0
Fines, last 3 years
3.06
Nurse hours/resident/day (adjusted)
Every record stays on this page.
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: ★★★☆☆3/5 · CMS overall rating: 2/5 · 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.
Inspection findings in the public record
Showing the latest 3 of 31 inspection findings. Open the full record below to read every finding.
The facility did not provide each resident with a nourishing, tasty, well-balanced diet that meets their daily nutritional and special dietary needs. · from a complaint F-0800
The facility did not have enough support staff to safely and effectively run its food and nutrition service. · from a complaint F-0802
The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · from a complaint F-0803
View all 31 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 |
|---|---|---|
| Feb 18, 2025 | E · Potential for more than minimal harm, pattern | The facility did not provide each resident with a nourishing, tasty, well-balanced diet that meets their daily nutritional and special dietary needs. · from a complaint · F-0800 |
| Feb 18, 2025 | E · Potential for more than minimal harm, pattern | The facility did not have enough support staff to safely and effectively run its food and nutrition service. · from a complaint · F-0802 |
| Feb 18, 2025 | E · Potential for more than minimal harm, pattern | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · from a complaint · F-0803 |
| Feb 18, 2025 | E · Potential for more than minimal harm, pattern | The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times. · from a complaint · F-0809 |
| Feb 18, 2025 | E · Potential for more than minimal harm, pattern | 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. · from a complaint · F-0812 |
| Feb 18, 2025 | E · Potential for more than minimal harm, pattern | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842 |
| Feb 18, 2025 | E · Potential for more than minimal harm, pattern | The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. · from a complaint · F-0865 |
| Feb 18, 2025 | 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. · from a complaint · F-0584 |
| Feb 18, 2025 | 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. · from a complaint · F-0657 |
| Feb 18, 2025 | D · Potential for more than minimal harm, isolated | The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. · from a complaint · F-0660 |
| Feb 18, 2025 | 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 |
| Feb 18, 2025 | 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. · from a complaint · F-0684 |
| Feb 18, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint · F-0686 |
| Feb 18, 2025 | 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. · from a complaint · F-0761 |
| Feb 18, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide timely, quality laboratory tests to meet residents' needs. · from a complaint · F-0770 |
| Nov 8, 2024 | E · Potential for more than minimal harm, pattern | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · from a complaint · F-0803 |
| Nov 8, 2024 | E · Potential for more than minimal harm, pattern | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint · F-0804 |
| Nov 8, 2024 | E · Potential for more than minimal harm, pattern | 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. · from a complaint · F-0812 |
| Nov 8, 2024 | E · Potential for more than minimal harm, pattern | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint · F-0925 |
| Nov 8, 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. · from a complaint · F-0636 |
| Nov 8, 2024 | D · Potential for more than minimal harm, isolated | 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. · from a complaint · F-0638 |
| Nov 8, 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. · from a complaint · F-0684 |
| Feb 14, 2024 | E · Potential for more than minimal harm, pattern | 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 |
| Feb 14, 2024 | E · Potential for more than minimal harm, pattern | 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 |
| Feb 14, 2024 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' right to manage their own money and financial affairs. · F-0567 |
| Feb 14, 2024 | D · Potential for more than minimal harm, isolated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · F-0623 |
| Feb 14, 2024 | D · Potential for more than minimal harm, isolated | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · F-0625 |
| Feb 14, 2024 | 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 |
| Feb 14, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686 |
| Feb 14, 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 |
| Feb 14, 2024 | D · Potential for more than minimal harm, isolated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759 |
Inspection trend by year
All citationsSerious citations (G–L)
2024
All citations: 16
Serious citations (G–L): 0
2025
All citations: 15
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 16 | 0 | E |
| 2025 | 15 | 0 | 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityVirginia averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.06
Virginia average: 3.67
U.S. average: 3.95
Registered Nurse hours
This facility: 0.16
Virginia average: 0.66
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.70
Virginia average: 3.21
U.S. average: 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) | 3.06 | 3.67 | 3.95 | bottom 29% in Virginia; bottom 16% in the U.S. |
| Registered Nurse hours | 0.16 | 0.66 | 0.69 | bottom 1% in Virginia; bottom 1% in the U.S. |
| Weekend total nurse staffing | 2.70 | 3.21 | 3.50 | bottom 33% in Virginia; bottom 16% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.12 | 0.46 | 0.48 | bottom 2% in Virginia; bottom 2% in the U.S. |
| Total nursing staff turnover (%) | 68.3 | 48.1 | 45.8 | bottom 8% in Virginia; bottom 7% in the U.S. |
| RN turnover (%) | 93.3 | 48.2 | 42.9 | bottom 2% in Virginia; bottom 1% 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 3.72, RN 0.19, weekend 3.28.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.72 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
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: 3/5 · long-stay residents: 2/5 · 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 Star City Rehabilitation and Nursing. 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 →
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Lyam Family Trust | Organization | 5% or Greater Indirect Ownership Interest | 50% | 12/01/2023 |
| VA SNF Operations Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 12/01/2023 |
| Shapiro, Akiva | Individual | Corporate Officer | NOT APPLICABLE | 12/01/2023 |
| Vanhousen, Susan | Individual | W-2 Managing Employee | NOT APPLICABLE | 12/01/2023 |
All 4 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Eastern Healthcare Group — 18 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Thalia Gardens Rehabilitation and Nursing — Virginia Beach, VA · overall 1/5
- Twin Lakes Rehabilitation and Nursing — South Hill, VA · overall 3/5
- Bay Pointe Rehabilitation and Nursing — Virginia Beach, VA · overall 2/5
- Birchwood Park Rehabilitation — Virginia Beach, VA · overall 1/5abuse
- Blue Ridge Rehabilitation and Nursing — Harrisonburg, VA · overall 2/5
- Cypress Pointe Rehabilitation and Nursing — Virginia Beach, VA · overall 2/5
- Deer Meadows Rehabilitation and Nursing — Abingdon, VA · overall 1/5
- Greene Acres Rehabilitation and Nursing — Stanardsville, VA · overall 3/5
Listed by state, then facility name — not a ranking. Showing 8 of the 17 others, continuing from this facility's own place in that list.
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 a sample menu, and how do you handle special diets like low-sodium or diabetic meals?"
- "How is your kitchen staffed, and have meals ever been delayed because of staffing?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "What happens if a resident is hungry between meals or misses a mealtime — what food options are available?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Virginia midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 68% total nursing staff turnover here — who on the care team has been with you longest?"
- "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 | Flags |
|---|---|---|---|---|---|
| Springtree Healthcare & Rehab Center | 0.7 mi | Roanoke, VA | ★★★☆☆ | 3/5 | |
| Berkshire Health & Rehabilitation Center | 1.8 mi | Vinton, VA | ★★★★☆ | 4/5 | |
| Our Lady of the Valley | 2.5 mi | Roanoke, VA | ★★★★☆ | 4/5 | |
| Friendship Health and Rehab Center | 3.1 mi | Roanoke, VA | ★★★★☆ | 4/5 | |
| Old Southwest Health and Rehabilitation | 3.5 mi | Roanoke, VA | ★☆☆☆☆ | 1/5 | |
| Raleigh Court Health and Rehabilitation Center | 4.8 mi | Roanoke, VA | ★★★★☆ | 3/5 | |
| South Roanoke Nursing and Rehabilitation | 5.7 mi | Roanoke, VA | ★★★☆☆ | 2/5 | |
| Pheasant Ridge Nursing and Rehabilitation | 6.0 mi | Roanoke, VA | ★★☆☆☆ | 2/5 | |
| Davis and McDaniel Veterans Care Center | 6.3 mi | Roanoke, VA | ★★★★★ | 5/5 | |
| Brandon Oaks Nursing and Rehabilitation Center | 6.6 mi | Roanoke, VA | ★★★★★ | 4/5 | |
| Salem Health & Rehabilitation | 6.8 mi | Salem, VA | ★☆☆☆☆ | 2/5 | |
| Daleville Health and Rehabilitation | 7.0 mi | Daleville, VA | ★★☆☆☆ | 3/5 |
Facility data as of CMS processing date 2026-08-01. CCN 495427.
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