Pheasant Ridge Nursing and Rehabilitation

Nursing Home · Roanoke, VA

CMS overall rating 2/5 For profit - Corporation

CMS certification number495325

Contact & location

4355 Pheasant Ridge Road
Roanoke, VA 24014
Roanoke City County
Phone
(540) 725-8210
ZIP code
24014 – all care providers

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Facility details

Certified beds
101
Residents per day
88.0 (87% occupied)
Ownership
For profit - Corporation
Legal name
4355 Pheasant Ridge Road Opco LLC
Chain
Avardis Health (38 facilities, avg 2.0★)
Medicare certified since
January 1, 1998
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 3.0
Health inspections★★★★★ 2/5
State avg 2.7
Staffing★★★★★ 2/5
State avg 2.4
Quality measures★★★★★ 4/5
State avg 3.9
Long-stay quality★★★★★ 3/5
Short-stay quality★★★★★ 5/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.27 (state 3.76 · U.S. 3.86)
Registered nurses (RN)
0.64 (state 0.69 · U.S. 0.69)
Licensed practical nurses
0.94 (state 1.00 · U.S. 0.86)
Nurse aides
1.69 (state 2.07 · U.S. 2.32)
Weekend total
2.86 (state 3.29 · U.S. 3.42)
Nursing staff turnover
53.8 (state 48.1 · U.S. 45.8)%
RN turnover
53.3 (state 48.2 · U.S. 42.9)%
Administrators who left
3 in the last year

Inspections

Last standard inspection
January 19, 2024
Health deficiencies (last cycle)
17.0 (state 14.5 · U.S. 9.3)
From complaints
9
Citations on record (3 years)
32 health · 15 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-05-07 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2026-06-17
2026-05-07 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2026-06-17
2026-05-07 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2026-06-17
2026-05-07 Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
F0776 · Administration Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2026-06-17
2026-05-07 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-17
2026-05-07 Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
F0773 · Administration Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-17
2026-05-07 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-17
2024-11-21 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2025-02-18
2024-11-21 Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
F0711 · Nursing and Physician Services Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-02-18
2024-11-21 Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
F0573 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-15
2024-11-21 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-18
2024-11-21 Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
F0635 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-18
2024-11-21 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-18
2024-11-21 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-18
2024-11-21 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-18
2024-11-21 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-15
2024-11-21 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-18
2024-01-19 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-02-21
2024-01-19 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-02-21
2024-01-19 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-21
2024-01-19 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-21
2024-01-19 Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
F0661 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-21
2024-01-19 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-21
2024-01-19 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-21
2024-01-19 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-21
2024-01-19 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-21
2024-01-19 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies		 C
No actual harm, potential for minimal harm		 Corrected 2024-02-21
2022-08-03 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-09-07
2022-08-03 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-09-07
2022-08-03 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-09-07
2022-08-03 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-09-07
2021-04-08 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2021-04-27

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
SW Roanoke Parentco LLC (organization)5%+ Direct Ownership Interest · 100%
Mill Mountain Holdco LLC (organization)5%+ Indirect Ownership Interest
Vaop Holdco LLC (organization)5%+ Indirect Ownership Interest
Brandt, Karen (individual)Administrator · NOT APPLICABLE
Clark, Alyssa (individual)Administrator · NOT APPLICABLE
Forren, Holly (individual)Administrator · NOT APPLICABLE
Hoback, Tiffany (individual)Administrator · NOT APPLICABLE
Jones, Tequilla (individual)Administrator · NOT APPLICABLE
SNF MGR LLC (organization)Administrator · NOT APPLICABLE
Tompkins, Paul (individual)Administrator · NOT APPLICABLE
Clark, Alyssa (individual)Managing Control - Governing Body · NOT APPLICABLE
Hoback, Tiffany (individual)Managing Control - Governing Body · NOT APPLICABLE
Brandt, Karen (individual)Operational/managerial Control · NOT APPLICABLE
Clark, Alyssa (individual)Operational/managerial Control · NOT APPLICABLE
Forren, Holly (individual)Operational/managerial Control · NOT APPLICABLE
Hoback, Tiffany (individual)Operational/managerial Control · NOT APPLICABLE
Jones, Tequilla (individual)Operational/managerial Control · NOT APPLICABLE
SNF MGR LLC (organization)Operational/managerial Control · NOT APPLICABLE
Tompkins, Paul (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Pheasant Ridge Nursing and Rehabilitation?

Pheasant Ridge Nursing and Rehabilitation has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Virginia.

How many beds does Pheasant Ridge Nursing and Rehabilitation have?

It has 101 certified beds and cares for about 88 residents per day.

Has Pheasant Ridge Nursing and Rehabilitation been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Pheasant Ridge Nursing and Rehabilitation?

It is part of Avardis Health and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Pheasant Ridge Nursing and Rehabilitation?

(540) 725-8210. The facility is located at 4355 Pheasant Ridge Road, Roanoke, VA 24014.

Other nursing homes in Roanoke

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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.