Friendship Health and Rehab Center - South

Nursing Home · Roanoke, VA

CMS overall rating 3/5 Non profit - Corporation

CMS certification number495421

Contact & location

5647 Starkey Road
Roanoke, VA 24018
Roanoke County
Phone
(540) 777-8300
ZIP code
24018 – all care providers

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Facility details

Certified beds
120
Residents per day
112.4 (94% occupied)
Ownership
Non profit - Corporation
Legal name
Friendship Health and Rehab Center South INC
Medicare certified since
May 16, 2016
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

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

Staffing

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

Total nurse staffing
4.24 (state 3.76 · U.S. 3.86)
Registered nurses (RN)
0.57 (state 0.69 · U.S. 0.69)
Licensed practical nurses
1.37 (state 1.00 · U.S. 0.86)
Nurse aides
2.31 (state 2.07 · U.S. 2.32)
Weekend total
3.56 (state 3.29 · U.S. 3.42)
Nursing staff turnover
48.4 (state 48.1 · U.S. 45.8)%
RN turnover
40.0 (state 48.2 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
April 25, 2024
Health deficiencies (last cycle)
11.0 (state 14.5 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
19 health · 17 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2025-06-18 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
F0761 · Pharmacy Service Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2025-01-29
2025-06-18 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-29
2024-04-25 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-06-20
2024-04-25 Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-20
2024-04-25 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
F0636 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-20
2024-04-25 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-20
2024-04-25 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 2024-06-20
2024-04-25 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
F0758 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-20
2024-04-25 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-20
2024-04-25 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 2024-06-20
2024-04-25 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-20
2024-04-25 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-20
2024-04-25 Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
F0887 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-20
2024-04-25 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-20
2022-10-13 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
F0761 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2022-11-15
2022-10-13 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 2022-11-15
2022-10-13 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-11-15
2019-12-05 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 2019-12-13
2019-12-05 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2019-12-13

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

1 penalty in the last three years, including $8,281 in fines.

DateTypeAmount
2025-06-18Fine$8,281

Ownership & management

NameRoleSince
Friendship Foundation INC (organization)5%+ Direct Ownership Interest · 100%
Bishop, Nathaniel (individual)Corporate Director · NOT APPLICABLE
Combs, Glen (individual)Corporate Director · NOT APPLICABLE
Feinour, Edwin (individual)Corporate Director · NOT APPLICABLE
Grove, Lucian (individual)Corporate Director · NOT APPLICABLE
Johnson, Cynda (individual)Corporate Director · NOT APPLICABLE
Lawson, Robert (individual)Corporate Director · NOT APPLICABLE
Oelschlager, Kathryn (individual)Corporate Director · NOT APPLICABLE
Sandel, Robert (individual)Corporate Director · NOT APPLICABLE
Williamson, John (individual)Corporate Director · NOT APPLICABLE
Hoff, Joseph (individual)Corporate Officer · NOT APPLICABLE
Mitchell, Cynthia (individual)Corporate Officer · NOT APPLICABLE
Shannon, Charles (individual)Corporate Officer · NOT APPLICABLE
Evans, Brandon (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Friendship Health and Rehab Center - South?

Friendship Health and Rehab Center - South has a 3-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 Friendship Health and Rehab Center - South have?

It has 120 certified beds and cares for about 112 residents per day.

Has Friendship Health and Rehab Center - South been fined?

Yes. CMS lists 1 penalty totaling $8,281 in the last three years.

What is the phone number of Friendship Health and Rehab Center - South?

(540) 777-8300. The facility is located at 5647 Starkey Road, Roanoke, VA 24018.

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