Friendship Health and Rehab Center - South
5647 Starkey Road · Roanoke, VA · 24018 · 5402652117
120 certified beds Non profit - Corporation
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection results are getting worse cycle over cycle, not better.
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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.15 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.58 | 0.55–0.75 |
| Weekend hours / resident-day | 3.59 | ≈ weekday level |
| Nursing turnover / year | 43% | median 45% |
| Fines (3-yr window) | 1 · $8,281 |
Inspection citations (19 in the current record)
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Immediate jeopardy · J June 18, 2025 · found via complaint
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.
Corrected January 29, 2025 · Pharmacy Service
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Potential for harm · D June 18, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 25, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected June 20, 2024 · Resident Rights
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Potential for harm · D April 25, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected June 20, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 25, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 20, 2024 · Resident Assessment and Care Planning
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Potential for harm · E April 25, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 20, 2024 · Pharmacy Service
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Potential for harm · D April 25, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected June 20, 2024 · Pharmacy Service
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Potential for harm · D April 25, 2024
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.
Corrected June 20, 2024 · Pharmacy Service
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Potential for harm · D April 25, 2024
Ensure that residents are free from significant medication errors.
Corrected June 20, 2024 · Pharmacy Service
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Potential for harm · D April 25, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected June 20, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 25, 2024
Provide and implement an infection prevention and control program.
Corrected June 20, 2024 · Infection Control
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Potential for harm · D April 25, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected June 20, 2024 · Infection Control
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Potential for harm · D April 25, 2024
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.
Corrected June 20, 2024 · Infection Control
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Potential for harm · D April 25, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 20, 2024 · Quality of Life and Care
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Potential for harm · D October 13, 2022
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected November 15, 2022 · Pharmacy Service
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Potential for harm · E October 13, 2022
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.
Corrected November 15, 2022 · Pharmacy Service
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Potential for harm · D October 13, 2022
Provide and implement an infection prevention and control program.
Corrected November 15, 2022 · Infection Control
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Potential for harm · D December 5, 2019
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 13, 2019 · Quality of Life and Care
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Potential for harm · D December 5, 2019
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.
Corrected December 13, 2019 · Pharmacy Service
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 18, 2025 | Fine | $8,281 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495421 · certified since May 16, 2016. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.