Pheasant Ridge Nursing and Rehabilitation
4355 Pheasant Ridge Road · Roanoke, VA · 24014 · 5407258210
101 certified beds For profit - Corporation Chain: Avardis Health
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The composite number cleared 73 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
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 prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
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: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.53 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.67 | 0.55–0.75 |
| Weekend hours / resident-day | 3.24 | ≈ weekday level |
| Nursing turnover / year | 54% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (25 in the current record)
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Immediate jeopardy · J November 21, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 18, 2025 · Quality of Life and Care
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Potential for harm · D November 21, 2024 · found via complaint
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected January 15, 2025 · Resident Rights
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Potential for harm · D November 21, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected February 18, 2025 · Resident Rights
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Potential for harm · D November 21, 2024 · found via complaint
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected February 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 21, 2024 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected February 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 21, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 21, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 18, 2025 · Quality of Life and Care
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Potential for harm · E November 21, 2024 · found via complaint
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected February 18, 2025 · Nursing and Physician Services
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Potential for harm · D November 21, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 15, 2025 · Pharmacy Service
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Potential for harm · D November 21, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 19, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected February 21, 2024 · Resident Rights
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Potential for harm · E January 19, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected February 21, 2024 · Resident Rights
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Potential for harm · D January 19, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 21, 2024 · Quality of Life and Care
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Potential for harm · D January 19, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 21, 2024 · Quality of Life and Care
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Potential for harm · D January 19, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected February 21, 2024 · Pharmacy Service
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Potential for harm · F January 19, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 21, 2024 · Nutrition and Dietary
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Potential for harm · D January 19, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 21, 2024 · Resident Assessment and Care Planning
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Potential for harm · D January 19, 2024 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected February 21, 2024 · Resident Assessment and Care Planning
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Potential for harm · D January 19, 2024 · found via complaint
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected February 21, 2024 · Resident Assessment and Care Planning
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No harm found · C January 19, 2024
Post nurse staffing information every day.
Corrected February 21, 2024 · Nursing and Physician Services
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Potential for harm · D August 3, 2022
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 7, 2022 · Quality of Life and Care
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Potential for harm · D August 3, 2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 7, 2022 · Quality of Life and Care
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Potential for harm · D August 3, 2022
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected September 7, 2022 · Pharmacy Service
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Potential for harm · D August 3, 2022
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 7, 2022 · Resident Assessment and Care Planning
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Potential for harm · D April 8, 2021
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 27, 2021 · Quality of Life and Care
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495325 · certified since January 1, 1998. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.