Star City Rehabilitation and Nursing
1047 Mecca Street Ne · Roanoke, VA · 24012 · 5409240100
116 certified beds For profit - Corporation Chain: Eastern Healthcare Group
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The composite number cleared 72 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
RN staffing in the bottom 10% nationally
0.19 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
68% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
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: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.71 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.19 | 0.55–0.75 |
| Weekend hours / resident-day | 3.43 | ≈ weekday level |
| Nursing turnover / year | 68% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (31 in the current record)
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Potential for harm · D February 18, 2025 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected March 25, 2025 · Resident Rights
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Potential for harm · D February 18, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 18, 2025 · found via complaint
Plan the resident's discharge to meet the resident's goals and needs.
Corrected March 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 18, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 25, 2025 · Quality of Life and Care
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Potential for harm · D February 18, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 25, 2025 · Quality of Life and Care
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Potential for harm · D February 18, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 25, 2025 · Quality of Life and Care
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Potential for harm · D February 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 March 25, 2025 · Pharmacy Service
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Potential for harm · D February 18, 2025 · found via complaint
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected March 25, 2025 · Administration
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Potential for harm · E February 18, 2025 · found via complaint
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected March 25, 2025 · Nutrition and Dietary
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Potential for harm · E February 18, 2025 · found via complaint
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected March 25, 2025 · Nutrition and Dietary
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Potential for harm · E February 18, 2025 · found via complaint
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected March 25, 2025 · Nutrition and Dietary
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Potential for harm · E February 18, 2025 · found via complaint
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected March 25, 2025 · Nutrition and Dietary
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Potential for harm · E February 18, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 25, 2025 · Nutrition and Dietary
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Potential for harm · E February 18, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · E February 18, 2025 · found via complaint
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected March 25, 2025 · Administration
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Potential for harm · D November 8, 2024 · found via complaint
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected December 12, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 8, 2024 · found via complaint
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected December 12, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 8, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 12, 2024 · Quality of Life and Care
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Potential for harm · E November 8, 2024 · found via complaint
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected December 12, 2024 · Nutrition and Dietary
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Potential for harm · E November 8, 2024 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected December 12, 2024 · Nutrition and Dietary
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Potential for harm · E November 8, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 12, 2024 · Nutrition and Dietary
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Potential for harm · E November 8, 2024 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected December 12, 2024 · Environmental
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Potential for harm · D February 14, 2024
Honor the resident's right to manage his or her financial affairs.
Corrected April 18, 2024 · Resident Rights
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Potential for harm · D February 14, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected April 18, 2024 · Resident Rights
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Potential for harm · D February 14, 2024
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected April 18, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495427 · certified since September 8, 2021. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.