Federal inspection record · CMS data as of October 1, 2026
Roman Eagle Rehabilitation And Health Care Center
2526 North Main Street, Danville, VA · (434) 836-9510
- Certified beds
- 312
- Residents per day
- 209
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1967
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Virginia.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Virginia homes
Roman Eagle Rehabilitation And Health Care Center carries 25 inspection points. That is fewer than 82% of Virginia's 287 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Virginia: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–16 pts
- 4★ 16–45 pts
- 3★ 45–76.5 pts
- 2★ 76.5–168.75 pts
- 1★ over 168.75 pts
Bars show every rated home in Virginia by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
29 health citations on record since 2018. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning8E
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Pharmacy Service7E
- D
Ensure that residents are free from significant medication errors.
- D
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.
- D
Ensure medication error rates are not 5 percent or greater.
- D
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.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
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.
Resident Rights5D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
Keep residents' personal and medical records private and confidential.
- D
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.
Quality of Life and Care4D
- D
Provide activities to meet all resident's needs.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Environmental1E
- E
Make sure that a working call system is available in each resident's bathroom and bathing area.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation1E
- E
Protect each resident from the wrongful use of the resident's belongings or money.
Inspection history
2023-03-08
6 health deficiencies · 8 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2021-12-02
4 health deficiencies · 11 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2018-11-02
19 health deficiencies · 12 fire-safety deficiencies
Top issue: Resident Rights (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 27 min of nursing staff time a day, 40 min of it from a registered nurse.
This home
4 h 27 min
Virginia average
3 h 53 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 45% of nursing staff and 7% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts worse | 1.9 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.6 pts worse | 3.0 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.7 pts better | 92.9% | 91.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.1 pts better | 96.4% | 93.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.3 pts better | 3.2% | 3.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms20.3 pts better | 0.2% | 20.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight5.9 pts worse | 11.2% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.9 pts worse | 22.6% | 20.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication18.2 pts worse | 32.4% | 14.2% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.2 pts worse | 20.4% | 14.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.8 pts worse | 20.3% | 14.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts worse | 0.7% | 0.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.2 pts worse | 3.8% | 1.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.8 pts better | 18.5% | 21.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.9 pts worse | 6.3% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.7 pts better | 78.9% | 74.2% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit12.3 pts worse | 23.8% | 11.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication3.2 pts worse | 4.5% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2 pts worse | 71.3% | 73.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.2 pts worse | 26.2% | 22.0% | 23.4% |
·
Who owns and runs it
2 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Moore, Peggy | Corporate Officer · Individual | 0% | 1 facilities |
| Setliff, Dan | W-2 Managing Employee · Individual | 0% | 1 facilities |
·
Fire safety
31 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke12F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- D
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- F
Install properly constructed windows in hallway walls or doors.
Miscellaneous5F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
Have restrictions on the use of highly flammable decorations.
Services5F
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Have elevators that firefighters can control in the event of a fire.
- F
Have properly installed electrical wiring and gas equipment.
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Have elevators that firefighters can control in the event of a fire.
Gas, Vacuum, and Electrical Systems5F
- E
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- E
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- F
Have proper medical gas storage and administration areas.
Egress3F
- F
Have properly located and lighted "Exit" signs.
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Construction1E
- E
Use approved construction type or materials.
·
Other homes nearby
-
Piney Forest Health And Rehabilitation Center
Danville, VA · Lifeworks Rehab
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 32 min
- Fines
- $0
-
Riverside Health & Rehab Cntr
Danville, VA · Lifeworks Rehab
★★★★★- Worst citation, 3 yrs
- none
- Nursing / resident / day
- 3 h 15 min
- Fines
- $0
-
Stratford Healthcare Center
Danville, VA · Saber Healthcare Group
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 25 min
- Fines
- $0