Federal inspection record · CMS data as of October 1, 2026
South Roanoke Nursing And Rehabilitation
3823 Franklin Rd, Sw, Roanoke, VA · (540) 344-4325
- Certified beds
- 98
- Residents per day
- 95
- Ownership
- For-Profit
- Chain
- Heritage Hall
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1967
1
How this home got 3 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Virginia.
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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
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Virginia homes
South Roanoke Nursing And Rehabilitation carries 86 inspection points. That is fewer than 38% 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
39 health citations on record since 2019. 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
- E
Ensure each resident receives an accurate assessment.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Assess the resident when there is a significant change in condition
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Quality of Life and Care7D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Rights6E
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- E
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
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
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.
Infection Control6F
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Perform COVID19 testing on residents and staff.
- D
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.
- D
Ensure staff are vaccinated for COVID-19
- F
Provide and implement an infection prevention and control program.
Pharmacy Service4D
- 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
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
- 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.
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration3F
- F
Have a plan that describes the process for conducting QAPI and QAA activities.
- F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- F
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Environmental2F
- F
Have enough backup water supply for essential areas of the nursing home.
- D
Have policies on smoking.
Inspection history
2025-04-24
11 health deficiencies · 5 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
2022-03-24
14 health deficiencies · 2 fire-safety deficiencies
Top issue: Infection Control (5 deficiencies)
2019-07-09
14 health deficiencies · 13 fire-safety deficiencies
Top issue: Resident Rights (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 3 min of nursing staff time a day, 27 min of it from a registered nurse.
This home
3 h 3 min
Virginia average
3 h 53 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 35% of nursing staff and 8% 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 days0.6 pts better | 0.8 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1 pts better | 0.4 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7 pts better | 98.2% | 91.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.5 pts better | 98.8% | 93.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.1 pts worse | 3.6% | 3.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms17.3 pts better | 3.2% | 20.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.1 pts worse | 5.4% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.8 pts better | 14.9% | 20.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication12 pts better | 2.2% | 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 worsened1 pts better | 13.2% | 14.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.7 pts better | 12.8% | 14.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better | 0.0% | 0.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.3 pts better | 0.3% | 1.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.2 pts better | 17.1% | 21.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.9 pts better | 1.5% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine1.7 pts better | 75.9% | 74.2% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.7 pts better | 5.8% | 11.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.3 pts better | 0.0% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.6 pts better | 75.9% | 73.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.2 pts better | 18.8% | 22.0% | 23.4% |
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Who owns and runs it
16 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 |
|---|---|---|---|
| American Healthcare LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 14 facilities |
| American Healthcare LLC | Operational/Managerial Control · Organization | 0% | 14 facilities |
| American Healthcare LLC | Adp Of The SNF · Organization | 0% | 14 facilities |
| Champney, Christian | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Champney, Christian | Adp Of The SNF · Individual | 0% | 1 facilities |
| Dalton, Brad | Corporate Officer · Individual | 0% | 12 facilities |
| Dalton, Brad | Operational/Managerial Control · Individual | 0% | 12 facilities |
| Dalton, Brad | Adp Of The SNF · Individual | 0% | 12 facilities |
| Dalton, Robert | Corporate Officer · Individual | 0% | 13 facilities |
| Dalton, Robert | Operational/Managerial Control · Individual | 0% | 13 facilities |
| Dalton, Robert | Adp Of The SNF · Individual | 0% | 13 facilities |
| East, Thomas | Corporate Officer · Individual | 0% | 14 facilities |
| Gallant, Cassandra | Operational/Managerial Control · Individual | 0% | 15 facilities |
| Gallant, Cassandra | Adp Of The SNF · Individual | 0% | 15 facilities |
| Hopkins, William | Corporate Director · Individual | 0% | 17 facilities |
| Mitchell, William | Adp Of The SNF · Individual | 0% | 4 facilities |
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Fire safety
20 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness16F
- F
Address subsistence needs for staff and patients.
- F
Establish emergency prep training and testing.
- F
Conduct testing and exercise requirements.
- E
Provide emergency officials' contact information.
- E
Address patient/client population and determine types of services needed.
- D
Develop Emergency Preparedness policies and procedures.
- D
Address subsistence needs for staff and patients.
- D
Establish procedures for tracking staff and patients during an emergency.
- D
Establish policies and procedures for sheltering.
- D
Establish policies and procedures for medical documentation.
- D
Establish policies and procedures for volunteers.
- D
Establish roles under a Waiver declared by secretary.
- D
Establish methods for sharing information.
- D
Provide family notifications of emergency plan.
- D
Conduct risk assessment and an All-Hazards approach.
- D
Address patient/client population and determine types of services needed.
Egress2F
- D
Install emergency lighting that can last at least 1 1/2 hours.
- F
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Smoke1E
- E
Provide properly protected cooking facilities.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
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Other homes nearby
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Pheasant Ridge Nursing and Rehabilitation
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★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 18 min
- Fines
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Raleigh Court Health And Rehabilitation Center
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- Nursing / resident / day
- 3 h 42 min
- Fines
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Friendship Health And Rehab Center - South
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★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
- 4 h 15 min
- Fines
- $8,281