Federal inspection record · CMS data as of October 1, 2026
Springtree Healthcare & Rehab Center
3433 Springtree Drive, Roanoke, VA · (540) 981-2790
- Certified beds
- 120
- Residents per day
- 113
- Ownership
- For-Profit
- Chain
- Lifeworks Rehab
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 14, 2004
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.
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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
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Virginia homes
Springtree Healthcare & Rehab Center carries 71 inspection points. That is fewer than 46% 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
40 health citations on record since 2021. 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
Quality of Life and Care11E
- D
Provide enough food/fluids to maintain a resident's health.
- 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.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
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 safe, appropriate pain management for a resident who requires such services.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Resident Assessment and Care Planning10D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Ensure each resident receives an accurate assessment.
- 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.
- D
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
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service6E
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure that residents are free from significant medication errors.
- 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.
Resident Rights5D
- 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.
- D
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
- 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
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Nursing and Physician Services3E
- D
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
- E
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- D
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Administration2D
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
- D
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Nutrition and Dietary2E
- D
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2024-05-23
15 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
2023-06-09
18 health deficiencies · 10 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2021-03-25
7 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 56 min of nursing staff time a day, 32 min of it from a registered nurse.
This home
3 h 56 min
Virginia average
3 h 53 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 51% of nursing staff and 69% 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 days0.1 pts worse | 1.5 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts better | 0.7 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.9 pts better | 99.1% | 91.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.6 pts better | 97.9% | 93.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.5 pts better | 2.0% | 3.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms32.6 pts worse | 53.1% | 20.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.3 pts better | 3.0% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.2 pts worse | 23.9% | 20.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.6 pts better | 8.6% | 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 worsened8.6 pts better | 5.6% | 14.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.4 pts better | 10.1% | 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 infection0.5 pts better | 1.1% | 1.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.2 pts better | 20.1% | 21.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.3 pts better | 3.1% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine18.8 pts better | 93.0% | 74.2% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit7.9 pts better | 3.6% | 11.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts worse | 1.4% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine10.6 pts better | 83.9% | 73.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.6 pts better | 17.4% | 22.0% | 23.4% |
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Who owns and runs it
15 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 |
|---|---|---|---|
| Springtree Holdings I LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| America West LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Charles 1994 & Family LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 9 facilities |
| Charles 1994 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 40 facilities |
| Charles 1994 LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 9 facilities |
| Edward 1998 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 38 facilities |
| Edward 1998 LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 7 facilities |
| Edwards, Adam | W-2 Managing Employee · Individual | 0% | 3 facilities |
| Edwards, Adam | Corporate Officer · Individual | 0% | 3 facilities |
| Kss 2000 Family Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Ml 2000 Family Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Rczbm West Manager LLC | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Redrock West LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 9 facilities |
| Saul 2012 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 39 facilities |
| Saul 2012 LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 7 facilities |
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Fire safety
18 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- E
Have properly installed hallway dispensers for alcohol-based hand rub.
- D
Provide properly protected cooking facilities.
- F
Install corridor and hallway doors that block smoke.
- E
Have approved installation, maintenance and testing program for fire alarm systems.
Egress4E
- D
Install emergency lighting that can last at least 1 1/2 hours.
- E
Install emergency lighting that can last at least 1 1/2 hours.
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Miscellaneous4E
- D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D
Provide a written emergency evacuation plan.
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems2E
- D
Ensure that testing and maintenance of electrical equipment is performed.
- E
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Services2E
- E
Have properly installed electrical wiring and gas equipment.
- E
Have properly installed electrical wiring and gas equipment.
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Other homes nearby
-
Star City Rehabilitation And Nursing
Roanoke, VA · Eastern Healthcare Group
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h
- Fines
- $0
-
Berkshire Health & Rehabilitation Center
Vinton, VA · Lifeworks Rehab
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 35 min
- Fines
- $0
-
Our Lady Of The Valley
Roanoke, VA
★★★★★- Worst citation, 3 yrs
- none
- Nursing / resident / day
- 3 h 44 min
- Fines
- $16,350