Roanoke, VA

Virginia Veterans Care Center

5-star overall rating with 5-star inspections with 1 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

4550 Shenandoah Ave N W, Roanoke, VA

(540) 982-2860

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

180

Certified beds

Average residents

187

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1992-11-17

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.71

Registered nurse staffing · state 0.69 · national 0.68

LPN hours / resident day

0.74

Licensed practical nurse staffing · state 1.00 · national 0.87

Aide hours / resident day

2.25

Nurse aide staffing · state 2.12 · national 2.35

Total nurse hours

3.70

All reported nurse hours · state 3.81 · national 3.89

Licensed hours

1.45

RN + LPN hours · state 1.68 · national 1.54

Weekend hours

3.10

Weekend nurse staffing · state 3.31 · national 3.43

Weekend RN hours

0.39

Weekend registered nurse coverage · state 0.46 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

0.84

CMS adjusted RN staffing hours

Adjusted total hours

4.37

CMS adjusted total nurse staffing hours

Case-mix index

1.16

Higher values indicate more complex resident acuity

RN turnover

96%

Annual RN turnover · state 49% · national 45%

Total nurse turnover

99%

Annual nurse turnover · state 48% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,747

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

31.81

Composite VBP score used to determine payment impact.

Payment multiplier

0.9867

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.57

Baseline 18.71% · Performance 19.31% · Measure score 4.57 · Achievement 4.57 · Improvement 0

Healthcare-associated infections

1.41

Baseline 5.83% · Performance 7.41% · Measure score 1.41 · Achievement 1.41 · Improvement 0

Total nurse turnover

0

Baseline 44.10% · Performance 99.48% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

6.75

Baseline 4.79 hours · Performance 5 hours · Measure score 6.75 · Achievement 6.75 · Improvement 1.59

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.89%	10.72% 0.8 pts better	No Different than the National Rate · Eligible stays 72 · Observed rate 6.94% · Lower 95% interval 6.87%
Discharge to community	53.11%	50.57% 2.5 pts better	No Different than the National Rate · Eligible stays 54 · Observed rate 50% · Lower 95% interval 40.05%
Medicare spending per beneficiary	1.01	1.02 About the same
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 97 · Denominator 97
Falls with major injury	1.03%	0.77% 0.3 pts worse	Numerator 1 · Denominator 97
Discharge self-care score	60.29%	53.69% 6.6 pts better	Numerator 41 · Denominator 68
Discharge mobility score	60.29%	50.94% 9.4 pts better	Numerator 41 · Denominator 68
Pressure ulcers or injuries, new or worsened	2.06%	2.29% 0.2 pts better	Numerator 2 · Denominator 97 · Adjusted rate 2.19%
Healthcare-associated infections requiring hospitalization	7.41%	7.12% 0.3 pts worse	No Different than the National Rate · Eligible stays 37 · Observed rate 8.11% · Lower 95% interval 4.01%
Staff COVID-19 vaccination coverage	8.79%	8.2% 0.6 pts better	Numerator 32 · Denominator 364
Staff flu vaccination coverage	14.91%	42% 27.1 pts worse	Numerator 61 · Denominator 409
Discharge function score	67.65%	56.45% 11.2 pts better	Numerator 46 · Denominator 68
Transfer of health information to provider	94.74%	95.95% 1.2 pts worse	Numerator 36 · Denominator 38
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 21 · Denominator 21
Resident COVID-19 vaccinations up to date	46.15%	25.2% 20.9 pts better	Numerator 18 · Denominator 39

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.9	1.5 0.6 pts better	1.9 1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.9 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.2	1.4 0.2 pts better	1.8 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.1 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.6%	91.2% 8.4 pts better	93.4% 6.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.8% · Q2 99.4% · Q3 100.0% · Q4 100.0% · 4Q avg 99.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	94.0% 6 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	3.0%	3.6% 0.6 pts better	3.3% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 2.3% · Q3 3.2% · Q4 1.7% · 4Q avg 3.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	15.7% 15.7 pts better	11.4% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	5.9%	5.7% 0.2 pts worse	5.4% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 4.8% · Q3 4.3% · Q4 9.0% · 4Q avg 5.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	15.5%	20.2% 4.7 pts better	19.6% 4.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 11.8% · Q3 16.7% · Q4 22.2% · 4Q avg 15.5%
Percentage of long-stay residents who received an antipsychotic medication	27.4%	15.0% 12.4 pts worse	16.7% 10.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 30.9% · Q2 29.8% · Q3 23.8% · Q4 25.3% · 4Q avg 27.4% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	15.8%	17.5% 1.7 pts better	16.3% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 18.4% · Q3 16.5% · Q4 19.0% · 4Q avg 15.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	17.7%	15.7% 2 pts worse	14.9% 2.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 13.4% · Q2 19.1% · Q3 19.5% · Q4 18.5% · 4Q avg 17.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.4%	0.5% 0.1 pts better	1.0% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.5% · Q3 0.5% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.5%	1.6% 0.9 pts worse	1.7% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 3.0% · Q3 2.2% · Q4 2.3% · 4Q avg 2.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	28.2%	22.2% 6 pts worse	19.8% 8.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.1% · Q2 24.2% · Q3 31.3% · Q4 34.9% · 4Q avg 28.2%
Percentage of long-stay residents with pressure ulcers	1.4%	5.2% 3.8 pts better	5.1% 3.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 1.4% · Q3 2.4% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	93.5%	74.6% 18.9 pts better	81.7% 11.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 93.1% · Q2 94.4% · Q3 95.5% · Q4 90.6% · 4Q avg 93.5%
Percentage of short-stay residents who had an outpatient emergency department visit	6.5%	11.7% 5.2 pts better	12.0% 5.5 pts better	Short Stay · 20240701-20250630 · Adjusted 6.5% · Observed 6.8% · Expected 11.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	4.8%	1.2% 3.6 pts worse	1.6% 3.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 3.9% · Q3 0.0% · Q4 13.3% · 4Q avg 4.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	94.6%	73.6% 21 pts better	79.7% 14.9 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 94.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	17.4%	22.0% 4.6 pts better	23.9% 6.5 pts better	Short Stay · 20240701-20250630 · Adjusted 17.4% · Observed 18.2% · Expected 24.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2022-01-27 · Fire 2022-01-27

1 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

9 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2019-05-23 · Fire 2019-05-23

6 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2018-03-22 · Fire 2018-03-22

9 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2022-01-27

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-05-10

F · Potential for more than minimal harm 2022-01-27

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2022-05-10

F · Potential for more than minimal harm 2022-01-27

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2022-05-10

E · Potential for more than minimal harm 2022-01-27

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2022-05-10

E · Potential for more than minimal harm 2022-01-27

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-05-10

E · Potential for more than minimal harm 2022-01-27

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2022-05-10

E · Potential for more than minimal harm 2022-01-27

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2022-05-10

D · Potential for more than minimal harm 2022-01-27

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2022-05-10

D · Potential for more than minimal harm 2022-01-27

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-05-10

F · Potential for more than minimal harm 2019-05-23

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-06-12

F · Potential for more than minimal harm 2018-03-22

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2018-04-16

F · Potential for more than minimal harm 2018-03-22

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2018-04-16

Inspection history

Recent health citations

D · Potential for more than minimal harm 2022-01-27

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2022-02-22

D · Potential for more than minimal harm 2019-05-23

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2019-07-10

D · Potential for more than minimal harm 2019-05-23

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2019-07-10

D · Potential for more than minimal harm 2019-05-23

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2019-07-10

D · Potential for more than minimal harm 2019-05-23

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2019-07-10

D · Potential for more than minimal harm 2019-05-23

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2019-07-10

D · Potential for more than minimal harm 2019-05-23

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2019-07-10

E · Potential for more than minimal harm 2018-03-22

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2018-05-04

E · Potential for more than minimal harm 2018-03-22

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2018-05-04