GoodStanding

Nursing home report

Davis and McDaniel Veterans Care Center

ROANOKE, VA · Medicare-certified · 180 beds

In good standing
Government-run
5 of 5 overall

Davis and McDaniel Veterans Care Center has a 5 out of 5 overall rating, with 5-star health inspections and quality measures and 4-star staffing. Reported nurse staffing is 3.94 hours per resident per day, slightly below the 4.1 federal benchmark, with $0 in fines in the last 24 months.

Facility ratings

Health inspections

Staffing

3.9401 hrs/resident/day

Quality measures

Last inspection: January 27, 2022Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9401.

Staffing detail

Registered nurses
0.66
Licensed practical nurses
0.85
Nurse aides
2.42
Weekend nursing
3.46

Hours per resident per day.

Total staff turnover: 61%
Registered nurse turnover: 55%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

29%24.1%Improving

Residents with a fall causing major injury

2.3%3.4%Worsening

Residents with pressure ulcers (bedsores)

1.4%0%Improving

Residents with a urinary tract infection

3%2.3%Improving

Residents who lost too much weight

4.8%3.8%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

19.1%14.7%Improving

Residents whose ability to walk got worse

18.4%12%Improving

Long-stay residents on antianxiety or sleep medication

11.8%21.6%Worsening

Short-stay residents newly given an antipsychotic

3.9%13.3%Worsening

Residents with a long-term catheter

0.5%1%No change

Residents with new or worsening incontinence

24.2%17.3%Improving

Residents with depressive symptoms

0%0%No change

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

100%

Long-stay residents given the pneumonia vaccine

99.4%99.4%No change

Short-stay residents given the seasonal flu vaccine

94.6%

Short-stay residents given the pneumonia vaccine

94.4%86.2%Worsening

What the inspectors found

The home failed to ensure a licensed pharmacist reviewed residents' medications each month and reported any problems as required. Cited March 2018 — limited pattern, potential for harm.

View the original federal record

F-Tag 756 — 42 CFR §483.45(c) — S/S: E

The home failed to properly reduce or limit psychotropic medication use and try safer non-drug approaches when appropriate. Cited March 2018 — limited pattern, potential for harm.

View the original federal record

F-Tag 758 — 42 CFR §483.45(e) — S/S: E

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited January 2022 — isolated incident, potential for harm.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: D

The home failed to protect residents’ right to organize and take part in resident and family groups. Cited May 2019 — isolated incident, potential for harm.

View the original federal record

F-Tag 565 — 42 CFR §483.10 — S/S: D

The home failed to ensure residents were free from physical restraints unless they were needed for medical treatment. Cited May 2019 — isolated incident, potential for harm.

View the original federal record

F-Tag 604 — 42 CFR §483.12 — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 9 health deficiencies.

    See what inspectors found

Operator & ownership

Ownership
Government - State
Occupancy
182.3 residents on an average day (101% of 180 beds)
Resident voice
Resident council
Medicare history
Certified for 33 years

The most recent standard health inspection was more than two years ago.

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.