Davis and McDaniel Veterans Care Center in Roanoke, VA has a 5 out of 5 overall rating, with 5-star scores for health inspections, staffing, and quality measures. It reported no fines in the last 24 months, and nurse staffing was 3.99 hours per resident per day versus the federal benchmark of 4.1; recent inspection citations included documentation/notification, care planning, and treatment/care according to orders.
Last inspection: January 8, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9898.
Staffing detail
Registered nurses
0.80
Licensed practical nurses
0.73
Nurse aides
2.47
Weekend nursing
3.36
Hours per resident per day.
Total staff turnover: 29%
Registered nurse turnover: 20%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
23.1%26.4%Worsening
Residents with a fall causing major injury
3.2%2.4%Improving
Residents with pressure ulcers (bedsores)
2.4%1.3%Improving
Residents with a urinary tract infection
2.2%1.8%No change
Residents who lost too much weight
4.3%4.8%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
19.5%15.9%Improving
Residents whose ability to walk got worse
16.5%12.6%Improving
Long-stay residents on antianxiety or sleep medication
16.7%20.2%Worsening
Short-stay residents newly given an antipsychotic
0%8.6%Worsening
Residents with a long-term catheter
0.5%0%No change
Residents with new or worsening incontinence
31.3%22.9%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).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%98.8%Worsening
Short-stay residents given the seasonal flu vaccine
—94.6%—
Short-stay residents given the pneumonia vaccine
95.5%93.1%Worsening
What the inspectors found
The nursing home failed to provide the required notice or documentation about a resident’s needs, appeal rights, or bed-hold policy. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 628 — 42 CFR §483.15(c)(2) — S/S: E
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited January 2026 — isolated incident, potential for harm.
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F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: D
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited January 2026 — isolated incident, potential for harm.
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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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
Operator & ownership
Ownership
Government - State
Occupancy
183.1 residents on an average day (102% of 180 beds)
Resident voice
Resident council
Medicare history
Certified for 33 years
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.