GoodStanding

Nursing home report

Davis and McDaniel Veterans Care Center

ROANOKE, VA · Medicare-certified · 180 beds

In good standing
Government-run
Data as of July 1, 2026
5 of 5 overall

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.

Facility ratings

Health inspections

Staffing

3.9898 hrs/resident/day

Quality measures

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).

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).

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.

View the original federal record

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.

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 3 health deficiencies.

    See what inspectors found
  3. STAFFING

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

  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found
  6. 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.