The home failed to properly label and securely store medications and biologicals. Cited June 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: J
Nursing home report
FRIENDSHIP HEALTH AND REHAB CENTER - SOUTH
ROANOKE, VA · Medicare-certified · 120 beds
Needs attention
Non-profit
3 of 5 overall
3 out of 5 stars overall. Staffing and quality are rated 4 stars, health inspections are 3 stars, reported nurse staffing is 4.15 hours per resident per day versus the 4.1 federal benchmark, and the facility had $8,281 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
4.1515 hrs/resident/day
Quality measures
Last inspection: June 18, 2025Penalties, last 24 months: $8,281recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.1515.
Staffing detail
- Registered nurses
- 0.58
- Licensed practical nurses
- 1.29
- Nurse aides
- 2.28
- Weekend nursing
- 3.59
Hours per resident per day.
Total staff turnover: 43%
Registered nurse turnover: 40%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
12.9%Worsening
Residents with a fall causing major injury
1.8%Steady
Residents with pressure ulcers (bedsores)
5.6%Worsening
Residents with a urinary tract infection
0.6%Improving
Residents who lost too much weight
1.4%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
13.7%Improving
Residents whose ability to walk got worse
10.5%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
23.7%Improving
Short-stay residents newly given an antipsychotic
1.3%Improving
Residents with a long-term catheter
0.2%Steady
Residents with new or worsening incontinence
11.6%Worsening
Residents with depressive symptoms
6.5%Worsening
Long-stay residents given the seasonal flu vaccine
96.6%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
95.4%Steady
Short-stay residents given the pneumonia vaccine
98.3%Improving
What the inspectors found
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited April 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
The nursing home failed to provide services that met professional standards of quality. Cited June 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: D
The home failed to ensure residents who could safely take their own medicines were allowed to self-administer them. Cited April 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 554 — 42 CFR §483.10 — S/S: D
The nursing home failed to fully assess a resident promptly on admission and then keep that assessment updated regularly. Cited April 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 636 — 42 CFR §483.20 — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- PENALTY
A federal fine of $8,281 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $8,281 in total fines.
- $8,281
Federal fine
Jun 18, 2025
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 114.3 residents on an average day (95% of 120 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 10 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.