3 of 5 stars overall. Health inspection and staffing are both 3 of 5 stars, quality measures are 4 of 5 stars, reported nurse staffing is below the federal benchmark (3.57 vs 4.1 hours per resident per day), and there were no fines in the last 24 months; recent inspection issues included care planning, dialysis care, and rehabilitative services.
Last inspection: March 1, 2023Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5659.
Staffing detail
Registered nurses
0.54
Licensed practical nurses
0.93
Nurse aides
2.10
Weekend nursing
3.24
Hours per resident per day.
Total staff turnover: 36%
Registered nurse turnover: 58%
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
5.5%6.1%Worsening
Residents with a fall causing major injury
5.8%3.1%Improving
Residents with pressure ulcers (bedsores)
3.1%5%Worsening
Residents with a urinary tract infection
1.2%0%Improving
Residents who lost too much weight
9.2%4.6%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
14.9%13%Improving
Residents whose ability to walk got worse
19.9%26.8%Worsening
Long-stay residents on antianxiety or sleep medication
9.2%9.1%No change
Short-stay residents newly given an antipsychotic
1.1%0%Improving
Residents with a long-term catheter
1.1%0.7%No change
Residents with new or worsening incontinence
19.4%28.8%Worsening
Residents with depressive symptoms
1.4%1.3%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
—99%—
Long-stay residents given the pneumonia vaccine
100%96.9%Worsening
Short-stay residents given the seasonal flu vaccine
—93.5%—
Short-stay residents given the pneumonia vaccine
95.2%85.7%Worsening
What the inspectors found
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited March 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The home failed to provide safe, appropriate dialysis care for a resident who needed it. Cited March 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 698 — 42 CFR §483.25(l) — S/S: E
The nursing home failed to provide or arrange the specialized rehabilitation services a resident needed. Cited March 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 825 — 42 CFR §483.65 — S/S: E
The nursing home failed to make sure a required professional service was provided when it did not have a qualified staff member to do it. Cited March 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 840 — 42 CFR §483.70 — S/S: E
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited March 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 842 — 42 CFR §483.70 — S/S: E
Recent history
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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 18 health deficiencies.
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INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of COMMONWEALTH CARE OF ROANOKE · 12 homes · 3.6 stars avg
Occupancy
113.3 residents on an average day (94% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 20 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.