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Friendship Health and Rehab Center - South

All states › Virginia › Roanoke › Friendship Health and Rehab Center - South

5647 Starkey Road Roanoke, VA 24018 · Roanoke County

(540) 777-8300

All 11 nursing homes in Roanoke, VA (11 take Medicaid)

Accepts Medicare Accepts Medicaid 120 certified beds Non profit

CMS certification number 495421 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Friendship Health and Rehab Center - South a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Friendship Health and Rehab Center - South as of October 2026.

CMS rates it 4 out of 5 stars overall, above the Virginia average of 3.1. Inspectors issued 19 citations in the last three years. CMS imposed 1 penalty, including $8,281 in fines, in that time. For short-term rehab patients CMS rates quality 5 out of 5; for long-term residents, 4 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 4.25 hours per resident per day at Friendship Health and Rehab Center - South, above the Virginia median of 3.57 (US median: 3.72). About 0.64 of those hours are from registered nurses. On weekends it falls to 3.54 hours, 17% below its all-week average. Ask how weekends are staffed. 45.4% of nursing staff left within a year (Virginia median 47.7%).

Nursing care per resident per day 4.25 hours
Above the Virginia median of 3.57 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.64 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.54 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 45.4% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 26.7% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds120
Residents per day 113 About 94% of beds filled, on average
OwnershipNon profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceMay 2016
Legal business nameFRIENDSHIP HEALTH AND REHAB CENTER SOUTH INC

Paying for care at Friendship Health and Rehab Center - South: Medicare and Medicaid

Friendship Health and Rehab Center - South is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Virginia's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on April 25, 2024 and found 11 deficiencies. CMS notes that this home's most recent inspection was more than two years ago. In total, inspectors issued 19 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 19 citations at Friendship Health and Rehab Center - South across 4 inspection dates, 3 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on June 18, 2025 (complaint inspection). The most common areas cited were pharmacy service (8) and infection control (4). The most serious was cited under the CMS rule to "ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs" (tag F0761, level J, June 18, 2025).

June 18, 2025 · 2 citations · includes complaint inspection

JEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Immediate jeopardy · Pharmacy Service Deficiencies · Tag F0761 · Complaint inspection · Past Non-Compliance (Jan 29, 2025)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Complaint inspection · Past Non-Compliance (Jan 29, 2025)

April 25, 2024 · 12 citations · includes complaint inspection

EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Jun 20, 2024)

DAllow residents to self-administer drugs if determined clinically appropriate.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0554 · Deficient, Provider has date of correction (Jun 20, 2024)

DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0636 · Deficient, Provider has date of correction (Jun 20, 2024)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Jun 20, 2024)

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Complaint inspection · Deficient, Provider has date of correction (Jun 20, 2024)

DEnsure each resident’s drug regimen must be free from unnecessary drugs.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0757 · Deficient, Provider has date of correction (Jun 20, 2024)

DImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0758 · Deficient, Provider has date of correction (Jun 20, 2024)

DEnsure that residents are free from significant medication errors.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0760 · Deficient, Provider has date of correction (Jun 20, 2024)

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Deficient, Provider has date of correction (Jun 20, 2024)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jun 20, 2024)

DDevelop and implement policies and procedures for flu and pneumonia vaccinations.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0883 · Deficient, Provider has date of correction (Jun 20, 2024)

DEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0887 · Deficient, Provider has date of correction (Jun 20, 2024)

October 13, 2022 · 3 citations

EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Nov 15, 2022)

DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0756 · Deficient, Provider has date of correction (Nov 15, 2022)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Nov 15, 2022)

December 5, 2019 · 2 citations

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (Dec 13, 2019)

DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Dec 13, 2019)

Questions to ask on a tour of Friendship Health and Rehab Center - South

  1. Inspectors cited the home at the immediate-jeopardy level on June 18, 2025 under the rule on pharmacy service. What changed afterwards, and can I see the plan of correction?
  2. Weekend staffing is 17% below the all-week average. Who is on duty on Saturday nights?
  3. The last standard inspection was more than two years ago. Can I see any recent complaint inspection results?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

1 penalty in the last three years, including $8,281 in fines.

DateTypeAmount or length
Jun 18, 2025 Fine $8,281

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 4/5 3/5 4/5 5/5
August 2026 3/5 3/5 4/5 4/5
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Location

Hospitals near Friendship Health and Rehab Center - South

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 4.2 mi
    Carilion Medical Center Roanoke
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 4h 32m for patients treated and sent home
  • 4.7 mi
    Lewisgale Medical Center Salem
    Emergency room ★★☆☆☆ Medicare overall 2 of 5
    Median ER visit 2h 2m for patients treated and sent home
  • 5.1 mi
    Salem VA Medical Center Salem
    Emergency room ★★★★☆ Medicare overall 4 of 5

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Pheasant Ridge Nursing and Rehabilitation Roanoke · 1.9 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 3/5 101 beds · Medicaid
South Roanoke Nursing and Rehabilitation Roanoke · 2.2 mi away ★★★☆☆ Inspection 2/5 · Staffing 3/5 98 beds · Medicaid
Raleigh Court Health and Rehabilitation Center Roanoke · 4.0 mi away ★★★★☆ Inspection 3/5 · Staffing 2/5 120 beds · Medicaid
Brandon Oaks Nursing and Rehabilitation Center Roanoke · 4.2 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 62 beds · Medicaid
Old Southwest Health and Rehabilitation Roanoke · 4.4 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 2/5 130 beds · Medicaid

More nursing homes near Friendship Health and Rehab Center - South ›   All nursing homes in Roanoke ›

Compare Friendship Health and Rehab Center - South with the 3 closest homes side by side ›

Higher-rated nursing homes within 10 miles

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/virginia/roanoke/friendship-health-and-rehab-center-south/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.