All states › Virginia › Roanoke › Friendship Health and Rehab Center
327 Hershberger Rd NW Roanoke, VA 24012 · Roanoke City County
All 11 nursing homes in Roanoke, VA (11 take Medicaid)
CMS certification number 495092 · See this home on Medicare Care Compare
Is Friendship Health and Rehab Center 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 as of October 2026.
CMS rates it 4 out of 5 stars overall, above the Virginia average of 3.1.
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 3.91 hours per resident per day at Friendship Health and Rehab Center, above the Virginia median of 3.57 (US median: 3.72). About 0.45 of those hours are from registered nurses. On weekends it falls to 3.21 hours, 18% below its all-week average. Ask how weekends are staffed. 45.4% of nursing staff left within a year (Virginia median 47.7%).
About this nursing home
Paying for care at Friendship Health and Rehab Center: Medicare and Medicaid
Friendship Health and Rehab Center 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 October 29, 2024 and found 5 deficiencies. In total, inspectors issued 17 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 17 citations at Friendship Health and Rehab Center across 3 inspection dates. None were at the actual-harm or immediate-jeopardy levels; 17 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were quality of life and care (6) and pharmacy service (3). The most serious was cited under the CMS rule to "provide activities to meet all resident's needs" (tag F0679, level E, October 29, 2024). 2 citations were under CMS's abuse, neglect and exploitation rules.
October 29, 2024 · 5 citations
EProvide activities to meet all resident's needs.
DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
March 10, 2022 · 5 citations
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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.
June 17, 2021 · 7 citations
DReasonably accommodate the needs and preferences of each resident.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
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.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Questions to ask on a tour of Friendship Health and Rehab Center
- CMS cited the home under its abuse and neglect rules on June 17, 2021. How are staff trained, and how are concerns reported?
- Weekend staffing is 18% below the all-week average. Who is on duty on Saturday nights?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- 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
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 4/5 | 4/5 | 4/5 | 4/5 |
| August 2026 | 4/5 | 4/5 | 3/5 | 4/5 |
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Location
Hospitals near Friendship Health and Rehab Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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4.9 mi
Carilion Medical Center RoanokeEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 4h 32m for patients treated and sent home
- 5.2 mi
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6.4 mi
Lewisgale Medical Center SalemEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 2m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Friendship Health and Rehab Center › All nursing homes in Roanoke ›
Compare Friendship Health and Rehab Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Our Lady of the Valley · Roanoke · 5 stars · 3.1 mi
- Berkshire Health & Rehabilitation Center · Vinton · 5 stars · 4.8 mi
- Davis and McDaniel Veterans Care Center · Roanoke · 5 stars · 4.9 mi
- Brandon Oaks Nursing and Rehabilitation Center · Roanoke · 5 stars · 5.6 mi
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.