All states › Virginia › Roanoke › Star City Rehabilitation and Nursing
1047 Mecca Street NE Roanoke, VA 24012 · Roanoke City County
All 11 nursing homes in Roanoke, VA (11 take Medicaid)
CMS certification number 495427 · See this home on Medicare Care Compare
Is Star City Rehabilitation and Nursing 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 Star City Rehabilitation and Nursing as of October 2026.
CMS rates it 2 out of 5 stars overall, below 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 4.00 hours per resident per day at Star City Rehabilitation and Nursing, above the Virginia median of 3.57 (US median: 3.72). About 0.19 of those hours are from registered nurses. On weekends it falls to 3.53 hours, 12% below its all-week average. 64.5% of nursing staff left within a year (Virginia median 47.7%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Star City Rehabilitation and Nursing: Medicare and Medicaid
Star City Rehabilitation and Nursing 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 February 14, 2024 and found 9 deficiencies. CMS notes that this home's most recent inspection was more than two years ago. In total, inspectors issued 31 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 31 citations at Star City Rehabilitation and Nursing across 3 inspection dates, 22 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 31 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were nutrition and dietary (9) and resident assessment and care planning (6). The most serious was cited under the CMS rule to "provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs" (tag F0800, level E, February 18, 2025).
February 18, 2025 · 15 citations · includes complaint inspection
EProvide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
EProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
EEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
EEnsure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
EHave a plan that describes the process for conducting QAPI and QAA activities.
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.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DPlan the resident's discharge to meet the resident's goals and needs.
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 pressure ulcer care and prevent new ulcers from developing.
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.
DProvide timely, quality laboratory services/tests to meet the needs of residents.
November 8, 2024 · 7 citations · includes complaint inspection
EEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
DAssure that each resident’s assessment is updated at least once every 3 months.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
February 14, 2024 · 9 citations
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EEducate 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.
DHonor the resident's right to manage his or her financial affairs.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DEnsure medication error rates are not 5 percent or greater.
Questions to ask on a tour of Star City Rehabilitation and Nursing
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 64.5% a year. How many of the staff come from agencies?
- The last standard inspection was more than two years ago. Can I see any recent complaint inspection results?
- 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 | 2/5 | 3/5 | 1/5 | 4/5 |
| August 2026 | 2/5 | 3/5 | 1/5 | 3/5 |
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Location
Hospitals near Star City Rehabilitation and Nursing
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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3.7 mi
Carilion Medical Center RoanokeEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 4h 32m for patients treated and sent home
- 6.5 mi
-
7.6 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 Star City Rehabilitation and Nursing › All nursing homes in Roanoke ›
Compare Star City Rehabilitation and Nursing with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Berkshire Health & Rehabilitation Center · Vinton · 5 stars · 1.8 mi
- Our Lady of the Valley · Roanoke · 5 stars · 2.5 mi
- Davis and McDaniel Veterans Care Center · Roanoke · 5 stars · 6.3 mi
- Brandon Oaks Nursing and Rehabilitation Center · Roanoke · 5 stars · 6.6 mi
Other Eastern Healthcare Group nursing homes in Virginia
- Twin Lakes Rehabilitation and Nursing · South Hill · 3 stars
- Greene Acres Rehabilitation and Nursing · Stanardsville · 3 stars
- Blue Ridge Rehabilitation and Nursing · Harrisonburg · 2 stars
- Old Dominion Rehabilitation and Nursing · Newport News · 2 stars
- Norview Heights Rehabilitation and Nursing · Norfolk · 2 stars
- Bay Pointe Rehabilitation and Nursing · Virginia Beach · 2 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 18 Eastern Healthcare Group nursing homes ›
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.