C

FRIENDSHIP HEALTH AND REHAB CENTER - SOUTH

5647 STARKEY ROAD, ROANOKE, VA 24018
Score: 62 / 100

Friendship Health And Rehab Center - South is an average performer in CMS ratings, earning a C grade with a score of 62/100. Located in Roanoke, Virginia, the facility meets baseline standards across most quality metrics.

Staffing at Friendship Health And Rehab Center - South is near the national average, with 4.17 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 19 deficiencies at Friendship Health And Rehab Center - South, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologi.

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.17 3.8 Average
Registered Nurses (RN) 0.57 0.7 Below Average
Licensed Practical Nurses (LPN) 1.36 0.7 Above Average
Certified Nursing Assistants (CNA) 2.24 2.4 Average
Weekend Total Nursing 3.49 3.8 Average
Weekend RN Hours 0.34 0.7 Below Average

🔍 Inspection & Deficiency History

19
Total Deficiencies
Jun 17, 2025
Most Recent Inspection
🟠 18 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0761 Severity J
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologi
    Jun 17, 2025 · Pharmacy Service Deficiencies
  • Tag 0658 Severity D
    Ensure services provided by the nursing facility meet professional standards of quality.
    Jun 17, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0755 Severity E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    Apr 24, 2024 · Pharmacy Service Deficiencies
  • Tag 0554 Severity D
    Allow residents to self-administer drugs if determined clinically appropriate.
    Apr 24, 2024 · Resident Rights Deficiencies
  • Tag 0636 Severity D
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    Apr 24, 2024 · Resident Assessment and Care Planning Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 5.9% 4.5% Worse
Falls with major injury 1.8% 3.0% Better
On antipsychotic medication 15.3% 14.5% Average
Urinary tract infections 0.9% 2.5% Better
ADL decline (daily activities) 14.5% 14.0% Average
Excessive weight loss 2.2% 7.5% Better
New/worsened incontinence 14.2% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $8,281

How This Grade Was Calculated

This facility's grade of C is based on a score of 62 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -0 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Corporation
Certified Beds
120
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Apr 24, 2024
Deficiencies (Cycle 1)
13