Nursing home
Friendship Health and Rehab Center - South
5647 Starkey Road, Roanoke, VA 24018 · Map
Non profit - Corporation · 120 certified beds
Friendship Health and Rehab Center - South is a Medicare-certified nursing home in Roanoke, Virginia. CMS rates it 3 out of 5 stars overall (4/5 for staffing, 3/5 for health inspections). Nurse staffing is 4.17 hours per resident per day, above the Virginia average of 3.81. Its most recent inspection on Apr 25, 2024 cited 13 deficiencies.
- 1 fine totaling $8,281In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Friendship Health and Rehab Center - South compares
This facility vs. the Virginia and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Virginia avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.17 | 3.81 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.57 | 0.69 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.24 | 2.12 | 2.34 | above avg |
| Nursing staff turnover | 42.4% | 48.4% | 46.4% | below avg |
| Deficiencies cited, last inspection | 13.0 | 14.5 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $8,281, 1 total penalty.
What inspectors found at Friendship Health and Rehab Center - South
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Immediate jeopardy
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.
Pharmacy Service Deficiencies · Jun 18, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Jun 18, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Apr 25, 2024 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Apr 25, 2024 · Full report (PDF) - Potential for harm
Educate 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.
Infection Control Deficiencies · Apr 25, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Apr 25, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Apr 25, 2024 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Apr 25, 2024 · Full report (PDF) - Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Apr 25, 2024 · Full report (PDF) - Potential for harm
Implement 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.
Pharmacy Service Deficiencies · Apr 25, 2024 · Full report (PDF) - Potential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Apr 25, 2024 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Apr 25, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 5647 Starkey Road
Roanoke, VA 24018 - CMS certification #
- 495421
- Ownership
- Non profit - Corporation
- Certified beds
- 120
- Avg residents/day
- 113.8
- Provider type
- Medicare and Medicaid
- First certified
- 2016-05-16
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Friendship Health and Rehab Center - South using Google Maps.
Other public records
- Website says Transportation
Full public records, with dates and sources
Care and services
From the community’s website
What Friendship Health and Rehab Center - South says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Provides transportation.
Our transportation services help our residents enjoy local dining, shopping, and entertainment in nearby downtown Roanoke.
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Carilion Medical Center, Roanoke. 4.2 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Pheasant Ridge Nursing and Rehabilitation, Roanoke. 1.9 miles away, straight line.
- Nearest home health agency office
- Advanced Health Services, Roanoke. 1.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 1.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 24018 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fresenius Kidney Care South Roanoke, Roanoke, 2.6 miles away, straight line (CMS rating 3 of 5 stars)
Bma - Crystal Spring, Roanoke, 3.9 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Bma - Roanoke-Salem Dialysis, Salem, 4.6 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 12 Medicare hospices tell CMS they serve ZIP code 24018.
Medi Home Health & Hospice, office in Roanoke, 1.9 miles away, straight line
Heartland Hospice (Roanoke), office in Roanoke, 2.5 miles away, straight line (CMS family survey rating 2 of 5 stars)
Carilion Hospice Services Of Roanoke, office in Roanoke, 4.4 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Carilion Medical Center, Roanoke. 1.9 miles away, straight line. 3 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane relatively low, inland flooding relatively moderate, wildfire relatively low, tornado relatively low, heat wave very low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Friendship Health and Rehab Center - South a good nursing home?
CMS gives Friendship Health and Rehab Center - South an overall rating of 3 out of 5 stars, including 4/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Friendship Health and Rehab Center - South staffed?
Friendship Health and Rehab Center - South reports 4.17 total nurse hours per resident per day, compared with the Virginia average of 3.81.
Has Friendship Health and Rehab Center - South had inspection problems?
Its most recent CMS inspection cited 13 deficiencies.
How many beds does Friendship Health and Rehab Center - South have?
Friendship Health and Rehab Center - South is certified for 120 beds.