01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-10-29 | 5 | 2024-10-29 | 1 |
| Cycle 2 | 2022-03-10 | 5 | 2022-03-10 | 7 |
| Cycle 3 | 2021-06-17 | 7 | 2021-06-17 | 8 |
CMS CCN 4950922026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Friendship Health And Rehab Center
327 Hershberger Rd Nw · Roanoke, VA 24012 · Roanoke City County
Certified beds253CMS provider file
Recent citation rows33current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
33 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 6 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2024-10-29 · HEALTHF0584Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor 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.
Correction field: Deficient, Provider has date of correction · 2024-12-112024-10-29 · HEALTHF0679Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Correction field: Deficient, Provider has date of correction · 2024-12-112024-10-29 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2024-12-112024-10-29 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2024-12-112024-10-29 · HEALTHF0849Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Correction field: Deficient, Provider has date of correction · 2024-12-112024-10-29 · FIREK0932Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Meet other general requirements.
Correction field: Deficient, Provider has date of correction · 2025-03-122022-03-10 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2022-04-202022-03-10 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2022-04-202022-03-10 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2022-04-202022-03-10 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2022-04-202022-03-10 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2022-04-202022-03-10 · FIREK0161Severity E · pattern; potential for more than minimal harm
Construction Deficiencies
Use approved construction type or materials.
Correction field: Deficient, Provider has date of correction · 2022-05-272022-03-10 · FIREK0324Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2022-05-272022-03-10 · FIREK0325Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Have properly installed hallway dispensers for alcohol-based hand rub.
Correction field: Deficient, Provider has date of correction · 2022-05-272022-03-10 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2022-05-272022-03-10 · FIREK0363Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2022-05-272022-03-10 · FIREK0511Severity D · isolated; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2022-05-272022-03-10 · FIREK0761Severity D · isolated; potential for more than minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2022-05-272021-06-17 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2021-07-282021-06-17 · HEALTHF0607Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Deficient, Provider has date of correction · 2021-07-282021-06-17 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2021-07-282021-06-17 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2021-07-282021-06-17 · HEALTHF0757Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2021-07-282021-06-17 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2021-07-2803 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- BISHOP, NATHANIELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2021
- COMBS, GLENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/01/2000
- FEINOUR, EDWINIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/01/1990
- GROVE, LUCIANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/01/1999
- JOHNSON, CYNDAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2011
- LAWSON, ROBERTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/07/2007
- OELSCHLAGER, KATHRYNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2011
- SANDEL, ROBERTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/07/2007
- WILLIAMSON, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2021
- HOFF, JOSEPHIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/18/2017
- MITCHELL, CYNTHIAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/06/2016
- SHANNON, CHARLESIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2014
- FRIENDSHIP FOUNDATION INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/11/1987
- SHANNON, CHARLESIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/30/2004
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.93per resident day
RN hours0.48per resident day
Weekend nurse hours3.24per resident day
Staff turnover48.1%CMS reported field
06 / LOCAL RECORDS
Open the Roanoke ledger →Other published facilities nearby
Brandon Oaks Nursing And Rehabilitation Center62 beds · CMS overall 5/533 citation rowsDavis And Mcdaniel Veterans Care Center180 beds · CMS overall 5/520 citation rowsFriendship Health And Rehab Center - South120 beds · CMS overall 3/536 citation rowsOld Southwest Health And Rehabilitation130 beds · CMS overall 1/5156 citation rowsOur Lady Of The Valley70 beds · CMS overall 4/537 citation rowsPheasant Ridge Nursing And Rehabilitation101 beds · CMS overall 2/547 citation rowsRaleigh Court Health And Rehabilitation Center120 beds · CMS overall 4/548 citation rowsSouth Roanoke Nursing And Rehabilitation98 beds · CMS overall 3/559 citation rows