Nursing homeActive
Friendship Health And Rehab Center - South
5647 Starkey Road, Roanoke, VA 240185407778300120 certified beds · 112 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2019
Deficiencies
19
● 0● 18● 1
Penalties · 3 yrs
$8,281
1 fine
Last survey
2025-06-18
Complaint
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 4
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Virginia Office of Licensure and Certification · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-06-18 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2024-04-25 | Standard | 0120 | CMS-2567 (Care Compare) | — |
| 2022-10-13 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2019-12-05 | Standard | 020 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Virginia Office of Licensure and Certification publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F761Ensure 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.Scope/severity JHarm
Medication
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-01-29Record 495421-20250618-F761
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-29Record 495421-20250618-F658
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-20Record 495421-20240425-F554
F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-20Record 495421-20240425-F636
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-20Record 495421-20240425-F656
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-20Record 495421-20240425-F677
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-20Record 495421-20240425-F755
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-20Record 495421-20240425-F757
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-20Record 495421-20240425-F758
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-20Record 495421-20240425-F760
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-20Record 495421-20240425-F842
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-20Record 495421-20240425-F880
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-20Record 495421-20240425-F883
F887Educate 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.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-20Record 495421-20240425-F887
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-11-15Record 495421-20221013-F756
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-11-15Record 495421-20221013-F761
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-11-15Record 495421-20221013-F880
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-12-13Record 495421-20191205-F677
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-12-13Record 495421-20191205-F761
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-06-18 | Civil money penalty | $8,281 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.57
Facility
Virginia
National
Virginia 0.69 · National 0.69
Total nurse hours per resident day4.24
Facility
Virginia
National
Virginia 3.76 · National 3.86
Weekend total nurse hours3.56
Facility
Virginia
National
Virginia 3.29 · National 3.42
Total nursing staff turnover48%
Facility
Virginia
National
Virginia 48% · National 46%
Registered nurse turnover40%
Facility
Virginia
National
Virginia 48% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Virginia | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 6.9% | 4.7% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.8% | 3.6% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 14.1% | 14.2% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.3% | 1.6% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 14.3% | 14.9% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 2.2% | 5.4% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 21.2% | 20.6% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Friendship Foundation Inc Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Bishop, Nathaniel Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Combs, Glen Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Evans, Brandon Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Feinour, Edwin Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Grove, Lucian Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Hoff, Joseph Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Johnson, Cynda Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Lawson, Robert Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Mitchell, Cynthia Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Oelschlager, Kathryn Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Sandel, Robert Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Shannon, Charles Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Williamson, John Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Virginia.
No county cost figures on file for Roanoke.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Pheasant Ridge Nursing and Rehabilitation Roanoke | 1.9 mi | 2026-05-07 | 1215 |
| South Roanoke Nursing And Rehabilitation Roanoke | 2.2 mi | 2025-04-24 | 0110 |
| Raleigh Court Health And Rehabilitation Center Roanoke | 4.0 mi | 2024-08-15 | 1100 |
| Brandon Oaks Nursing And Rehabilitation Center Roanoke | 4.2 mi | 2023-09-08 | 030 |
| Old Southwest Health And Rehabilitation Roanoke | 4.4 mi | 2024-07-16 | 2842 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |