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FRIENDSHIP HEALTH AND REHAB CENTER - SOUTH

5647 STARKEY ROAD
ROANOKE, VA 24018 · 5407778300 · Roanoke County

CMS Star Ratings

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Facility Facts

Certified beds120
OwnershipNon profit - Corporation
State rank#139

By the numbers

19
Health citations (3 cycles)
1
Immediate-jeopardy (J/K/L)
0
Actual-harm (G/H/I)
$8,281
Federal fines (CMPs)
The trend: Citations are rising — 11 in the most recent cycle versus 3 two cycles ago.

Recent Health Citations

Jun 18, 2025 · Health survey · F-tag 0658
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Jun 18, 2025 · Health survey · F-tag 0761
J — Immediate jeopardy
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.
Details
Correction status: Corrected Jan 29, 2025 — Past Non-Compliance
Inspection cycle: 2
Survey origin: Complaint investigation
Apr 25, 2024 · Health survey · F-tag 0677
D — No actual harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Apr 25, 2024 · Health survey · F-tag 0887
D — No actual harm
Infection Control Deficiencies
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.
Apr 25, 2024 · Health survey · F-tag 0883
D — No actual harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Apr 25, 2024 · Health survey · F-tag 0880
D — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Apr 25, 2024 · Health survey · F-tag 0842
D — No actual 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.
Apr 25, 2024 · Health survey · F-tag 0760
D — No actual harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Apr 25, 2024 · Health survey · F-tag 0758
D — No actual harm
Pharmacy Service Deficiencies
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.
Apr 25, 2024 · Health survey · F-tag 0757
D — No actual harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Apr 25, 2024 · Health survey · F-tag 0656
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Apr 25, 2024 · Health survey · F-tag 0636
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Apr 25, 2024 · Health survey · F-tag 0554
D — No actual harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Apr 25, 2024 · Health survey · F-tag 0755
E — No actual harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Oct 13, 2022 · Health survey · F-tag 0880
D — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Oct 13, 2022 · Health survey · F-tag 0756
D — No actual harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Oct 13, 2022 · Health survey · F-tag 0761
E — No actual 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.
Dec 5, 2019 · Health survey · F-tag 0761
D — No actual 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.
Dec 5, 2019 · Health survey · F-tag 0677
D — No actual harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.

Showing the 19 most recent citations. View the full inspection record on CMS Care Compare →

More facilities in Virginia →

How to read this page. Star ratings and citation counts come from the Centers for Medicare & Medicaid Services (CMS) Care Compare August 2026 dataset, covering the three most recent inspection cycles. Scope/severity letters: D–F no actual harm, G–I actual harm, J–L immediate jeopardy to resident health or safety.

Source: CMS Care Compare, August 2026 dataset. Updated quarterly. Figures come from public CMS records; contact info@theskilledreport.com for corrections.