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Pheasant Ridge Nursing and Rehabilitation

4355 PHEASANT RIDGE ROAD
ROANOKE, VA 24014 · 5407258210 · Roanoke City County

CMS Star Ratings

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

Facility Facts

Certified beds101
OwnershipFor profit - Corporation
State rank#209

By the numbers

32
Health citations (3 cycles)
1
Immediate-jeopardy (J/K/L)
4
Actual-harm (G/H/I)
$0
Federal fines (CMPs)
The trend: Citations are rising — 17 in the most recent cycle versus 1 two cycles ago.

Recent Health Citations

May 7, 2026 · 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.
May 7, 2026 · Health survey · F-tag 0773
D — No actual harm
Administration Deficiencies
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
May 7, 2026 · Health survey · F-tag 0684
D — No actual harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
May 7, 2026 · Health survey · F-tag 0776
G — Actual harm
Administration Deficiencies
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Details
Correction status: Corrected Jun 17, 2026 — Deficient, Provider has plan of correction
Inspection cycle: 1
Survey origin: Complaint investigation
May 7, 2026 · Health survey · F-tag 0697
G — Actual harm
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Details
Correction status: Corrected Jun 17, 2026 — Deficient, Provider has plan of correction
Inspection cycle: 1
Survey origin: Complaint investigation
May 7, 2026 · Health survey · F-tag 0692
G — Actual harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Details
Correction status: Corrected Jun 17, 2026 — Deficient, Provider has plan of correction
Inspection cycle: 1
Survey origin: Complaint investigation
May 7, 2026 · Health survey · F-tag 0658
G — Actual harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Details
Correction status: Corrected Jun 17, 2026 — Deficient, Provider has plan of correction
Inspection cycle: 1
Survey origin: Complaint investigation
Nov 21, 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.
Nov 21, 2024 · Health survey · F-tag 0755
D — 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.
Nov 21, 2024 · Health survey · F-tag 0695
D — No actual harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Nov 21, 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.
Nov 21, 2024 · Health survey · F-tag 0655
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Nov 21, 2024 · Health survey · F-tag 0635
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Nov 21, 2024 · Health survey · F-tag 0580
D — No actual harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Nov 21, 2024 · Health survey · F-tag 0573
D — No actual harm
Resident Rights Deficiencies
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Nov 21, 2024 · Health survey · F-tag 0711
E — No actual harm
Nursing and Physician Services Deficiencies
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Nov 21, 2024 · Health survey · F-tag 0684
J — Immediate jeopardy
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Details
Correction status: Corrected Feb 18, 2025 — Deficient, Provider has date of correction
Inspection cycle: 2
Survey origin: Complaint investigation
Jan 19, 2024 · Health survey · F-tag 0732
C — Cited
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Jan 19, 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.
Jan 19, 2024 · 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.

Showing the 20 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.