FRIENDSHIP HEALTH AND REHAB CENTER - SOUTH

5647 STARKEY ROAD
ROANOKE, VA, 24018
5402652117
CCN: 495421
3
Overall
3
Health
4
Staffing
4
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
FRIENDSHIP FOUNDATION INC5% OR GREATER DIRECT OWNERSHIP INTEREST100%
BISHOP, NATHANIELCORPORATE DIRECTORNOT APPLICABLE
COMBS, GLENCORPORATE DIRECTORNOT APPLICABLE
FEINOUR, EDWINCORPORATE DIRECTORNOT APPLICABLE
GROVE, LUCIANCORPORATE DIRECTORNOT APPLICABLE
JOHNSON, CYNDACORPORATE DIRECTORNOT APPLICABLE
LAWSON, ROBERTCORPORATE DIRECTORNOT APPLICABLE
OELSCHLAGER, KATHRYNCORPORATE DIRECTORNOT APPLICABLE
SANDEL, ROBERTCORPORATE DIRECTORNOT APPLICABLE
WILLIAMSON, JOHNCORPORATE DIRECTORNOT APPLICABLE
HOFF, JOSEPHCORPORATE OFFICERNOT APPLICABLE
MITCHELL, CYNTHIACORPORATE OFFICERNOT APPLICABLE
SHANNON, CHARLESCORPORATE OFFICERNOT APPLICABLE
EVANS, BRANDONW-2 MANAGING EMPLOYEENOT APPLICABLE
Penalties (1)
DateTypeAmount
2025-06-18Fine$8K
Health Deficiencies (19)
2025-06-18 · Health
J
F761 · 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.
D
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
2024-04-25 · Health
D
F887 · 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.
D
F883 · Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F842 · 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.
D
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
D
F758 · 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.
D
F757 · Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
E
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F656 · 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.
D
F636 · 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.
D
F554 · Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
2022-10-13 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F761 · 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.
D
F756 · 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.
2019-12-05 · Health
D
F761 · 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.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
4.17
3.68
RN Hrs/Resident/Day
0.57
0.54
LPN Hrs/Resident/Day
1.36
0.81
CNA Hrs/Resident/Day
2.24
2.33
PT Hrs/Resident/Day
0.09
0.12
Data as of 2026-03-01