FRIENDSHIP HEALTH AND REHAB CENTER - SOUTH
5647 STARKEY ROAD
ROANOKE, VA, 24018
5402652117
CCN: 495421
3
Overall3
Health4
Staffing4
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| FRIENDSHIP FOUNDATION INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| BISHOP, NATHANIEL | CORPORATE DIRECTOR | NOT APPLICABLE |
| COMBS, GLEN | CORPORATE DIRECTOR | NOT APPLICABLE |
| FEINOUR, EDWIN | CORPORATE DIRECTOR | NOT APPLICABLE |
| GROVE, LUCIAN | CORPORATE DIRECTOR | NOT APPLICABLE |
| JOHNSON, CYNDA | CORPORATE DIRECTOR | NOT APPLICABLE |
| LAWSON, ROBERT | CORPORATE DIRECTOR | NOT APPLICABLE |
| OELSCHLAGER, KATHRYN | CORPORATE DIRECTOR | NOT APPLICABLE |
| SANDEL, ROBERT | CORPORATE DIRECTOR | NOT APPLICABLE |
| WILLIAMSON, JOHN | CORPORATE DIRECTOR | NOT APPLICABLE |
| HOFF, JOSEPH | CORPORATE OFFICER | NOT APPLICABLE |
| MITCHELL, CYNTHIA | CORPORATE OFFICER | NOT APPLICABLE |
| SHANNON, CHARLES | CORPORATE OFFICER | NOT APPLICABLE |
| EVANS, BRANDON | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
Penalties (1)
| Date | Type | Amount |
|---|---|---|
| 2025-06-18 | Fine | $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/Day3.68
4.17
RN Hrs/Resident/Day0.54
0.57
LPN Hrs/Resident/Day0.81
1.36
CNA Hrs/Resident/Day2.33
2.24
PT Hrs/Resident/Day0.12
0.09
Data as of 2026-03-01