Above average — CMS composite of the measures below.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Davis And Mcdaniel Veterans Care Center during CMS and state inspections, most recent first.
Failure to Notify Ombudsman and Provide Required Transfer/Discharge Information: Staff did not notify the State LTC Ombudsman of resident transfers/discharges to higher levels of care, and required transfer/discharge information was not fully provided to the receiving facility or to residents/resident representatives for two residents. One resident had ESRD, DM2, and moderate cognitive impairment, while another was cognitively intact with failure to thrive, colon cancer, HTN, DM, and HF; records showed hospital transfers for hypoxia and hypotension, but required notices and transfer documentation were incomplete or delayed.
A resident with MI, PVD, and PTSD had a BIMS score of 14/15 and was documented as full code in provider orders, but the CCP did not include the resident’s code status when it was revised. The surveyor could not find any code status information in the care plan, and an RN stated the SW revised the CCP and failed to put the code status back on it.
Failure to Follow Sliding Scale Insulin Orders: A resident with DM and CKD had physician-ordered Novolin R sliding scale insulin and instructions to notify the MD for blood sugar above 400. The eMAR showed blood sugars over 400 that were coded as refused insulin, and surveyors found no documentation that the MD was notified when the resident refused insulin despite elevated blood sugars.
Failure to Notify Ombudsman and Provide Required Transfer/Discharge Information
Penalty
Summary
The facility staff failed to notify the Office of the State Long-Term Care Ombudsman of resident transfers and discharges to higher levels of care. During the survey, staff acknowledged that these notifications were not being sent to the ombudsman for hospital transfers or other higher-level-of-care discharges, and stated they had not been educated or informed to do so. Staff reported that ombudsman notifications were only being sent when a resident expired at the facility, expired at the hospital, or was discharged home, and evidence of those notifications was provided to the surveyor. For one resident, the facility failed to ensure that appropriate information was provided to the receiving healthcare institution for transfers/discharges and failed to provide written notice of the reason for transfer/discharge to the resident and resident representative for one of the transfers/discharges. The resident had diagnoses including end stage renal disease, ulcerative proctitis, type 2 diabetes mellitus, and dependence on renal dialysis, and the most recent MDS showed a BIMS score of 8 out of 15, indicating moderate cognitive impairment. The clinical record showed transfers to the hospital on multiple occasions, but the surveyor could not locate evidence that the required transfer information was sent for two of the transfers, and could not locate written notice of the reason for one discharge. The ADON provided written notification for other transfers/discharges, but not for the transfer/discharge in question, and stated a Resident Transfer Form could not be located for one transfer. For another resident, the facility failed to provide evidence that appropriate information was communicated to the receiving healthcare institution when the resident was transferred to a higher level of care, and failed to provide written notice of transfer and bed hold information to the resident and/or resident representative until several days later. This resident had diagnoses including adult failure to thrive, malignant neoplasm of colon, hypertension, diabetes, and heart failure, and the quarterly MDS showed a BIMS score of 15, indicating cognitive intactness. The clinical record documented transfer and admission to a higher level of care for hypoxia and hypotension, and the social worker documented that a temporary transfer notice was mailed to the responsible party several days later. Staff stated the transfer date was a state holiday and that the next business day would have been the mailing date.
Failure to Include Code Status in Care Plan
Penalty
Summary
The facility failed to review and revise the comprehensive care plan to include Resident #9’s current code status for 1 of 35 current residents. Resident #9 had diagnoses including myocardial infarction, peripheral vascular disease, and post-traumatic stress disorder, and the quarterly MDS assessment with an ARD of 11/24/25 showed a BIMS score of 14 out of 15, indicating the resident was cognitively intact. The clinical record contained provider orders dated 02/26/24 showing the resident was full code, but when the care plan was reviewed and revised on 12/05/25, the surveyor could not locate any information related to the resident’s code status on the CCP. During the end-of-day meeting on 01/06/26, the issue was reviewed with facility leadership, and on 01/07/26 an RN stated the Social Worker had revised the CCP on 12/05/25 and failed to put the resident’s code status back on the plan.
Failure to Follow Sliding Scale Insulin Orders
Penalty
Summary
The facility failed to follow physician orders for sliding scale insulin for one resident with diagnoses including type 2 diabetes mellitus and chronic kidney disease. The resident’s care plan directed staff to administer insulin and sliding scale insulin as ordered, monitor blood sugars per MD orders, and report signs and symptoms of hyperglycemia. The physician’s orders included Novolin R before meals and at bedtime, with instructions to notify the MD if blood sugar was below 60 or above 400, and the facility policy also required giving 10 units of regular insulin and notifying the MD for blood sugar greater than 400. The resident’s eMAR showed blood sugar readings of 410, 493, and 497, and these entries were coded as drug refused. The resident told the surveyor that he sometimes refuses insulin at night because he does not want his sugar to drop too low. An RN stated that when a resident refuses medication, staff should document the refusal and notify the physician, and specifically said that for insulin refusal the physician should be notified depending on the blood sugar. Surveyors reviewed nursing progress notes and found no evidence that the physician was notified on the days the resident refused insulin when blood sugar was greater than 400.
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Illustrative
What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Roanoke
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Salem Health & Rehabilitation | 0.5 mi | ★★★★★ | 9 | 0 |
| Brandon Oaks Nursing And Rehabilitation Center | 1.1 mi | ★★★★★ | 0 | 0 |
| Raleigh Court Health And Rehabilitation Center | 2.2 mi | ★★★★★ | 0 | 0 |
| Snyder Nursing Home | 2.7 mi | ★★★★★ | 5 | 0 |
| Old Southwest Health And Rehabilitation | 3.8 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.