Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Friendship Health And Rehab Center during CMS and state inspections, most recent first.
The facility failed to provide a meaningful activities program for residents in the memory care unit, as observed by surveyors. Residents were often left sitting in the dining room with music playing but no structured activities or staff engagement. The activities assistant reported limited activity time, and the activities calendar showed a decline in scheduled activities over three months. Family members and staff expressed concerns about the lack of engagement for residents.
A resident with Alzheimer's and chronic kidney disease was found to have unsanitary conditions in their bathroom, with a brownish substance on the toilet and wall. The family member reported the issue, and the unit manager was informed. The deficiency was discussed with facility leadership.
A resident with chronic kidney disease did not receive Sevelamer as ordered due to scheduling conflicts with dialysis. The medication was not administered on multiple occasions, as documented in the clinical records. The DON acknowledged the issue and adjusted the medication schedule.
The facility staff failed to maintain accurate clinical records for three residents, leading to deficiencies in documentation and care. A resident's wound care was not properly documented, with late entries added after surveyor inquiry. Another resident's record lacked details of communication with a medical provider, and a third resident was incorrectly documented as being on contact isolation precautions instead of enhanced barrier precautions.
Facility staff failed to coordinate care with a contract Hospice company for a resident with a malignant neoplasm, as the clinical record lacked Hospice visit notes. Despite provider orders for Hospice admission, documentation was missing in both electronic and hard charts. An LPN confirmed that Hospice patients should have separate documentation. The issue was discussed with facility leadership, and Hospice notes were eventually provided, but no further information was given before the exit conference.
Lack of Engaging Activities in Memory Care Unit
Penalty
Summary
The facility staff failed to provide a meaningful and engaging activities program for residents in the memory care unit. Observations by the surveyor revealed that residents were often left sitting in the dining room with music playing but no structured activities or staff engagement. On multiple occasions, residents were observed sitting without any activities or staff interaction, with some residents being assisted with meals but otherwise left unengaged. The activities assistant reported that activities such as balloon play, bingo, and patio time were provided, but only for 30-40 minutes a day, and the memory care unit had an active open position for an activities staff member. The activities calendar review showed a decline in scheduled activities over three months, with only 12 days of activities in October. Interviews with family members and staff indicated dissatisfaction with the lack of activities, with one family member expressing concern that residents were just sitting and sleeping. The facility administrator acknowledged the issue and mentioned moving a nurse's aide with activities experience to the unit temporarily. However, the deficiency was noted due to the lack of consistent and engaging activities for the memory care residents.
Failure to Maintain Clean and Safe Environment for Resident
Penalty
Summary
The facility staff failed to maintain essential equipment for a resident, resulting in a deficiency related to the resident's right to a safe, clean, comfortable, and homelike environment. The resident, who has Alzheimer's disease and chronic kidney disease, was found to have both long- and short-term memory problems with severely impaired cognitive skills for daily decision-making. During a survey, the resident's family member reported unsanitary conditions in the resident's bathroom. Upon inspection, the surveyor observed a brownish substance on the toilet seat, front of the toilet stool, and wall in front of the toilet. The unit manager was informed of the observation and stated that they would have someone clean the bathroom. The issue was discussed with the facility's administrator, director of nursing, and vice-president of operations.
Failure to Administer Sevelamer as Ordered
Penalty
Summary
The facility staff failed to administer Sevelamer as ordered by the medical provider for one of the residents. The medication was scheduled to be given during a time when the resident was also scheduled to receive dialysis outside of the facility. Sevelamer is used to manage phosphorus and calcium levels in individuals with chronic kidney disease. The resident's medical record included an order for Sevelamer 800 mg to be taken with meals, and the care plan emphasized maintaining lab values within a therapeutic range and administering medications as ordered. Despite these orders, the clinical documentation indicated that several doses of Sevelamer were not administered on multiple occasions because the resident was at dialysis. Specifically, the morning doses on five different dates were not given. The Director of Nursing acknowledged the issue and noted that the medication administration time had been adjusted to allow the resident to receive the medication before going to dialysis.
Deficiencies in Clinical Record Documentation
Penalty
Summary
The facility staff failed to maintain complete and accurate clinical records for three residents, leading to deficiencies in documentation and care. For one resident, the facility did not document complete and accurate information regarding wound care. The resident's treatment administration record indicated missed wound care on specific dates, and late entry notes were provided after the surveyor's inquiry to indicate that the care had been completed. Another resident's clinical record lacked specific information about what was communicated to the medical provider during a notification, with a clarification note added later to specify the information shared. Additionally, the facility staff incorrectly documented a resident as being on contact isolation precautions when they were actually on enhanced barrier precautions. Observations and interviews with staff confirmed that the resident was not on contact isolation precautions, and the signage on the resident's door indicated enhanced barrier precautions. This discrepancy in documentation was confirmed by the facility's Infection Preventionist and the resident's medical provider, who stated that enhanced barrier precautions were appropriate for the resident's needs.
Failure to Coordinate Hospice Care Documentation
Penalty
Summary
The facility staff failed to coordinate care with the contract Hospice company for a resident diagnosed with malignant neoplasm of the upper lobe, left bronchus or lung. The clinical record for this resident did not include Hospice visit notes, despite provider orders to admit the resident to Hospice. During the survey, the surveyor was unable to locate any documentation from the Hospice provider in the electronic clinical record, although facility nursing staff had documented that Hospice had visited the resident on several occasions. Further investigation revealed that the resident's hard chart also lacked documentation regarding Hospice visits. An LPN confirmed that Hospice patients usually have separate documentation, and the Hospice nurse should make a note when they visit. The issue of missing Hospice documentation was discussed with the facility's President of Operations, Administrator, and Director of Nursing. Eventually, the Administrator provided the surveyor with a copy of the Hospice notes, which were faxed on a later date, but no further information was provided before the exit conference.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 32 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Roanoke
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Star City Rehabilitation And Nursing | 3.1 mi | ★★★★★ | 0 | 0 |
| Our Lady Of The Valley | 3.1 mi | ★★★★★ | 0 | 0 |
| Springtree Healthcare & Rehab Center | 3.2 mi | ★★★★★ | 4 | 0 |
| Old Southwest Health And Rehabilitation | 4.3 mi | ★★★★★ | 0 | 0 |
| Raleigh Court Health And Rehabilitation Center | 4.5 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.