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 Raleigh Court Health And Rehabilitation Center during CMS and state inspections, most recent first.
Facility staff failed to follow professional standards for food service safety, as observed during a survey. Food storage containers were improperly stacked while wet, and an ice scoop was left inside the ice machine. These practices were against the facility's policies, which require air drying of dishware and proper storage. A dietary aide acknowledged and corrected the issues during the survey.
Facility staff failed to notify a resident's emergency contact when the resident became unresponsive and required hospital transfer. Despite attempts to contact the emergency contact, the call was unsuccessful, and there was no documentation confirming notification. The RDCS speculated that the hospital might have informed the family, but this was not confirmed.
A resident's care plan failed to address hypotension, despite a medical order for midodrine to manage low blood pressure. The resident's MDS assessment showed moderate cognitive impairment, but the care plan did not reflect this condition or the medication management. This deficiency was confirmed by a Regional MDS staff member and discussed with the facility's administrative and nursing staff.
Two residents in the facility experienced inadequate supervision and safety measures. One resident, a smoker requiring supervision, was found with cigarettes and lighters unsecured in their room, contrary to facility policy. Another resident, with cognitive deficits, had medications left unattended on their tray table, despite needing supervision while taking them. Staff failed to provide explanations for these oversights.
Facility staff failed to follow prescribed parameters for administering midodrine to a resident, resulting in the medication being given 20 times when the resident's blood pressure was above the specified threshold. The resident, with moderate cognitive impairment, had a medical order indicating midodrine should not be administered if blood pressure exceeded 110/50. This deficiency was discussed with the facility's administrative and nursing staff.
A resident with multiple health issues, including a UTI, did not receive the full prescribed doses of Cephalexin due to a failure by the nursing staff to retrieve the medication from the facility's automated system. The resident was moderately cognitively impaired and missed two doses of the medication, which was documented in the MAR and progress notes.
The facility failed to post complete daily nurse staffing information, omitting the facility's census and only documenting day shift details on several occasions. Some dates lacked any staffing summary document, as observed by the surveyor and discussed with facility leadership.
Improper Food Handling and Storage Practices
Penalty
Summary
Facility staff failed to adhere to professional standards for food service safety, as observed during a survey. The deficiency involved improper handling and storage of food service items. Specifically, food storage containers were stacked while still wet after washing, which is against the facility's policy that requires all dishware to be air-dried before storage. Additionally, an ice scoop was found left inside the ice machine, contrary to safe food handling practices. These observations were confirmed by a dietary aide during the initial kitchen tour, who acknowledged the improper practices and corrected them on the spot. The facility's policies, dated October 2019, were reviewed and confirmed the requirement for air drying dishware and proper storage, but no further information was provided before the exit conference.
Failure to Notify Emergency Contact of Resident's Condition Change
Penalty
Summary
The facility staff failed to notify the resident representative of a change in condition for a resident who was unresponsive and required transfer to an acute care hospital. The resident, who was his own responsible party, had a family member listed as the emergency contact. On the evening of the incident, a Licensed Practical Nurse (LPN) documented that the resident was unresponsive and had low blood pressure. Despite attempts to contact the emergency contact, the call was unsuccessful, and the resident was transferred to the emergency department via ambulance. The clinical record did not show evidence of successful contact with the emergency contact. The Regional Director of Clinical Services (RDCS) acknowledged the lack of documentation regarding the notification of the emergency contact. The RDCS speculated that the hospital might have informed the family, but there was no confirmation of this. Additionally, there was confusion about who gave consent for a telehealth evaluation, as the resident was unresponsive. During a meeting with facility leadership, the issue of whether the emergency contact was notified was discussed, but no further information was provided before the exit conference.
Failure to Address Hypotension in Resident Care Plan
Penalty
Summary
The facility staff failed to develop a comprehensive care plan addressing hypotension for one of the sampled residents. During a review of the resident's comprehensive care plan, it was found that there was no evidence of a care plan to address the resident's low blood pressure. The resident's Minimum Data Set (MDS) assessment indicated moderate cognitive impairment, and the clinical record included a medical provider order for midodrine to manage low blood pressure. However, the care plan did not reflect this condition or the medication management. The deficiency was confirmed by a Regional MDS staff member, who acknowledged that the resident's care plan did not address hypotension. The facility's policy on care planning requires a licensed nurse, in coordination with the interdisciplinary team, to develop and implement an individualized care plan for each patient. Despite this policy, the care plan for the resident in question did not include necessary interventions for hypotension, as discussed during a meeting with the facility's administrative and nursing staff.
Inadequate Supervision and Medication Security Issues
Penalty
Summary
The facility staff failed to provide adequate supervision and maintain a safe environment for Resident #107, who was identified as a smoker requiring supervision. Despite the care plan indicating the need for supervision and the facility's policy stating that smoking paraphernalia should be maintained by the center, the surveyor observed cigarettes and lighters on the resident's overbed table on multiple occasions. The resident was unsure of the designated smoking times and reported multiple smoking areas outside, indicating a lack of clear communication and supervision regarding smoking practices. The facility's policy was not adhered to, as the smoking paraphernalia was not secured, posing a potential hazard. For Resident #62, the facility staff failed to ensure medications were secured, as evidenced by medications left unattended on the resident's tray table. The resident, who had a history of cognitive deficits and other medical conditions, was found with a medication cup containing aspirin and metformin on the overbed table. The resident mentioned that medications were often left for him to take later. LPN #1, responsible for the resident, was aware that the resident should be supervised while taking medications but did not provide an explanation for the unattended medications. The facility staff did not offer an explanation for this oversight during discussions with the surveyor.
Failure to Adhere to Medication Administration Parameters
Penalty
Summary
The facility staff failed to ensure that a resident's drug regimen was free from unnecessary medications. Specifically, the staff did not adhere to the medical provider's ordered parameters for administering midodrine, a medication used to treat low blood pressure. The resident's clinical record included an order for midodrine 5 mg to be administered twice daily, with the stipulation that it should not be given if the resident's blood pressure exceeded 110/50. However, a review of the Medication Administration Record (MAR) for August 2024 revealed that the medication was administered 20 times when the resident's blood pressure was above the specified threshold. The resident involved was assessed with a Minimum Data Set (MDS) indicating moderate cognitive impairment, with a Brief Interview for Mental Status (BIMS) score of 8 out of 15. Despite this, the resident was noted to be able to make themselves understood and understand others. The facility's General Guidelines for Medication Administration, effective since September 2018, require medications to be administered as prescribed and in accordance with the prescriber's written orders. The survey team discussed these findings with the facility's administrative and nursing staff, highlighting the failure to follow the prescribed parameters for midodrine administration.
Medication Administration Error for a Resident
Penalty
Summary
The facility staff failed to ensure that a resident was free from significant medication errors, specifically in the administration of Cephalexin, which was prescribed for a urinary tract infection. The provider's order required the medication to be administered four times a day for two days. However, the resident only received six out of the eight prescribed doses. The medication was available in the facility's automated medication management system, but the nurse did not retrieve it, and the reason for this oversight was not known by the administrator. The resident involved had multiple diagnoses, including traumatic subdural hematoma, muscle weakness, urinary tract infection, delirium, end-stage renal disease, and dependence on renal dialysis. The resident was moderately cognitively impaired, with a BIMS score of 12 out of 15. The failure to administer the medication as prescribed was documented in the medication administration record and progress notes, which indicated issues such as pending pharmacy delivery and the resident being out of the facility for dialysis. The facility's policy on medication administration emphasizes the importance of following prescribed orders and using the medication administration record to ensure doses are administered and documented correctly.
Failure to Post Complete Daily Nurse Staffing Information
Penalty
Summary
The facility staff failed to ensure the posting of the required daily nurse staffing information, as observed by the surveyor. On a specific date, the surveyor noted that the posted daily nurse staffing information did not include the facility's census, which is a required component. The Assistant Administrator was informed of this omission. The form used for posting, titled DAILY NURSE STAFFING SUMMARY, was supposed to be completed at the beginning of each shift and updated as needed, but it was not fully compliant with these requirements. Further review of the facility's retained documentation revealed multiple instances where the required information was incomplete or missing. Several documents lacked the facility's census, and others only documented the day shift information. Additionally, some dates did not have any DAILY NURSE STAFFING SUMMARY document at all. These findings were discussed with the facility's Administrator, Assistant Administrator, Assistant Director of Nursing, and Regional MDS staff member, highlighting the concern of incomplete and missing staffing information.
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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) |
|---|---|---|---|---|
| Old Southwest Health And Rehabilitation | 1.7 mi | ★★★★★ | 0 | 0 |
| Brandon Oaks Nursing And Rehabilitation Center | 2 mi | ★★★★★ | 0 | 0 |
| South Roanoke Nursing And Rehabilitation | 2.1 mi | ★★★★★ | 0 | 0 |
| Davis And Mcdaniel Veterans Care Center | 2.2 mi | ★★★★★ | 3 | 0 |
| Our Lady Of The Valley | 2.3 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.