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Nursing Home in Roanoke

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Brandon Oaks Nursing and Rehabilitation Center

Nursing Home in Roanoke

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Brandon Oaks Nursing and Rehabilitation Center

3837 Brandon Ave SW, Roanoke, VA 24018 View map
Overview of Brandon Oaks Nursing and Rehabilitation Center

Brandon Oaks Nursing and Rehabilitation Center is Roanoke’s trusted home healthcare provider. The nursing center has a professional staff committed to providing all seniors with a safe and comfortable environment. Seniors can expect a high level of quality nursing and rehabilitative services that help them live life to the fullest. At Brandon Oaks, friendships blossom, and goals are achieved.
The nursing homes provide state-of-the-art features that cater to short-term or long-term residents; they are also guaranteed to feel comfortable and know that they belong in a home that offers 24-hour nursing care with specialized programs/ Specializations, including therapy (speech, occupational, physical), neurological care, cardiac care, orthopedic care, skilled nursing care, and musculoskeletal care available.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
5/5
Virginia average: 3.8/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
4/5
Virginia average: 3.4/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
4/5
Virginia average: 3.6/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
5/5
Virginia average: 4.0/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
5h 20m per day

This home provides 11% more nursing time per resident than the Virginia average.

Virginia average: 4h 47m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 43m per day 41m per day 41m per day
Nurse Aide Info Nurse aide hours per resident per day. 2h 51m per day 2h 8m per day 2h 21m per day
Total Nursing (Weekend) Info Total number of nurse staff hours per resident per day on weekends. 4h 38m per day 3h 19m per day 3h 26m per day
Physical Therapist Info Physical therapist staff hours per resident per day. 10m per day 5m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 28m per day 28m per day 29m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 43

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Virginia average
Occupancy rate 53.5%
Residents per day 23
Occupancy rate
53.5%
Residents per day
23

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

82% of new residents, usually for short-term rehab.

Typical stay 25 days

Private pay

16% of new residents, often for short stays.

Typical stay 9 - 10 months

Medicaid

2% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Finances and operations

Voluntary non-profit community
Home revenue
$31.6M
Surplus of revenue
$875.9K
Voluntary non-profit community
Home revenue
$31,635,733.00
Surplus of revenue
$875,896.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$5.9M
18.6% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$24.9M
Total costs $30.8M
Bed community size
43-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 33 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate
53%
In line with Virginia average
Occupied beds
23 / 43
Average residents 98 per day

License Details

Facility TypeAssisted Living Facility
StatusActive
ExpirationJuly 22, 2026

Additional Licensing Details

QualificationSpecial Care Unit | Residential and Assisted Living Care | Non-Ambulatory

Ownership & Operating Entity

Brandon Oaks Nursing and Rehabilitation Center is administrated by Adm Esteban Duran-Ballen.

Payment & Insurance

1 service
Accept Medicare

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

2 services
Skilled Nursing
24-Hour Staffing

Amenities & Lifestyle

8 amenities
Physical
Occupational
And Speech Therapy Programs
Activities And Recreation Department
Social Services
Chapel
Beauty Shop
Flexible Visiting Hours
Specific ProgramsAssisted Living, Memory Support, Home Health, Rehabilitation, Nursing and Rehabilitation, Inpatient Therapies, Outpatient Services
Religious ServicesYes

Dining & Nutrition

Food DescriptionDining room options include main, smaller, and private dining rooms.
Contact Brandon Oaks Nursing and Rehabilitation Center

Access & Eligibility

Ways to qualify for care at this community, including accepted programs and payment options.

Medicare Accepted

This facility is certified for eligible Medicare services.

Payment & Funding Options

Medicare

Inspection History

In Virginia, the Department of Social Services (for assisted living facilities) and the Department of Health (for nursing homes) perform the inspections required to maintain state and federal licensing.

10 inspections

1 inspection related to complaints

4 inspections with violations (40%)

Virginia average: 14 inspections

Virginia average: 64.3% of inspections with violations

1 complaint

Formal expressions of dissatisfaction or concern made by residents, or their families regarding various aspects of the care, services, and environment provided.

Virginia average: 7 complaints

Latest inspection

Date July 29, 2025
Monitoring

Inspection oversight

Inspector name:Angela Marie Swink

10 total citations

Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.

Virginia average: 14 citations

33 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Virginia average: 32 deficiencies

Health Inspection History

Inspections
Total health inspections 3

Virginia average 4.2


Last Health inspection on Sep 2023

Total health citations 12

Virginia average 38.4

Citations per inspection
4

Virginia average 8.93


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

11 of 12 citations resulted from standard inspections; and 1 of 12 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Virginia average

Virginia average: 0.4


Serious Health citations More info 0
100% better than Virginia average

Virginia average: 1

0 critical citations More info Virginia average: 0.4

0 serious citations More info Virginia average: 1

12 moderate citations More info Virginia average: 36.3

0 minor citations More info Virginia average: 0.8
Citations history (last 3 years)
Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Sep 08, 2023
Corrected

Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Sep 08, 2023
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Sep 08, 2023
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Aug 24, 2021
Corrected

Compare Nursing Homes around Roanoke The information below is reported by the Virginia Department of Social Services and Department of Health.

5 facilities compared · CMS & VA Dept. of Health data · Updated Apr 2026

Filter by care type
Brandon Oaks Nursing and Rehabilitation Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Roanoke
62
89.5%
+4%
5.33
+16%
+42%
0
12
4.0
0
57
-
33
Neff, Heather
$10.5M
$5.9M
55.7%
495373
Our Lady of the Valley
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Roanoke (Gainsboro)
189
88.2%
+3%
3.79
-15%
+1%
0
14
4.7
0
65
A+
68
Rawlings, David
$16.4M
$6.7M
40.9%
495357
South Roanoke Nursing Home
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Roanoke
98
85.7%
0%
3.36
-15%
-10%
0
39
13.0
0
85
A+
45
American Healthcare Llc
$10.6M
$4.5M
42.7%
495002
Pheasant Ridge Nursing and Rehab Center
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Roanoke
101
89.3%
+4%
3.56
-2%
-5%
13
25
6.3
1
89
A+
15
Bell, Victor
$14.0M
$4.6M
32.5%
495325
Old Southwest Rehabilitation and Nursing
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Roanoke (Old Southwest)
130
51.3%
-40%
3.82
-7%
+2%
6
131
18.7
4
96
A+
57
Shuler, Andrew
$10.4M
$3.8M
36.5%
495156

Places of interest near Brandon Oaks Nursing and Rehabilitation Center

Address 3.8 miles from city center — 0.74 miles to nearest hospital (Salem VA Medical Center)

Address 3837 Brandon Ave SW, Roanoke, VA 24018

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 131
Employees 129
Contractors 2
Staff to resident ratio 2.30:1
38% better than Virginia average

Virginia average ratio: 1.67:1

Avg staff/day 51
Average shift 7.5 hours
6% worse than Virginia average

Virginia average: 8 hours

Total staff hours (quarter) 34,712
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 14
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 26
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 58
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.3 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

1.6%

563 contractor hours this quarter

Occupational Therapy Aide: 1 Medical Director: 1
Staff by category
Certified Nursing Assistant5805814,01391100%7.3
Licensed Practical Nurse260266,64491100%8
Registered Nurse140142,75591100%7.7
Speech Language Pathologist5051,6247481%7.2
RN Director of Nursing3031,5517886%8.1
Physical Therapy Assistant4041,4527178%7.8
Other Dietary Services Staff5051,4319099%7
Clinical Nurse Specialist2021,0397987%7.9
Respiratory Therapy Technician4048697785%5.3
Dietitian1016557785%8.5
Occupational Therapy Aide0115046369%8
Physical Therapy Aide2025016571%7.1
Administrator1014436066%7.4
Nurse Practitioner1014355864%7.5
Mental Health Service Worker1014135560%7.5
Qualified Social Worker2023266066%5.3
Medical Director011591112%5.4
58 Certified Nursing Assistant
% of Days 100%
26 Licensed Practical Nurse
% of Days 100%
14 Registered Nurse
% of Days 100%
5 Speech Language Pathologist
% of Days 81%
3 RN Director of Nursing
% of Days 86%
4 Physical Therapy Assistant
% of Days 78%
5 Other Dietary Services Staff
% of Days 99%
2 Clinical Nurse Specialist
% of Days 87%
4 Respiratory Therapy Technician
% of Days 85%
1 Dietitian
% of Days 85%
1 Occupational Therapy Aide
% of Days 69%
2 Physical Therapy Aide
% of Days 71%
1 Administrator
% of Days 66%
1 Nurse Practitioner
% of Days 64%
1 Mental Health Service Worker
% of Days 60%
2 Qualified Social Worker
% of Days 66%
1 Medical Director
% of Days 12%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
57 residents
Residents by payment source
Medicare
14 residents (24.6%)
Medicaid
9 residents (15.8%)
Private pay or other
34 residents (59.6%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 11.4
13% worse than Virginia average

Virginia average: 10.1

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 21.9
11% worse than Virginia average

Virginia average: 19.7

Long-stay resident measures
Average Virginia avg: 4.3 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 22.3%
33% worse than Virginia average

Virginia average: 16.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 22.4%
13% worse than Virginia average

Virginia average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 20.9%
8% better than Virginia average

Virginia average: 22.6%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.9%
7% worse than Virginia average

Virginia average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.6%
52% better than Virginia average

Virginia average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 4.6%
196% worse than Virginia average

Virginia average: 1.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 6.0%
In line with Virginia average

Virginia average: 5.9%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 2.2%
85% better than Virginia average

Virginia average: 14.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 16.0%
24% worse than Virginia average

Virginia average: 12.9%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.4%
9% better than Virginia average

Virginia average: 91.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.0%
In line with Virginia average

Virginia average: 94.0%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.00
37% worse than Virginia average

Virginia average: 1.46

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.76
46% better than Virginia average

Virginia average: 1.41

Short-stay resident measures
Significantly above average Virginia avg: 4.0 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 93.5%
25% better than Virginia average

Virginia average: 74.9%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.6%
50% better than Virginia average

Virginia average: 1.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 95.1%
29% better than Virginia average

Virginia average: 73.6%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 20.8%
5% better than Virginia average

Virginia average: 22.0%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 6.3%
46% better than Virginia average

Virginia average: 11.7%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.6%
22% better than Virginia average

Virginia average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 69.4%
29% better than Virginia average

Virginia average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 64.4%
27% better than Virginia average

Virginia average: 50.6%

Guides for Better Senior Living

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Financial Aid for Virginia Seniors

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Commonwealth Coordinated Care Plus (CCC Plus)

VA Medicaid CCC Plus

Age 65+ or disabled, Virginia resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Managed care model; high demand in urban areas.

Virginia Respite Care Grant Program

VA Respite Grant

Caregiver of someone 60+, Virginia resident.

~$2,500/month (individual, varies).

$40,000 (individual).

Limited grants; rural/urban balance.

Adult Services Program

Virginia Adult Services (AS)

Age 60+ (or disabled 18+), VA resident, need significant care (2+ ADLs), not Medicaid-eligible.

Varies by locality; typically < ~$2,510/month (200% FPL).

Limited assets (excludes home, car); varies by DSS.

Serves ~5,000 annually; focuses on low-income independence.

Auxiliary Grant Program

Virginia Auxiliary Grant (AG)

Age 65+ (or disabled 18+), VA resident, living in approved ALF/foster care, SSI-eligible or low-income.

~$1,041/month (individual, SSI level + $20 disregard); higher with medical deductions.

$2,000 (individual).

Serves 4,000; personal needs allowance ($90/month).

Medicare Savings Program (MSP)

Virginia Medicare Savings Program

Age 65+ or disabled, VA resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Includes Extra Help for Part D; no waitlist.

Energy Assistance Program (EAP)

Virginia Energy Assistance Program

Age 60+ prioritized, VA resident, low-income household.

~$3,970/month (185% FPL).

Not assessed.

Fuel, Crisis, Cooling components; serves ~100,000 households.

Senior Community Service Employment Program (SCSEP)

Virginia SCSEP

Age 55+, unemployed, low-income, VA resident.

~$1,983/month (125% FPL).

Not specified.

Priority for veterans, rural residents; AARP/Goodwill partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Virginia VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, VA resident, wartime service, ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth).

High veteran population; supports rural/urban needs.

Property Tax Relief for the Elderly and Disabled

Virginia Property Tax Relief

Age 65+ or disabled, VA resident, homeowner, income/asset limits vary by locality.

~$50,000-$75,000/year (household, e.g., Fairfax: $72,000; Richmond: $50,000).

Varies (e.g., Fairfax: $400,000 net worth; Richmond: $100,000).

Offered in 90% of localities; saves ~$500-$2,000/year.

Senior Farmers’ Market Nutrition Program (SFMNP)

Virginia SFMNP

Age 60+, VA resident, low-income.

~$2,322/month (185% FPL).

Not assessed.

Vouchers (~$50-$75/season); serves ~15,000 via AAAs.