2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Located on Mecca Street in Roanoke, Virginia, Richfield Living – Roanoke Campus is a nursing home and assisted living community a few miles from the downtown area. Families can choose from Medicare, Medicaid, and private pay to cover care. The community offers both long-term nursing care and short-term rehabilitation. There’s a doctor on staff and 24-hour staffing to support residents around the clock.
With 116 beds, Richfield is one of the larger nursing homes in the Roanoke area. It has an occupancy rate of about 71%. The average stay is around 71 days, which is a mix of residents recovering from a hospital stay or surgery and those receiving ongoing care. Rehabilitation and respite care are part of the daily offering. Total nurse staffing averages roughly 3 hours and 14 minutes per resident each day. The care team is composed of a registered nurse, a licensed practical nurse, and nurse aide support.
Daily life includes restaurant-style dining, housekeeping, and organized activities. There’s also a gym, on-site transportation, and a wellness program. Nutrition plans are supervised by a registered dietitian, which reassures residents managing specific health or dietary needs. An Active Resident Council meets regularly so residents have a direct voice in the home’s policies and programming.
The surrounding neighborhood is somewhat walkable, so residents and visiting family will likely rely on a car for most errands and outings. Families touring the community should ask how the rehabilitation and respite programs are staffed daily.
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.
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.
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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 57th out of 71 homes in Virginia for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 11m per day | ▼ 73% State avg: 41m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 18m per day | ▲ 30% State avg: 1h 0m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 13m per day | ▲ 4% State avg: 2h 8m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 26m per day | ▲ 3% State avg: 3h 19m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 8m per day | ▲ 68% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 8m per day | ▼ 72% State avg: 28m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
40% more staff per resident than Virginia average
13% better than Virginia average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
11 total: 1 full-time employee and 10 contractors.
11
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursAssists with medical care and medications.
43 total: 24 full-time employees and 19 contractors.
43
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hoursHelps with daily care and mobility.
112 total: 63 full-time employees and 49 contractors.
112
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
5,880 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 63 | 49 | 112 | 21,306 | 92 | 100% | 9.5 |
| Licensed Practical Nurse | 24 | 19 | 43 | 10,305 | 92 | 100% | 10 |
| Qualified Activities Professional | 17 | 0 | 17 | 4,866 | 92 | 100% | 9.2 |
| RN Director of Nursing | 10 | 0 | 10 | 2,143 | 86 | 93% | 7.8 |
| Dietitian | 3 | 0 | 3 | 1,442 | 86 | 93% | 7.4 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 1,340 | 70 | 76% | 7.2 |
| Registered Nurse | 1 | 10 | 11 | 1,021 | 81 | 88% | 7.8 |
| Physical Therapy Assistant | 3 | 0 | 3 | 976 | 66 | 72% | 7.5 |
| Speech Language Pathologist | 3 | 0 | 3 | 776 | 61 | 66% | 7.2 |
| Administrator | 1 | 0 | 1 | 559 | 66 | 72% | 8.5 |
| Nurse Practitioner | 2 | 0 | 2 | 427 | 57 | 62% | 7.5 |
| Physical Therapy Aide | 1 | 0 | 1 | 354 | 49 | 53% | 7.2 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 351 | 53 | 58% | 6.5 |
| Mental Health Service Worker | 2 | 0 | 2 | 291 | 39 | 42% | 7.5 |
| Qualified Social Worker | 2 | 0 | 2 | 234 | 31 | 34% | 7.5 |
| Respiratory Therapist | 3 | 0 | 3 | 153 | 10 | 11% | 6.4 |
| Other Activities Staff | 1 | 0 | 1 | 24 | 3 | 3% | 8 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.4
12% worse than Virginia averageVirginia average: 10.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.8
6% worse than Virginia averageVirginia average: 19.7
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
22.7%
35% worse than Virginia averageVirginia average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
17.5%
12% better than Virginia averageVirginia average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.3%
In line with Virginia averageVirginia average: 22.6%
Percent of long-stay residents experiencing one or more falls with major injury
3.6%
In line with Virginia averageVirginia average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
5.9%
10% worse than Virginia averageVirginia average: 5.4%
Percent of long-stay residents with a urinary tract infection
0.9%
40% better than Virginia averageVirginia average: 1.5%
Percent of long-stay residents who lose too much weight
7.1%
20% worse than Virginia averageVirginia average: 5.9%
Percent of long-stay residents who have depressive symptoms
5.3%
64% better than Virginia averageVirginia average: 14.9%
Percent of long-stay residents who received an antipsychotic medication
10.7%
17% better than Virginia averageVirginia average: 12.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
82.2%
10% worse than Virginia averageVirginia average: 91.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
54.2%
42% worse than Virginia averageVirginia average: 94.0%
Number of hospitalizations per 1,000 long-stay resident days.
1.46
In line with Virginia averageVirginia average: 1.46
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.76
25% worse than Virginia averageVirginia average: 1.41
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
48.8%
35% worse than Virginia averageVirginia average: 74.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.3%
74% better than Virginia averageVirginia average: 1.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
32.1%
56% worse than Virginia averageVirginia average: 73.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.6%
16% worse than Virginia averageVirginia average: 22.0%
Percentage of short-stay residents who had an outpatient emergency department visit.
11.8%
In line with Virginia averageVirginia average: 11.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.6%
19% better than Virginia averageVirginia average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
75.2%
40% better than Virginia averageVirginia average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
57.0%
13% better than Virginia averageVirginia average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
42% of new residents, usually for short-term rehab.
32% of new residents, often for short stays.
26% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
95Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Richfield Living – Roanoke Campus from 2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 09/2023.
Based on CMS SNF Cost Report for fiscal year ending in 09/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #58 / 71Payroll — State benchmarkedThis home is ranked 58th out of 71 homes in Virginia for payroll. Shows total annual staff payroll benchmarked to the Virginia average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #34 / 71Payroll % — State benchmarkedThis home is ranked 34th out of 71 homes in Virginia for payroll %. Shows payroll as a percentage of revenue versus the Virginia average. Well-run Virginia facilities typically land around 51–60% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
New residents most often arrive under Medicare (42% of admissions), and a typical Medicare stay runs around 30 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
3.6 miles from city center
Estimated distance in miles from Roanoke's city center to Richfield Living – Roanoke Campus's address, calculated via Google Maps.
Add your location
Info below is compiled from CMS reports & the VA Depts. of Social Services & Health, senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| Our Lady of the Valley | AL MC NH RC SNF | Roanoke (Gainsboro) | 127
Facility
127
VA AVG
96
Rank
#76 / 365 |
87.4%
Facility
87.4%
VA AVG
70.5
Rank
#63 / 297 | +24% | 3.79
Facility
3.79
VA AVG
3.74
Rank
#40 / 71 | -42% | +1% | $0
Facility
$0
VA AVG
$54.3k
Rank
#1 / 75 | 14
Facility
14
VA AVG
38.4
Rank
#13 / 70 | 4.7
Facility
4.7
VA AVG
8.9
Rank
#16 / 70 | - | 111 | A+ |
68
Facility
68
VA AVG
44
Rank
#73 / 446 | David Rawlings | $14.8MFiscal year ending 06/2024
Facility
$14.8MFiscal year ending 06/2024
VA AVG
$18.3M
Rank
#46 / 71 | $8.2MFiscal year ending 06/2024
Facility
$8.2MFiscal year ending 06/2024
VA AVG
$6.9M
Rank
#44 / 71 | 55.5%Fiscal year ending 06/2024
Facility
55.5%Fiscal year ending 06/2024
VA AVG
39.7%
Rank
#29 / 71 | 495357 | ||||
| Brandon Oaks Nursing and Rehabilitation Center | AL HC IL MC NH SNF | Roanoke (Westland) | 43
Facility
43
VA AVG
96
Rank
#313 / 365 |
53.5%
Facility
53.5%
VA AVG
70.5
Rank
#240 / 297 | -24% | 5.33
Facility
5.33
VA AVG
3.74
Rank
#14 / 71 | +28% | +42% | $0
Facility
$0
VA AVG
$54.3k
Rank
#1 / 75 | 12
Facility
12
VA AVG
38.4
Rank
#8 / 70 | 4.0
Facility
4.0
VA AVG
8.9
Rank
#9 / 70 | - | 23 | - |
33
Facility
33
VA AVG
44
Rank
#281 / 446 | Heather Neff | $7.2MFiscal year ending 12/2023
Facility
$7.2MFiscal year ending 12/2023
VA AVG
$18.3M
Rank
#27 / 71 | $7.0MFiscal year ending 12/2023
Facility
$7.0MFiscal year ending 12/2023
VA AVG
$6.9M
Rank
#49 / 71 | 96.3%Fiscal year ending 12/2023
Facility
96.3%Fiscal year ending 12/2023
VA AVG
39.7%
Rank
#68 / 71 | 495373 | ||||
| Friendship Retirement Community | AL IL MC NH RC SNF | Roanoke (Hollins) | 253
Facility
253
VA AVG
96
Rank
#5 / 365 |
91.2%
Facility
91.2%
VA AVG
70.5
Rank
#42 / 297 | +29% | 4.46
Facility
4.46
VA AVG
3.74
Rank
#31 / 71 | +4% | +19% | $0
Facility
$0
VA AVG
$54.3k
Rank
#1 / 75 | 18
Facility
18
VA AVG
38.4
Rank
#25 / 70 | 4.5
Facility
4.5
VA AVG
8.9
Rank
#15 / 70 | - | 231 | A+ |
48
Facility
48
VA AVG
44
Rank
#185 / 446 | Friendship Foundation Inc | $29.8MFiscal year ending 06/2024
Facility
$29.8MFiscal year ending 06/2024
VA AVG
$18.3M
Rank
#18 / 71 | $15.3MFiscal year ending 06/2024
Facility
$15.3MFiscal year ending 06/2024
VA AVG
$6.9M
Rank
#18 / 71 | 51.5%Fiscal year ending 06/2024
Facility
51.5%Fiscal year ending 06/2024
VA AVG
39.7%
Rank
#42 / 71 | 495092 | ||||
| Richfield Living – Roanoke Campus | AL NH | Roanoke (Arrington Court) | 116
Facility
116
VA AVG
96
Rank
#99 / 365 |
89.9%
Facility
89.9%
VA AVG
70.5
Rank
#44 / 297 | +28% | 3.24
Facility
3.24
VA AVG
3.74
Rank
#57 / 71 | -48% | -14% | $0
Facility
$0
VA AVG
$54.3k
Rank
#1 / 75 | 16
Facility
16
VA AVG
38.4
Rank
#20 / 70 | 8.0
Facility
8.0
VA AVG
8.9
Rank
#39 / 70 | - | 104 | - |
32
Facility
32
VA AVG
44
Rank
#288 / 446 | - | $11.0MFiscal year ending 09/2023
Facility
$11.0MFiscal year ending 09/2023
VA AVG
$18.3M
Rank
#54 / 71 | $5.9MFiscal year ending 09/2023
Facility
$5.9MFiscal year ending 09/2023
VA AVG
$6.9M
Rank
#58 / 71 | 53.7%Fiscal year ending 09/2023
Facility
53.7%Fiscal year ending 09/2023
VA AVG
39.7%
Rank
#34 / 71 | 495427 |
Richfield Living – Roanoke Campus is located in Roanoke, Virginia.
Here are the financial assistance programs available to residents in Virginia.
Richfield Living – Roanoke Campus is in the Arrington Court neighborhood.
Richfield Living – Roanoke Campus has a walk score of 32. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Richfield Living – Roanoke Campus's occupancy is 70.6%.
No, Richfield Living – Roanoke Campus has a no-pet policy.
Richfield Living – Roanoke Campus is registered as a for-profit.
Yes — there are 75 photos of Richfield Living – Roanoke Campus in the photo gallery on this page.
Richfield Living – Roanoke Campus is located at 1047 Mecca St Ne, Roanoke, VA 24012.
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