Show Inspection Reports
Total health inspections
3
Virginia average 4.2
Last Health inspection on Sep 2023
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Brandon Oaks Nursing and Rehabilitation Center
Nursing Home
Brandon Oaks Nursing and Rehabilitation Center
Nursing Home
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
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
LPN / LVN
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
43
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
89.5%
Residents per day (avg)
57
Occupancy rate
89.5%
Residents per day (avg)
57
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
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 home
Other
Home revenue
$31.6M
Surplus of revenue
$875.9K
Voluntary non-profit home
Other
Home revenue
$31,635,733.00
Surplus of revenue
$875,896.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$5.9M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$24.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$30.8M
43-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score: 33 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
Occupancy Rate
53%
Occupied Beds
23 of 43
Percentage of available beds currently in use by residents.
License Status
ActiveFacility Type
Assisted Living Facility
License Expiration
July 22, 2026
Additional licensing details
Qualification:
Special 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.
Care Services
Accepts Medicare
Nursing Services
Rehabilitation Services
Memory Care
Independent Living
Skilled Nursing
24-Hour Staffing
Amenities & Lifestyle
Programs & Activities
Specific Programs
Assisted Living, Memory Support, Home Health, Rehabilitation, Nursing and Rehabilitation, Inpatient Therapies, Outpatient Services
Religious Services
Yes
Dining & Nutrition
Food Description
Dining room options include main, smaller, and private dining rooms.
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.
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%)
1 complaint
Formal expressions of dissatisfaction or concern made by residents, or their families regarding various aspects of the care, services, and environment provided.
Latest inspection
Date:July 29, 2025
Type: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.
4 violations
Violations indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
20 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Compare Nursing Homes around Roanoke
The information below is reported by the Virginia Department of Social Services and Department of Health.
Brandon Oaks Nursing and Rehabilitation Center
+16%
+42%
+4%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Roanoke
62
No
-
33
NEFF, HEATHER
89.5%
$10,548,485.00
$5,871,705.00
55.7%
57.40
5.3278
-
12
-
+16%+42%+4%
Our Lady of the Valley
-15%
+1%
+3%
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
SNF
Nursing Homes 24/7 care needed
Roanoke (Gainsboro)
189
No
A+
68
RAWLINGS, DAVID
88.2%
$16,424,252.00
$6,720,888.00
40.9%
64.70
3.7870
-
14
-
-15%+1%+3%
South Roanoke Nursing Home
-15%
-10%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Roanoke
98
No
A+
45
AMERICAN HEALTHCARE LLC
85.7%
$10,567,825.00
$4,507,786.00
42.7%
85.20
3.3595
-
39
-
-15%-10%
0%
Pheasant Ridge Nursing and Rehab Center
-2%
-5%
+4%
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
SNF
Nursing Homes 24/7 care needed
Roanoke
101
No
A+
15
BELL, VICTOR
89.3%
$14,018,919.00
$4,558,852.00
32.5%
89.10
3.5617
13
25
1
-2%-5%+4%
Old Southwest Rehabilitation and Nursing
-7%
+2%
-40%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Roanoke (Old Southwest)
130
No
A+
57
SHULER, ANDREW
51.3%
$10,435,874.00
$3,804,537.00
36.5%
95.70
3.8211
6
131
4
-7%+2%-40%
Brandon Oaks Nursing and Rehabilitation Center
Type of care:
SNF
AL
Community:
Roanoke
Bed Count:
62
Pets Allowed:
No
Operator:
NEFF, HEATHER
CCN:
495373
Occupancy:
89.5%
Home Revenue:
$10,548,485.00
Payroll Costs:
$5,871,705.00
Payroll %:
55.7%
Avg Residents/Day:
57.40
Overall Rating:
Adj Nurse Hours:
5.3278
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
12
RN share vs State Avg:
+16%
+16%
Staffing vs State Avg:
+42%
+42%
Occupancy vs State Avg:
+4%
+4%
Our Lady of the Valley
Type of care:
AL
IL
MC
SNF
Community:
Roanoke (Gainsboro)
Bed Count:
189
Pets Allowed:
No
Operator:
RAWLINGS, DAVID
CCN:
495357
Occupancy:
88.2%
Home Revenue:
$16,424,252.00
Payroll Costs:
$6,720,888.00
Payroll %:
40.9%
Avg Residents/Day:
64.70
Overall Rating:
Adj Nurse Hours:
3.7870
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
14
RN share vs State Avg:
-15%
-15%
Staffing vs State Avg:
+1%
+1%
Occupancy vs State Avg:
+3%
+3%
South Roanoke Nursing Home
Type of care:
SNF
AL
Community:
Roanoke
Bed Count:
98
Pets Allowed:
No
Operator:
AMERICAN HEALTHCARE LLC
CCN:
495002
Occupancy:
85.7%
Home Revenue:
$10,567,825.00
Payroll Costs:
$4,507,786.00
Payroll %:
42.7%
Avg Residents/Day:
85.20
Overall Rating:
Adj Nurse Hours:
3.3595
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
39
RN share vs State Avg:
-15%
-15%
Staffing vs State Avg:
-10%
-10%
Occupancy vs State Avg:
0%
Pheasant Ridge Nursing and Rehab Center
Type of care:
AL
IL
MC
SNF
Community:
Roanoke
Bed Count:
101
Pets Allowed:
No
Operator:
BELL, VICTOR
CCN:
495325
Occupancy:
89.3%
Home Revenue:
$14,018,919.00
Payroll Costs:
$4,558,852.00
Payroll %:
32.5%
Avg Residents/Day:
89.10
Overall Rating:
Adj Nurse Hours:
3.5617
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
13
Citations:
25
Severe Citations:
1
RN share vs State Avg:
-2%
-2%
Staffing vs State Avg:
-5%
-5%
Occupancy vs State Avg:
+4%
+4%
Old Southwest Rehabilitation and Nursing
Type of care:
SNF
AL
Community:
Roanoke (Old Southwest)
Bed Count:
130
Pets Allowed:
No
Operator:
SHULER, ANDREW
CCN:
495156
Occupancy:
51.3%
Home Revenue:
$10,435,874.00
Payroll Costs:
$3,804,537.00
Payroll %:
36.5%
Avg Residents/Day:
95.70
Overall Rating:
Adj Nurse Hours:
3.8211
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
6
Citations:
131
Severe Citations:
4
RN share vs State Avg:
-7%
-7%
Staffing vs State Avg:
+2%
+2%
Occupancy vs State Avg:
-40%
-40%Places of interest near Brandon Oaks Nursing and Rehabilitation Center
3.8 miles from city center — 0.74 miles to nearest hospital (Salem VA Medical Center)
3837 Brandon Ave SW, Roanoke, VA 24018
Calculate Travel Distance to Brandon Oaks Nursing and Rehabilitation Center
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
131
Total Staff
129
Employees
2
Contractors
34,712
Total Hours (Quarter)
51
Avg Staff/Day
7.5
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 14 | 7.7 | No |
| Licensed Practical Nurse | 26 | 8 | No |
| Certified Nursing Assistant | 58 | 7.3 | No |
Staff by Category
Administration ⓘ
2 staff
7.1hs shift avg
Nursing Staff ⓘ
101 staff
7.6hs shift avg
Physicians & Practitioners ⓘ
3 staff
7.8hs shift avg
Therapy Services ⓘ
16 staff
7hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
2 staff
5.3hs shift avg
Dietary Services ⓘ
6 staff
7.4hs shift avg
Other Services ⓘ
1 staff
7.5hs shift avg
Contractor Analysis
1.6%
of total hours from contractors
563 contractor hours this quarter
Occupational Therapy Aide: 1
Medical Director: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 58 | 0 | 58 | 14,013 | 91 | 100% | 7.3 |
| Licensed Practical Nurse | 26 | 0 | 26 | 6,644 | 91 | 100% | 8 |
| Registered Nurse | 14 | 0 | 14 | 2,755 | 91 | 100% | 7.7 |
| Speech Language Pathologist | 5 | 0 | 5 | 1,624 | 74 | 81% | 7.2 |
| RN Director of Nursing | 3 | 0 | 3 | 1,551 | 78 | 86% | 8.1 |
| Physical Therapy Assistant | 4 | 0 | 4 | 1,452 | 71 | 78% | 7.8 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,431 | 90 | 99% | 7 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 1,039 | 79 | 87% | 7.9 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 869 | 77 | 85% | 5.3 |
| Dietitian | 1 | 0 | 1 | 655 | 77 | 85% | 8.5 |
| Occupational Therapy Aide | 0 | 1 | 1 | 504 | 63 | 69% | 8 |
| Physical Therapy Aide | 2 | 0 | 2 | 501 | 65 | 71% | 7.1 |
| Administrator | 1 | 0 | 1 | 443 | 60 | 66% | 7.4 |
| Nurse Practitioner | 1 | 0 | 1 | 435 | 58 | 64% | 7.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 413 | 55 | 60% | 7.5 |
| Qualified Social Worker | 2 | 0 | 2 | 326 | 60 | 66% | 5.3 |
| Medical Director | 0 | 1 | 1 | 59 | 11 | 12% | 5.4 |
Health Inspection History
Inspections
Total health citations
12
Citations per inspection
4
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
0
0
100% better than Virginia averageVirginia average: 0.4
Serious Health citations
0
0
100% better than Virginia averageVirginia average: 1
0 critical citations
0 serious citations
12 moderate citations
0 minor citations
Citations history (last 3 years)
Nutrition moderate citation
Sep 08, 2023
Corrected
Pharmacy moderate citation
Sep 08, 2023
Corrected
Care Planning moderate citation
Sep 08, 2023
Corrected
Nutrition moderate citation
Aug 24, 2021
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: Non-Profit Corporation
Resident Census by Payment Source
57
Total Residents
Medicare
14
(24.6%)
ⓘ
Medicaid
9
(15.8%)
ⓘ
Private Pay/Other
34
(59.6%)
ⓘ
Specialized Care Beds
9
Total Specialty Beds
14.5%
of Bed Capacity
1
AIDS Care Beds ⓘ
1.6%
1
Alzheimer's / Dementia Beds ⓘ
1.6%
1
Dialysis Beds ⓘ
1.6%
1
Disabled Children / Young Adult Beds ⓘ
1.6%
1
Head Trauma Beds ⓘ
1.6%
1
Hospice Beds ⓘ
1.6%
1
Huntington's Disease Beds ⓘ
1.6%
1
Ventilator Beds ⓘ
1.6%
1
Other Specialized Rehab Beds ⓘ
1.6%
Programs & Services
Residents' Group
ⓘ
CCRC
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.4
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 averageVirginia average: 10.1
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.9
11% worse than Virginia averageVirginia average: 19.7
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
22.3%
Percent of long-stay residents whose need for help with daily activities has increased
22.3%
33% worse than Virginia averageVirginia average: 16.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
22.4%
Percent of long-stay residents whose ability to move independently worsened
22.4%
13% worse than Virginia averageVirginia average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.9%
8% better than Virginia averageVirginia average: 22.6%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
7% worse than Virginia averageVirginia average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.6%
Percent of long-stay high risk residents with pressure ulcers
2.6%
52% better than Virginia averageVirginia average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
4.6%
Percent of long-stay residents with a urinary tract infection
4.6%
196% worse than Virginia averageVirginia average: 1.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.0%
Percent of long-stay residents who lose too much weight
6.0%
In line with Virginia averageVirginia average: 5.9%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
2.2%
Percent of long-stay residents who have depressive symptoms
2.2%
85% better than Virginia averageVirginia average: 14.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
16.0%
Percent of long-stay residents who received an antipsychotic medication
16.0%
24% worse than Virginia averageVirginia average: 12.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
9% better than Virginia averageVirginia average: 91.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.0%
In line with Virginia averageVirginia average: 94.0%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.00
Number of hospitalizations per 1,000 long-stay resident days.
2.00
37% worse than Virginia averageVirginia average: 1.46
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.76
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.76
46% better than Virginia averageVirginia average: 1.41
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
93.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
93.5%
25% better than Virginia averageVirginia average: 74.9%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.6%
50% better than Virginia averageVirginia average: 1.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.1%
29% better than Virginia averageVirginia average: 73.6%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.8%
5% better than Virginia averageVirginia average: 22.0%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
6.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
6.3%
46% better than Virginia averageVirginia average: 11.7%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.6%
Percentage of SNF residents who experience falls with major injury during their stay.
0.6%
22% better than Virginia averageVirginia average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
69.4%
Percentage of residents at or above expected ability to care for themselves at discharge.
69.4%
29% better than Virginia averageVirginia average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
64.4%
Rate of successful return to home or community from a skilled nursing facility.
64.4%
27% 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.
Financial Trends
Historical financial and operational data for Brandon Oaks Nursing and Rehabilitation Center based on CMS SNF Cost Reports.
Occupancy Rate
89.5%
↑ 21.3pp vs 2022
Net Income
$875,896
↓ ~$2.9M vs 2022
Total Payroll
$7,455,029
↑ ~$645K vs 2022
Profit Margin
8.3%
↓ 35.9pp vs 2022
Loading trend charts...
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