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Brandon Oaks Nursing and Rehabilitation Center
Nursing Home, Assisted Living, Home Care, Independent Living, Memory Care & Skilled Nursing · Roanoke, VA
CMS overall rating
5/5
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.
Nursing Home, Assisted Living, Home Care, Independent Living, Memory Care & Skilled Nursing · Roanoke, VA
CMS overall rating
5/5
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.
Brandon Oaks Nursing and Rehabilitation Center accepts Medicare, Medicaid, and private pay.
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.
Measured by Centers for Medicare & Medicaid Services (CMS)
Overall ratingThe 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.
Health InspectionBased 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.
StaffingMeasures 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.
Quality MeasuresBased 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.
Staffing hours
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.
Hours per resident per day vs Virginia averages
Rank#7 / 70Nurse hours — State benchmarkedThis nursing home is ranked 7th out of 70 nursing homes we track in Virginia for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Virginia average, with a ranking across 70 Virginia facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Total nursing care
This nursing home is ranked 7th out of 70 nursing homes we track 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.
6h 0m
60% above state avg
This facilityState avg 3h 45m
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.
58m
+41% State avg: 41m per day · National avg: 41m per day
LPN / LVNLicensed 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 54m
+90% State avg: 1h 0m per day · National avg: 52m per day
Nurse AideCertified 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.
3h 8m
+47% State avg: 2h 8m per day · National avg: 2h 21m per day
Weekend Total NursingCombined 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.
5h 3m
+52% State avg: 3h 19m per day · National avg: 3h 26m per day
Physical TherapistHours 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.
10m
+108% State avg: 5m per day · National avg: 4m per day
Weekend RNRegistered 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.
47m
+67% State avg: 28m per day · National avg: 29m per day
All 6 underlying metrics are above the state average
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.43Rank#73 / 81Bed count — State benchmarkedThis nursing home is ranked 73rd out of 81 nursing homes we track in Virginia for bed count. Shows this facility's certified or reported bed count compared to other Virginia facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Smaller home
· May offer a more intimate, personalized care environment.
Walk Score
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.Rank#46 / 84Walk Score — State benchmarkedThis nursing home is ranked 46th out of 84 nursing homes we track in Virginia for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Virginia facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
33/ 100
Occupancy rate
Occupancy lower than 85% suggests more openings may be available.Rank#61 / 70Occupancy rate — State benchmarkedThis nursing home is ranked 61st out of 70 nursing homes we track in Virginia for occupancy. Shows this facility's occupancy rate versus the Virginia average, with its Statewide rank out of 70. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
53.5%This home usually has availability
Lower than the Virginia average: 76.8%
Occupied beds
23/ 43
Avg. Length of Stay
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.
94days
About this community
License Details
QualificationAssisted Living | Non-Ambulatory | Special Care Un
Ownership & Operating Entity
Brandon Oaks Nursing and Rehabilitation Center is administered by Esteban Duran-Ballen.
Payment & Insurance
1 service
Accept Medicare
Therapy & Rehabilitation
1 service
Rehabilitation Services
Staffing & Medical
1 service
24-Hour Staffing
Contact Information
Business Hours- ,
Amenities & Lifestyle
Recreation Area
Activities
Chapel
Salon
Flexible Visiting Hours
Specific ProgramsHome Health, Nursing and Rehabilitation, Inpatient Therapies, Outpatient Services
Religious Services
This profile shows two inspection records, and their totals often differ.
Inspection History and the Inspection Scorecard below are state data — the
figures the state publishes and the state inspection reports we hold on file —
covering the entire facility. CMS Health Inspection History covers only this
home's Medicare and Medicaid-certified nursing beds, from federal certification
surveys.
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.
Since 2020 · 6 years of dataThese figures come from state-published data and the state inspection reports we hold on file. The period covered can vary depending on document availability. Includes all inspection records for this property, which could include management/ownership changes.33 deficiencies1 complaint13 inspections
Inspection Scorecard
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Virginia state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Since 2020 vs. Virginia state average
Overall vs. VA average
1 Worse
Metrics worse than Virginia average:
• Total deficiencies (3% above)
3 Better
Metrics better than Virginia average:
• Deficiencies per inspection (7% below)
• Total complaints (86% below)
• Complaints per year (83% below)
Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.
This Facility
VA Average
vs. VA Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.
33
32
This facility has 3% more total deficiencies than a typical Virginia nursing home (33 vs. VA avg 32).↑ 3% worse
Deficiencies per inspection Average deficiencies per inspection.
2.5
2.7
This facility has 7% fewer deficiencies per inspection than a typical Virginia nursing home (2.5 vs. VA avg 2.7).↓ 7% better
Inspections State inspections evaluate whether the facility meets health and safety standards.
This Facility
VA Average
vs. VA Avg
Total inspections Combined count of all inspections conducted at this facility.
13
14
This facility has had 7% fewer total inspections than the Virginia average (13 vs. VA avg 14). More inspections can mean more regulatory scrutiny rather than worse care.↓ 7% fewer
Complaints & Investigations Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.
This Facility
VA Average
vs. VA Avg
Total complaints Formal expressions of concern made by residents, families, or staff.
1
7
This facility has 86% fewer total complaints than a typical Virginia nursing home (1 vs. VA avg 7).↓ 86% better
Complaints per year Average complaints per year since 2020.
0.2
1.2
This facility has 83% fewer complaints per year than a typical Virginia nursing home (0.2 vs. VA avg 1.2).↓ 83% better
Federal inspection data published by CMS, covering this home's Medicare and/or
Medicaid-certified skilled-nursing/nursing beds only.
InspectionsSince 2020 · 6 years of data
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Total health inspections3
Virginia average4.2
Last Health inspection on Sep 2023
Total health citations
12Rank#11 / 69Health citations — State benchmarkedThis nursing home is ranked 11th out of 69 nursing homes we track in Virginia for health citations. Shows this facility's total health deficiency citations benchmarked to the Virginia State average, with a ranking across all 69 VA facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Virginia average38.9
Citations per inspection
4Rank#12 / 69Citations per inspection — State benchmarkedThis nursing home is ranked 12th out of 69 nursing homes we track in Virginia for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Virginia mean across 69 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Virginia average9.06
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 6 years)
Critical health citations
0
100% better than Virginia average
Virginia average: 0.5
Serious health citations
0
100% better than Virginia average
Virginia average: 1
0 critical citationsVirginia average: 0.5
0 serious citationsVirginia average: 1
12 moderate citationsVirginia average: 36.7
0 minor citationsVirginia average: 0.7
Citations history (last 6 years)
Nutrition moderate citationSep 08, 2023
Corrected
Pharmacy moderate citationSep 08, 2023
Corrected
Care Planning moderate citationSep 08, 2023
Corrected
Nutrition moderate citationAug 24, 2021
Corrected
Citations history (last 6 years)
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
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.
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 scoreA 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 scoreA 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
Above averageVirginia avg: 3.9CMS 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 Percent of long-stay residents whose need for help with daily activities has increased22.3%
33% worse than Virginia average
Virginia average: 16.8%
Walking Ability Worsened Percent of long-stay residents whose ability to move independently worsened22.4%
13% worse than Virginia average
Virginia average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence Percent of low risk long-stay residents who lose control of their bowels or bladder20.9%
8% better than Virginia average
Virginia average: 22.6%
Falls with Major Injury Percent of long-stay residents experiencing one or more falls with major injury3.9%
7% worse than Virginia average
Virginia average: 3.6%
High Risk Residents with Pressure Ulcers Percent of long-stay high risk residents with pressure ulcers2.6%
52% better than Virginia average
Virginia average: 5.4%
Urinary Tract Infection Percent of long-stay residents with a urinary tract infection4.6%
196% worse than Virginia average
Virginia average: 1.5%
Lost Too Much Weight Percent of long-stay residents who lose too much weight6.0%
In line with Virginia average
Virginia average: 5.9%
Depressive Symptoms Percent of long-stay residents who have depressive symptoms2.2%
85% better than Virginia average
Virginia average: 14.9%
Antipsychotic Use Percent of long-stay residents who received an antipsychotic medication16.0%
24% worse than Virginia average
Virginia average: 12.9%
Pneumococcal Vaccine Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine99.4%
9% better than Virginia average
Virginia average: 91.3%
Influenza Vaccine Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine95.0%
In line with Virginia average
Virginia average: 94.0%
Hospitalizations per 1,000 days 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 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 averageVirginia avg: 3.9CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal VaccinePercent of short-stay residents assessed and appropriately given the pneumococcal vaccine93.5%
25% better than Virginia average
Virginia average: 74.9%
Antipsychotic medication increasePercent of short-stay residents who newly received an antipsychotic medication0.6%
50% better than Virginia average
Virginia average: 1.2%
Influenza VaccinePercent of short-stay residents assessed and appropriately given the seasonal influenza vaccine95.1%
29% better than Virginia average
Virginia average: 73.6%
Re-hospitalized after SNF stayPercentage 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 visitsPercentage 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 injuryPercentage 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 dischargePercentage 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 communityRate of successful return to home or community from a skilled nursing facility.64.4%
27% better than Virginia average
Virginia average: 50.6%
Breakdown by payment type
Medicare
82% of new residents, usually for short-term rehab.
Typical stay25 days
Private pay
16% of new residents, often for short stays.
Typical stay9 - 10 months
Medicaid
2% of new residents, often for long-term daily care.
Typical stay1 - 2 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics
(Data as of Jan 2026)
Total residents57
Medicare
14
24.6% of residents
Medicaid
9
15.8% of residents
Private pay or other
34
59.6% of residents
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.
Financial Trends
Historical financial and operational data for Brandon Oaks Nursing and Rehabilitation Center from 2011–2023, based on CMS SNF Cost Reports.
Includes all financial data for this property, which could include management/ownership changes.
Key figures below are for fiscal year ending in 12/2023.
Net Patient Income-$20.2M↓ ~$145.9K vs 2022
Payroll Costs$7.0M↑ ~$748.4K vs 2022
Operating Margin-279.0%↑ 106.4pp vs 2022
Financial Performance
Net patient revenueOperating expensesNet patient income
Payroll & Labor Costs
SalariesStaff salaries from the home's own payroll records.Wage CostsWage-related costs — benefits such as payroll taxes, health insurance and retirement. Together with salaries, these make up payroll.Contract LaborPay for temporary or agency staff. Counted under other operating costs, not payroll.
Payer Mix (percentage)
MedicareMedicaidPrivate Pay/Other
Metric
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
Occupancy %
84.9%
90.4%
88.6%
95.7%
82.7%
88.5%
87.2%
86.2%
84.8%
69.4%
84.8%
68.3%
89.5%
Beds
62
62
62
62
62
62
62
62
62
62
62
62
62
Net Income
-$23,814
-$428,150
-$620,889
-$55,634
-$417,204
-$125,245
$1,042,406
$196,062
$610,974
-$4,313,319
$2,723,103
$3,795,002
$875,896
Gross Revenue
$7,250,662
$8,107,394
$8,294,298
$8,507,558
$10,791,571
$11,639,021
$11,387,738
$11,072,329
$11,016,783
$8,309,108
$9,868,628
$8,577,463
$10,548,485
Operating Expenses
$17,307,293
$18,059,139
$18,084,939
$18,723,039
$21,399,043
$22,177,735
$22,592,692
$23,222,187
$23,805,381
$22,562,103
$20,379,114
$25,272,942
$27,456,220
Net Patient Income
-$12,485,555
-$13,035,682
-$13,151,813
-$13,317,952
-$14,642,305
-$15,441,045
-$15,533,194
-$16,784,582
-$17,339,583
-$17,006,657
-$14,598,433
-$20,065,448
-$20,211,351
Net Patient Revenue
$4,821,738
$5,023,457
$4,933,126
$5,405,087
$6,756,738
$6,736,690
$7,059,498
$6,437,605
$6,465,798
$5,555,446
$5,780,681
$5,207,494
$7,244,869
Payroll Costs
$2,658,207
$3,781,155
$4,003,878
$4,167,364
$4,719,451
$4,737,089
$4,710,631
$4,957,585
$5,095,228
$4,905,566
$6,202,327
$6,229,239
$6,977,594
Operating Margin %
-258.9%
-259.5%
-266.6%
-246.4%
-216.7%
-229.2%
-220.0%
-260.7%
-268.2%
-306.1%
-252.5%
-385.3%
-279.0%
Medicare %
30.6%
29.0%
27.2%
23.7%
41.7%
45.4%
44.3%
42.7%
42.7%
33.5%
25.0%
26.7%
26.8%
Medicaid %
7.4%
7.7%
9.4%
8.5%
11.4%
10.0%
7.1%
3.0%
1.3%
1.4%
0.5%
13.6%
14.1%
Private %
62.0%
63.3%
63.4%
67.8%
46.8%
44.6%
48.6%
54.3%
56.0%
65.1%
74.4%
59.8%
59.1%
Net Patient Revenue/Day
$251
$245
$246
$250
$361
$336
$358
$330
$337
$353
$301
$337
$358
Cost/Day
$901
$880
$902
$865
$1,143
$1,105
$1,144
$1,191
$1,240
$1,433
$1,062
$1,636
$1,355
Avg Length of Stay
47.2 days
50.3 days
33.6 days
78.1 days
43.9 days
40.2 days
38.3 days
36.9 days
37.9 days
57.9 days
73.5 days
86.8 days
94.3 days
Finances and operations
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Nonprofit
Operated by a nonprofit corporation.
Net patient revenueNet 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."
$7.2M
Net patient incomeNet 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."
-$20.2M
Nonprofit Operated by a nonprofit corporation.
Net patient revenueNet 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."
$7.2M Rank#65 / 69Net patient revenue — State benchmarkedThis nursing home is ranked 65th out of 69 nursing homes we track in Virginia. Shows this facility's net patient revenue compared to the Virginia average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Net patient incomeNet 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."
-$20.2M
Other incomeMoney 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.
$21.1M
Payroll costsStaff 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#45 / 69Payroll costs — State benchmarkedThis nursing home is ranked 45th out of 69 nursing homes we track in Virginia. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Virginia average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
$7.0M
96.3% of net patient revenue
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#6 / 69Payroll % of net patient revenue — State benchmarkedThis nursing home is ranked 6th out of 69 nursing homes we track in Virginia. Shows payroll as a percentage of net patient revenue versus the Virginia average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Other operating costsEverything 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).
$20.5M
Total costsThe home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$27.5M
Certification details
License Number:495373
Owner Name:Heather Neff
Rural vs. Urban:Urban
County:Roanoke
Type of Control:Nonprofit — Operated by a nonprofit corporation.
Source: Centers for Medicare & Medicaid Services (CMS) and State data
How we calculate these figures
We use the home's most recent CMS SNF Cost Report — the annual financial statement every Medicare- and Medicaid-certified nursing home is required to file — to show how it earns and spends on resident care.
This includes
Net patient revenue — what the home collects for resident care after contractual allowances, bad debt and discounts.
Payroll — staff salaries plus wage-related benefits. Contract and agency labor is counted separately, under other operating costs.
Net patient income — what's left after the home's total operating expenses.
How we calculate net patient income and payroll %
Net patient income is net patient revenue minus the home's total operating expenses. Payroll % is payroll divided by net patient revenue — the share of each revenue dollar that goes to staff pay.
Net patient revenue vs. other income
Net patient revenue is money earned from resident care only. Anything the home earns outside of care — investments, grants, rentals and other non-operating sources — is reported separately as other income. Other income is not part of net patient revenue, and it is not included in net patient income.
What does this home offer?
Pets Allowed
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.
Most new residents arrive under Medicare (82% of admissions), and a typical Medicare stay runs around 25 days.
Admissions
261 total
Coverage residents most often arrive under.
Medicare82%
Private pay16%
Medicaid2%
Discharges
215 total
Coverage residents most often leave under.
Medicare85%
Private pay11%
Medicaid4%
How we assess these insights
We analyze official CMS data on admissions and discharges to understand the types of residents a nursing home most often serves.
This includes
Medicare, Medicaid, and private-pay admissions and discharges
Number of nights covered by each payment type
Typical length of stay
How we calculate length of stay
We calculate length of stay separately for each payment type (Medicare, Medicaid and private) by dividing total number of nights by total number of admissions.
Places of interest near Brandon Oaks Nursing and Rehabilitation Center
3.8 miles from city center Estimated distance in miles from Roanoke's city center to Brandon Oaks Nursing and Rehabilitation Center's address, calculated via Google Maps.
— 0.74 miles to nearest hospital (Salem VA Medical Center)
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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-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This TableAL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
CCRC (Continuing Care Retirement Community):
A campus with multiple care levels so residents can age in place without moving.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Virginia average is: 76.3% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Rank badges are statewide and care-type specific: each nursing home is ranked against every other VA nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Brandon Oaks Nursing and Rehabilitation Center is located in Roanoke, Virginia. Here are the financial assistance programs available to residents in Virginia.
Heating/cooling aid ($300-$1,000/season)Crisis aid ($500 max)Equipment repair (~$250)
VA Aid and Attendance (A&A) and Housebound Benefits
Virginia VA Aid and Attendance/Housebound
Age65+ or disabled veteran/spouse
GeneralVA resident, wartime service, ADL help (A&A) or homebound.
Income Limits (2025)Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits~$155,356net worth
VA
High veteran population; supports rural/urban needs.
Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs
Property Tax Relief for the Elderly and Disabled
Virginia Property Tax Relief
Age65+ or disabled
GeneralVA resident, homeowner, income/asset limits vary by locality.
Income Limits (2025)~$50,000-$75,000/yearhousehold, e.g., Fairfax: $72,000; Richmond: $50,000
Asset LimitsVariese.g., Fairfax: $400,000 net worth; Richmond: $100,000
VA
Offered in 90% of localities; saves ~$500-$2,000/year.
Benefits
Tax exemption/deferral (~$500-$2,000/year depending on locality)
Senior Farmers’ Market Nutrition Program (SFMNP)
Virginia SFMNP
Age60+
GeneralVA resident, low-income.
Income Limits (2025)~$2,322/month185% FPL
Asset LimitsNot assessed.
VA
Vouchers (~$50-$75/season); serves ~15,000 via AAAs.
Benefits
Vouchers (~$50-$75/season) for produce at farmers’ markets
Frequently Asked Questions about Brandon Oaks Nursing and Rehabilitation Center
What neighborhood is Brandon Oaks Nursing and Rehabilitation Center in?
Brandon Oaks Nursing and Rehabilitation Center is in the Westland neighborhood of Roanoke.
Is Brandon Oaks Nursing and Rehabilitation Center in a walkable area?
Brandon Oaks Nursing and Rehabilitation Center has a walk score of 33. Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
What is the occupancy rate at Brandon Oaks Nursing and Rehabilitation Center?
Brandon Oaks Nursing and Rehabilitation Center's occupancy is 53.5%.
Are pets allowed at Brandon Oaks Nursing and Rehabilitation Center?
Yes, Brandon Oaks Nursing and Rehabilitation Center allows residents to bring their pets.
Does Brandon Oaks Nursing and Rehabilitation Center operate as a for-profit or non-profit?
Brandon Oaks Nursing and Rehabilitation Center is registered as a non-profit in VA.
Who is the administrator of Brandon Oaks Nursing and Rehabilitation Center?
Esteban Duran-Ballen is the administrator of Brandon Oaks Nursing and Rehabilitation Center.
What is the overall rating for Brandon Oaks Nursing and Rehabilitation Center?
Brandon Oaks Nursing and Rehabilitation Center received a 5-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.