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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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 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.
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 15th out of 85 homes in Virginia. 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.
| 43m per day | ▲ 5% 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 48m per day | ▲ 80% 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 51m per day | ▲ 34% 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.
| 4h 1m per day | ▲ 21% 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.
| 10m per day | ▲ 100% 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.
| 28m per day | ■ Avg State avg: 28m per day · National avg: 29m per day |
Lower than the Virginia average: 85.7%Brandon Oaks Nursing and Rehabilitation Center is administrated by Adm Esteban Duran-Ballen.
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.
This scorecard compares key inspection, citation, 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.
Deficiencies
| 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 year
Average deficiencies per year since 2020.
| 5.5 | 5.3 | This facility has 4% more deficiencies per year than a typical Virginia nursing home (5.5 vs. VA avg 5.3).↑ 4% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 3.3 | 2.3 | This facility has 43% more deficiencies per inspection than a typical Virginia nursing home (3.3 vs. VA avg 2.3).↑ 43% worse |
Inspections
| This Facility | VA Average | vs. VA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 10 | 14 | This facility has 29% fewer total inspections than a typical Virginia nursing home (10 vs. VA avg 14).↓ 29% better |
|
Inspections with violations
Inspections that uncovered at least one regulatory violation.
| 4 | 9 | This facility has 56% fewer inspections with violations than a typical Virginia nursing home (4 vs. VA avg 9).↓ 56% better |
|
Inspection violation rate
Percentage of inspections that resulted in at least one violation.
| 40% | 64% | This facility has 24 percentage points lower inspection violation rate than a typical Virginia nursing home (40% vs. VA avg 64%).↓ 24% better |
Complaints & Investigations
| 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 |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on July 29, 2025, found no deficiencies following a monitoring visit related to a self-reported incident. Earlier inspections showed a pattern of deficiencies primarily involving medication management, including unsecured medication carts and inaccurate controlled substance accounting, as well as documentation issues such as incomplete resident rights reviews and health care oversight records. Complaint investigations were conducted but were not substantiated, with no fines or enforcement actions listed in the available reports. Prior reports also noted issues with staff training, resident assessments, and food safety, though some monitoring visits found no violations. The trend suggests some improvement in recent inspections, with the latest monitoring visits showing no deficiencies after earlier citations.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsVirginia average 4.2
Last Health inspection on Sep 2023
Virginia average 38.4
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).
100% better than Virginia averageVirginia average: 0.4
100% better than Virginia averageVirginia average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
45% better than Virginia average
6% worse 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.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
509 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 54 | 0 | 54 | 15,461 | 92 | 100% | 7.4 |
| Licensed Practical Nurse | 32 | 0 | 32 | 7,260 | 92 | 100% | 7.7 |
| Registered Nurse | 17 | 0 | 17 | 3,249 | 92 | 100% | 7.4 |
| Speech Language Pathologist | 4 | 0 | 4 | 1,583 | 77 | 84% | 7.2 |
| RN Director of Nursing | 3 | 0 | 3 | 1,498 | 80 | 87% | 8 |
| Physical Therapy Assistant | 4 | 0 | 4 | 1,415 | 71 | 77% | 7.5 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,350 | 90 | 98% | 7.7 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 1,034 | 76 | 83% | 8 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 847 | 77 | 84% | 5.6 |
| Physical Therapy Aide | 2 | 0 | 2 | 611 | 67 | 73% | 6.6 |
| Dietitian | 1 | 0 | 1 | 590 | 65 | 71% | 9.1 |
| Administrator | 1 | 0 | 1 | 458 | 61 | 66% | 7.5 |
| Occupational Therapy Aide | 0 | 1 | 1 | 456 | 57 | 62% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 443 | 59 | 64% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 390 | 52 | 57% | 7.5 |
| Qualified Social Worker | 4 | 0 | 4 | 363 | 57 | 62% | 5.6 |
| Medical Director | 0 | 1 | 1 | 46 | 10 | 11% | 4.6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 7 | 3 | 3% | 2.2 |
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
13% worse than Virginia averageVirginia average: 10.1
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
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
22.3%
33% worse than Virginia averageVirginia average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
22.4%
13% worse than Virginia averageVirginia average: 19.7%
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%
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
7% worse than Virginia averageVirginia average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
2.6%
52% better than Virginia averageVirginia average: 5.4%
Percent of long-stay residents with a urinary tract infection
4.6%
196% worse than Virginia averageVirginia average: 1.5%
Percent of long-stay residents who lose too much weight
6.0%
In line with Virginia averageVirginia average: 5.9%
Percent of long-stay residents who have depressive symptoms
2.2%
85% better than Virginia averageVirginia average: 14.9%
Percent of long-stay residents who received an antipsychotic medication
16.0%
24% worse than Virginia averageVirginia average: 12.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
9% better than Virginia averageVirginia average: 91.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.0%
In line with Virginia averageVirginia average: 94.0%
Number of hospitalizations per 1,000 long-stay resident days.
2.00
37% worse than Virginia averageVirginia average: 1.46
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.76
46% better 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
93.5%
25% better than Virginia averageVirginia average: 74.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.6%
50% better than Virginia averageVirginia average: 1.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.1%
29% better than Virginia averageVirginia average: 73.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.8%
5% better than Virginia averageVirginia average: 22.0%
Percentage of short-stay residents who had an outpatient emergency department visit.
6.3%
46% better than Virginia averageVirginia average: 11.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.6%
22% better than Virginia averageVirginia average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
69.4%
29% better than Virginia averageVirginia average: 53.7%
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.
82% of new residents, usually for short-term rehab.
16% of new residents, often for short stays.
2% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
57Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
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 Brandon Oaks Nursing and Rehabilitation Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #58 / 85Payroll — State benchmarkedThis home is ranked 58th out of 85 homes in Virginia. 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
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)
Add your location
Brandon Oaks Nursing and Rehabilitation Center is located in Roanoke, Virginia.
Here are the financial assistance programs available to residents in Virginia.
The information below is reported by the Virginia Department of Social Services and Department of Health.
| Virginia Veterans Care 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 (Shenandoah Avenue Northwest) | 3 | 64.4% | -25% | 4.28 | +5% | +14% | $0 | 16 | 5.3 | - | 195 | - | 19 | Todd Barnes | $33.8M | $25.5M | 75.4% | 495274 | ||||
| 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 (Westland) | 43 | 89.5% | +4% | 5.33 | +28% | +42% | $0 | 12 | 4.0 | - | 57 | - | 33 | Heather Neff | $31.6M | $7.5M | 23.6% | 495373 | ||||
| Our Lady of the Valley |
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.
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. | Roanoke (Gainsboro) | 127 | 88.2% | +3% | 3.79 | -42% | +1% | $0 | 14 | 4.7 | - | 65 | A+ | 68 | David Rawlings | $17.2M | $8.2M | 47.6% | 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 (Edgehill) | 98 | 85.7% | 0% | 3.36 | +6% | -10% | $0 | 39 | 13.0 | - | 85 | A+ | 45 | American Healthcare LLC | $10.6M | $5.8M | 54.4% | 495002 | ||||
| Richfield Living – Roanoke Campus |
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 (Arrington Court) | 116 | 70.6% | -18% | 3.24 | -48% | -14% | $0 | 16 | 8.0 | - | 108 | - | 32 | - | $14.3M | $6.5M | 45.7% | 495427 |
Brandon Oaks Nursing and Rehabilitation Center is in the Westland neighborhood of Roanoke.
Brandon Oaks Nursing and Rehabilitation Center has a walk score of 33. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to VA state health department records, Brandon Oaks Nursing and Rehabilitation Center's license expires on July 22, 2026.
Brandon Oaks Nursing and Rehabilitation Center's occupancy is 53%.
Adm Esteban Duran-Ballen is the administrator of Brandon Oaks Nursing and Rehabilitation Center.
Brandon Oaks Nursing and Rehabilitation Center has 43 beds.
Brandon Oaks Nursing and Rehabilitation Center has had 10 recently reported deficiencies.
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