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Friendship Assisted Living, Inc.
Nursing Home, Assisted Living, Independent Living, Memory Care, Respite Care & Skilled Nursing · Roanoke, VA
Friendship Retirement Community, Nursing Home in Roanoke, VA — Exterior view of Friendship Assisted Living facility entrance Outdoor gazebo surrounded by lush greenery Friendship Retirement Community, Nursing Home in Roanoke, VA — An elderly woman with curly hair smiling while interacting with someone Friendship Retirement Community, Nursing Home in Roanoke, VA — Group celebrating graduation outdoors An elderly woman gardening at Friendship Assisted Living. Residents painting together in an outdoor space Staff assisting a resident on stairs during therapy

Friendship Assisted Living, Inc.

Nursing Home, Assisted Living, Independent Living, Memory Care, Respite Care & Skilled Nursing · Roanoke, VA
320 Hershberger Road, Roanoke, VA 24012 View map Calculator: See prices in your area
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Overview of Friendship Assisted Living

Friendship Assisted Living, Inc. is a senior living community in Roanoke, Virginia, that provides independent living, assisted living, memory care, and rehabilitation services. As one of the more expansive options in the Roanoke Valley, the community offers a broad range of services that allow families to secure a long-term care solution under one roof, with its 120 licensed beds.

With 84 of the 120 beds currently occupied, the community is operating at 70% occupancy, which is below the Virginia state average of 85.7%. This indicates open availability for those seeking immediate placement.

The community has completed five inspections, with 80% resulting in a cumulative total of 16 deficiencies. The most recent inspection in March 2025 identified a violation related to medication management. The primary findings include medication management, specifically the dating of opened items like insulin pens. While earlier records cited themes around staff training, service plans, and building maintenance, the community has no history of fines, license enforcement actions, or findings of immediate jeopardy. The decreasing number of deficiencies in the latest cycle also suggests a stabilizing operational trend.

Comprehensive clinical support, including nursing services, licensed nurses and CNAs, and a full rehabilitation program featuring short-term and respite care, is provided. The lifestyle experience includes chef-prepared seasonal meals, fitness programs, and a wide array of social engagement opportunities. The community also offers a particularly diverse activities calendar that includes various clubs, cultural events, games, educational classes, and volunteer programs.

Friendship Assisted Living, Inc. is a strong fit for older adults in the Roanoke area seeking a full spectrum of care and active social opportunities in one place. The community’s large scale allows for varied programming and peer engagement, while the current availability offers flexibility for interested families.

Facility Direct Line (540) 265-2244
Facility Direct Line (540) 265-2244

Capacity and availability

Residents per day
84
Bed community size
120-bed community Rank #88 / 365Bed count — State benchmarkedThis home is ranked 88th out of 365 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 cover every community we track in Virginia that reports data for that category. Communities 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.
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 19 / 100 Rank #363 / 435Walk Score — State benchmarkedThis home is ranked 363rd out of 435 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 cover every community we track in Virginia that reports data for that category. Communities 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.
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate
70%
Rank #163 / 297Occupancy rate — State benchmarkedThis home is ranked 163rd out of 297 homes we track in Virginia for occupancy. Shows this facility's occupancy rate versus the Virginia average, with its Statewide rank out of 297. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Virginia that reports data for that category. Communities 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.
Lower than the Virginia average: 85.7%
Occupied beds
84 / 120
Average occupied beds in Virginia homes 98 beds

License Details

Facility TypeAssisted Living Facility
StatusActive
ExpirationMay 31, 2028

Ownership & Operating Entity

Friendship Assisted Living, Inc. is administered by Alex Parker.

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Amenities & Lifestyle

Fitness Center
Activities
ActivitiesClubs and interest groups, cultural events, volunteer opportunities, games, and educational programs
Specific ProgramsRehab & Therapy

Contact Friendship Assisted Living, Inc.

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 2021 · 5 years of data These figures come from state-published and/or federal inspection records. The period covered can vary depending on document availability. 16 deficiencies 5 inspections

Inspection Scorecard Info 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 2021 vs. Virginia state average
Overall vs. VA average 1 Worse Metrics worse than Virginia average:
• Inspection deficiency rate (25% above) 2 Better Metrics better than Virginia average:
• Total deficiencies (50% below)
• Inspections with deficiencies (56% below)

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityVA Averagevs. VA Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 1632 This facility has 50% fewer total deficiencies than a typical Virginia nursing home (16 vs. VA avg 32).↓ 50% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityVA Averagevs. VA Avg
Total inspections Info Combined count of all inspections conducted at this facility. 514 This facility has had 64% fewer total inspections than the Virginia average (5 vs. VA avg 14). More inspections can mean more regulatory scrutiny rather than worse care.↓ 64% fewer
Inspections with deficiencies Info Inspections that uncovered at least one regulatory deficiency. 49 This facility has 56% fewer inspections with deficiencies than a typical Virginia nursing home (4 vs. VA avg 9).↓ 56% better
Inspection deficiency rate Info Percentage of inspections that resulted in at least one deficiency. 80%64% This facility has 16 percentage points higher inspection deficiency rate than a typical Virginia nursing home (80% vs. VA avg 64%).↑ 16% worse
Show Inspection Reports

This home is administered by Alex Parker.

What does this home offer?

Pets allowed icon
Pets allowed icon

Pets Allowed

Places of interest near Friendship Assisted Living, Inc.

Address 4.4 miles from city center Info Estimated distance in miles from Roanoke's city center to Friendship Assisted Living, Inc.'s address, calculated via Google Maps.

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Address

Compare Nursing Homes around Roanoke

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.

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 Table AL (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.
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 D or higher — meaning actual harm occurred or residents were placed in immediate jeopardy. 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.
Our Lady of the Valley
NH
AL
MC
RC
SNF
Roanoke (Gainsboro)
127
Facility 127
VA AVG 96
Rank #76 / 365
87.4%
Facility 87.4%
VA AVG 70.4
Rank #62 / 297
+24%
4.13
Facility 4.13
VA AVG 3.74
Rank #40 / 70
 -42%+10%
$0
Facility $0
VA AVG $54.3k
Rank #1 / 74
14
Facility 14
VA AVG 38.4
Rank #13 / 69
4.7
Facility 4.7
VA AVG 8.9
Rank #16 / 69
-111A+
68
Facility 68
VA AVG 45
Rank #73 / 435
David Rawlings
$14.8MFiscal year ending 06/2024
Facility $14.8MFiscal year ending 06/2024
VA AVG $19.9M
Rank #42 / 69
$8.2MFiscal year ending 06/2024
Facility $8.2MFiscal year ending 06/2024
VA AVG $11.3M
Rank #39 / 69
55.5%Fiscal year ending 06/2024
Facility 55.5%Fiscal year ending 06/2024
VA AVG 76.3%
Rank #24 / 69
495357
Virginia Veterans Care Center
NH
Roanoke (Shenandoah Avenue Northwest)
3
Facility 3
VA AVG 96
Rank #365 / 365
100.0%
Facility 100.0%
VA AVG 70.4
Rank #1 / 297
+42%
4.94
Facility 4.94
VA AVG 3.74
Rank #32 / 70
 +5%+32%
$0
Facility $0
VA AVG $54.3k
Rank #1 / 74
16
Facility 16
VA AVG 38.4
Rank #20 / 69
5.3
Facility 5.3
VA AVG 8.9
Rank #22 / 69
-3-
19
Facility 19
VA AVG 45
Rank #363 / 435
Todd Barnes
$26.4MFiscal year ending 06/2024
Facility $26.4MFiscal year ending 06/2024
VA AVG $19.9M
Rank #20 / 69
$24.7MFiscal year ending 06/2024
Facility $24.7MFiscal year ending 06/2024
VA AVG $11.3M
Rank #5 / 69
93.3%Fiscal year ending 06/2024
Facility 93.3%Fiscal year ending 06/2024
VA AVG 76.3%
Rank #9 / 69
495274
Brandon Oaks Nursing and Rehabilitation Center
NH
AL
HC
IL
MC
SNF
Roanoke (Westland)
43
Facility 43
VA AVG 96
Rank #313 / 365
53.5%
Facility 53.5%
VA AVG 70.4
Rank #240 / 297
-24%
6.00
Facility 6.00
VA AVG 3.74
Rank #14 / 70
 +28%+60%
$0
Facility $0
VA AVG $54.3k
Rank #1 / 74
12
Facility 12
VA AVG 38.4
Rank #8 / 69
4.0
Facility 4.0
VA AVG 8.9
Rank #9 / 69
-23-
33
Facility 33
VA AVG 45
Rank #282 / 435
Heather Neff
$7.2MFiscal year ending 12/2023
Facility $7.2MFiscal year ending 12/2023
VA AVG $19.9M
Rank #65 / 69
$7.0MFiscal year ending 12/2023
Facility $7.0MFiscal year ending 12/2023
VA AVG $11.3M
Rank #45 / 69
96.3%Fiscal year ending 12/2023
Facility 96.3%Fiscal year ending 12/2023
VA AVG 76.3%
Rank #6 / 69
495373
Friendship Retirement Community
NH
AL
IL
MC
RC
SNF
Roanoke (Hollins)
253
Facility 253
VA AVG 96
Rank #5 / 365
91.0%
Facility 91.0%
VA AVG 70.4
Rank #42 / 297
+29%
4.08
Facility 4.08
VA AVG 3.74
Rank #31 / 70
 +4%+9%
$0
Facility $0
VA AVG $54.3k
Rank #1 / 74
18
Facility 18
VA AVG 38.4
Rank #24 / 69
4.5
Facility 4.5
VA AVG 8.9
Rank #15 / 69
-230A+
48
Facility 48
VA AVG 45
Rank #185 / 435
Friendship Foundation Inc
$29.8MFiscal year ending 06/2024
Facility $29.8MFiscal year ending 06/2024
VA AVG $19.9M
Rank #13 / 69
$15.3MFiscal year ending 06/2024
Facility $15.3MFiscal year ending 06/2024
VA AVG $11.3M
Rank #16 / 69
51.5%Fiscal year ending 06/2024
Facility 51.5%Fiscal year ending 06/2024
VA AVG 76.3%
Rank #28 / 69
495092
Nursing Home Explorer

Financial Assistance for
Nursing Home in Virginia

Friendship Assisted Living, Inc. is located in ROANOKE, Virginia.
Here are the financial assistance programs available to residents in Virginia.

Get Financial aid guidance

Commonwealth Coordinated Care Plus (CCC Plus)

VA Medicaid CCC Plus

Age 65+ or disabled
General Virginia resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
VA

Managed care model; high demand in urban areas.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care ($65/day) Home modifications ($1,500 avg.)

Virginia Respite Care Grant Program

VA Respite Grant

Age Caregiver of someone 60+
General Virginia resident.
Income Limits ~$2,500/month individual, varies
Asset Limits $40,000 individual
VA

Limited grants; rural/urban balance.

Benefits
In-home respite (up to 30 days/year) Adult day care (~$65/day) Facility respite (up to 5 days)

Adult Services Program

Virginia Adult Services (AS)

Age 60+ (or disabled 18+)
General VA resident, need significant care (2+ ADLs), not Medicaid-eligible.
Income Limits (2025) Varies by locality; typically < ~$2,510/month 200% FPL
Asset Limits Limited assets (excludes home, car); varies by DSS.
VA

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

Benefits
Personal care (4-6 hours/week) Adult day care (~$60/day) Chore services Assessments Respite (~5 days/year)

Auxiliary Grant Program

Virginia Auxiliary Grant (AG)

Age 65+ (or disabled 18+)
General VA resident, living in approved ALF/foster care, SSI-eligible or low-income.
Income Limits (2025) ~$1,041/month (individual, SSI level + $20 disregard); higher with medical deductions.
Asset Limits $2,000 individual
VA

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

Benefits
Cash (~$1,400-$1,700/month in 2025, varies by region) for ALF/foster care costs; basic care included

Medicare Savings Program (MSP)

Virginia Medicare Savings Program

Age 65+ or disabled
General VA resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
VA

Includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Energy Assistance Program (EAP)

Virginia Energy Assistance Program

Age 60+ prioritized
General VA resident, low-income household.
Income Limits (2025) ~$3,970/month 185% FPL
Asset Limits Not assessed.
VA

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

Benefits
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

Age 65+ or disabled veteran/spouse
General VA 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 ~$155,356 net 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

Age 65+ or disabled
General VA resident, homeowner, income/asset limits vary by locality.
Income Limits (2025) ~$50,000-$75,000/year household, e.g., Fairfax: $72,000; Richmond: $50,000
Asset Limits Varies e.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

Age 60+
General VA resident, low-income.
Income Limits (2025) ~$2,322/month 185% FPL
Asset Limits Not 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 Friendship Assisted Living, Inc.

Is Friendship Assisted Living, Inc. in a walkable area?

Friendship Assisted Living, Inc. has a walk score of 19. Car-dependent. Most errands require a car, with limited nearby walkable options.

When does Friendship Assisted Living, Inc.'s license expire?

According to VA state health department records, Friendship Assisted Living, Inc.'s license expires on May 31, 2028.

What is the occupancy rate at Friendship Assisted Living, Inc.?

Friendship Assisted Living, Inc.'s occupancy is 70%.

Are pets allowed at Friendship Assisted Living, Inc.?

Yes, Friendship Assisted Living, Inc. allows residents to bring their pets.

Who is the administrator of Friendship Assisted Living, Inc.?

Alex Parker is the administrator of Friendship Assisted Living, Inc..

How many beds does Friendship Assisted Living, Inc. have?

Friendship Assisted Living, Inc. has 120 beds.

Has Friendship Assisted Living, Inc. had any deficiencies?

Friendship Assisted Living, Inc. has had 16 reported deficiencies since 2021 according to records from Virginia Department of Social Services (VDSS).

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