Total health inspections
4
Virginia average 4.2
Last Health inspection on Oct 2024
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Friendship Retirement Community
Nursing Home, Assisted Living, Independent Living & Memory Care · Roanoke, VA
CMS overall rating
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.
Friendship Retirement Community
Nursing Home, Assisted Living, Independent Living & Memory Care · Roanoke, VA
CMS overall rating
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.
Friendship Retirement Community accepts Medicare, Medicaid, and private pay.
Overview of Friendship Retirement Community
Friendship Retirement Community undoubtedly provides the highest quality of care for seniors of Roanoke; they are one of the city’s most trusted retirement communities because of the essential service offered: friendship. As its name suggests, management makes it a point that seniors are encouraged to find the opportunity to discover long-lasting companies that help make the aging experience a little less daunting.
Offering senior independent living, assisted living, memory care, and nursing care services, the staff is committed to delivering resort-style services with respect and dignity. Many will find an enhanced day-to-day living experience beneficial to health and wellness, recovery journey, and individual growth; life enrichment programs, social activities, specialized therapy programs, and ADLs support these.
Quality ratings
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 31st 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.
This home is ranked 31st 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.
4h 28m per day
Rank #31 / 85Nurse hours — State benchmarkedThis home is ranked 31st out of 85 homes in Virginia. Shows adjusted nurse hours per resident per day benchmarked to the Virginia average, with a ranking across 85 Virginia SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Virginia avg
-7%
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 13m per day |
Types of Care at Friendship Retirement Community
Assisted Living
Independent Living
Memory Care
Capacity and availability
This home usually has limited availability
Occupancy between 85% and 95% suggests balanced demand.
Occupancy rate
93.1%
Rank #26 / 311Occupancy rate — State benchmarkedThis home is ranked 26th out of 311 homes in Virginia. Shows this facility's occupancy rate versus the Virginia average, with its Statewide rank out of 311. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
112 days
Occupancy rate
93.1%
Rank #26 / 311Occupancy rate — State benchmarkedThis home is ranked 26th out of 311 homes in Virginia. Shows this facility's occupancy rate versus the Virginia average, with its Statewide rank out of 311. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
112 days
Walk Score: 48 / 100 Rank #186 / 449Walk Score — State benchmarkedThis home is ranked 186th out of 449 homes in Virginia. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Virginia SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
BBB Rating: A+ (Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
About this community
AwardsBest Rehab/Post-op Facility, Best Physical Therapy Practice
Secured Perimeter
Emergency SystemsYes
Staffing
Key information about the people who lead and staff this community.
ContactMr. C. Michael Shannon, Chief Financial Officer
Rehabilitation Services
Respite Care
Home Care
HousekeepingYes
Linen ServiceYes
Utilities IncludedYes
Fitness Center
Gym
Library
Salon
Barber
Spa
Chapel
Dining Room
Restaurant
Bistro
Cafe
Courtyard
Garden
Patio
Movie Theater
Transportation
Concierge
24-Hour Security
Wifi
Housekeeping
Laundry
Specific ProgramsNorth Campus, Adult Medical Day Care, Richfield Living, Health Center, Salem Terrace, Health & Memory Care, Health & Rehab South, Richfield, Health & Rehab, Skilled Nursing & Inpatient Rehab, Outpatient Care, Physical/Occupational/Speech Therapy, Physicians Clinic, Counseling Services, Care Services
Religious ServicesYes
Volunteer ProgramsYes
Starting Price$1,709 per month
Health Inspection History
Inspections
Total health citations
18
Rank #29 / 86Health citations — State benchmarkedThis home is ranked 29th out of 86 homes in Virginia. Shows this facility's total health deficiency citations benchmarked to the Virginia State average, with a ranking across all 86 VA SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Virginia average 38.4
Citations per inspection
4.5
Rank #18 / 86Citations per inspection — State benchmarkedThis home is ranked 18th out of 86 homes in Virginia. Shows average deficiency citations per CMS inspection for this facility versus the Virginia mean across 86 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Virginia average 8.93
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
17 of 18 citations resulted from standard inspections; and 1 of 18 resulted from complaint investigations.
Breakdown of citation severity (last 5 years)
Critical Health citations
0
100% better than Virginia averageVirginia average: 0.4
Serious Health citations
0
100% better than Virginia averageVirginia average: 1
Citations history (last 5 years)
Administration moderate citation
Oct 29, 2024
Corrected
Quality of Care moderate citation
Oct 29, 2024
Corrected
Quality of Care moderate citation
Oct 29, 2024
Corrected
Care Planning moderate citation
Oct 29, 2024
Corrected
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff
429
Employees
310
Contractors
119
Staff to resident ratio
1.92:1
15% better than Virginia average
Avg staff/day
134
Average shift
7.7 hours
0% compared with Virginia average
Total staff hours (quarter)
94,738
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
43
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
85
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
201
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursThis role is partially covered by contractors.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
7.8%
7,435 contractor hours this quarter
Certified Nursing Assistant: 58
Licensed Practical Nurse: 37
Registered Nurse: 22
Medical Director: 1
Occupational Therapy Assistant: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 143 | 58 | 201 | 41,180 | 92 | 100% | 8 |
| Licensed Practical Nurse | 48 | 37 | 85 | 20,245 | 92 | 100% | 8.4 |
| Registered Nurse | 21 | 22 | 43 | 5,137 | 92 | 100% | 7.3 |
| RN Director of Nursing | 12 | 0 | 12 | 4,941 | 92 | 100% | 7.5 |
| Clinical Nurse Specialist | 14 | 0 | 14 | 4,229 | 92 | 100% | 4.9 |
| Nurse Aide in Training | 14 | 0 | 14 | 3,089 | 90 | 98% | 8.4 |
| Speech Language Pathologist | 11 | 0 | 11 | 2,948 | 90 | 98% | 7.4 |
| Other Dietary Services Staff | 5 | 0 | 5 | 2,147 | 90 | 98% | 7.8 |
| Physical Therapy Aide | 9 | 0 | 9 | 2,123 | 86 | 93% | 7.3 |
| Mental Health Service Worker | 4 | 0 | 4 | 1,928 | 64 | 70% | 8 |
| Respiratory Therapy Technician | 11 | 0 | 11 | 1,346 | 78 | 85% | 5.6 |
| Administrator | 2 | 0 | 2 | 968 | 66 | 72% | 8 |
| Occupational Therapy Aide | 3 | 0 | 3 | 968 | 64 | 70% | 8 |
| Qualified Social Worker | 4 | 0 | 4 | 920 | 67 | 73% | 7.1 |
| Physical Therapy Assistant | 3 | 0 | 3 | 907 | 76 | 83% | 7.3 |
| Nurse Practitioner | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Dietitian | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Feeding Assistant | 2 | 0 | 2 | 260 | 13 | 14% | 10 |
| Qualified Activities Professional | 1 | 0 | 1 | 198 | 66 | 72% | 3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 94 | 13 | 14% | 7.2 |
| Other Physician | 1 | 0 | 1 | 72 | 12 | 13% | 6 |
| Medical Director | 0 | 1 | 1 | 65 | 13 | 14% | 5 |
201 Certified Nursing Assistant
% of Days
100%
85 Licensed Practical Nurse
% of Days
100%
43 Registered Nurse
% of Days
100%
12 RN Director of Nursing
% of Days
100%
14 Clinical Nurse Specialist
% of Days
100%
14 Nurse Aide in Training
% of Days
98%
11 Speech Language Pathologist
% of Days
98%
5 Other Dietary Services Staff
% of Days
98%
9 Physical Therapy Aide
% of Days
93%
4 Mental Health Service Worker
% of Days
70%
11 Respiratory Therapy Technician
% of Days
85%
2 Administrator
% of Days
72%
3 Occupational Therapy Aide
% of Days
70%
4 Qualified Social Worker
% of Days
73%
3 Physical Therapy Assistant
% of Days
83%
1 Nurse Practitioner
% of Days
67%
1 Dietitian
% of Days
65%
2 Feeding Assistant
% of Days
14%
1 Qualified Activities Professional
% of Days
72%
1 Occupational Therapy Assistant
% of Days
14%
1 Other Physician
% of Days
13%
1 Medical Director
% of Days
14%
Penalties and fines
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 score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.1
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.1
9% 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.
20.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.6
In line with 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
16.5%
Percent of long-stay residents whose need for help with daily activities has increased
16.5%
In line with Virginia averageVirginia average: 16.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
20.7%
Percent of long-stay residents whose ability to move independently worsened
20.7%
5% 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
24.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.5%
8% worse than Virginia averageVirginia average: 22.6%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
5.4%
Percent of long-stay residents experiencing one or more falls with major injury
5.4%
50% worse than Virginia averageVirginia average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
6.1%
Percent of long-stay high risk residents with pressure ulcers
6.1%
14% worse than Virginia averageVirginia average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.2%
Percent of long-stay residents with a urinary tract infection
1.2%
22% better than Virginia averageVirginia average: 1.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.8%
Percent of long-stay residents who lose too much weight
6.8%
16% worse than Virginia averageVirginia average: 5.9%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
2.1%
Percent of long-stay residents who have depressive symptoms
2.1%
86% better than Virginia averageVirginia average: 14.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
21.6%
Percent of long-stay residents who received an antipsychotic medication
21.6%
68% worse than Virginia averageVirginia average: 12.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.5%
In line with Virginia averageVirginia average: 91.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.0%
In line with Virginia averageVirginia average: 94.0%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.2%
22% 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%
47% better than Virginia averageVirginia average: 1.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
86.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
86.2%
17% better than Virginia averageVirginia average: 73.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
34% of new residents, usually for short-term rehab.
Typical stay
28 days
Private pay
53% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
13% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
224
Medicare
30
13.4% of residents
Medicaid
157
70.1% of residents
Private pay or other
37
16.5% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
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.
Financial Trends
Historical financial and operational data for Friendship Retirement Community based on CMS SNF Cost Reports.
Occupancy Rate
93.1%
↑ 4.5pp vs 2023
Net Income
$5.0M
↑ ~$1.5M vs 2023
Total Payroll
$15.3M
↑ ~$44.6K vs 2023
Profit Margin
14.4%
↑ 3.2pp vs 2023
Finances and operations
Voluntary non-profit community
Home revenue
$37.0M
Surplus of revenue
$5.0M
Voluntary non-profit community
Home revenue
$37.0M Rank #19 / 85Revenue — State benchmarkedThis home is ranked 19th out of 85 homes in Virginia. Shows this facility's annual revenue compared to the Virginia SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Surplus of revenue
$5.0M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #21 / 85Payroll — State benchmarkedThis home is ranked 21st 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.
$15.3M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #21 / 85Payroll — State benchmarkedThis home is ranked 21st 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.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$16.6M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$32.0M
What does this home offer?
Pets Allowed
Housing Options: 2 Bed
Building Type: Mid-rise
Transportation Services
Fitness and Recreation
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Living Spaces & Floor Plans for Friendship Retirement Community
Friendship Retirement Community P3
Friendship Retirement Community P2
Friendship Retirement Community P1
Friendship Retirement Community P4
Floor Plan
Floor Plan
Places of interest near Friendship Retirement Community
4.3 miles from city center
Estimated distance in miles from Roanoke's city center to Friendship Retirement Community's address, calculated via Google Maps.
— 3.92 miles to nearest hospital (Carilion Clinic-Rehabilitation)
Calculate Travel Distance to Friendship Retirement Community
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Financial Assistance for
Nursing Home in Virginia
Friendship Retirement Community is located in Roanoke, Virginia.
Here are the financial assistance programs available to residents in Virginia.
Frequently Asked Questions about Friendship Retirement Community
What neighborhood is Friendship Retirement Community in?
Friendship Retirement Community is in the Hollins neighborhood of Roanoke.
Is Friendship Retirement Community in a walkable area?
Friendship Retirement Community has a walk score of 48. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Does Friendship Retirement Community have different floorplan options?
Yes — see the floorplan options available at Friendship Retirement Community on this page.
Are there photos of Friendship Retirement Community?
Yes — there are 51 photos of Friendship Retirement Community in the photo gallery on this page.
What is the phone number of Friendship Retirement Community?
(540) 384-5977 will put you in contact with the team at Friendship Retirement Community.
Is Friendship Retirement Community Medicare or Medicaid certified?
Yes — Friendship Retirement Community is a CMS-certified provider of Medicare and Medicaid.
Guides for Better Senior Living
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