4/5
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.
4/5
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.
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.
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 33rd out of 89 homes 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.
| 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.
| 28m per day | ▼ 30% State avg: 40m 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 11m per day | ▲ 19% 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 5m per day | ■ Avg State avg: 2h 6m per day · National avg: 2h 20m 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.
| 3h 4m per day | ▼ 9% State avg: 3h 21m per day · National avg: 3h 27m 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.
| 4m per day | ▼ 25% 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.
| 19m per day | ▼ 29% State avg: 27m per day · National avg: 29m per day |
Key information about the people who lead and staff this community.
Virginia average 4.2
Last Health inspection on Oct 2024
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.
17 of 18 citations resulted from standard inspections; and 1 of 18 resulted from complaint investigations.
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.
15% more staff per resident than Virginia average
0% compared with Virginia average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
43 total: 21 full-time employees and 22 contractors.
43
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursAssists with medical care and medications.
85 total: 48 full-time employees and 37 contractors.
85
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursHelps with daily care and mobility.
201 total: 143 full-time employees and 58 contractors.
201
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
7,435 contractor hours this quarter
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 |
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.
11.1
9% worse than Virginia averageVirginia average: 10.1
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
Percent of long-stay residents whose need for help with daily activities has increased
16.5%
In line with Virginia averageVirginia average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
20.7%
5% worse than Virginia averageVirginia average: 19.7%
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%
Percent of long-stay residents experiencing one or more falls with major injury
5.4%
50% worse than Virginia averageVirginia average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
6.1%
14% worse than Virginia averageVirginia average: 5.4%
Percent of long-stay residents with a urinary tract infection
1.2%
22% better than Virginia averageVirginia average: 1.5%
Percent of long-stay residents who lose too much weight
6.8%
16% worse than Virginia averageVirginia average: 5.9%
Percent of long-stay residents who have depressive symptoms
2.1%
86% better than Virginia averageVirginia average: 14.9%
Percent of long-stay residents who received an antipsychotic medication
21.6%
68% worse than Virginia averageVirginia average: 12.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.5%
In line with Virginia averageVirginia average: 91.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.0%
In line with Virginia averageVirginia average: 94.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.2%
22% better than Virginia averageVirginia average: 74.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.6%
47% better than Virginia averageVirginia average: 1.2%
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.
34% of new residents, usually for short-term rehab.
53% of new residents, often for short stays.
13% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
224Residents meet regularly to discuss policies, care quality, and activities
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 Friendship Retirement Community from 2012–2024, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 06/2024.
Net 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."
Net 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."
Net 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."
Net 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."
Money 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.
Staff 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 #22 / 89Payroll — State benchmarkedThis home is ranked 22nd out of 89 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.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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 #55 / 89Payroll % — State benchmarkedThis home is ranked 55th out of 89 homes in Virginia. Shows payroll as a percentage of revenue versus the Virginia average. Well-run Virginia facilities typically land around 51–60% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything 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).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Pets Allowed
Housing Options: 2 Bed
Building Type: Mid-rise
Transportation Services
Fitness and Recreation
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (53% of admissions), and a typical private pay stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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.
Add your location
The information below is reported by the Virginia Department of Social Services and Department of Health.
| Our Lady of the Valley | NH AL MC NC RC | Roanoke (Gainsboro) | 127
Facility
127
VA AVG
95
Rank
#78 / 371 |
87.4%
Facility
87.4%
VA AVG
85.7%
Rank
#65 / 314 | +2% | 3.79
Facility
3.79
VA AVG
3.74
Rank
#47 / 89 | -42% | +1% | $0
Facility
$0
VA AVG
$54.3k
Rank
#1 / 93 | 14
Facility
14
VA AVG
38.4
Rank
#15 / 90 | 4.7
Facility
4.7
VA AVG
8.9
Rank
#19 / 90 | - | 111 | A+ |
68
Facility
68
VA AVG
44
Rank
#74 / 449 | David Rawlings | $14.8M
Facility
$14.8M
VA AVG
$18.3M
Rank
#58 / 89 | $8.2M
Facility
$8.2M
VA AVG
$6.9M
Rank
#53 / 89 | 55.5%
Facility
55.5%
VA AVG
39.7%
Rank
#37 / 89 | 495357 | ||||
| Friendship Retirement Community | NH AL IL MC RC | Roanoke (Hollins) | 253
Facility
253
VA AVG
95
Rank
#5 / 371 |
93.1%
Facility
93.1%
VA AVG
85.7%
Rank
#27 / 314 | +9% | 4.46
Facility
4.46
VA AVG
3.74
Rank
#33 / 89 | +4% | +19% | $0
Facility
$0
VA AVG
$54.3k
Rank
#1 / 93 | 18
Facility
18
VA AVG
38.4
Rank
#29 / 90 | 4.5
Facility
4.5
VA AVG
8.9
Rank
#18 / 90 | - | 231 | A+ |
48
Facility
48
VA AVG
44
Rank
#186 / 449 | Friendship Foundation Inc | $29.8M
Facility
$29.8M
VA AVG
$18.3M
Rank
#20 / 89 | $15.3M
Facility
$15.3M
VA AVG
$6.9M
Rank
#22 / 89 | 51.5%
Facility
51.5%
VA AVG
39.7%
Rank
#55 / 89 | 495092 | ||||
| Pheasant Ridge Nursing and Rehab Center | NH MC | Roanoke (Southern Hills) | 101
Facility
101
VA AVG
95
Rank
#140 / 371 | - | - | 3.56
Facility
3.56
VA AVG
3.74
Rank
#52 / 89 | +4% | -5% | $0
Facility
$0
VA AVG
$54.3k
Rank
#1 / 93 | 25
Facility
25
VA AVG
38.4
Rank
#43 / 90 | 6.3
Facility
6.3
VA AVG
8.9
Rank
#33 / 90 | 1 | 19 | A+ |
15
Facility
15
VA AVG
44
Rank
#385 / 449 | Victor Bell | $10.9M
Facility
$10.9M
VA AVG
$18.3M
Rank
#63 / 89 | $5.1M
Facility
$5.1M
VA AVG
$6.9M
Rank
#87 / 89 | 47.1%
Facility
47.1%
VA AVG
39.7%
Rank
#71 / 89 | 495325 | ||||
| South Roanoke Nursing Home | NH AL | Roanoke (Edgehill) | 98
Facility
98
VA AVG
95
Rank
#158 / 371 |
85.7%
Facility
85.7%
VA AVG
85.7%
Rank
#75 / 314 | 0% | 3.36
Facility
3.36
VA AVG
3.74
Rank
#56 / 89 | +6% | -10% | $0
Facility
$0
VA AVG
$54.3k
Rank
#1 / 93 | 39
Facility
39
VA AVG
38.4
Rank
#54 / 90 | 13.0
Facility
13.0
VA AVG
8.9
Rank
#69 / 90 | - | 88 | A+ |
45
Facility
45
VA AVG
44
Rank
#208 / 449 | American Healthcare LLC | $9.5M
Facility
$9.5M
VA AVG
$18.3M
Rank
#83 / 89 | $5.1M
Facility
$5.1M
VA AVG
$6.9M
Rank
#77 / 89 | 53.6%
Facility
53.6%
VA AVG
39.7%
Rank
#18 / 89 | 495002 | ||||
| Old Southwest Rehabilitation and Nursing | NH HC MC PC RC | Roanoke (Old Southwest) | 130
Facility
130
VA AVG
95
Rank
#69 / 371 |
25.4%
Facility
25.4%
VA AVG
85.7%
Rank
#307 / 314 | -70% | 3.82
Facility
3.82
VA AVG
3.74
Rank
#47 / 89 | -27% | +2% | $143.8k
Facility
$143.8k
VA AVG
$54.3k
Rank
#93 / 93 | 131
Facility
131
VA AVG
38.4
Rank
#89 / 90 | 18.7
Facility
18.7
VA AVG
8.9
Rank
#88 / 90 | 4 | 33 | A+ |
57
Facility
57
VA AVG
44
Rank
#133 / 449 | Andrew Shuler | $8.8M
Facility
$8.8M
VA AVG
$18.3M
Rank
#85 / 89 | $4.2M
Facility
$4.2M
VA AVG
$6.9M
Rank
#79 / 89 | 47.8%
Facility
47.8%
VA AVG
39.7%
Rank
#23 / 89 | 495156 |
Friendship Retirement Community is located in Roanoke, Virginia.
Here are the financial assistance programs available to residents in Virginia.
Friendship Retirement Community is in the Hollins neighborhood of Roanoke.
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.
Friendship Retirement Community's occupancy is 93.1%.
Yes — see the floorplan options available at Friendship Retirement Community on this page.
Friendship Retirement Community is registered as a non-profit in VA.
Yes — there are 36 photos of Friendship Retirement Community in the photo gallery on this page.
Friendship Retirement Community is located at 367 Hershberger Rd, Roanoke, VA 24012.
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