Richfield Living – Roanoke Campus
Nursing Home, Memory Care, Respite Care & Hospice Care · Roanoke, VA
CMS overall rating Info 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.

Richfield Living – Roanoke Campus

Nursing Home, Memory Care, Respite Care & Hospice Care · Roanoke, VA
CMS overall rating Info 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.
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Richfield Living – Roanoke Campus accepts Medicare, Medicaid, and private pay.

Overview of Richfield Living – Roanoke Campus

Richfield Campus in Roanoke is an upcoming premier community where residents thrive with the support of quality services for long-term care and short-term rehabilitation. The nursing facility offers a warm and welcoming atmosphere where residents and staff are encouraged to create friendships and build a mutual level of trust with each other. The dedicated team of professionals ensures seniors can recover and relax in resort-style setting.
The nursing home services are resident-focused, ensuring residents receive holistic wellness in a home-like atmosphere. Residents live their best lives because of excellent benefits that help speed recovery. Essential services include housekeeping, restaurant-style dining, stimulating activities, and specialized programs.

(540) 380-4500

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▼ 33.5% Below VA avg. ▼ 33.5% Below VA avg.Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▲ 8.1% Above VA avg. ▲ 8.1% Above VA avg.Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▼ 59.5% Below VA avg. ▼ 59.5% Below VA avg.Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▲ 3.9% Above VA avg. ▲ 3.9% Above VA avg.Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours breakdown

Info 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 — compared to Virginia state averages

Total nursing care / resident Info This home is ranked 67th 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.
3h 14m per day
Rank #67 / 85Nurse hours — State benchmarkedThis home is ranked 67th 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.
This facility Virginia avg (3h 45m per day)
vs Virginia avg
-14%

2 of 6 metrics below state avg

Standout metric Physical Therapist is +80% above state avg
Staff type Hours / Day / Resident vs state avg
Registered Nurse (RN) Info 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. 13m per day ▼ 68% State avg: 41m per day · National avg: 41m per day
LPN / LVN Info 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 13m per day ▲ 22% State avg: 1h 0m per day · National avg: 52m per day
Nurse Aide Info 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 8m per day ■ Avg State avg: 2h 8m per day · National avg: 2h 21m per day
Weekend Total Nursing Info 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 22m per day ■ Avg State avg: 3h 19m per day · National avg: 3h 26m per day
Physical Therapist Info 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. 9m per day ▲ 80% State avg: 5m per day · National avg: 4m per day
Weekend RN Info 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. 10m per day ▼ 64% State avg: 28m per day · National avg: 29m per day

Types of Care at Richfield Living – Roanoke Campus

Memory Care Respite Care Nursing Home Hospice Care

Capacity and availability

This home usually has availability

Occupancy lower than 85% suggests more openings may be available.

Lower occupancy than the Virginia average: 85.7%
Occupancy rate 70.6% Rank #171 / 311Occupancy rate — State benchmarkedThis home is ranked 171st 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 71 days
Occupancy rate
70.6% Rank #171 / 311Occupancy rate — State benchmarkedThis home is ranked 171st 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
71 days
Walk Score
Walk Score: 32 / 100 Rank #289 / 449Walk Score — State benchmarkedThis home is ranked 289th 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.

Contact Richfield Living – Roanoke Campus

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 221
Employees 143
Contractors 78
Staff to resident ratio 2.33:1
40% better than Virginia average
Virginia average ratio: 1.67:1 Virginia average ratio: 1.67:1See full Virginia ranking
Avg staff/day 56
Average shift 9 hours
13% better than Virginia average
Virginia average: 8 hours Virginia average shift: 8 hoursSee full Virginia ranking
Total staff hours (quarter) 46,566

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info 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 11
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.8 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff 43
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff 112
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.5 hours

This role is partially covered by contractors.

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

12.6%

5,880 contractor hours this quarter

Certified Nursing Assistant: 49 Licensed Practical Nurse: 19 Registered Nurse: 10

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant 63 49 112 21,306 92 100% 9.5
Licensed Practical Nurse 24 19 43 10,305 92 100% 10
Qualified Activities Professional 17 0 17 4,866 92 100% 9.2
RN Director of Nursing 10 0 10 2,143 86 93% 7.8
Dietitian 3 0 3 1,442 86 93% 7.4
Respiratory Therapy Technician 4 0 4 1,340 70 76% 7.2
Registered Nurse 1 10 11 1,021 81 88% 7.8
Physical Therapy Assistant 3 0 3 976 66 72% 7.5
Speech Language Pathologist 3 0 3 776 61 66% 7.2
Administrator 1 0 1 559 66 72% 8.5
Nurse Practitioner 2 0 2 427 57 62% 7.5
Physical Therapy Aide 1 0 1 354 49 53% 7.2
Clinical Nurse Specialist 3 0 3 351 53 58% 6.5
Mental Health Service Worker 2 0 2 291 39 42% 7.5
Qualified Social Worker 2 0 2 234 31 34% 7.5
Respiratory Therapist 3 0 3 153 10 11% 6.4
Other Activities Staff 1 0 1 24 3 3% 8
112 Certified Nursing Assistant
% of Days 100%
43 Licensed Practical Nurse
% of Days 100%
17 Qualified Activities Professional
% of Days 100%
10 RN Director of Nursing
% of Days 93%
3 Dietitian
% of Days 93%
4 Respiratory Therapy Technician
% of Days 76%
11 Registered Nurse
% of Days 88%
3 Physical Therapy Assistant
% of Days 72%
3 Speech Language Pathologist
% of Days 66%
1 Administrator
% of Days 72%
2 Nurse Practitioner
% of Days 62%
1 Physical Therapy Aide
% of Days 53%
3 Clinical Nurse Specialist
% of Days 58%
2 Mental Health Service Worker
% of Days 42%
2 Qualified Social Worker
% of Days 34%
3 Respiratory Therapist
% of Days 11%
1 Other Activities Staff
% of Days 3%

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 Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 11.4
12% worse than Virginia average

Virginia average: 10.1

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 20.8
6% worse than Virginia average

Virginia average: 19.7

Long-stay resident measures
Average Info CMS 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 Info Percent of long-stay residents whose need for help with daily activities has increased 22.7%
35% worse than Virginia average

Virginia average: 16.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 17.5%
12% better than Virginia average

Virginia average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 22.3%
In line with Virginia average

Virginia average: 22.6%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.6%
In line with Virginia average

Virginia average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.9%
10% worse than Virginia average

Virginia average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.9%
40% better than Virginia average

Virginia average: 1.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.1%
20% worse than Virginia average

Virginia average: 5.9%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 5.3%
64% better than Virginia average

Virginia average: 14.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 10.7%
17% better than Virginia average

Virginia average: 12.9%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 82.2%
10% worse than Virginia average

Virginia average: 91.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 54.2%
42% worse than Virginia average

Virginia average: 94.0%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.46
In line with Virginia average

Virginia average: 1.46

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.76
25% worse than Virginia average

Virginia average: 1.41

Short-stay resident measures
Significantly above average Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 48.8%
35% worse than Virginia average

Virginia average: 74.9%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.3%
74% better than Virginia average

Virginia average: 1.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 32.1%
56% worse than Virginia average

Virginia average: 73.6%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 25.6%
16% worse than Virginia average

Virginia average: 22.0%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 11.8%
In line with Virginia average

Virginia average: 11.7%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.6%
19% better than Virginia average

Virginia average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 75.2%
40% better than Virginia average

Virginia average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 57.0%
13% better than Virginia average

Virginia average: 50.6%

Breakdown by payment type

Medicare

42% of new residents, usually for short-term rehab.

Typical stay 30 days

Private pay

32% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

26% of new residents, often for long-term daily care.

Typical stay 4 - 5 months

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 95
Medicare
36
37.9% of residents
Medicaid
39
41.1% of residents
Private pay or other
20
21.1% 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.

Finances and operations

Voluntary non-profit community
Home revenue
$14.3M
Operating deficit
-$3.2M
Voluntary non-profit community
Home revenue
$14.3M Rank #64 / 85Revenue — State benchmarkedThis home is ranked 64th 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.
Operating deficit
-$3.2M
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #68 / 85Payroll — State benchmarkedThis home is ranked 68th 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.
$6.5M
45.7% of revenue Rank #40 / 85Payroll % — State benchmarkedThis home is ranked 40th out of 85 homes in Virginia. Shows payroll as a percentage of revenue versus the Virginia average. Well-run Virginia SNFs typically land around 51–60% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$10.9M
Total costs $17.4M

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.

Places of interest near Richfield Living – Roanoke Campus

Address 3.6 miles from city center Info Estimated distance in miles from Roanoke's city center to Richfield Living – Roanoke Campus's address, calculated via Google Maps. — 2.91 miles to nearest hospital (Carilion Clinic-Rehabilitation)

Calculate Travel Distance to Richfield Living – Roanoke Campus

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Financial Assistance for
Nursing Home in Virginia

Richfield Living – Roanoke Campus 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 Richfield Living – Roanoke Campus

What neighborhood is Richfield Living – Roanoke Campus in?

Richfield Living – Roanoke Campus is in the Arrington Court neighborhood.

Is Richfield Living – Roanoke Campus in a walkable area?

Richfield Living – Roanoke Campus has a walk score of 32. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

Who is the administrator of Richfield Living – Roanoke Campus?

field_administrator is the administrator of Richfield Living – Roanoke Campus.

What is the phone number of Richfield Living – Roanoke Campus?

(540) 380-4500 will put you in contact with the team at Richfield Living – Roanoke Campus.

Is Richfield Living – Roanoke Campus Medicare or Medicaid certified?

Yes — Richfield Living – Roanoke Campus is a CMS-certified provider of Medicare and Medicaid.

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