Show Inspection Reports
Total health inspections
3
Virginia average 4.2
Last Health inspection on Jan 2022
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.
Virginia Veterans Care Center
Nursing Home
Virginia Veterans Care Center
Nursing Home
Virginia Veterans Care Center prides itself on its excellent resident-centered approach to senior recovery. Specializing in long-term nursing care, short-term rehabilitation, and all-inclusive nursing services, the facility offers a warm and welcoming atmosphere where residents and staff are encouraged to create friendships and build mutual trust for the complete healing potential.
The nursing home for veterans provides comprehensive results-driven programs that specifically cater to the varying needs of its residents. Virginia Veterans Care Center offers 24-hour skilled nursing therapies, rehabilitative services, licensed nurses, and a podiatrist. Amenities include a chapel, a library, nature trails, a salon, and a billiards room are among the many accommodations provided.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
LPN / LVN
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
3
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
64.4%
Residents per day (avg)
195
Occupancy rate
64.4%
Residents per day (avg)
195
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
40% of new residents, usually for short-term rehab.
Typical stay
29 days
Private pay
51% of new residents, often for short stays.
Typical stay
1 - 2 years
Medicaid
9% of new residents, often for long-term daily care.
Typical stay
2 - 3 years
Finances and operations
Governmental home
State
Home revenue
$33.8M
Operating deficit
-$4.1M
Governmental home
State
Home revenue
$33,845,722.00
Operating deficit
$-4,148,783.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$18.1M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$19.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$38.0M
3-bed community
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
Walk Score: 19 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
About this community
Occupancy Rate
100%
Occupied Beds
3 of 3
Percentage of available beds currently in use by residents.
License Status
ActiveFacility Type
Assisted Living Facility
License Expiration
November 30, 2027
Additional licensing details
CMS Certification Number:
495274
Qualification:
Non-Ambulatory | Residential and Assisted Living Care
Ownership & operating entity
Virginia Veterans Care Center is administrated by . Todd W Barnes.
Contact Information
Business Hours:
24 x 7 , Monday - Sunday
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.
5 inspections
5 inspections with violations (100%)
Latest inspection
Date:October 7, 2025
Type:Renewal
Inspection oversight
Inspector name:Angela Marie Swink
5 total citations
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
5 violations
Violations indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
16 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Compare Nursing Homes around Roanoke
The information below is reported by the Virginia Department of Social Services and Department of Health.
Virginia Veterans Care Center
+44%
+14%
-25%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Roanoke
264
No
-
19
BARNES, TODD
64.4%
$31,044,178.00
$18,073,766.00
58.2%
194.50
4.2750
-
16
-
+44%+14%-25%
Brandon Oaks Nursing and Rehabilitation Center
+16%
+42%
+4%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Roanoke
62
No
-
33
NEFF, HEATHER
89.5%
$10,548,485.00
$5,871,705.00
55.7%
57.40
5.3278
-
12
-
+16%+42%+4%
Our Lady of the Valley
-15%
+1%
+3%
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
SNF
Nursing Homes 24/7 care needed
Roanoke (Gainsboro)
189
No
A+
68
RAWLINGS, DAVID
88.2%
$16,424,252.00
$6,720,888.00
40.9%
64.70
3.7870
-
14
-
-15%+1%+3%
Pheasant Ridge Nursing and Rehab Center
-2%
-5%
+4%
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
SNF
Nursing Homes 24/7 care needed
Roanoke
101
No
A+
15
BELL, VICTOR
89.3%
$14,018,919.00
$4,558,852.00
32.5%
89.10
3.5617
13
25
1
-2%-5%+4%
Old Southwest Rehabilitation and Nursing
-7%
+2%
-40%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Roanoke (Old Southwest)
130
No
A+
57
SHULER, ANDREW
51.3%
$10,435,874.00
$3,804,537.00
36.5%
95.70
3.8211
6
131
4
-7%+2%-40%
Virginia Veterans Care Center
Type of care:
SNF
AL
Community:
Roanoke
Bed Count:
264
Pets Allowed:
No
Operator:
BARNES, TODD
CCN:
495274
Occupancy:
64.4%
Home Revenue:
$31,044,178.00
Payroll Costs:
$18,073,766.00
Payroll %:
58.2%
Avg Residents/Day:
194.50
Overall Rating:
Adj Nurse Hours:
4.2750
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
16
RN share vs State Avg:
+44%
+44%
Staffing vs State Avg:
+14%
+14%
Occupancy vs State Avg:
-25%
-25%
Brandon Oaks Nursing and Rehabilitation Center
Type of care:
SNF
AL
Community:
Roanoke
Bed Count:
62
Pets Allowed:
No
Operator:
NEFF, HEATHER
CCN:
495373
Occupancy:
89.5%
Home Revenue:
$10,548,485.00
Payroll Costs:
$5,871,705.00
Payroll %:
55.7%
Avg Residents/Day:
57.40
Overall Rating:
Adj Nurse Hours:
5.3278
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
12
RN share vs State Avg:
+16%
+16%
Staffing vs State Avg:
+42%
+42%
Occupancy vs State Avg:
+4%
+4%
Our Lady of the Valley
Type of care:
AL
IL
MC
SNF
Community:
Roanoke (Gainsboro)
Bed Count:
189
Pets Allowed:
No
Operator:
RAWLINGS, DAVID
CCN:
495357
Occupancy:
88.2%
Home Revenue:
$16,424,252.00
Payroll Costs:
$6,720,888.00
Payroll %:
40.9%
Avg Residents/Day:
64.70
Overall Rating:
Adj Nurse Hours:
3.7870
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
14
RN share vs State Avg:
-15%
-15%
Staffing vs State Avg:
+1%
+1%
Occupancy vs State Avg:
+3%
+3%
Pheasant Ridge Nursing and Rehab Center
Type of care:
AL
IL
MC
SNF
Community:
Roanoke
Bed Count:
101
Pets Allowed:
No
Operator:
BELL, VICTOR
CCN:
495325
Occupancy:
89.3%
Home Revenue:
$14,018,919.00
Payroll Costs:
$4,558,852.00
Payroll %:
32.5%
Avg Residents/Day:
89.10
Overall Rating:
Adj Nurse Hours:
3.5617
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
13
Citations:
25
Severe Citations:
1
RN share vs State Avg:
-2%
-2%
Staffing vs State Avg:
-5%
-5%
Occupancy vs State Avg:
+4%
+4%
Old Southwest Rehabilitation and Nursing
Type of care:
SNF
AL
Community:
Roanoke (Old Southwest)
Bed Count:
130
Pets Allowed:
No
Operator:
SHULER, ANDREW
CCN:
495156
Occupancy:
51.3%
Home Revenue:
$10,435,874.00
Payroll Costs:
$3,804,537.00
Payroll %:
36.5%
Avg Residents/Day:
95.70
Overall Rating:
Adj Nurse Hours:
3.8211
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
6
Citations:
131
Severe Citations:
4
RN share vs State Avg:
-7%
-7%
Staffing vs State Avg:
+2%
+2%
Occupancy vs State Avg:
-40%
-40%Places of interest near Virginia Veterans Care Center
3.7 miles from city center — 0.44 miles to nearest hospital (Salem VA Medical Center)
4550 Shenandoah Ave NW, Roanoke, VA 24017
Calculate Travel Distance to Virginia Veterans Care Center
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
203
Total Staff
199
Employees
4
Contractors
76,557
Total Hours (Quarter)
95
Avg Staff/Day
8.9
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 27 | 9.3 | No |
| Licensed Practical Nurse | 37 | 9.9 | Yes |
| Certified Nursing Assistant | 96 | 9 | No |
Staff by Category
Administration ⓘ
4 staff
7.5hs shift avg
Nursing Staff ⓘ
160 staff
9.3hs shift avg
Physicians & Practitioners ⓘ
5 staff
7.8hs shift avg
Therapy Services ⓘ
16 staff
7.6hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
2 staff
7.7hs shift avg
Dietary Services ⓘ
11 staff
7.4hs shift avg
Other Services ⓘ
5 staff
7.4hs shift avg
Contractor Analysis
0.2%
of total hours from contractors
161 contractor hours this quarter
Occupational Therapy Aide: 1
Licensed Practical Nurse: 1
Medical Director: 1
Diagnostic X-ray Services Staff: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 96 | 0 | 96 | 38,973 | 91 | 100% | 9 |
| Licensed Practical Nurse | 36 | 1 | 37 | 13,511 | 91 | 100% | 9.9 |
| Registered Nurse | 27 | 0 | 27 | 10,040 | 91 | 100% | 9.3 |
| Other Dietary Services Staff | 8 | 0 | 8 | 3,111 | 91 | 100% | 7.3 |
| Mental Health Service Worker | 4 | 0 | 4 | 1,735 | 71 | 78% | 7.6 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,407 | 65 | 71% | 8 |
| Occupational Therapy Assistant | 8 | 0 | 8 | 1,364 | 69 | 76% | 7.7 |
| Administrator | 3 | 0 | 3 | 1,117 | 66 | 73% | 7.6 |
| Dietitian | 3 | 0 | 3 | 949 | 70 | 77% | 7.7 |
| Qualified Social Worker | 2 | 0 | 2 | 928 | 68 | 75% | 7.7 |
| Physical Therapy Aide | 2 | 0 | 2 | 926 | 65 | 71% | 7.9 |
| Nurse Practitioner | 2 | 0 | 2 | 921 | 66 | 73% | 7.6 |
| Physical Therapy Assistant | 2 | 0 | 2 | 505 | 62 | 68% | 7.3 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 476 | 61 | 67% | 7.6 |
| Speech Language Pathologist | 1 | 0 | 1 | 444 | 58 | 64% | 7.6 |
| Occupational Therapy Aide | 0 | 1 | 1 | 103 | 18 | 20% | 5.7 |
| Medical Director | 0 | 1 | 1 | 39 | 7 | 8% | 5.6 |
| Diagnostic X-ray Services Staff | 0 | 1 | 1 | 11 | 7 | 8% | 1.5 |
Health Inspection History
Inspections
Total health citations
16
Citations per inspection
5.33
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 16 citations resulted from standard inspections.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Virginia averageVirginia average: 0.4
Serious Health citations
0
0
100% better than Virginia averageVirginia average: 1
0 critical citations
0 serious citations
15 moderate citations
1 minor citation
Citations history (last 3 years)
Quality of Care moderate citation
Jan 27, 2022
Corrected
Abuse/Neglect moderate citation
May 23, 2019
Corrected
Pharmacy moderate citation
May 23, 2019
Corrected
Quality of Care moderate citation
May 23, 2019
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: State Government
Resident Census by Payment Source
154
Total Residents
Medicare
12
(7.8%)
ⓘ
Medicaid
49
(31.8%)
ⓘ
Private Pay/Other
93
(60.4%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Nurse Aide Training
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
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.
9.3
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.3
9% better than Virginia averageVirginia average: 10.1
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.1
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
16.6%
Percent of long-stay residents whose need for help with daily activities has increased
16.6%
In line with Virginia averageVirginia average: 16.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
16.9%
Percent of long-stay residents whose ability to move independently worsened
16.9%
14% better 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
26.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.9%
19% worse than Virginia averageVirginia average: 22.6%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
7% worse than Virginia averageVirginia average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.6%
Percent of long-stay high risk residents with pressure ulcers
2.6%
52% better than Virginia averageVirginia average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.5%
Percent of long-stay residents with a urinary tract infection
2.5%
62% worse than Virginia averageVirginia average: 1.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.3%
Percent of long-stay residents who lose too much weight
6.3%
7% worse than Virginia averageVirginia average: 5.9%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Virginia averageVirginia average: 14.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
27.1%
Percent of long-stay residents who received an antipsychotic medication
27.1%
111% worse than Virginia averageVirginia average: 12.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.6%
9% better than Virginia averageVirginia average: 91.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than Virginia averageVirginia average: 94.0%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
0.93
Number of hospitalizations per 1,000 long-stay resident days.
0.93
36% better than Virginia averageVirginia average: 1.46
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.17
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.17
17% better than Virginia averageVirginia average: 1.41
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.9%
24% better than Virginia averageVirginia average: 74.9%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
3.2%
Percent of short-stay residents who newly received an antipsychotic medication
3.2%
162% worse than Virginia averageVirginia average: 1.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.6%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.6%
28% better than Virginia averageVirginia average: 73.6%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
17.4%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
17.4%
21% better than Virginia averageVirginia average: 22.0%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
6.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
6.5%
44% better than Virginia averageVirginia average: 11.7%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
1.0%
Percentage of SNF residents who experience falls with major injury during their stay.
1.0%
34% worse than Virginia averageVirginia average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
60.3%
Percentage of residents at or above expected ability to care for themselves at discharge.
60.3%
12% better than Virginia averageVirginia average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
53.1%
Rate of successful return to home or community from a skilled nursing facility.
53.1%
5% better than Virginia averageVirginia average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Virginia Veterans Care Center based on CMS SNF Cost Reports.
Occupancy Rate
64.4%
↓ 1.5pp vs 2023
Net Income
-$4,148,783
↑ ~$1.3M vs 2023
Total Payroll
$25,505,169
↑ ~$2.6M vs 2023
Profit Margin
-13.4%
↑ 6.0pp vs 2023
Loading trend charts...
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