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Nursing Home in Roanoke

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.

Virginia Veterans Care Center

Nursing Home in Roanoke

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.

Virginia Veterans Care Center

4550 Shenandoah Ave NW, Roanoke, VA 24017 View map
Overview of Virginia Veterans Care Center

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.

(540) 982-2860

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.
5/5
Virginia average: 3.8/5
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.
5/5
Virginia average: 3.4/5
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.
3/5
Virginia average: 3.6/5
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.
4/5
Virginia average: 4.0/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
4h 17m per day

This home provides 11% less nursing time per resident than the Virginia average.

Virginia average: 4h 47m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 43m per day 41m per day 41m per day
Nurse Aide Info Nurse aide hours per resident per day. 2h 15m per day 2h 8m per day 2h 21m per day
Total Nursing (Weekend) Info Total number of nurse staff hours per resident per day on weekends. 3h 6m per day 3h 19m per day 3h 26m per day
Physical Therapist Info Physical therapist staff hours per resident per day. 3m per day 5m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 24m per day 28m per day 29m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 3

This home is often near full

That suggests steady demand, but availability may be limited.

Higher demand than most homes in Virginia
Occupancy rate 100%
Residents per day 3
Occupancy rate
100%
Residents per day
3

Who this home usually serves

TYPE OF STAY

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.

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 community
Operated by city authorities.
Home revenue
$33.8M
Operating deficit
-$4.1M
Governmental community Operated by city authorities.
Home revenue
$33,845,722.00
Operating deficit
$-4,148,783.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$18.1M
53.4% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$19.9M
Total costs $38.0M
Bed community size
3-bed community
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
Walk Score
Walk Score: 19 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate
100%
In line with Virginia average
Occupied beds
3 / 3
Average residents 98 per day

License Details

Facility TypeAssisted Living Facility
StatusActive
ExpirationNovember 30, 2027

Additional Licensing Details

CMS Certification Number495274
QualificationNon-Ambulatory | Residential and Assisted Living Care

Ownership & Operating Entity

Virginia Veterans Care Center is administrated by . Todd W Barnes.

Contact Information

Business Hours24 x 7 , Monday - Sunday
Contact Virginia Veterans Care Center

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%)

Virginia average: 14 inspections

Virginia average: 64.3% of inspections with violations

Latest inspection

Date October 7, 2025
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.

Virginia average: 14 citations

32 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Virginia average: 32 deficiencies

Health Inspection History

Inspections
Total health inspections 3

Virginia average 4.2


Last Health inspection on Jan 2022

Total health citations 16

Virginia average 38.4

Citations per inspection
5.33

Virginia average 8.93


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 More info 0
100% better than Virginia average

Virginia average: 0.4


Serious Health citations More info 0
100% better than Virginia average

Virginia average: 1

0 critical citations More info Virginia average: 0.4

0 serious citations More info Virginia average: 1

15 moderate citations More info Virginia average: 36.3

1 minor citation More info Virginia average: 0.8
Citations history (last 3 years)
Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Jan 27, 2022
Corrected

Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. May 23, 2019
Corrected

Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. May 23, 2019
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. May 23, 2019
Corrected

Compare Nursing Homes around Roanoke The information below is reported by the Virginia Department of Social Services and Department of Health.

5 facilities compared · CMS & VA Dept. of Health data · Updated Apr 2026

Filter by care type
Virginia Veterans Care Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Roanoke
264
64.4%
-25%
4.28
+44%
+14%
0
16
5.3
0
195
-
19
Barnes, Todd
$31.0M
$18.1M
58.2%
495274
Brandon Oaks Nursing and Rehabilitation Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Roanoke
62
89.5%
+4%
5.33
+16%
+42%
0
12
4.0
0
57
-
33
Neff, Heather
$10.5M
$5.9M
55.7%
495373
Our Lady of the Valley
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Roanoke (Gainsboro)
189
88.2%
+3%
3.79
-15%
+1%
0
14
4.7
0
65
A+
68
Rawlings, David
$16.4M
$6.7M
40.9%
495357
Pheasant Ridge Nursing and Rehab Center
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Roanoke
101
89.3%
+4%
3.56
-2%
-5%
13
25
6.3
1
89
A+
15
Bell, Victor
$14.0M
$4.6M
32.5%
495325
Old Southwest Rehabilitation and Nursing
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Roanoke (Old Southwest)
130
51.3%
-40%
3.82
-7%
+2%
6
131
18.7
4
96
A+
57
Shuler, Andrew
$10.4M
$3.8M
36.5%
495156

Places of interest near Virginia Veterans Care Center

Address 3.7 miles from city center — 0.44 miles to nearest hospital (Salem VA Medical Center)

Address 4550 Shenandoah Ave NW, Roanoke, VA 24017

Calculate Travel Distance to Virginia Veterans Care Center

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 203
Employees 199
Contractors 4
Staff to resident ratio 1.32:1
21% worse than Virginia average

Virginia average ratio: 1.67:1

Avg staff/day 95
Average shift 8.9 hours
11% better than Virginia average

Virginia average: 8 hours

Total staff hours (quarter) 76,557
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 27
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.3 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 37
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.9 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 96
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

0.2%

161 contractor hours this quarter

Occupational Therapy Aide: 1 Licensed Practical Nurse: 1 Medical Director: 1 Diagnostic X-ray Services Staff: 1
Staff by category
Certified Nursing Assistant9609638,97391100%9
Licensed Practical Nurse3613713,51191100%9.9
Registered Nurse2702710,04091100%9.3
Other Dietary Services Staff8083,11191100%7.3
Mental Health Service Worker4041,7357178%7.6
Clinical Nurse Specialist3031,4076571%8
Occupational Therapy Assistant8081,3646976%7.7
Administrator3031,1176673%7.6
Dietitian3039497077%7.7
Qualified Social Worker2029286875%7.7
Physical Therapy Aide2029266571%7.9
Nurse Practitioner2029216673%7.6
Physical Therapy Assistant2025056268%7.3
Respiratory Therapy Technician2024766167%7.6
Speech Language Pathologist1014445864%7.6
Occupational Therapy Aide0111031820%5.7
Medical Director0113978%5.6
Diagnostic X-ray Services Staff0111178%1.5
96 Certified Nursing Assistant
% of Days 100%
37 Licensed Practical Nurse
% of Days 100%
27 Registered Nurse
% of Days 100%
8 Other Dietary Services Staff
% of Days 100%
4 Mental Health Service Worker
% of Days 78%
3 Clinical Nurse Specialist
% of Days 71%
8 Occupational Therapy Assistant
% of Days 76%
3 Administrator
% of Days 73%
3 Dietitian
% of Days 77%
2 Qualified Social Worker
% of Days 75%
2 Physical Therapy Aide
% of Days 71%
2 Nurse Practitioner
% of Days 73%
2 Physical Therapy Assistant
% of Days 68%
2 Respiratory Therapy Technician
% of Days 67%
1 Speech Language Pathologist
% of Days 64%
1 Occupational Therapy Aide
% of Days 20%
1 Medical Director
% of Days 8%
1 Diagnostic X-ray Services Staff
% of Days 8%

Facility Characteristics

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

Total census
154 residents
Residents by payment source
Medicare
12 residents (7.8%)
Medicaid
49 residents (31.8%)
Private pay or other
93 residents (60.4%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

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. 9.3
9% better 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. 20.1
In line with Virginia average

Virginia average: 19.7

Long-stay resident measures
Significantly above average Virginia avg: 4.3 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 16.6%
In line with Virginia average

Virginia average: 16.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 16.9%
14% 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 26.9%
19% worse than Virginia average

Virginia average: 22.6%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.9%
7% worse than Virginia average

Virginia average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.6%
52% better than Virginia average

Virginia average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.5%
62% worse than Virginia average

Virginia average: 1.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 6.3%
7% worse than Virginia average

Virginia average: 5.9%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Virginia average

Virginia average: 14.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 27.1%
111% worse than Virginia average

Virginia average: 12.9%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.6%
9% better than Virginia average

Virginia average: 91.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
6% better than Virginia average

Virginia average: 94.0%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 0.93
36% better than 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. 1.17
17% better than Virginia average

Virginia average: 1.41

Short-stay resident measures
Significantly above average Virginia avg: 4.0 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 92.9%
24% better than Virginia average

Virginia average: 74.9%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 3.2%
162% worse than Virginia average

Virginia average: 1.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 94.6%
28% better 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. 17.4%
21% better than Virginia average

Virginia average: 22.0%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 6.5%
44% better than Virginia average

Virginia average: 11.7%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 1.0%
34% worse 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. 60.3%
12% 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. 53.1%
5% better than Virginia average

Virginia average: 50.6%

Guides for Better Senior Living

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Financial Aid for Virginia Seniors

Get financial aid guidance

Commonwealth Coordinated Care Plus (CCC Plus)

VA Medicaid CCC Plus

Age 65+ or disabled, Virginia resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Managed care model; high demand in urban areas.

Virginia Respite Care Grant Program

VA Respite Grant

Caregiver of someone 60+, Virginia resident.

~$2,500/month (individual, varies).

$40,000 (individual).

Limited grants; rural/urban balance.

Adult Services Program

Virginia Adult Services (AS)

Age 60+ (or disabled 18+), VA resident, need significant care (2+ ADLs), not Medicaid-eligible.

Varies by locality; typically < ~$2,510/month (200% FPL).

Limited assets (excludes home, car); varies by DSS.

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

Auxiliary Grant Program

Virginia Auxiliary Grant (AG)

Age 65+ (or disabled 18+), VA resident, living in approved ALF/foster care, SSI-eligible or low-income.

~$1,041/month (individual, SSI level + $20 disregard); higher with medical deductions.

$2,000 (individual).

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

Medicare Savings Program (MSP)

Virginia Medicare Savings Program

Age 65+ or disabled, VA resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Includes Extra Help for Part D; no waitlist.

Energy Assistance Program (EAP)

Virginia Energy Assistance Program

Age 60+ prioritized, VA resident, low-income household.

~$3,970/month (185% FPL).

Not assessed.

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

Senior Community Service Employment Program (SCSEP)

Virginia SCSEP

Age 55+, unemployed, low-income, VA resident.

~$1,983/month (125% FPL).

Not specified.

Priority for veterans, rural residents; AARP/Goodwill partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Virginia VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, VA resident, wartime service, ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth).

High veteran population; supports rural/urban needs.

Property Tax Relief for the Elderly and Disabled

Virginia Property Tax Relief

Age 65+ or disabled, VA resident, homeowner, income/asset limits vary by locality.

~$50,000-$75,000/year (household, e.g., Fairfax: $72,000; Richmond: $50,000).

Varies (e.g., Fairfax: $400,000 net worth; Richmond: $100,000).

Offered in 90% of localities; saves ~$500-$2,000/year.

Senior Farmers’ Market Nutrition Program (SFMNP)

Virginia SFMNP

Age 60+, VA resident, low-income.

~$2,322/month (185% FPL).

Not assessed.

Vouchers (~$50-$75/season); serves ~15,000 via AAAs.

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