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C
Below Standard

FRIENDSHIP HEALTH AND REHAB CENTER

327 HERSHBERGER RD NW · ROANOKE, VA 24012

5402652100 · Non profit - Corporation

253 beds232.3 residents402 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

FRIENDSHIP HEALTH AND REHAB CENTER receives an overall staffing grade of C (Below Standard). With 3.874 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.4237 HPRD, below the recommended 0.75. It is 0.02 HPRD below the national average.

Weekend staffing drops significantly — dropping 26.21% compared to weekdays. The facility uses a moderate level of agency staff (10.45% of hours), suggesting some reliance on temporary workers.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

⚠️RN staffing (0.4237 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️Weekend staffing drops 26.21% — significantly higher than average. Residents receive substantially less care on Saturdays and Sundays.

✨ Strengths (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.874hrs/resident/day▼ 0.02
CMS benchmark: 3.48
RN HPRD
0.4237hrs/resident/day▼ 0.26
Recommended: 0.75
Weekend Drop-off
26.21%
4.184 weekday → 3.0872 weekend
⚠ Significant weekend reduction
Agency Staff
10.45%
12.79% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.0243hrs/resident/day
Direct care aides
LPN HPRD
1.2272hrs/resident/day
Licensed practical nurses
Consistency
0.5349std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Roanoke City County Average+0.35 HPRD
3.52
03.87 HPRD
vs. Virginia State Average+0.04 HPRD
3.83
03.87 HPRD
vs. National Average-0.02 HPRD
3.90
03.87 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
FRIENDSHIP HEALTH AND REHAB CENTER ★
ROANOKE · This facility
—
C
3.8740.4237★★★★☆
OLD SOUTHWEST HEALTH AND REHABILITATION
ROANOKE
4.3 mi
D
3.48040.3368★☆☆☆☆
RALEIGH COURT HEALTH AND REHABILITATION CENTER
ROANOKE
4.5 mi
C
3.35050.5311★★★☆☆
Berkshire Health & Rehabilitation Center
VINTON
4.8 mi
D
3.08480.3636★★★★☆
VIRGINIA VETERANS CARE CENTER
ROANOKE
4.9 mi
B
3.69840.7134★★★★★
SALEM HEALTH & REHABILITATION
SALEM
5.4 mi
C
3.13580.5106★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
18
Total Deficiencies
$0
Fines Assessed
Oct 29, 2024Health
5 deficiencies cited
▼
Mar 23, 2023Health
1 deficiency cited
▼
Mar 10, 2022Health
5 deficiencies cited
▼
Jun 17, 2021Health
7 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.