ElderGrade
A

92.5/100

Excellent

Davis And Mcdaniel Veterans Care Center

4550 Shenandoah Ave N W, Roanoke, VA 24017

CMS 5/5 stars #1 of 9 in Roanoke City County (540) 982-2860
Certified beds
180
Occupancy
100%
Ownership
Government
Accepts
Medicare + Medicaid

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

Staffing

22.5/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.94 total nurse hours per resident per day (national median 3.77)
  • 0.8 RN hours per resident per day
  • Weekend staffing drops 16% against weekdays

Staff stability

15/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 29% of nursing staff left in the last year

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 5 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.99 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.80 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.36 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 28.70%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 10 citations

Last standard health inspection: January 8, 2026 (7 months ago).

E Jan 8, 2026 F0628

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

No actual harm, potential for more than minimal harm

D Jan 8, 2026 F0657

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

No actual harm, potential for more than minimal harm

D Jan 8, 2026 F0684

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

No actual harm, potential for more than minimal harm

D Jan 27, 2022 F0684

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

No actual harm, potential for more than minimal harm

D May 23, 2019 F0565

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

No actual harm, potential for more than minimal harm

D May 23, 2019 F0604

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

No actual harm, potential for more than minimal harm

D May 23, 2019 F0658

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

No actual harm, potential for more than minimal harm

D May 23, 2019 F0689

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
BARNES, TODD Individual CORPORATE OFFICER
BARNES, TODD Individual OPERATIONAL/MANAGERIAL CONTROL
BARNES, TODD Individual ADP OF THE SNF
JONES, EZEKIEL Individual ADP OF THE SNF
VIRGINIA VETERANS CARE CENTER Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

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Common questions about Davis And Mcdaniel Veterans Care Center

What is the ElderGrade for Davis And Mcdaniel Veterans Care Center? +

Davis And Mcdaniel Veterans Care Center holds an ElderGrade of A (92.5 out of 100), which we describe as "excellent". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Davis And Mcdaniel Veterans Care Center? +

Residents receive an average of 3.99 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Davis And Mcdaniel Veterans Care Center been cited for harming residents? +

No. None of the 10 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Davis And Mcdaniel Veterans Care Center accept Medicaid? +

Yes, Davis And Mcdaniel Veterans Care Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.