Here are 9 Nursing Homes in Roanoke City County, VA
Nursing homes across Roanoke City County, Virginia, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Davis and McDaniel Veterans Care Center runs 180 certified beds under state government ownership, and the numbers behind its record are unusually steady. Nurse staffing sits at 3.99 hours per resident day, a bit above the national average, with weekend coverage dipping about 16% below its own weekday level, worth asking about if your visits fall on Saturdays or Sundays. Staff turnover is the standout: 28.7% against a national average of 45.8%, meaning aides and nurses here tend to stay. Ten deficiencies appear on the current record, none at the harm level, though one is abuse-related. The last inspection was January 8, 2026.
South Roanoke Nursing and Rehabilitation runs on thinner nurse staffing than most homes, 3.23 hours per resident day, roughly 16 percent under the national average, and weekends drop about 13 percent below its own weekday coverage. Turnover sits at 38.2 percent, better than the 45.8 percent national figure, so the crew that is there tends to stay. Inspections are current, with a visit in April 2025, and the 39 deficiencies on record include none tied to harm or abuse. The quality measures look strong on paper, but a two-star inspection history suggests rule-following has been uneven, and the staffing gap is the number a family should weigh hardest.
Our Lady of the Valley runs about 3.84 nurse hours per resident day, a hair under the national average of 3.86, and weekends dip roughly 6% below its own weekday coverage. Turnover sits at 45.3%, essentially matching the national rate. The record shows 14 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in August 2023. Inspection and quality measures both rate 4 out of 5, staffing 3 out of 5. As a church-affiliated nonprofit with 70 beds, it's a smaller operation where staffing is adequate rather than generous, worth asking how weekend coverage holds up on the shift you'd actually visit.
Friendship Health and Rehab Center is a 253-bed nonprofit in Roanoke, and its inspection record is genuinely solid, a four-star health inspection rating, with the most recent survey in October 2024 and no deficiencies at the harm or jeopardy level. What's under the surface: 17 total deficiencies on the current record, two of them abuse-related, plus staff turnover at 48.1%, running a bit above the national average of 45.8%. Nurse staffing sits at 3.93 hours per resident day, just above the 3.86 national figure, but weekends run about 18% leaner than weekdays, so coverage can feel different depending on when you visit.
Raleigh Court runs 3.48 nurse hours per resident day, about 10 percent under the national average, and weekend coverage drops roughly 11 percent below its own weekday level. Staff turnover sits at 53.4 percent against a national 45.8, so the people around your family member change often. The current record shows 29 deficiencies, including one at the harm or jeopardy level and three tied to abuse. The last inspection was August 2024. Quality measures look strong, but that reflects resident outcomes, not the staffing and compliance picture underneath them.
Springtree runs 120 certified beds in Roanoke under corporate for-profit ownership, and the staffing numbers are where the story sits. At 3.68 nurse hours per resident day, it's under the national average of 3.86, and weekends drop roughly 22% below its own weekday levels, so coverage thins out exactly when families tend to visit and residents may need more attention. Annual turnover of 47.6% runs slightly above the national 45.8%, meaning a good share of the people providing that care are still learning the building. The quality measure rating comes in at 5/5, but with a 1/5 on staffing, a 3/5 on inspections, and 40 deficiencies on record, the everyday care picture looks weaker than the outcome scores suggest.
Pheasant Ridge runs on thinner staffing than most homes you'd compare it to, about 3.27 nurse hours per resident each day against a national average near 3.86, and weekends drop roughly another 12% below its own weekday coverage. That gap matters most on Saturdays and Sundays, when families tend to visit and notice. Staff turnover sits at 53.8%, well above the 45.8% national figure, so the people caring for residents change often. The health inspection record shows 32 deficiencies, five of them serious enough to involve harm or jeopardy, though none are abuse-related. A January 2024 inspection is recent, and the 4/5 quality measure score suggests some clinical benchmarks are being met. But low staffing and high turnover weigh heavily against that.
Old Southwest Health and Rehabilitation runs 130 beds in Roanoke under for-profit LLC ownership, and its last full inspection was in March 2024. Nurse staffing sits at 3.47 hours per resident day, roughly 10% under the national average, and weekends run about 12% lighter than the home's own weekdays. Staff turnover is the number that should concern you most: 69.5% a year against a national average of 45.8%. On the current record there are 129 deficiencies, including four at the harm or jeopardy level and eight tied to abuse; two fines total $143,823. Ask about weekend coverage and how they keep consistent aides before you visit.
Star City Rehabilitation and Nursing runs 116 certified beds in Roanoke under corporate for-profit ownership, and its staffing numbers are the main thing to know before you tour. Total nurse coverage sits at 3.72 hours per resident day, a bit under the national average, and weekend staffing drops roughly 12 percent below what the home provides on weekdays. Annual turnover hits 68.3 percent, well above the 45.8 percent national figure, meaning the aides and nurses caring for your relative are likely to change often. The inspection record shows 31 deficiencies, none rising to harm or jeopardy and none abuse-related, with the last inspection in February 2024.