Every one of the 9 certified facilities here, with its CMS rating, nurse staffing hours and enforcement record. Not a shortlist.
1 of these hold the top CMS rating of five. 1 sit at one. Registered nurse cover averages 0.50 hours per resident per day across the county. That is the number worth comparing, and it is the one families rarely see.
CMS overall rating first. Ties go to higher registered nurse hours.
| Facility | City | Overall | Health | Staffing | RN hrs | Beds | Fines |
|---|---|---|---|---|---|---|---|
| Davis and McDaniel Veterans Care Center | Roanoke | 5 | 5 | 5 | 0.80 | 180 | $0 |
| RALEIGH COURT HEALTH AND REHABILITATION CENTER | Roanoke | 4 | 3 | 2 | 0.56 | 120 | $0 |
| FRIENDSHIP HEALTH AND REHAB CENTER | Roanoke | 4 | 4 | 3 | 0.48 | 253 | $0 |
| OUR LADY OF THE VALLEY | Roanoke | 4 | 4 | 3 | 0.45 | 70 | $0 |
| SOUTH ROANOKE NURSING AND REHABILITATION | Roanoke | 3 | 2 | 3 | 0.53 | 98 | $0 |
| SPRINGTREE HEALTHCARE & REHAB CENTER | Roanoke | 3 | 3 | 1 | 0.38 | 120 | $0 |
| Pheasant Ridge Nursing and Rehabilitation | Roanoke | 2 | 2 | 2 | 0.64 | 101 | $0 |
| STAR CITY REHABILITATION AND NURSING | Roanoke | 2 | 3 | 1 | 0.19 | 116 | $0 |
| OLD SOUTHWEST HEALTH AND REHABILITATION | Roanoke | 1 | 1 | 2 | 0.42 | 130 | $143,823 |
The overall rating folds together inspections, staffing and quality measures. Inspections carry the most weight.
Staffing hours are the number to read on your own. A five-rated home with thin registered nurse cover is a different place at three in the morning.
Visit before you decide. Go without an appointment. The record here tells you where to look, not what you will find.
| Ownership | Facilities |
|---|---|
| For profit - Corporation | 4 |
| For profit - Limited Liability company | 2 |
| Non profit - Corporation | 1 |
| Government - State | 1 |
| Non profit - Church related | 1 |
Source: CMS Provider Information (Care Compare), retrieved 3 August 2026.