FRIENDSHIP HEALTH AND REHAB CENTER - SOUTH

πŸ“ 5647 STARKEY ROAD, cave-spring, VA 24018 πŸ“ž 5402652117 πŸ›οΈ 120 beds

Overall Rating

⭐⭐⭐⭐
4/5

Health Inspection

⭐⭐⭐⭐
4/5

Staffing

⭐⭐⭐
3/5

Quality Measures

⭐⭐⭐⭐
4/5

Inspection History Overview

51
Total Violations
5 years of data
$0
Total Fines
0 penalties
4
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2024 12 violations

Tag 0554 D Apr 25, 2024

Allow residents to self-administer drugs if determined clinically appropriate.

βœ“ Corrected: Jun 20, 2024
Tag 0636 D Apr 25, 2024

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

βœ“ Corrected: Jun 20, 2024
Tag 0656 D Apr 25, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Jun 20, 2024
Tag 0677 D Apr 25, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Jun 20, 2024
Tag 0755 E Apr 25, 2024

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Jun 20, 2024
Tag 0757 D Apr 25, 2024

Ensure each resident’s drug regimen must be free from unnecessary drugs.

βœ“ Corrected: Jun 20, 2024
Tag 0758 D Apr 25, 2024

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: Jun 20, 2024
Tag 0760 D Apr 25, 2024

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Jun 20, 2024
Tag 0842 D Apr 25, 2024

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Jun 20, 2024
Tag 0880 D Apr 25, 2024

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jun 20, 2024
Tag 0883 D Apr 25, 2024

Develop and implement policies and procedures for flu and pneumonia vaccinations.

βœ“ Corrected: Jun 20, 2024
Tag 0887 D Apr 25, 2024

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

βœ“ Corrected: Jun 20, 2024

2022 3 violations

Tag 0756 D Oct 13, 2022

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

βœ“ Corrected: Nov 15, 2022
Tag 0761 E Oct 13, 2022

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

βœ“ Corrected: Nov 15, 2022
Tag 0880 D Oct 13, 2022

Provide and implement an infection prevention and control program.

βœ“ Corrected: Nov 15, 2022

2019 2 violations

Tag 0677 D Dec 5, 2019

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Dec 13, 2019
Tag 0761 D Dec 5, 2019

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

βœ“ Corrected: Dec 13, 2019

2018 23 violations

Tag 0550 D Aug 2, 2018

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Sep 16, 2018
Tag 0554 D Aug 2, 2018

Allow residents to self-administer drugs if determined clinically appropriate.

βœ“ Corrected: Sep 16, 2018
Tag 0561 D Aug 2, 2018

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

βœ“ Corrected: Sep 16, 2018
Tag 0573 D Aug 2, 2018

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

βœ“ Corrected: Sep 16, 2018
Tag 0580 D Aug 2, 2018

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Sep 16, 2018
Tag 0607 D Aug 2, 2018

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

βœ“ Corrected: Sep 16, 2018
Tag 0609 D Aug 2, 2018

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Sep 16, 2018
Tag 0637 D Aug 2, 2018

Assess the resident when there is a significant change in condition

βœ“ Corrected: Sep 16, 2018
Tag 0657 D Aug 2, 2018

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

βœ“ Corrected: Sep 16, 2018
Tag 0658 F Aug 2, 2018

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

βœ“ Corrected: Sep 16, 2018
Tag 0675 D Aug 2, 2018

Honor each resident's preferences, choices, values and beliefs.

βœ“ Corrected: Sep 16, 2018
Tag 0677 D Aug 2, 2018

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Sep 16, 2018
Tag 0684 E Aug 2, 2018

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

βœ“ Corrected: Sep 16, 2018
Tag 0686 D Aug 2, 2018

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Sep 16, 2018
Tag 0689 D Aug 2, 2018

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

βœ“ Corrected: Sep 16, 2018
Tag 0690 D Aug 2, 2018

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Sep 16, 2018
Tag 0695 D Aug 2, 2018

Provide safe and appropriate respiratory care for a resident when needed.

βœ“ Corrected: Sep 16, 2018
Tag 0697 D Aug 2, 2018

Provide safe, appropriate pain management for a resident who requires such services.

βœ“ Corrected: Sep 16, 2018
Tag 0755 D Aug 2, 2018

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Sep 16, 2018
Tag 0757 D Aug 2, 2018

Ensure each resident’s drug regimen must be free from unnecessary drugs.

βœ“ Corrected: Sep 16, 2018

2017 11 violations

Tag 0278 D May 4, 2017

Ensure each resident receives an accurate assessment by a qualified health professional.

βœ“ Corrected: Jun 24, 2017
Tag 0309 E May 4, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

βœ“ Corrected: Jun 24, 2017
Tag 0319 D May 4, 2017

Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances.

βœ“ Corrected: Jun 24, 2017
Tag 0328 D May 4, 2017

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

βœ“ Corrected: Jun 24, 2017
Tag 0329 E May 4, 2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

βœ“ Corrected: Jun 24, 2017
Tag 0371 E May 4, 2017

Store, cook, and serve food in a safe and clean way.

βœ“ Corrected: Jun 24, 2017
Tag 0425 D May 4, 2017

Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

βœ“ Corrected: Jun 24, 2017
Tag 0428 D May 4, 2017

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.

βœ“ Corrected: Jun 24, 2017
Tag 0502 D May 4, 2017

Give or get quality laboratory services/tests in a timely manner to meet the needs of residents.

βœ“ Corrected: Jun 24, 2017
Tag 0504 D May 4, 2017

Provide or obtain laboratory services only when ordered by the attending physician.

βœ“ Corrected: Jun 24, 2017
Tag 0514 D May 4, 2017

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

βœ“ Corrected: Jun 24, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

April 25, 2024
0.00

Health

October 13, 2022
0.00

Health

December 5, 2019
0.00

Health

August 2, 2018
0.00

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Ownership Information

Non profit - Corporation
Independent (Not part of a chain)
495421
495421
5402652117
Roanoke

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Individual
August 25, 2025
Individual