Worth Considering
4
Facilities graded B or better with zero fines
Best Nursing Homes in Roanoke, Virginia
4 of 11 nursing homes in Roanoke (36%) meet our strict criteria. The Virginia statewide average is 29%.
4 recommended · 5 caution · 2 avoid · data
City Average
3.3
★
+0.00 vs state
Total Beds
1,370
across 11 facilities
High Risk Facilities
2
2 Grade F
$211,385 in combined fines
Zero Fines
8
/11
passed all inspections
Nurse Availability
0 min
RN time per resident daily
Below CMS recommendation
Why These 4?
The nursing home market in Roanoke, Virginia, is strong, with 36% of the 11 facilities recommended for quality care. Families should consider the top-rated Brandon Oaks Nursing and Rehabilitation Center, while being cautious of the two facilities that collectively face $198,645 in fines.
Exceptional (Grade A, Trust Score 90+)
- 1 BRANDON OAKS NURSING AND REHABILITATION CENTER (90) — Brandon Oaks Nursing and Rehabilitation Center boasts an impressive 5★ CMS rating and an A grade, reflecting its commitment to quality care. With a Trust Score of 90/100 and no fines, this non-profit facility prioritizes community well-being and offers a safe, supportive environment for its 62 residents.
Strong (Grade B+, Trust Score 80-89)
- 2 OUR LADY OF THE VALLEY (85) — Our Lady of the Valley stands out with its exceptional 5★ CMS rating and a solid B+ grade. As a church-related non-profit, it emphasizes community values and has a Trust Score of 85/100, ensuring quality care for its 70 residents without any fines.
Qualified (Grade B, Trust Score 70-79)
- 3 FRIENDSHIP HEALTH AND REHAB CENTER (75) — Friendship Health and Rehab Center offers a supportive environment highlighted by its 4★ CMS rating and a respectable B grade. With a Trust Score of 75/100 and no fines, this non-profit facility focuses on the well-being of its 253 residents, though it may benefit from additional enhancements in care quality.
- 4 VIRGINIA VETERANS CARE CENTER (75) — Virginia Veterans Care Center is a commendable 5★ facility with a B grade, dedicated to serving our veterans. With a Trust Score of 75/100 and zero fines, this state-run center provides quality care for its 180 residents, ensuring they receive the respect and support they deserve.
The other 7 Roanoke facilities didn't qualify — 2 carry Grade D or F ratings and 3 have fines totaling $211K.
Recommended
Brandon Oaks Nursing and Rehabilitation Center boasts an impressive 5★ CMS rating and an A grade, reflecting its commitment to quality care. With a Trust Score of 90/100 and no fines, this non-profit facility prioritizes community well-being and offers a safe, supportive environment for its 62 residents.
Our Lady of the Valley stands out with its exceptional 5★ CMS rating and a solid B+ grade. As a church-related non-profit, it emphasizes community values and has a Trust Score of 85/100, ensuring quality care for its 70 residents without any fines.
Friendship Health and Rehab Center offers a supportive environment highlighted by its 4★ CMS rating and a respectable B grade. With a Trust Score of 75/100 and no fines, this non-profit facility focuses on the well-being of its 253 residents, though it may benefit from additional enhancements in care quality.
Virginia Veterans Care Center is a commendable 5★ facility with a B grade, dedicated to serving our veterans. With a Trust Score of 75/100 and zero fines, this state-run center provides quality care for its 180 residents, ensuring they receive the respect and support they deserve.
Proceed with Caution
These facilities don't meet our recommendation criteria but may still be viable options.
Best Available Alternative
Staffing Comparison
Staffing levels are the strongest predictor of care quality
| Metric | Top Facility | Roanoke Avg | CMS Minimum |
|---|---|---|---|
| RN Hours / Resident / Day | 0.00 | 0.00 | 0.75 |
| CMS Star Rating | 5 stars | 3.3 stars | — |
| Deficiencies / Inspection | 0 | 0.0 | — |
Facilities to Avoid
These facilities have significant quality concerns.
What Disqualified the Other 7?
Our criteria: Trust Grade B or better (score 70+) AND zero fines in 3 years
- Grade F facilities
- 2 Grade F — critical inspection failures
- Facilities with fines
- 3 Have fines totaling $211,385
- Low-scoring facilities
- 5 Scored below B — Trust Scores under 70
- Caution group
- 5 Had good grades but fines disqualified them
Questions Roanoke Families Should Ask
Based on what we found in local inspection data
-
1
"What is your current CMS star rating and Trust Score?"
Roanoke's city average is 3.3 stars
-
2
"Have you received any fines in the past 3 years?"
3 of 11 Roanoke facilities have fines
-
3
"How many RN hours per resident do you provide daily?"
CMS recommends 45 min; Roanoke avg is 0 min
-
4
"What were your most recent inspection findings?"
Roanoke facilities average 0.0 deficiencies per inspection
Explore Nearby Cities
Houston has strong options, but nearby cities add even more choices
Houston at a Glance
Good News
- 12 facilities meet our strict criteria—20% of the market
- 3 exceptional A-grade facilities with 5-star CMS ratings
- 24 facilities with zero fines in the past 3 years
Be Aware
- 30 facilities carry Grade F—nearly half the market
- $3.2M+ in total fines across 37 facilities
- Worst facility has $448,216 in fines alone
Key Numbers
- Average Trust Score: 48.6 (dragged down by 30 F-grades)
- 82% for-profit, 13% non-profit, 5% government
- 9.4 average deficiencies per facility
Frequently Asked Questions
How many nursing homes in Roanoke, VA are recommended?
4 of 11 nursing homes in Roanoke (36%) meet our strict criteria of excellent inspection results and a clean record with no fines.
What makes a nursing home in Roanoke "recommended"?
A facility earns our recommendation when it achieves a Trust Grade of B or better (score of 70+) AND has zero fines in the past three years. This combination indicates consistent quality care and regulatory compliance.
How should I evaluate nursing homes in Roanoke?
Look beyond star ratings. Check for recent fines, abuse citations, staffing levels (especially RN hours), and inspection deficiencies. Visit in person during different times of day to observe care quality firsthand.