Elder Care Record

Virginia › Roanoke City County › Roanoke

Pheasant Ridge Nursing and Rehabilitation

4355 Pheasant Ridge Road, Roanoke, VA 24014

CCN 495325 · For-profit, corporation · 101 certified beds · chain Avardis Health

No standard inspection in 2+ years
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 101 beds, Pheasant Ridge Nursing and Rehabilitation serves Roanoke in Roanoke City County, Virginia and has taken Medicare and Medicaid residents since 1998.

CMS gives it 2 of 5 stars overall, below the Virginia median of 3; the health inspection rating is 2, staffing 2 and quality measures 4.

Inspectors recorded 32 health deficiencies across the three most recent survey cycles (17, 14, 1 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 31.7 per 100 beds, about the same as the state median of 34.5.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.3 hours per resident per day (0.6 RN), close to the Virginia median of 3.4; nursing staff turnover is 53.8%.

CMS flags that the facility has not had a standard health inspection in more than two years.

32health deficiencies, 3 survey cycles5 at actual harm or worse
$0fines listed by CMS0 penalties in period
3.3nurse hours per resident per daystate median 3.4
87%occupancy (residents ÷ beds)88 residents a day

Compared with county, state and nation

MeasureThis facilityRoanoke City Co. medianVirginia medianUS average
Overall star rating2333.0
Health citations, 3 cycles32313228.7
Citations per 100 beds31.726.734.526.8
Total nurse hours per resident day3.33.73.43.9
RN hours per resident day0.60.50.50.7
Nursing staff turnover53.8%48.1%48.3%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (9 in the county, 289 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)17
Cycle 214
Cycle 31

Dark bar: this facility. Grey bar: Virginia average per facility for the same cycle, as published by CMS. Standard health survey dates: 19 Jan 2024, 3 Aug 2022.

Severity mix: J ×1 G ×4 D ×23 E ×2 F ×1 C ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
7 May 2026F0658Ensure services provided by the nursing facility meet professional standards of quality.GComplaint investigation17 Jun 2026
7 May 2026F0692Provide enough food/fluids to maintain a resident's health.GComplaint investigation17 Jun 2026
7 May 2026F0697Provide safe, appropriate pain management for a resident who requires such services.GComplaint investigation17 Jun 2026
7 May 2026F0776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.GComplaint investigation17 Jun 2026
7 May 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation17 Jun 2026
7 May 2026F0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DComplaint investigation17 Jun 2026
7 May 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation17 Jun 2026
21 Nov 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint investigation18 Feb 2025
21 Nov 2024F0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.EComplaint investigation18 Feb 2025
21 Nov 2024F0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.DComplaint investigation15 Jan 2025
21 Nov 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation18 Feb 2025
21 Nov 2024F0635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.DComplaint investigation18 Feb 2025
21 Nov 2024F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint investigation18 Feb 2025
21 Nov 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation18 Feb 2025
21 Nov 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation18 Feb 2025
21 Nov 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation15 Jan 2025
21 Nov 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation18 Feb 2025
19 Jan 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey21 Feb 2024
19 Jan 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EStandard survey21 Feb 2024
19 Jan 2024F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey21 Feb 2024
19 Jan 2024F0641Ensure each resident receives an accurate assessment.DComplaint investigation21 Feb 2024
19 Jan 2024F0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DComplaint investigation21 Feb 2024
19 Jan 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey21 Feb 2024
19 Jan 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey21 Feb 2024
19 Jan 2024F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey21 Feb 2024
19 Jan 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey21 Feb 2024
19 Jan 2024F0732Post nurse staffing information every day.CStandard survey21 Feb 2024
3 Aug 2022F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey7 Sep 2022
3 Aug 2022F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey7 Sep 2022
3 Aug 2022F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey7 Sep 2022
3 Aug 2022F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey7 Sep 2022
8 Apr 2021F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey27 Apr 2021

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.27 h
Nurse aides1.69 h
LPN0.94 h
RN0.64 h
Weekend total2.86 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Virginia average. Turnover: nursing staff 53.8%, RNs 53.3%; 3 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityVirginia medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay11.7%13.3%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.3%0.2%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay3.7%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay7.7%3.4%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.4%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay20.5%14.2%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay5.1%4.2%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay16.8%13.3%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, corporation. Legal business name: 4355 Pheasant Ridge Road Opco Llc. Chain: Avardis Health (38 facilities).

OrganisationRole in the CMS recordInterestSince
Sw Roanoke Parentco LLC5% or greater direct ownership interest100%05/01/2025
Mill Mountain Holdco LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED05/01/2025
Vaop Holdco LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED05/01/2025
SNF Mgr LLCOperational/managerial controlNOT APPLICABLE05/01/2025
SNF Mgr LLCAdp of the snfNOT APPLICABLE04/17/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Roanoke City County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Davis and Mcdaniel Veterans Care CenterRoanoke180555105.6—8 Jan 2026
Friendship Health and Rehab CenterRoanoke253443176.7—29 Oct 2024
Our Lady of the ValleyRoanoke704431420.0—25 Aug 2023
Raleigh Court Health and Rehabilitation CenterRoanoke1204322924.2—15 Aug 2024
South Roanoke Nursing and RehabilitationRoanoke983233939.8—24 Apr 2025
Springtree Healthcare & Rehab CenterRoanoke1203314033.3—11 Mar 2026
Star City Rehabilitation and NursingRoanoke1162313126.7—18 Feb 2025
Old Southwest Health and RehabilitationRoanoke13011212999.2$136K16 Jul 2024

All 9 facilities in Roanoke City County

Questions and answers

How many deficiencies has Pheasant Ridge Nursing and Rehabilitation been cited for?

32 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The Virginia median is 32 per facility.

Has Pheasant Ridge Nursing and Rehabilitation been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Pheasant Ridge Nursing and Rehabilitation compare?

Reported total nurse staffing is 3.3 hours per resident per day against a Virginia median of 3.4 and a national average of 3.9.

Who operates Pheasant Ridge Nursing and Rehabilitation?

It is part of the Avardis Health chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Sw Roanoke Parentco LLC, Mill Mountain Holdco LLC and Vaop Holdco LLC. Individual owners and managers are not listed on this site.

When was Pheasant Ridge Nursing and Rehabilitation last inspected?

The most recent survey or investigation in the CMS record is dated 7 May 2026; the most recent standard health survey was 19 Jan 2024.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.