Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

SOUTH ROANOKE NURSING AND REHABILITATION

ROANOKE, VA · 98 certified beds · Last Life Safety survey April 24, 2025

CMS Certification Number 495002 · first certified January 1967

Ownership

Operated by HERITAGE HALL · For profit - Corporation

  • Ownership changed June 1, 2019 (change of ownership)from SOUTH ROANOKE NURSING HOME, INC.
20
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
3
Inspection & testing records
Of the citations on file

Position within VA

20 citations — more than 84% of the 289 certified nursing homes in VA. Compared within VA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 5 citations; the earlier surveys in the window averaged 7.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens November 2027 — about 14 months from now. This facility’s last Life Safety survey was April 2025. Facilities in VA are typically surveyed 31–43 months after the last one (median 37), measured over 125 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

Get an email about SOUTH ROANOKE NURSING AND REHABILITATION

One email when it happens. No account; stop it any time with one click.

Which alerts

Emergency preparedness

16 of the 20 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

5 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 20 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0922 Have enough backup water supply for essential areas of the nursing home.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0926 Have policies on smoking.

How that compares

Citations on file over three years

Compared with the median facility in VA, and nationally. Surveyors differ markedly between states, so the VA figure is the meaningful one.

This facility20VA median10National median11
Citations on file over three years, compared
MeasureCitations
This facility20
Median facility in VA10
Median facility nationally11

Survey history

Citations at each Life Safety survey
132019-0722022-0352025-04
Citations at each Life Safety survey
Survey dateCitations
July 9, 201913
March 24, 20222
April 24, 20255

Most-cited tags

Most-cited tags at this facility
E-00152E-00072E-00181E-00331E-00221K-02231K-03241K-02911
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
E-0015Address subsistence needs for staff and patients.22025-04-24
E-0007Address patient/client population and determine types of services needed.22025-04-24
E-0018Establish procedures for tracking staff and patients during an emergency.12019-07-09
E-0033Establish methods for sharing information.12019-07-09
E-0022Establish policies and procedures for sheltering.12019-07-09
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.12019-07-09
K-0324Provide properly protected cooking facilities.12022-03-24
K-0291Install emergency lighting that can last at least 1 1/2 hours.12022-03-24

What the citations cover

Citations by CMS category
  • Emergency Preparedness Deficiencies 16
  • Egress Deficiencies 2
  • Smoke Deficiencies 1
  • Miscellaneous Deficiencies 1
Citations by CMS category
CategoryCitations
Emergency Preparedness Deficiencies16
Egress Deficiencies2
Smoke Deficiencies1
Miscellaneous Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

April 24, 2025 — 5 citations

Citations issued on April 24, 2025
TagWhat the surveyor checksStatus
E-0007Address patient/client population and determine types of services needed.Deficient, Provider has date of correction (June 3, 2025)
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (June 3, 2025)
E-0031Provide emergency officials' contact information.Deficient, Provider has date of correction (June 3, 2025)
E-0036Establish emergency prep training and testing.Deficient, Provider has date of correction (June 3, 2025)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (June 3, 2025)

March 24, 2022 — 2 citations

Citations issued on March 24, 2022
TagWhat the surveyor checksStatus
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (March 31, 2022)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (March 31, 2022)

July 9, 2019 — 13 citations

Citations issued on July 9, 2019
TagWhat the surveyor checksStatus
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (August 23, 2019)
E-0007Address patient/client population and determine types of services needed.Deficient, Provider has date of correction (August 23, 2019)
E-0013Develop Emergency Preparedness policies and procedures.Deficient, Provider has date of correction (August 23, 2019)
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (August 23, 2019)
E-0018Establish procedures for tracking staff and patients during an emergency.Deficient, Provider has date of correction (August 23, 2019)
E-0022Establish policies and procedures for sheltering.Deficient, Provider has date of correction (August 23, 2019)
E-0023Establish policies and procedures for medical documentation.Deficient, Provider has date of correction (August 23, 2019)
E-0024Establish policies and procedures for volunteers.Deficient, Provider has date of correction (August 23, 2019)
E-0026Establish roles under a Waiver declared by secretary.Deficient, Provider has date of correction (August 23, 2019)
E-0033Establish methods for sharing information.Deficient, Provider has date of correction (August 23, 2019)
E-0035Provide family notifications of emergency plan.Deficient, Provider has date of correction (August 23, 2019)
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (August 7, 2019)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (August 7, 2019)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.