Skilled nursing facility · CMS certification number 495421
FRIENDSHIP HEALTH AND REHAB CENTER - SOUTH
ROANOKE, Virginia · Medicare and Medicaid
Certified beds, as filed in Care Compare: 120
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $8,281.00 · Payment denials: 0. The most recent penalty on file: June 18, 2025, Fine, $8,281. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for July 1, 2024 to June 30, 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 13, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,217,471 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,193,401 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,024,070 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,144,748 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,879,322 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $102,254 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,981,576 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,981,575 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 43,800 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 9,627 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 17,659 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 14,930 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 42,216 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 306 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 35 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 236 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 577 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 504.54 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 73.16 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1442340, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended June 30, 2024
Cost report for July 1, 2023 to June 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on December 12, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,502,886 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,347,184 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,155,702 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,946,913 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,208,789 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $105,997 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,314,786 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,314,786 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,119 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 794 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 608.93 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 53.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1400860, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended June 30, 2023
Cost report for July 1, 2022 to June 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 24, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,451,346 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,527,294 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,924,052 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,851,034 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $73,018 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $253,457 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $326,475 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $326,475 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,849 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 753 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 566.72 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 54.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1404112, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended June 30, 2022
Cost report for July 1, 2021 to June 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 18, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,266,499 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,944,676 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,321,823 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,247,967 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,073,856 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $240,637 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,314,493 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,314,493 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,087 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,024 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 624.28 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 40.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1345800, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended June 30, 2021
Cost report for July 1, 2020 to June 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 17, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,241,188 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,031,850 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,209,338 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,528,328 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $681,010 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,191,310 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,872,320 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,872,316 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,693 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 516 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 12.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 73.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1339981, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended June 30, 2020
Cost report for July 1, 2019 to June 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on June 16, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,078,128 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,094,048 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,984,080 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,017,139 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$33,059 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $135,180 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $102,121 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $102,120 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,414 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 634 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 30.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 63.74 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1286261, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended June 30, 2019
Cost report for July 1, 2018 to June 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 18, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,258,149 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,889,003 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,369,146 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,910,931 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$541,785 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $139,762 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$402,023 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$402,023 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,861 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 633 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.04 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 213.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 62.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1255712, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended June 30, 2018
Cost report for July 1, 2017 to June 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 12, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,639,749 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,811,590 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,828,159 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,773,595 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $54,564 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $174,736 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $229,300 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $229,300 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,834 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 800 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 63.41 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 48.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1236808, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended June 30, 2017
Cost report for July 1, 2016 to June 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 17, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,216,623 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,713,742 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,502,881 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,409,062 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$906,181 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $130,458 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$775,723 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$775,723 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,390 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 720 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 164.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 42.21 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1222833, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended June 30, 2016
Cost report for May 16, 2016 to June 30, 2016 — a reporting period of 45 days, not a full year, on form CMS-2540-10, settled, processed by CMS on December 14, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $747,837 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $248,596 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $499,241 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,498,669 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$999,428 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,548 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$997,880 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$997,880 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 29 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 1,102 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 27 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 40.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1148531, read from the public cost report file SNF10FY2016.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| FRIENDSHIP FOUNDATION INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 03/15/2012 |
| BISHOP, NATHANIEL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/01/2021 |
| COMBS, GLEN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/15/2012 |
| FEINOUR, EDWIN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/15/2012 |
| GROVE, LUCIAN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/15/2012 |
| JOHNSON, CYNDA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/15/2012 |
| LAWSON, ROBERT | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/15/2012 |
| OELSCHLAGER, KATHRYN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/15/2012 |
| SANDEL, ROBERT | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/15/2012 |
| WILLIAMSON, JOHN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/01/2021 |
| HOFF, JOSEPH | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 07/18/2017 |
| MITCHELL, CYNTHIA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/06/2016 |
| SHANNON, CHARLES | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/15/2012 |
| EVANS, BRANDON | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 09/24/2018 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of FRIENDSHIP HEALTH AND REHAB CENTER SOUTH INC (enrollment ID O20151216001948).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| FRIENDSHIP FOUNDATION INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 3/15/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| CYNDA ANN JOHNSON | Individual | CORPORATE DIRECTOR | Not stated in the filing | 3/15/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| EDWIN R FEINOUR | Individual | CORPORATE DIRECTOR | Not stated in the filing | 3/15/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GLEN C COMBS | Individual | CORPORATE DIRECTOR | Not stated in the filing | 3/15/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN B WILLIAMSON | Individual | CORPORATE DIRECTOR | Not stated in the filing | 7/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KATHRYN OELSCHLAGER | Individual | CORPORATE DIRECTOR | Not stated in the filing | 3/15/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LUCIAN Y GROVE | Individual | CORPORATE DIRECTOR | Not stated in the filing | 3/15/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NATHANIEL BISHOP | Individual | CORPORATE DIRECTOR | 0 | 7/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROBERT C LAWSON | Individual | CORPORATE DIRECTOR | Not stated in the filing | 3/15/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROBERT H SANDEL | Individual | CORPORATE DIRECTOR | Not stated in the filing | 3/15/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHARLES M SHANNON | Individual | CORPORATE OFFICER | Not stated in the filing | 3/15/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CYNTHIA D MITCHELL | Individual | CORPORATE OFFICER | 0 | 4/6/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOSEPH HOFF | Individual | CORPORATE OFFICER | Not stated in the filing | 7/18/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRANDON EVANS | Individual | W-2 MANAGING EMPLOYEE | Not stated in the filing | 9/24/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- November 30, 2022: NATHANIEL BISHOP (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on November 30, 2022; associated with this enrollment since July 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- November 30, 2022: JOHN B WILLIAMSON (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on November 30, 2022; associated with this enrollment since July 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
Recent changes on this record
- November 13, 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- February 24, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- December 12, 2024: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- April 18, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- January 17, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- November 30, 2022: NATHANIEL BISHOP (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on November 30, 2022; associated with this enrollment since July 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- November 30, 2022: JOHN B WILLIAMSON (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on November 30, 2022; associated with this enrollment since July 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- June 16, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- May 18, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- July 12, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- April 17, 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- December 14, 2016: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | April 25, 2024 | April 25, 2024 | 11 | 2 |
| 2 | October 13, 2022 | October 13, 2022 | 5 | 10 |
| 3 | December 5, 2019 | December 5, 2019 | 3 | 5 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
19 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| June 18, 2025 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Past Non-Compliance | January 29, 2025 |
| June 18, 2025 | Health | F 0761 | Pharmacy Service Deficiencies | 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. | J | Yes | Past Non-Compliance | January 29, 2025 |
| April 25, 2024 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | June 20, 2024 |
| April 25, 2024 | Health | F 0636 | Resident Assessment and Care Planning Deficiencies | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | No | Deficient, Provider has date of correction | June 20, 2024 |
| April 25, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | June 20, 2024 |
| April 25, 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | June 20, 2024 |
| April 25, 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | No | Deficient, Provider has date of correction | June 20, 2024 |
| April 25, 2024 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | June 20, 2024 |
| April 25, 2024 | Health | F 0758 | Pharmacy Service Deficiencies | 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. | D | No | Deficient, Provider has date of correction | June 20, 2024 |
| April 25, 2024 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | June 20, 2024 |
| April 25, 2024 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | June 20, 2024 |
| April 25, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | June 20, 2024 |
| April 25, 2024 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | June 20, 2024 |
| April 25, 2024 | Health | F 0887 | Infection Control Deficiencies | 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. | D | No | Deficient, Provider has date of correction | June 20, 2024 |
| October 13, 2022 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | November 15, 2022 |
| October 13, 2022 | Health | F 0761 | Pharmacy Service Deficiencies | 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. | E | No | Deficient, Provider has date of correction | November 15, 2022 |
| October 13, 2022 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | November 15, 2022 |
| December 5, 2019 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | December 13, 2019 |
| December 5, 2019 | Health | F 0761 | Pharmacy Service Deficiencies | 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. | D | No | Deficient, Provider has date of correction | December 13, 2019 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| June 18, 2025 | Fine | $8,281 | 133919 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | FRIENDSHIP HEALTH AND REHAB CENTER SOUTH INC |
| Date First Approved to Provide Medicare and Medicaid Services | 2016-05-16 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Roanoke |
| Telephone Number | 5407778300 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 120 |
| Average Number of Residents per Day | 112.4 |
| Overall Rating | 3 |
| Health Inspection Rating | 3 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
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The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On November 13, 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. That is one line of the alert.
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The citable document for FRIENDSHIP HEALTH AND REHAB CENTER - SOUTH
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Virginia at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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