All citations for South Roanoke Nursing and Rehabilitation

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to South Roanoke Nursing and Rehabilitation

Last standard health inspection on record

April 24, 2025

Showing 1 to 25 of 27 citations

  1. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of July 9, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2019).

  2. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of July 9, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2019).

  3. No harm, with potential for more than minimal harm

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0223, Egress Deficiencies. Inspection of July 9, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 7, 2019).

  4. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of July 9, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 7, 2019).

  5. No harm, with potential for more than minimal harm

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0578, Resident Rights Deficiencies. Inspection of July 9, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2019).

  6. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0580, Resident Rights Deficiencies. Inspection of July 9, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2019).

  7. No harm, with potential for more than minimal harm

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0622, Resident Rights Deficiencies. Inspection of July 9, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2019).

  8. No harm, with potential for more than minimal harm

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0623, Resident Rights Deficiencies. Inspection of July 9, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2019).

  9. No harm, with potential for more than minimal harm

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0625, Resident Rights Deficiencies. Inspection of July 9, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2019).

  10. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of July 9, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2019).

  11. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of July 9, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2019).

  12. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of July 9, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2019).

  13. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of July 9, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2019).

  14. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of July 9, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2019).

  15. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of July 9, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2019).

  16. No harm, with potential for more than minimal harm

    Have policies on smoking.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0926, Environmental Deficiencies. Inspection of July 9, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2019).

  17. No harm, with potential for more than minimal harm

    Conduct risk assessment and an All-Hazards approach.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of July 9, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2019).

  18. No harm, with potential for more than minimal harm

    Address patient/client population and determine types of services needed.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0007, Emergency Preparedness Deficiencies. Inspection of July 9, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2019).

  19. No harm, with potential for more than minimal harm

    Develop Emergency Preparedness policies and procedures.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of July 9, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2019).

  20. No harm, with potential for more than minimal harm

    Address subsistence needs for staff and patients.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of July 9, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2019).

  21. No harm, with potential for more than minimal harm

    Establish procedures for tracking staff and patients during an emergency.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0018, Emergency Preparedness Deficiencies. Inspection of July 9, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2019).

  22. No harm, with potential for more than minimal harm

    Establish policies and procedures for sheltering.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0022, Emergency Preparedness Deficiencies. Inspection of July 9, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2019).

  23. No harm, with potential for more than minimal harm

    Establish policies and procedures for medical documentation.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0023, Emergency Preparedness Deficiencies. Inspection of July 9, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2019).

  24. No harm, with potential for more than minimal harm

    Establish policies and procedures for volunteers.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0024, Emergency Preparedness Deficiencies. Inspection of July 9, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2019).

  25. No harm, with potential for more than minimal harm

    Establish roles under a Waiver declared by secretary.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of July 9, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2019).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.