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Nursing HomeMedicaid

Pheasant Ridge Nursing and Rehabilitation

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

4355 Pheasant Ridge Road, Roanoke, VA 24014101 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
5.0/5

based on 1 Google review

Pheasant Ridge Nursing and Rehabilitation Nursing Home in Roanoke, VA — Street View
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What this means for your family

Pheasant Ridge Nursing and Rehabilitation falls in the middle range of Medicare quality ratings. This means baseline standards are met, but there is room for improvement. A personal tour and conversation with current residents' families will give you the best picture of daily life here.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.67hrs
90%
Registered nurses for medical care
Total Nursing
3.53hrs
86%
All nurses + aides combined
Staff Turnover
54%
Lower is better (< 30% = good)
RN Turnover
46%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

5

measures

Worse Than Avg

9

measures

Mixed Results

3

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility32.2%
Worse than Avg
Here
32.2%
US
19.5%
VA
20.4%
Roanoke city
19.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility6.5%
Better than Avg
Here
6.5%
US
12.1%
VA
16.9%
Roanoke city
19.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for the flu

↑ Higher is better
This Facility86.7%
Mixed vs Avgs
Here
86.7%
US
95.5%
VA
94.0%
Roanoke city
82.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility23.1%
Worse than Avg
Here
23.1%
US
15.3%
VA
16.4%
Roanoke city
15.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility20.8%
Mixed vs Avgs
Here
20.8%
US
19.4%
VA
22.0%
Roanoke city
25.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility18.4%
Worse than Avg
Here
18.4%
US
15.5%
VA
14.2%
Roanoke city
13.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility59.7%
Worse than Avg
Here
59.7%
US
79.8%
VA
73.6%
Roanoke city
65.4%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility75.9%
Mixed vs Avgs
Here
75.9%
US
81.8%
VA
73.9%
Roanoke city
74.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.2%
Worse than Avg
Here
2.2%
US
1.6%
VA
1.2%
Roanoke city
1.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

10deficiencies
Near state avg (14.5)
12 complaint-triggered

Families have filed multiple complaints triggering 12 deficiencies, with recent concerns about care planning and medication management in November 2024. The facility shows recurring problems across care planning, medication oversight, and resident communication, with the same issues appearing in multiple surveys from 2021 through 2024. While all deficiencies have reported correction dates, the pattern of repeated violations suggests ongoing quality concerns families should investigate thoroughly.

Nov 21, 2024Complaint
10
0684Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0711Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

0573Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0635Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0656Potential for harm · IsolatedCorrected

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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0842Potential for harm · IsolatedCorrected

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.

Jan 19, 2024Routine
10
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0580Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0756Potential for harm · IsolatedCorrected

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.

0842Potential for harm · IsolatedCorrected

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.

0223Potential for harm · IsolatedCorrected

Egress Deficiencies

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

0291Potential for harm · IsolatedCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0732Minimal · WidespreadCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Jan 19, 2024Complaint
2
0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0661Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Aug 3, 2022Routine
9
0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0161Potential for harm · PatternCorrected

Construction Deficiencies

Use approved construction type or materials.

0293Potential for harm · PatternCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0345Potential for harm · PatternCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0842Potential for harm · IsolatedCorrected

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.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Apr 8, 2021Routine
9
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0521Potential for harm · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0918Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0293Potential for harm · IsolatedCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Pheasant Ridge Nursing and Rehabilitation

Organization Type

for profit

Chain Affiliation

Chain Name

Avardis Health

Chain Size

38 facilities nationwide

Chain avg rating: 2.3/5 · Rank 12 of 35

Ownership & Management

Owners

Sw Roanoke Parentco LLC

Owner · Organization

100%

Mill Mountain Holdco LLC

Owner (parent company) · Organization

Vaop Holdco LLC

Owner (parent company) · Organization

Key personnel

Clark, AlyssaManaging Control - Governing BodyHoback, TiffanyManaging Control - Governing BodySnf Mgr LLCManagerBrandt, KarenManagerClark, AlyssaManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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