Nursing homes › Virginia › Pheasant Ridge Nursing and Rehabilitation
4355 Pheasant Ridge Road, Roanoke, VA 24014 · 5407258210 · 101 certified beds
Per CMS filings, this facility is affiliated with Avardis Health, a group operating 38 facilities in 4 states. Group record: average rating 2.0/5, 9 abuse citation icons, 5 facilities on the Special Focus list, $1,579,025 in federal fines. This facility rates above its group average (2.0/5).
Total nurse staffing: 3.27 (Virginia median: 3.45). RN hours: 0.64. Weekend total: 2.86. Nursing staff turnover: 54%.
All-time on record: 32 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-07 | Ensure services provided by the nursing facility meet professional standards of quality. | G | complaint | corrected 2026-06-17 |
| 2026-05-07 | Provide enough food/fluids to maintain a resident's health. | G | complaint | corrected 2026-06-17 |
| 2026-05-07 | Provide safe, appropriate pain management for a resident who requires such services. | G | complaint | corrected 2026-06-17 |
| 2026-05-07 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | G | complaint | corrected 2026-06-17 |
| 2026-05-07 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2026-06-17 |
| 2026-05-07 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | complaint | corrected 2026-06-17 |
| 2026-05-07 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2026-06-17 |
| 2024-11-21 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | complaint | corrected 2025-02-18 |
| 2024-11-21 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | E | complaint | corrected 2025-02-18 |
| 2024-11-21 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | complaint | corrected 2025-01-15 |
| 2024-11-21 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2025-02-18 |
| 2024-11-21 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D | complaint | corrected 2025-02-18 |
| 2024-11-21 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | complaint | corrected 2025-02-18 |
| 2024-11-21 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2025-02-18 |
| 2024-11-21 | Provide safe and appropriate respiratory care for a resident when needed. | D | complaint | corrected 2025-02-18 |
| 2024-11-21 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2025-01-15 |
| 2024-11-21 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2025-02-18 |
| 2024-01-19 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-02-21 |
| 2024-01-19 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Health | corrected 2024-02-21 |
| 2024-01-19 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2024-02-21 |
| 2024-01-19 | Ensure each resident receives an accurate assessment. | D | complaint | corrected 2024-02-21 |
| 2024-01-19 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | complaint | corrected 2024-02-21 |
| 2024-01-19 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2024-02-21 |
| 2024-01-19 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2024-02-21 |
| 2024-01-19 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2024-02-21 |
| 2024-01-19 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2024-02-21 |
| 2024-01-19 | Post nurse staffing information every day. | C | Health | corrected 2024-02-21 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| SW ROANOKE PARENTCO LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 05/01/2025 |
| MILL MOUNTAIN HOLDCO LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 05/01/2025 |
| VAOP HOLDCO LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 05/01/2025 |
| CLARK, ALYSSA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 05/01/2025 |
| HOBACK, TIFFANY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 05/01/2025 |
| SNF MGR LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 05/01/2025 |
| BRANDT, KAREN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/05/2025 |
| CLARK, ALYSSA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2025 |
| FORREN, HOLLY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2025 |
| HOBACK, TIFFANY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2025 |
| JONES, TEQUILLA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2025 |
| TOMPKINS, PAUL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 495325. Corrections: data@carerecords.org.