Davis and McDaniel Veterans Care Center
4550 Shenandoah Ave N W · Roanoke, VA · 24017 · 5409822860
180 certified beds Government - State
- Cleaner inspection record than most facilities nationally.
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
Red flags
61% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 5 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.94 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.66 | 0.55–0.75 |
| Weekend hours / resident-day | 3.46 | ≈ weekday level |
| Nursing turnover / year | 61% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (16 in the current record)
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Potential for harm · D January 27, 2022
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 22, 2022 · Quality of Life and Care
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Potential for harm · D May 23, 2019
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected July 10, 2019 · Resident Rights
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Potential for harm · D May 23, 2019
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected July 10, 2019 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 23, 2019
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 10, 2019 · Resident Assessment and Care Planning
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Potential for harm · D May 23, 2019
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 10, 2019 · Quality of Life and Care
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Potential for harm · D May 23, 2019
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected July 10, 2019 · Quality of Life and Care
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Potential for harm · D May 23, 2019
Ensure that residents are free from significant medication errors.
Corrected July 10, 2019 · Pharmacy Service
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Potential for harm · D March 22, 2018
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected May 4, 2018 · Resident Assessment and Care Planning
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Potential for harm · D March 22, 2018
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 4, 2018 · Resident Assessment and Care Planning
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Potential for harm · D March 22, 2018
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 4, 2018 · Quality of Life and Care
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Potential for harm · D March 22, 2018
Provide safe, appropriate pain management for a resident who requires such services.
Corrected May 4, 2018 · Quality of Life and Care
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Potential for harm · E March 22, 2018
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected May 4, 2018 · Pharmacy Service
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Potential for harm · E March 22, 2018
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.
Corrected May 4, 2018 · Pharmacy Service
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Potential for harm · D March 22, 2018
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.
Corrected May 4, 2018 · Pharmacy Service
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Potential for harm · D March 22, 2018
Provide and implement an infection prevention and control program.
Corrected May 4, 2018 · Infection Control
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No harm found · B March 22, 2018
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected May 4, 2018 · Resident Assessment and Care Planning
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495274 · certified since November 17, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.