Roanoke City

Pheasant Ridge Nursing and Rehabilitation

No standard inspection in over 2 years
Medicare rating
2 out of 5
1
finding of immediate jeopardy, the most serious kind
34%
less nursing care than its residents are expected to need, against a research benchmark

Medicare’s overall rating for this home. The inspection part of it is graded on a curve against other Virginia homes, so a star here does not mean what it means in another state.

4355 Pheasant Ridge Road, Roanoke, VA 24014 · (540) 725-8210
101 beds · about 88 residents on a typical day · for-profit corporation

Staffing

All nursing staff, per resident, per day
3 hours 16 minutes

Residents here are expected to need about 4 hours 56 minutes, given how sick they are. This home reports 34% less. The average Virginia home reports 3 hours 45 minutes.

Registered nurses only
38 minutes

Registered nurses have the most training of the nursing staff on a shift. Residents here are expected to need about 1 hour 11 minutes of their time. This home reports 46% less.

Nursing staff who left in the past year
54%

About half of the nursing staff left within a year. High turnover means the people caring for your family member keep changing. The average Virginia home reports 48%.

Where the benchmark comes from

Staffing is the measure most closely linked to how residents do, and the one families almost never see. How much nursing care a resident needs depends on how sick they are, so we compare this home against the level its own residents are expected to need. The marker on the first two bars shows that level. It is a research benchmark, not a legal limit. The hours shown are the hours the home filed with Medicare, before any adjustment for how sick its residents are.

What inspectors found

Inspectors visit every nursing home and write up what they find. This home has 32 findings on record going back to 2021, 19 of them after someone filed a complaint. Of the 32, 27 are from the last three years.

The 5 serious findings here

Actual harm May 7, 2026 From a complaint

Care below professional standards

The care the home gave did not meet the standards that trained health workers are expected to follow.

The home has submitted a plan to fix this.

Medicare’s wording

Federal tag F658Ensure services provided by the nursing facility meet professional standards of quality.

Actual harm May 7, 2026 From a complaint

Nutrition

A resident did not get enough food or fluids to stay healthy.

The home has submitted a plan to fix this.

Medicare’s wording

Federal tag F692Provide enough food/fluids to maintain a resident's health.

Actual harm May 7, 2026 From a complaint

Pain

A resident’s pain was not properly treated.

The home has submitted a plan to fix this.

Medicare’s wording

Federal tag F697Provide safe, appropriate pain management for a resident who requires such services.

Actual harm May 7, 2026 From a complaint

No approved X-ray service

The home did not provide X-ray and other test services, or arrange them with an approved outside provider.

The home has submitted a plan to fix this.

Medicare’s wording

Federal tag F776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

Immediate jeopardy November 21, 2024 From a complaint

Quality of care

A resident did not get treatment and care that followed their orders, their own preferences and their goals.

The home fixed this on February 18, 2025.

Medicare’s wording

Federal tag F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Everything on record

Immediate jeopardy 1 Has caused, or was likely to cause, serious injury, harm, impairment or death
Actual harm 4 A resident was hurt
Potential for harm 26 Could have caused harm. No one was hurt. The most common kind.
No harm1Rule was broken but no resident was put at risk. Usually paperwork or procedure.

266 of the 289 nursing homes in Virginia have fewer findings of harm or immediate jeopardy on record than this one.

What these levels mean

Immediate jeopardy The most serious finding there is. Medicare’s words: noncompliance that has caused, or is likely to cause, serious injury, harm, impairment, or death. About 2 in every 100 findings nationally.

Actual harm A resident was really hurt, not just put at risk. About 3 in every 100 findings.

The letter is Medicare’s own code for how many residents were involved. Immediate jeopardy covers J, K and L. Actual harm covers G, H and I. The later the letter, the more residents were affected.

The plain-English line under each finding describes the rule the inspector cited. It is not an account of what happened. Medicare’s own wording of the rule is printed with it, and the full inspection report is the record of the incident.

What you can do

Numbers only go so far. These are two things most families do not know they can do.

Ask for today’s staffing sheet

Every nursing home must post how many nurses are working each shift, keep 18 months of it, and show it to you on request. Ask for today’s, then last Saturday’s. Weekends are when staffing thins out.

Call the ombudsman before you decide

Every state has a free, confidential long-term care ombudsman. You can ask how many complaints a specific home has had and what they were about. You can find your state’s office through its department of aging.

Where this comes from

Inspection findings, staffing hours, fines and star ratings on this page are published by the Centers for Medicare & Medicaid Services, a federal agency, and are current as of August 1, 2026. We reload after each monthly release, and the footer of every page shows both the release date and the date we loaded it. The federal ID for this home is 495325.

What these numbers do not say

The level of care residents here are expected to need, and the gap, are not Medicare figures. We work them out from this home’s own Medicare case-mix score using the published CASE formula (Harrington and others, Journal of the American Geriatrics Society, 2025). It is a research benchmark, not a legal limit.

Inspection findings are recorded by state inspectors on behalf of Medicare. Staffing hours come from payroll records the home files with Medicare, and Medicare audits a sample of them. Star ratings partly reflect quality measures the home reports about itself, which is why we show inspections and staffing separately rather than only the star.