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BRANDON OAKS NURSING AND REHABILITATION CENTER Inspection Report, Violations & Safety Grade (ROANOKE, Virginia)

3837 BRANDON AVENUE SW, ROANOKE, Virginia 24018

Phone: 5407762616

CMS Overall:5/5

Overview & Bed Count

Certified Beds
62
Avg Residents/Day
57.3
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
County
Roanoke
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall5/5
Health4/5
Staffing5/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityVirginia AvgDifference
RN Hours per Resident per Day0.770.71+0.06
Total Nurse Hours per Resident per Day5.633.88+1.76
CMS Staffing Rating5/52.5/5-
Nursing Staff Turnover27.5%47.5%-

Health Citation History

13 health citations on record

DateCategoryDescriptionSeverity
2026-08-13Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2023-09-08Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2023-09-08Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2023-09-08Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2021-08-24Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2021-08-24Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2021-08-24Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential
2020-02-27Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2020-02-27Resident Rights DeficienciesHonor 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.D – Moderate Harm Potential
2020-02-27Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2020-02-27Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2020-02-27Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2020-02-27Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential

Fire Safety Citation History

21 fire safety citations on record

DateCategoryDescriptionSeverity
2023-09-08Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.D – Moderate Harm Potential
2023-09-08Smoke DeficienciesMeet other general requirements.D – Moderate Harm Potential
2021-08-24Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2021-08-24Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2021-08-24Services DeficienciesHave properly installed electrical wiring and gas equipment.F – Moderate Harm Potential
2021-08-24Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2021-08-24Egress DeficienciesHave properly located and lighted "Exit" signs.E – Moderate Harm Potential
2021-08-24Smoke DeficienciesProvide properly protected cooking facilities.E – Moderate Harm Potential
2021-08-24Smoke DeficienciesProperly install and monitor supervisory attachments on automatic sprinkler systems.E – Moderate Harm Potential
2021-08-24Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2021-08-24Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.E – Moderate Harm Potential
2021-08-24Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.D – Moderate Harm Potential
2021-08-24Smoke DeficienciesHave properly installed hallway dispensers for alcohol-based hand rub.D – Moderate Harm Potential
2020-02-27Construction DeficienciesInstall a two-hour-resistant firewall separation.F – Moderate Harm Potential
2020-02-27Egress DeficienciesProvide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.F – Moderate Harm Potential
2020-02-27Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.F – Moderate Harm Potential
2020-02-27Egress DeficienciesHave properly located and lighted "Exit" signs.F – Moderate Harm Potential
2020-02-27Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.F – Moderate Harm Potential
2020-02-27Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2020-02-27Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.F – Moderate Harm Potential
2020-02-27Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.F – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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