Friendship Health and Rehab Center – South was identified as Roanoke County’s second largest nursing home during the first quarter of 2026, reported the Centers for Medicare and Medicaid Services (CMS).
The facility had 120 available beds, which is one fewer than the county average for that period. The average resident count during the quarter was 114.3.
The CMS gave Friendship Health and Rehab Center – South an overall rating of 3 out of 5, matching the average rating for nursing homes statewide in Virginia.
Berkshire Health & Rehabilitation Center had the most beds available in Roanoke County, totaling 180, while Brandon Oaks Nursing and Rehabilitation Center ranked third with 62 beds in the quarter.
Friendship Health and Rehab Center – South faced a total fine amounting to $8,281 and received one penalty in the first quarter of 2026.
Roanoke County, Virginia, had two non-profit nursing home facilities in total.
The U.S. Census Bureau reports that the population of older adults continues to rise as the number of younger individuals declines. Between 2020 and 2024, those age 65 and older grew by 13%, while the under-18 cohort dropped by 1.7%. Over the past 100 years, the older adult segment grew from 4.9 million in 1920 to more than 61 million by 2024, according to census figures.
A 2021 analysis indicates almost half of adults over 65—around 28 million—may need long-term services and supports, with more than a third possibly requiring nursing home care at some point.
“Living a long life is something that many of us want and could get,” said Jesse Slome, executive director of the American Association for Long-Term Care Insurance. “But when we live a long life, the chances of us needing long-term care increase exponentially. But when you need that type of care, there are limited options.”
| Rank | Nursing Home | Overall Rating |
|---|---|---|
| 1 | Berkshire Health & Rehabilitation Center | 4 |
| 2 | Friendship Health and Rehab Center – South | 3 |
| 3 | Brandon Oaks Nursing and Rehabilitation Center | 5 |
The Centers for Medicare and Medicaid Services provided data for this article. The original data source is available here.
