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Skilled nursing facility · CMS certification number 495427

STAR CITY REHABILITATION AND NURSING

ROANOKE, Virginia · Medicare and Medicaid

Certified beds, as filed in Care Compare: 116

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 April 2024 to 31 March 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 February 2026.

Revenue and expenses, fiscal year 2025
FigureAs filedWhere it comes from
Total patient revenue$16,552,201CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,635,102CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$14,917,099CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$13,808,560CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,108,539CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$749CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,109,288CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,109,289 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2025
FigureAs filedWhere it comes from
Total facility beds, all components116CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components42,340CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days5,389CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days21,570CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days9,040CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components35,999CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges138CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges171CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges72CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components381CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days39.05CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days126.14CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days94.49CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1448058, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2024, ended 31 March 2024

Cost report for 1 December 2023 to 31 March 2024 — a reporting period of 121 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 6 November 2024.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$4,701,473CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$432,514CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,268,959CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,619,638CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$350,679CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$350,678CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$350,678 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components116CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components10,672CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components139CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days77.19CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days76.97CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days76.78CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1398694, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 30 November 2023

Cost report for 1 October 2023 to 30 November 2023 — a reporting period of 60 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 6 November 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$2,505,911CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$630,993CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$1,874,918CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,438,095CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$563,177CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$693CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$562,484CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$562,482 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components116CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components5,190CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components73CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days25.91CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days247.64CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days71.1CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1398693, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2022, ended 30 September 2022

Cost report for 8 September 2021 to 30 September 2022 — a reporting period of 387 days, on form CMS-2540-10, settled, processed by CMS on 22 March 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$10,932,863CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,309,138CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,623,725CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,964,581CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$3,340,856CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$61,152CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$3,279,704CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$3,279,705 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components116CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components24,918CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components214CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.6CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days333.86CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days116.44CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1344775, read from the public cost report file SNF10FY2021.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
VA SNF OPERATIONS HOLDINGS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 12/01/2023
LYAM FAMILY TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization50%since 12/01/2023
SHAPIRO, AKIVACORPORATE OFFICERIndividualNOT APPLICABLEsince 12/01/2023
VANHOUSEN, SUSANW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 12/01/2023

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of ROANOKE REHAB AND HEALTHCARE CENTER LLC (enrollment ID O20240312004023).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
VA SNF OPERATIONS HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST10012/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: Yes
LYAM FAMILY TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST5012/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
YDI IRREVOCABLE TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST5012/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
AKIVA SHAPIROIndividualCORPORATE OFFICERCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SUSAN VANHOUSENIndividualW-2 MANAGING EMPLOYEE012/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
114 February 202414 February 202496
28 September 20218 September 2021220

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

31 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
18 February 2025HealthF 0584Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DYesDeficient, Provider has date of correction25 March 2025
18 February 2025HealthF 0657Resident 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.DYesDeficient, Provider has date of correction25 March 2025
18 February 2025HealthF 0660Resident Assessment and Care Planning DeficienciesPlan the resident's discharge to meet the resident's goals and needs.DYesDeficient, Provider has date of correction25 March 2025
18 February 2025HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DYesDeficient, Provider has date of correction25 March 2025
18 February 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correction25 March 2025
18 February 2025HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DYesDeficient, Provider has date of correction25 March 2025
18 February 2025HealthF 0761Pharmacy 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.DYesDeficient, Provider has date of correction25 March 2025
18 February 2025HealthF 0770Administration DeficienciesProvide timely, quality laboratory services/tests to meet the needs of residents.DYesDeficient, Provider has date of correction25 March 2025
18 February 2025HealthF 0800Nutrition and Dietary DeficienciesProvide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.EYesDeficient, Provider has date of correction25 March 2025
18 February 2025HealthF 0802Nutrition and Dietary DeficienciesProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.EYesDeficient, Provider has date of correction25 March 2025
18 February 2025HealthF 0803Nutrition and Dietary DeficienciesEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EYesDeficient, Provider has date of correction25 March 2025
18 February 2025HealthF 0809Nutrition and Dietary DeficienciesEnsure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.EYesDeficient, Provider has date of correction25 March 2025
18 February 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EYesDeficient, Provider has date of correction25 March 2025
18 February 2025HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EYesDeficient, Provider has date of correction25 March 2025
18 February 2025HealthF 0865Administration DeficienciesHave a plan that describes the process for conducting QAPI and QAA activities.EYesDeficient, Provider has date of correction25 March 2025
8 November 2024HealthF 0636Resident Assessment and Care Planning DeficienciesAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DYesDeficient, Provider has date of correction12 December 2024
8 November 2024HealthF 0638Resident Assessment and Care Planning DeficienciesAssure that each resident’s assessment is updated at least once every 3 months.DYesDeficient, Provider has date of correction12 December 2024
8 November 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correction12 December 2024
8 November 2024HealthF 0803Nutrition and Dietary DeficienciesEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EYesDeficient, Provider has date of correction12 December 2024
8 November 2024HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.EYesDeficient, Provider has date of correction12 December 2024
8 November 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EYesDeficient, Provider has date of correction12 December 2024
8 November 2024HealthF 0925Environmental DeficienciesMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.EYesDeficient, Provider has date of correction12 December 2024
14 February 2024HealthF 0567Resident Rights DeficienciesHonor the resident's right to manage his or her financial affairs.DNoDeficient, Provider has date of correction18 April 2024
14 February 2024HealthF 0623Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DNoDeficient, Provider has date of correction18 April 2024
14 February 2024HealthF 0625Resident Rights DeficienciesNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DNoDeficient, Provider has date of correction18 April 2024
14 February 2024HealthF 0657Resident 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.DNoDeficient, Provider has date of correction18 April 2024
14 February 2024HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correction18 April 2024
14 February 2024HealthF 0757Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.DNoDeficient, Provider has date of correction18 April 2024
14 February 2024HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.DNoDeficient, Provider has date of correction18 April 2024
14 February 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correction18 April 2024
14 February 2024HealthF 0887Infection Control DeficienciesEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.ENoDeficient, Provider has date of correction18 April 2024

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Not yet extracted for this facility.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Corporation
Legal Business NameROANOKE REHAB AND HEALTHCARE CENTER LLC
Date First Approved to Provide Medicare and Medicaid Services2021-09-08
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishRoanoke City
Telephone Number5409240100
Chain NameEASTERN HEALTHCARE GROUP
Chain ID608
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds116
Average Number of Residents per Day105.9
Overall Rating2
Health Inspection Rating3
QM Rating3
Long-Stay QM Rating2
Short-Stay QM Rating4
Processing Date2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

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On 23 February 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. That is one line of the alert.

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