Star City Rehab and Nursing

    1047 Mecca St NE, Roanoke, VA, 24012
    3.8 · 30 reviews
    • Assisted living
    • Memory care
    AnonymousLoved one of resident
    2.0

    Beautiful facility, caring staff, unsafe

    I loved the beautiful buildings, warm staff and outstanding PT/OT - the rehab team and many nurses went above and beyond and the activities and events were wonderful; at times staff felt like family. However, chronic understaffing, poor phone access, delayed/missing meds, hygiene/cleanliness and safety concerns (including reports of bed-bugs and rude or absent nurses) left me worried. I can't recommend it until staffing, phone systems and cleanliness/safety are fixed.

    Pricing

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    Amenities

    3.77 · 30 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.3
    • Staff

      3.9
    • Meals

      2.3
    • Amenities

      3.9
    • Value

      1.0

    Pros

    • Strong rehabilitation/therapy program (PT/OT)
    • Caring, attentive and compassionate staff in many departments
    • Specific therapy staff praised (Kevin, AVA, Tamara)
    • Supportive respiratory and nursing teams in positive cases
    • Social worker who assists with discharge paperwork and coordination
    • Memory care described as attentive and improving
    • Beautiful facility, outdoor/nature area and on-site hair salon
    • Variety of community events and activities for residents and families
    • Private rooms and bathrooms available for some residents
    • Ombudsman available and helpful for reporting issues
    • Warm, welcoming atmosphere reported by several reviewers
    • Departments sometimes coordinate well and become like family to families

    Cons

    • Chronic understaffing and heavy nurse-to-floor ratios (one nurse per floor)
    • Long waits for call-button responses and delayed monitoring
    • Medication errors and delays, medicines found unsecured or misplaced
    • Poor cleanliness: rooms not cleaned, dirty carpets, ice coolers in hallways
    • Patients reportedly left in their own waste and insufficient hygiene care
    • Rude or unhelpful nursing staff and reports of staff being dismissive
    • CNA misconduct reported (eating from residents' trays)
    • Unreliable phone system and difficulty reaching staff remotely
    • Perceived management failures: unresponsiveness or abusive administration
    • High use of agency staff and staff turnover causing inconsistency
    • Food complaints: cold meals, minimal or skipped meals, desire for better food
    • Safety concerns including COVID incident and reported bed bug infestation
    • Accounts of lack of accountability and need for family advocacy
    • Inconsistent experiences: some report excellent care while others strongly discourage admission
    • Hiring/HR concerns: applicant reported no follow-up and possible age bias

    Summary review

    Overall sentiment in the reviews is highly mixed, with clear and repeated praise for the facility’s rehabilitation and therapy services contrasted by serious, recurring operational and safety concerns. Multiple reviewers emphasize that the PT and OT teams deliver outstanding, often life-changing therapy; several individuals singled out therapists by name (Kevin, AVA, Tamara) and described therapy staff as expert, kind, and instrumental in recovery. Positive accounts also highlight a welcoming physical environment—beautiful buildings, outdoor areas and a hair salon—and numerous community events that create a family-like atmosphere for residents. In these favorable reports, staff across departments coordinate well, social workers smooth the discharge process, and families feel supported and reassured.

    However, a significant cluster of negative themes appears repeatedly and is severe enough to outweigh the positives for many reviewers. The most frequent complaint is chronic understaffing: descriptions such as "one nurse per floor," frequent use of agency staff, and long call-button response times recur across summaries. Understaffing is linked to delayed medication administration (or missed meds), medication being found unsecured (meds in cabinets, pills under beds), and long gaps in monitoring that create real safety and dignity concerns (residents left in soiled clothing or waste). These are not isolated gripes but consistent patterns that reviewers say required family members to advocate actively for their loved ones.

    Cleanliness and infection-control issues are another prominent negative pattern. Reviews mention unclean rooms and carpets, ice coolers left in hallways (a germ concern), and most alarmingly, at least one report of bed bug infestation and bite risk—an acute safety and sanitation problem. Coupled with reports of a COVID-related incident and staff not taking responsibility, these concerns raise questions about the facility’s environmental maintenance and infection prevention practices.

    Communication and management problems amplify these operational failings. Several reviewers say the phone system is unreliable and staff are difficult to reach, forcing families to visit in person to check on residents. There are accounts of unhelpful or rude nursing staff, allegations of CNA misconduct (eating from residents’ trays), and contradictory descriptions of administration—from reports of an "abusive administrator" and management unresponsiveness to other reviewers saying administration "goes above and beyond." This inconsistency suggests variability in leadership performance or uneven enforcement of standards across units or shifts. One reviewer also reported a hiring/HR concern—no callback after an interview and potential age discrimination—indicating possible internal culture problems beyond resident care.

    Dining and daily living supports attract mixed comments as well. Positive reviews mention delicious food and enjoyable events, while negative reviews cite cold meals, skipped or minimal meals, and persistent complaints about food quality. The net impression is that dining experiences vary significantly depending on staffing, shift, or individual unit. Similarly, while some residents report private rooms and comfortable accommodations, others describe depressing rooms, lack of basic room necessities, and inadequate cleaning.

    Taken together, the reviews suggest that Star City Rehab and Nursing can provide exceptionally good rehabilitation and, at times, compassionate and coordinated care—particularly from therapy teams—yet suffers from systemic operational shortcomings that create safety, hygiene, and reliability risks. Key areas needing urgent attention are staffing levels and retention (to reduce reliance on agency staff), medication administration and secure storage procedures, infection control and housekeeping (including addressing the bed bug report), and communication systems (phone access and staff responsiveness). Management consistency and accountability also need strengthening to resolve alleged misconduct and to ensure families feel listened to rather than having to become full-time advocates.

    For prospective residents and families, the decision will depend largely on priorities and tolerance for risk. Those seeking strong, short-term rehab outcomes who can closely monitor care and advocate may have very positive experiences, while families looking for consistently reliable 24/7 custodial and medical care should be cautious. Multiple reviewers explicitly recommend waiting for improvements to staffing, communication systems, and cleanliness before trusting the facility with vulnerable residents. If leadership addresses these operational failures while maintaining the strong therapy and compassionate staff noted by many, the facility’s overall quality could become more consistently positive.

    Location

    Map showing location of Star City Rehab and Nursing

    About Star City Rehab and Nursing

    Star City Rehab and Nursing sits at 1047 Mecca Street, NE, in Roanoke, Virginia, and has 116 beds for people needing skilled nursing care, long term care, rehabilitative care, or respiratory care, so folks get help for many different needs and conditions, and the facility stays open all day and night so residents are looked after any time, day or night, and you might notice when you walk through that they've set aside special spaces for therapy and treatment, which is a big help for those needing to focus on recovery, and the staff, led by Mr. Jonathan Caudill as the administrator, pays attention to making care plans that match each person's health and comfort needs. Specialized care units handle different types of health issues, and you'll see a range of medical and clinical services are ready for people staying short or long term. The team says they're friendly and knowledgeable and welcome questions, which is comforting for new folks, and the place even has amenities that try to make living there easier, including accessibility tools like high contrast options for people who might have trouble seeing well, and it's clear they're interested in sharing news and updates since there's a gallery, a blog, jobs listed, and posts on LinkedIn, Facebook, and Instagram, so families can keep up with what's happening at the facility or get a sense of the community, and all these things together show that Star City Rehab and Nursing pays attention to a wide range of care and lifestyles needs, aiming to help people recover and live as comfortably as possible.

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