Commonwealth Care of Roanoke

What Commonwealth Care of Roanoke does

Commonwealth Care of Roanoke (CCR) is a privately held, for-profit operator of 12 wholly-owned skilled nursing and rehabilitation centers located across the Commonwealth of Virginia, headquartered in Roanoke. Founded in 2001 by Deborah L. Petrine, the company delivers four core service lines — inpatient rehabilitation (physical, occupational, and speech therapy), long-term residential care (including a specialized palliative care unit), a companion-style memory care program for Alzheimer's and dementia patients housed in dedicated secure wings, and short-term respite care for caregivers. The technology layer is operational rather than AI-driven: standardized healthcare information systems handle patient management, therapy scheduling, and clinical documentation, supported by a centralized Patient Notebook integration for online bill payment across all 12 facilities.

CCR's commercial model is built on facility-based inpatient care, with revenue generated primarily through Medicare Part A (covering the first 20 days of skilled care in full, with coinsurance from Day 21), Medicare Advantage plans, Medicaid, and private insurance, supplemented by out-of-pocket private pay for uninsured residents and coinsurance balances. The average rehabilitation length of stay is approximately 28 days, with therapy delivered 5-7 days per week in sessions of 15 to 70 minutes. Customer acquisition is a hybrid sales motion: B2B referral relationships with hospitals, healthcare systems, and physician networks channel post-acute placements into each facility, while community walk-ins, family inquiries, and direct admissions round out demand. The company employs 1,001-5,000 staff and is led by a long-tenured executive team with deep Virginia long-term care credentials.

Operationally, CCR differentiates through a Service Excellence Initiative, dedicated clinical-reimbursement oversight, and a compliance-first posture as the first Virginia long-term rehab operator to adopt a formal compliance plan for skilled nursing facilities — a position reinforced by recent quality recognition including 2026 AHCA/NCAL Bronze awards at two centers and selection for the 2026 Liberty Mutual/Ironshore Healthcare Circle of Excellence.

Name

Commonwealth Care of Roanoke

Legal name

Commonwealth Care of Roanoke

Website

https://commonwealth-care.com

Company type

Private

Founded year

2001

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

Commonwealth Care of Roanoke is a privately held Virginia-based operator of 12 skilled nursing and rehabilitation facilities providing inpatient rehabilitation, long-term care, memory care, and respite services to seniors, funded primarily through Medicare, Medicaid, and private insurance.

Ownership category

akta.pro rank

Product category

Skilled Nursing & Rehabilitation Services

NAICS

Nursing Care Facilities (Skilled Nursing Facilities) (623110), Nursing Care Facilities (Skilled Nursing Facilities) (62311)

SIC

Services-Skilled Nursing Care Facilities (8051), Services-Nursing & Personal Care Facilities (8050)

akta.pro primary industry

Long-Term Care Rehabilitation Centers (HLAFAFAD)

akta.pro secondary industries

Post-Acute Transitional Care / Subacute Rehab Centers (HLADAJAN), Long-Term Care Nursing Homes (Custodial LTC) (HLADADAB), Memory Care Units within Skilled Nursing Facilities (SNF/Nursing Homes) (HLADACAC)

Keywords

• Skilled nursing services
• Rehabilitation therapy
• Long-term care
• Memory care
• Respite care

Headquarters

HQ city

Roanoke

HQ country

United States

HQ region

North America

Offices13 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Marketing or Sales, Others

Revenue model

1. Skilled Nursing Facility Services: Inpatient rehabilitation and long-term care services billed through Medicare Part A, Medicare Advantage (HMO), Medicaid, and private insurance. Medicare covers first 20 days in full, with coinsurance from Day 21. Average length of stay approximately 28 days.
2. Therapy Services: Physical, occupational, and speech therapy services included in skilled services coverage for Medicare patients. Therapy sessions range from 15 to 70 minutes, provided 5-7 days a week.
3. Private Pay: Patients without insurance coverage responsible for out-of-pocket payment including coinsurance and deductibles

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels6 records

Core offering

Commonwealth Care of Roanoke operates 12 skilled nursing and rehabilitation centers across Virginia providing inpatient rehabilitation (physical, occupational, and speech therapy), long-term residential nursing care, specialized memory care for Alzheimer's and dementia patients, and short-term respite care for caregivers. Services are billed primarily through Medicare Part A, Medicare Advantage, Medicaid, and private insurance, with private-pay options available.

Product overview

Commonwealth Care of Roanoke (CCR) operates a network of 12 skilled nursing and rehabilitation centers across Virginia, providing a unified platform of healthcare services. The core service portfolio includes four main product lines: Rehabilitation Services (physical, occupational, and speech therapy), Long-Term Care Services (including palliative care), Memory Care Program, and Respite Care Services. These services are delivered through 12 individually branded facilities located in Abingdon, Fredericksburg (Carriage Hill), Chase City, Dinwiddie, Herndon (Dulles), Gainesville, Pennington Gap (Lee), Manassas, Sterling (Potomac Falls), Radford, Hopewell (River View on the Appomattox), and Clifton Forge (The Woodlands). All facilities share common service excellence standards while offering location-specific care team leadership.

Differentiator

Problem solved

Functional benefit

Products and services

• Rehabilitation Services Inpatient rehabilitation and therapy services including physical therapy, occupational therapy, and speech/language pathology, led by physicians and skilled medical professionals. Therapy sessions range from 15 to 70 minutes, provided 5-7 days per week, with an average length of stay of approximately 28 days. Designed for post-surgery, injury recovery, stroke recovery, and cardiac rehabilitation patients.
• Long-Term Care Services Long-term residential care providing residents with dedicated care from highly-trained staff in a residential setting, including retirement community amenities and specialized healthcare solutions. Available private and semi-private rooms with privacy curtains. Targeted at residents with chronic illness, ongoing medical needs, or loss of independence.
• Memory Care Program Companion-style Memory Care program addressing the unique needs of Alzheimer's and dementia patients housed in dedicated wings with secure environment, specialized dementia programming, and 24-hour nursing care. Provides security to residents and reassurance to families.
• Respite Care Services Comprehensive short-term respite care program providing all benefits of long-term care without the long-term commitment. Designed for caregivers needing temporary relief due to travel, vacation, burnout, or other obligations while their loved ones receive quality care.
• Palliative Care Services Specialized palliative care unit within long-term nursing services offering privacy, comfortable amenities, and a friendly atmosphere for patients coping with chronic illness, pain, and end-of-life care needs.

Quantifiable outcome

• Average length of stay approximately 28 days for rehabilitation patients
• +2 more outcomes

Named customers2 records

Segments5 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

Feature4 records

Partnerships

Five partnerships are on record, tiered core and minor.

• Virginia Health Care Association (VHCA)coreStrategic or Co-development PartnerCCR is an active member and leader in VHCA. Deborah Petrine was the first woman to chair the VHCA. David W. Tucker served as Chairman of the Board. Charles Rehnborg served as former Chairman and received VHCA awards. The partnership involves advocacy, quality improvement initiatives, and industry leadership.
• Virginia TechminorStrategic or Co-development PartnerDeborah Petrine served as Rector for Virginia Tech Board of Visitors. Brady Sheffer is a Virginia Tech alumnus with Bachelor's and Master's degrees in accounting.
• Blue Ridge Partnership for Health Science Careers (BRPHSC)minorStrategic or Co-development PartnerDavid W. Tucker serves as Vice President of this partnership, continuing commitment to workforce development across the Commonwealth of Virginia.
• Liberty Mutual and IronshorecoreStrategic or Co-development PartnerCCR selected as member of 2026 Healthcare Circle of Excellence. Program recognizes highly valued healthcare clients and establishes risk management connections. Provides direct access to Liberty Mutual and Ironshore's healthcare leadership teams, regular risk management support, and collaborative forums with other select healthcare providers.
• American Health Care Association and National Center for Assisted Living (AHCA/NCAL)coreStrategic or Co-development PartnerCCR centers participate in AHCA/NCAL National Quality Award Program. Lee Health & Rehab Center and Potomac Falls Health & Rehab Center earned 2026 Bronze — Commitment to Quality Award. Program provides quality framework based on Baldrige Performance Excellence.

Scale indicators7 records

Recent moves5 records

Expansion highlights5 records

Direct peers

• Genesis HealthCare: One of the largest U.S. operators of skilled nursing facilities and assisted/senior living communities, with a meaningful rehabilitation therapy business. Comparable SNF/post-acute operating model to CCR at materially larger scale.
• The Ensign Group: Publicly traded operator (NASDAQ: ENSG) of skilled nursing, assisted living, and rehabilitative care facilities across 14 states. Directly comparable to CCR as a multi-facility SNF/rehab platform, though at much greater scale and broader geographic reach.
• PACS Group: NYSE-listed operator (PACS) of skilled nursing and assisted living facilities across 14+ states with a focus on post-acute care. Directly comparable SNF/rehab operating model, though at substantially larger scale than CCR.
• Consulate Health Care: Privately held operator of skilled nursing and rehabilitation centers across the Sun Belt. Directly comparable SNF/post-acute operating model, similar in scale and geographic concentration to CCR.
• Saber Healthcare Group: Privately held operator of skilled nursing, assisted living, and rehabilitation facilities across the Mid-Atlantic and Midwest, including Virginia. Comparable SNF/rehab operating model and partial geographic overlap with CCR.
• National HealthCare Corporation: NYSE-listed operator (NHC) of skilled nursing facilities, assisted living, home care, and rehabilitation services, primarily across the Southeast and Midwest. Directly comparable operating model with comparable mix of SNF, rehab, and long-term care services.
• Sava Senior Care: Privately held operator of skilled nursing, rehabilitation, and assisted living facilities across multiple states. Comparable SNF/rehab operating model with similar service mix to CCR.

Others

• Welltower: NYSE-listed (WELL) healthcare REIT and one of the largest owners of senior housing and skilled nursing/post-acute real estate. Not an operator, but a capital partner and counterparty for SNF operators like CCR through sale-leaseback and RIDEA structures.

Regional players

• Virginia Health Services: Regional Virginia-based operator of skilled nursing, rehabilitation, and assisted living communities. Most direct geographic peer to CCR, operating in the same Virginia market with overlapping service lines.

Broad incumbents

• Brookdale Senior Living: NYSE-listed (BKD) large operator of senior living communities, including independent living, assisted living, memory care, and some skilled nursing. Adjacent business model rather than direct SNF peer, but operates overlapping care continuum with memory care focus similar to CCR's program.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/CommonwealthCareofRoanoke
• Xx.com/CCare_Roanoke

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles18 records

Subsidiaries12 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Commonwealth Care of Roanoke