diff --git a/vllm/attention/backends/rocm_flash_attn.py b/vllm/attention/backends/rocm_flash_attn.py
index abec46b2e599c..904e4ede90f8f 100644
--- a/vllm/attention/backends/rocm_flash_attn.py
+++ b/vllm/attention/backends/rocm_flash_attn.py
@@ -218,6 +218,12 @@ def decode_metadata(self) -> Optional["ROCmFlashAttentionMetadata"]:
             max_encoder_seq_len=self.max_encoder_seq_len,
             cross_slot_mapping=self.cross_slot_mapping,
             cross_block_tables=self.cross_block_tables)
+        # Batch may be composed of prefill|decodes, adjust query start indices
+        # to refer to the start of decodes when the two are split apart.
+        # E.g. in tokens:[3 prefills|6 decodes], query_start_loc=[3,9] => [0,6].
+        if self._cached_decode_metadata.query_start_loc is not None:
+            qs = self._cached_decode_metadata.query_start_loc
+            self._cached_decode_metadata.query_start_loc = qs - qs[0]
         return self._cached_decode_metadata
 
     def advance_step(self,