Roanoke City County, Virginia · Nursing home
Old Southwest Health and Rehabilitation
1 of 5 overall from CMS
324 King George Ave SW, Roanoke, VA 24016
At a glance
- Overall rating 1 of 5 Below the state average of 3.0
- Nurse time per resident, per day 3.47 hours Below the state average of 3.76
- Nursing staff who left in a year 69.5% Above the state average of 48.1%
- Health citations, last 3 inspection cycles 126 3 at the harm level or above
- Fines in 3 years $135,633 1 fine
- Certified beds in use 58.8% of 130 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Old Southwest Health and Rehabilitation is a 130-bed nursing home in Roanoke, Virginia (Roanoke City County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.47 nurse staffing hours per resident per day, below the Virginia average of 3.76. CMS lists 1 fine totaling $135,633 in the past three years.
- Certified beds
- 130
- Residents per day (average)
- 76.5
- Certified since
- 1985 (41 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Eastern Healthcare Group (18 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Old Southwest Health and Rehabilitation
Chosen from this home's public data.
- CMS lists 1 fine totaling $135,633 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 46 health deficiencies in the latest inspection cycle (the standard inspection on Mar 29, 2024 plus complaint and infection-control inspections); the Virginia average is 14.3. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 69.5%, above the Virginia average of 48.1%. How often would the same aides care for my relative?Turnover in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Virginia average 3.0
- Health inspections 1 of 5 Virginia average 2.7
- Staffing 2 of 5 Virginia average 2.4
- Quality measures 3 of 5 Virginia average 3.9
The vertical line marks the Virginia average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.47 h Virginia average 3.76
- Nurse aides 1.73 h Virginia average 2.07
- Licensed practical nurses 1.31 h Virginia average 1.00
- Registered nurses 0.42 h Virginia average 0.69
- All staff, weekends 3.05 h Virginia average 3.29
How much nurse staffing is enough? All bars share one scale, 0 to 10 hours. The vertical line marks the Virginia average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover69.5%
- Virginia average48.1%
- Registered nurse turnover75.0%
- Virginia average48.2%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Virginia and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Virginia | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 13.1% | 14.9% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 6.6% | 5.4% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.1% | 0.4% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 1.5% | 1.6% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 12.8% | 18.7% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 3.6% | 3.6% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 49.4% | 90.9% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 14.2% | 15.6% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 24.8% | 20.6% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 20.0% | 94.0% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 7.9% | 4.7% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.5% | 21.8% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 21.3% | 14.2% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | Too few residents or stays to report | 1.52 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | Too few residents or stays to report | 1.48 | 1.78 |
Short-stay residents
| Measure | This home | Virginia | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 5.9% | 73.7% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% | 1.3% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 5.7% | 73.6% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Too few residents or stays to report | 22.3% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Too few residents or stays to report | 11.5% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 126 health deficiencies in the three most recent inspection cycles. Of these, 3 involved actual harm; the rest were graded as no actual harm. 47 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Mar 29, 2024: Ensure that residents are free from significant medication errors.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Mar 29, 2024 | 46 | 9 |
| Jul 19, 2022 | 14 | 10 |
| Aug 5, 2021 | 66 | 8 |
Virginia homes averaged 14.3 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (126)
-
FPotential for more than minimal harm, widespread
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Aug 29, 2024)
-
FPotential for more than minimal harm, widespread
Have a plan that describes the process for conducting QAPI and QAA activities.
Complaint investigation · Administration · Deficient, Provider has date of correction (Aug 29, 2024)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Aug 29, 2024)
-
EPotential for more than minimal harm, pattern
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Aug 29, 2024)
-
EPotential for more than minimal harm, pattern
Notify 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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Aug 29, 2024)
Show 25 more
-
EPotential for more than minimal harm, pattern
Provide care and assistance to perform activities of daily living for any resident who is unable.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Aug 29, 2024)
-
EPotential for more than minimal harm, pattern
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Aug 29, 2024)
-
EPotential for more than minimal harm, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Aug 29, 2024)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Aug 29, 2024)
-
EPotential for more than minimal harm, pattern
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Complaint investigation · Administration · Deficient, Provider has date of correction (Aug 29, 2024)
-
DPotential for more than minimal harm, isolated
Honor 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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Aug 29, 2024)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Aug 29, 2024)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Aug 29, 2024)
-
DPotential for more than minimal harm, isolated
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Aug 29, 2024)
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Aug 29, 2024)
-
DPotential for more than minimal harm, isolated
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Aug 29, 2024)
-
DPotential for more than minimal harm, isolated
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Aug 29, 2024)
-
DPotential for more than minimal harm, isolated
Ensure that residents are free from significant medication errors.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Aug 29, 2024)
-
DPotential for more than minimal harm, isolated
Provide timely, quality laboratory services/tests to meet the needs of residents.
Complaint investigation · Administration · Deficient, Provider has date of correction (Aug 29, 2024)
-
DPotential for more than minimal harm, isolated
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Complaint investigation · Administration · Deficient, Provider has date of correction (Aug 29, 2024)
-
DPotential for more than minimal harm, isolated
Keep complete, dated laboratory records in the resident's record.
Complaint investigation · Administration · Deficient, Provider has date of correction (Aug 29, 2024)
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Aug 29, 2024)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Aug 29, 2024)
-
DPotential for more than minimal harm, isolated
Educate 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.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Aug 29, 2024)
-
GActual harm, isolated
Ensure that residents are free from significant medication errors.
Pharmacy Service · Deficient, Provider has date of correction (Aug 29, 2024)
-
GActual harm, isolated
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration · Deficient, Provider has date of correction (Jul 16, 2024)
-
FPotential for more than minimal harm, widespread
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services · Deficient, Provider has date of correction (Aug 29, 2024)
-
EPotential for more than minimal harm, pattern
Reasonably accommodate the needs and preferences of each resident.
Resident Rights · Deficient, Provider has date of correction (Jul 16, 2024)
-
EPotential for more than minimal harm, pattern
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jul 16, 2024)
-
EPotential for more than minimal harm, pattern
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jul 16, 2024)
Showing the 30 most recent of 126.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Mar 29, 2024 | Fine | $135,633 |
| Mar 29, 2024 | Payment Denial | 61 days |
Virginia homes averaged 0.5 fines and $23,688 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Virginia
- Size78 of 289 by certified beds
- Virginia average residents per day99.5
- ChainEastern Healthcare Group
- Chain average overall rating1.5 of 5
- Resident or family councilResident
- Homes in Roanoke11
- Homes in Roanoke City County9
Common questions
What is the CMS star rating for Old Southwest Health and Rehabilitation?
Old Southwest Health and Rehabilitation has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 2 and quality measures is 3.
How many beds does Old Southwest Health and Rehabilitation have?
Old Southwest Health and Rehabilitation has 130 certified beds. It averages 76.5 residents per day, about 58.8% of its certified beds.
How much nursing care do residents get at Old Southwest Health and Rehabilitation?
The home reports 3.47 hours of nurse staffing per resident per day, including 0.42 hours from registered nurses. The Virginia average is 3.76 hours and 0.69 hours from registered nurses.
Has Old Southwest Health and Rehabilitation been fined?
Yes. CMS lists 1 fine totaling $135,633 in the past three years. It also lists 1 payment denial.
Does Old Southwest Health and Rehabilitation accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 5 of 5 Our Lady Of The Valley 70beds 90.9%in use 3.84nurse hours a day
- 4 of 5 Raleigh Court Health and Rehabilitation Center 120beds 94.5%in use 3.48nurse hours a day
- 3 of 5 South Roanoke Nursing and Rehabilitation 98beds 92.6%in use 3.23nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Roanoke City County
Who to call in Virginia
These offices serve residents of every nursing home in Virginia.
- Long-term care ombudsman Virginia Long-Term Care Ombudsman Program (Office of the State Long-Term Care Ombudsman) 800-552-5019 (Toll-free. Also 804-565-1600.) An advocate for residents and their families.
- File a complaint about a nursing home VDH Office of Licensure and Certification (OLC) Complaint Unit 1-800-955-1819 (Metro Richmond (804) 367-2106. Messages left after hours, on weekends or holidays are returned the next business day. An online complaint portal is also available.) The state agency that inspects nursing homes.
Virginia staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 495156. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.