32 Elm Ave Sw, Roanoke, VA 24016
Independent LivingActive Adult Living
Affordable senior housingIndependent livingAge 62+ community
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Medicare-certifiedSkilled Nursing
Old Southwest Health and Rehabilitation
Roanoke, VirginiaMedicare inspection record
About Old Southwest Health and Rehabilitation
OLD SOUTHWEST HEALTH AND REHABILITATION is a for profit - limited liability company nursing home in ROANOKE, VA with 130 certified beds.
Community at a glance
Capacity
130 residents
Location
Roanoke, VA
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
324 KING GEORGE AVE SW, Roanoke, Virginia 24016
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
- The most recent standard inspection is more than two years old, so these results may not reflect the home today.
At its most recent standard inspection, on March 29, 2024, state inspectors cited 46 health deficiencies (the Virginia average is 14.4).
Nurses and nurse aides spend 3 hours 28 minutes with each resident a day, below the Virginia average of 3 hours 46 minutes.
Medicare fined Old Southwest Health and Rehabilitation once in the last three years, $135,633 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 28 minutesBelow the Virginia average |
| Registered nurse time per resident, per day | 25 minutesBelow the Virginia average |
| Nursing staff who left in the past year | 70%Above the Virginia average |
Inspections
88 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
July 16, 2024 · Complaint investigation · 24 citations
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.
Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesFrom a complaintCorrected Aug 29, 2024Have a plan that describes the process for conducting QAPI and QAA activities.
Risk of harm, no one hurt, widespread (level F)AdministrationFrom a complaintCorrected Aug 29, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlFrom a complaintCorrected Aug 29, 2024Notify 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.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Aug 29, 2024Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Aug 29, 2024Honor 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.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Aug 29, 2024Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Risk of harm, no one hurt, a pattern (level E)AdministrationFrom a complaintCorrected Aug 29, 2024Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Aug 29, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Aug 29, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Aug 29, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Aug 29, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Aug 29, 2024Ensure that residents are free from significant medication errors.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Aug 29, 2024Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Aug 29, 2024Develop and implement policies and procedures for flu and pneumonia vaccinations.
Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Aug 29, 2024Ensure each resident’s drug regimen must be free from unnecessary drugs.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Aug 29, 2024Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Aug 29, 2024Educate 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.
Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Aug 29, 2024Honor 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Aug 29, 2024Provide timely, quality laboratory services/tests to meet the needs of residents.
Risk of harm, no one hurt, a few residents (level D)AdministrationFrom a complaintCorrected Aug 29, 2024Keep complete, dated laboratory records in the resident's record.
Risk of harm, no one hurt, a few residents (level D)AdministrationFrom a complaintCorrected Aug 29, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Aug 29, 2024Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Risk of harm, no one hurt, a few residents (level D)AdministrationFrom a complaintCorrected Aug 29, 2024Provide 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.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Aug 29, 2024
March 29, 2024 · Standard inspection · 35 citations
Ensure that residents are free from significant medication errors.
Residents were harmed, a few residents (level G)Pharmacy ServiceCorrected Aug 29, 2024Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Residents were harmed, a few residents (level G)AdministrationCorrected Jul 16, 2024Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesCorrected Aug 29, 2024Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationCorrected Jul 16, 2024Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationCorrected Jul 16, 2024Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected Jul 16, 2024Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Risk of harm, no one hurt, a pattern (level E)AdministrationCorrected Jul 16, 2024Notify 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.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Aug 29, 2024Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Aug 29, 2024Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Jul 16, 2024Reasonably accommodate the needs and preferences of each resident.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Jul 16, 2024Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationCorrected Jul 16, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Aug 29, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Aug 29, 2024Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Risk of harm, no one hurt, a pattern (level E)AdministrationCorrected Aug 29, 2024Educate 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.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Aug 29, 2024Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Risk of harm, no one hurt, a pattern (level E)AdministrationCorrected Jul 16, 2024Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Aug 29, 2024Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected Jul 16, 2024Observe each nurse aide's job performance and give regular training.
Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected Jul 16, 2024Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Risk of harm, no one hurt, a pattern (level E)AdministrationCorrected Jul 16, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Aug 29, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Aug 29, 2024Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Aug 29, 2024Develop and implement policies and procedures for flu and pneumonia vaccinations.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Aug 29, 2024Honor 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Aug 29, 2024Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jul 16, 2024Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jul 16, 2024Provide enough food/fluids to maintain a resident's health.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jul 16, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Aug 29, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Aug 29, 2024Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Aug 29, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jul 16, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jul 16, 2024Ensure each resident’s drug regimen must be free from unnecessary drugs.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Aug 29, 2024
March 29, 2024 · Complaint investigation · 1 citation+
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.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Aug 29, 2024
Showing the 60 most recent. The full list is on Medicare.gov.
Fines and payment denials
1 fine totaling $135,633 and 1 Medicare payment denial in the last three years.
- March 29, 2024Payment denial, 61 days
- March 29, 2024Fine: $135,633
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- Old Southwest Health and Rehabilitation LLC
- Medicare-certified beds
- 130
- Average residents per day
- 77
- Accepts
- Medicare and Medicaid
- First certified
- April 25, 1985
- Part of a chain
- Eastern Healthcare Group, 18 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 495156
Location
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324 KING GEORGE AVE SWRoanoke, VA 24016
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Questions about Old Southwest Health and Rehabilitation
How did Old Southwest Health and Rehabilitation do on its last inspection?+
State inspectors visited on March 29, 2024 and cited 46 health deficiencies, 5 of them from complaint investigations. The Virginia average is 14.4.
How much nursing care does each resident get at Old Southwest Health and Rehabilitation?+
Nurses and aides spend 3 hours 28 minutes with each resident per day, including 25 minutes from registered nurses. 70% of nursing staff left over the past year.
Has Old Southwest Health and Rehabilitation been fined by Medicare?+
Yes. Medicare fined Old Southwest Health and Rehabilitation once in the last three years, totaling $135,633.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.