Total health inspections
7
Virginia average 4.2
Last Health inspection on Jul 2024
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Old Southwest Rehabilitation and Nursing
Nursing Home · Roanoke, VA
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Old Southwest Rehabilitation and Nursing
Nursing Home · Roanoke, VA
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Old Southwest Rehabilitation and Nursing accepts Medicare, Medicaid, and private pay.
Overview of Old Southwest Rehabilitation and Nursing
Old Southwest is the premier skilled nursing facility in Roanoke, offering its residents a sense of belonging. With an emphasis on skilled nursing, rehabilitation, and long-term care nursing service, the staff excels in practicing a personal approach to the meaningful service they are guaranteed to deliver to the seniors. The upscale skilled nursing home built its trusted reputation on excellent customer service and exceptional care that has earned the respect of being a reliable senior living community that one’s individual needs.
The short and long-term care nursing home strives to improve the lifestyle of its elderly through community, connection, and care. They offer a personalized care program to meet each individual’s unique needs. Amenities and services include an exceptional dining experience, innovative programs, and educational activities that all aim to ensure a wonderful experience during your golden years and provide additional support.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 44th out of 85 homes in Virginia. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 44th out of 85 homes in Virginia. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 49m per day
Rank #44 / 85Nurse hours — State benchmarkedThis home is ranked 44th out of 85 homes in Virginia. Shows adjusted nurse hours per resident per day benchmarked to the Virginia average, with a ranking across 85 Virginia SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Virginia avg
-20%
Standout metric
LPN / LVN is +12% above state avg
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 20m per day | ▼ 51% State avg: 41m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 7m per day | ▲ 12% State avg: 1h 0m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 2m per day | ▼ 5% State avg: 2h 8m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 46m per day | ▼ 17% State avg: 3h 19m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 3m per day | ▼ 40% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 10m per day | ▼ 64% State avg: 28m per day · National avg: 29m per day |
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
25.4%
Rank #305 / 311Occupancy rate — State benchmarkedThis home is ranked 305th out of 311 homes in Virginia. Shows this facility's occupancy rate versus the Virginia average, with its Statewide rank out of 311. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
86 days
Occupancy rate
25.4%
Rank #305 / 311Occupancy rate — State benchmarkedThis home is ranked 305th out of 311 homes in Virginia. Shows this facility's occupancy rate versus the Virginia average, with its Statewide rank out of 311. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
86 days
41 years in operation Rank #18 / 45Years in operation — State benchmarkedThis home is ranked 18th out of 45 homes in Virginia. Shows how long this facility has been in operation compared to other Virginia SNFs. Longer operating histories may benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 57 / 100 Rank #133 / 449Walk Score — State benchmarkedThis home is ranked 133rd out of 449 homes in Virginia. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Virginia SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
About this community
Staffing
Key information about the people who lead and staff this community.
ContactMr. Trent Clugston, Administrator
Rehabilitation Services
Respite Care
24-Hour Staffing
Rehabilitative Care
Palliative Care
Inspection History
In Virginia, the Department of Social Services (for assisted living facilities) and the Department of Health (for nursing homes) perform the inspections required to maintain state and federal licensing.
Since 2021 · 5 years of data
108 deficiencies
8 inspections
Inspection Scorecard
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Virginia state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Since 2021 vs. Virginia state average
Overall vs. VA average
3 Worse
Metrics worse than Virginia average:
• Total deficiencies (238% above)
• Deficiencies per year (238% above)
• Deficiencies per inspection (487% above) 1 Better Metrics better than Virginia average:
• Total inspections (43% below)
• Total deficiencies (238% above)
• Deficiencies per year (238% above)
• Deficiencies per inspection (487% above) 1 Better Metrics better than Virginia average:
• Total inspections (43% below)
Latest Inspection
July 16, 2024
Re Inspection
Deficiencies
| This Facility | VA Average | vs. VA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 108 | 32 | This facility has 238% more total deficiencies than a typical Virginia nursing home (108 vs. VA avg 32).↑ 238% worse |
|
Deficiencies per year
Average deficiencies per year since 2021.
| 21.6 | 6.4 | This facility has 238% more deficiencies per year than a typical Virginia nursing home (21.6 vs. VA avg 6.4).↑ 238% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 13.5 | 2.3 | This facility has 487% more deficiencies per inspection than a typical Virginia nursing home (13.5 vs. VA avg 2.3).↑ 487% worse |
Inspections
| This Facility | VA Average | vs. VA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 8 | 14 | This facility has 43% fewer total inspections than a typical Virginia nursing home (8 vs. VA avg 14).↓ 43% better |
Inspection Reports Summary
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on July 16, 2024, identified multiple deficiencies related to resident care, medication administration, infection control, documentation, and the facility’s Quality Assurance and Performance Improvement (QAPI) program. Earlier inspections showed a consistent pattern of issues including incomplete care plans, medication errors, inadequate bathing and grooming, and failure to provide timely laboratory services. Complaint investigations substantiated concerns about neglect, inadequate supervision resulting in heat stroke, and failures in medication monitoring and resident fund availability. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s deficiencies have persisted over time without clear improvement, particularly in medication management, resident care, and quality assurance processes.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsHealth Inspection History
Inspections
Total health citations
131
Rank #85 / 86Health citations — State benchmarkedThis home is ranked 85th out of 86 homes in Virginia. Shows this facility's total health deficiency citations benchmarked to the Virginia State average, with a ranking across all 86 VA SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Virginia average 38.4
Citations per inspection
18.71
Rank #84 / 86Citations per inspection — State benchmarkedThis home is ranked 84th out of 86 homes in Virginia. Shows average deficiency citations per CMS inspection for this facility versus the Virginia mean across 86 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Virginia average 8.93
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
79 of 131 citations resulted from standard inspections; 47 of 131 resulted from complaint investigations; and 5 of 131 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 2 years)
Critical Health citations
0
100% better than Virginia averageVirginia average: 0.4
Serious Health citations
4
Rank #29 / 38Serious citations (G–I) — State benchmarkedThis home is ranked 29th out of 38 homes in Virginia. Shows G–I scope serious health citations for this facility versus other Virginia SNFs. Lower counts rank better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
300% worse than Virginia averageVirginia average: 1
Citations history (last 2 years)
Administration moderate citation
Jul 16, 2024
Corrected
Administration moderate citation
Jul 16, 2024
Corrected
Administration moderate citation
Jul 16, 2024
Corrected
Administration moderate citation
Jul 16, 2024
Corrected
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff
128
Employees
96
Contractors
32
Staff to resident ratio
1.94:1
16% better than Virginia average
Avg staff/day
37
Average shift
8.6 hours
8% better than Virginia average
Total staff hours (quarter)
29,112
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
51
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
42
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursThis role is partially covered by contractors.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4.5%
1,302 contractor hours this quarter
Licensed Practical Nurse: 29
Certified Nursing Assistant: 3
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 39 | 3 | 42 | 13,583 | 92 | 100% | 9.2 |
| Licensed Practical Nurse | 22 | 29 | 51 | 6,070 | 92 | 100% | 9.6 |
| RN Director of Nursing | 10 | 0 | 10 | 2,819 | 90 | 98% | 7.7 |
| Registered Nurse | 9 | 0 | 9 | 2,137 | 91 | 99% | 8.1 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 588 | 70 | 76% | 7.2 |
| Administrator | 1 | 0 | 1 | 559 | 66 | 72% | 8.5 |
| Nurse Practitioner | 1 | 0 | 1 | 559 | 66 | 72% | 8.5 |
| Qualified Social Worker | 2 | 0 | 2 | 485 | 66 | 72% | 7.3 |
| Dietitian | 1 | 0 | 1 | 438 | 60 | 65% | 7.3 |
| Other Dietary Services Staff | 1 | 0 | 1 | 433 | 57 | 62% | 7.6 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 433 | 58 | 63% | 5.1 |
| Physical Therapy Aide | 1 | 0 | 1 | 384 | 58 | 63% | 6.6 |
| Speech Language Pathologist | 1 | 0 | 1 | 372 | 64 | 70% | 5.8 |
| Mental Health Service Worker | 1 | 0 | 1 | 238 | 34 | 37% | 7 |
| Physical Therapy Assistant | 2 | 0 | 2 | 15 | 9 | 10% | 1.6 |
42 Certified Nursing Assistant
% of Days
100%
51 Licensed Practical Nurse
% of Days
100%
10 RN Director of Nursing
% of Days
98%
9 Registered Nurse
% of Days
99%
2 Clinical Nurse Specialist
% of Days
76%
1 Administrator
% of Days
72%
1 Nurse Practitioner
% of Days
72%
2 Qualified Social Worker
% of Days
72%
1 Dietitian
% of Days
65%
1 Other Dietary Services Staff
% of Days
62%
3 Respiratory Therapy Technician
% of Days
63%
1 Physical Therapy Aide
% of Days
63%
1 Speech Language Pathologist
% of Days
70%
1 Mental Health Service Worker
% of Days
37%
2 Physical Therapy Assistant
% of Days
10%
Penalties and fines
Includes penalties issued in 2023-2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$153K Rank #89 / 89Federal fines — State benchmarkedThis home is ranked 89th out of 89 homes in Virginia. Shows this facility's cumulative CMS federal fine dollars versus the Virginia average among facilities with fines, and where it ranks among 89 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
193% higher than Virginia averageVirginia average: $52K
Number of fines
6
241% more fines than Virginia averageVirginia average: 1.8
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
1214% more payment denials than Virginia averageVirginia average: 0.1
Fines amount comparison
Fines amount comparison
This facility
$153K
Virginia average
$52K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
3 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 29, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 29, 2024
$136K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Mar 29, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Mar 29, 2024
61 days
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 16, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 16, 2023
$8K
Last updated: Jan 2026
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.2
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.2
10% worse than Virginia averageVirginia average: 10.1
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.2
7% worse than Virginia averageVirginia average: 19.7
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
17.5%
Percent of long-stay residents whose need for help with daily activities has increased
17.5%
In line with Virginia averageVirginia average: 16.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
21.2%
Percent of long-stay residents whose ability to move independently worsened
21.2%
7% worse than Virginia averageVirginia average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.9%
10% worse than Virginia averageVirginia average: 22.6%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.4%
Percent of long-stay residents experiencing one or more falls with major injury
3.4%
7% better than Virginia averageVirginia average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
7.8%
Percent of long-stay high risk residents with pressure ulcers
7.8%
44% worse than Virginia averageVirginia average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.5%
Percent of long-stay residents with a urinary tract infection
1.5%
In line with Virginia averageVirginia average: 1.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.1%
Percent of long-stay residents who lose too much weight
6.1%
In line with Virginia averageVirginia average: 5.9%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
14.4%
Percent of long-stay residents who have depressive symptoms
14.4%
In line with Virginia averageVirginia average: 14.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
16.2%
Percent of long-stay residents who received an antipsychotic medication
16.2%
26% worse than Virginia averageVirginia average: 12.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
60.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
60.7%
34% worse than Virginia averageVirginia average: 91.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
20.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
20.0%
79% worse than Virginia averageVirginia average: 94.0%
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
18.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
18.2%
76% worse than Virginia averageVirginia average: 74.9%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
101% worse than Virginia averageVirginia average: 1.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
5.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
5.7%
92% worse than Virginia averageVirginia average: 73.6%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.7%
17% worse than Virginia averageVirginia average: 22.0%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
7.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
7.2%
38% better than Virginia averageVirginia average: 11.7%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Virginia averageVirginia average: 0.8%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
30.6%
Rate of successful return to home or community from a skilled nursing facility.
30.6%
40% worse than Virginia averageVirginia average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
14% of new residents, usually for short-term rehab.
Typical stay
29 days
Private pay
22% of new residents, often for short stays.
Typical stay
28 days
Medicaid
64% of new residents, often for long-term daily care.
Typical stay
3 - 4 months
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
66
Medicare
4
6.1% of residents
Medicaid
56
84.8% of residents
Private pay or other
6
9.1% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for Old Southwest Rehabilitation and Nursing based on CMS SNF Cost Reports.
Occupancy Rate
51.3%
↑ 5.3pp vs 2022
Net Income
-$585.3K
↓ ~$121.1K vs 2022
Total Payroll
$5.6M
↑ ~$703.7K vs 2022
Profit Margin
-5.6%
↑ 1.7pp vs 2022
Finances and operations
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$10.5M
Operating loss
-$585.3K
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$10.5M Rank #81 / 85Revenue — State benchmarkedThis home is ranked 81st out of 85 homes in Virginia. Shows this facility's annual revenue compared to the Virginia SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating loss
-$585.3K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #75 / 85Payroll — State benchmarkedThis home is ranked 75th out of 85 homes in Virginia. Shows total annual staff payroll benchmarked to the Virginia average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$5.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #75 / 85Payroll — State benchmarkedThis home is ranked 75th out of 85 homes in Virginia. Shows total annual staff payroll benchmarked to the Virginia average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$11.1M
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Old Southwest Rehabilitation and Nursing Reviews
Share your thoughts and experiences about Old Southwest Rehabilitation and Nursing. Let’s celebrate the stories that make a difference!
Jazmin Vance
The absolute worst ever the administrator is a failure the DON is a failure it should be shut down IMMEDIATELY.What do you like most about living here?
Answer: Nothing
Are there enough caregivers to handle the residents' needs, especially during emergencies?
Answer: No
Are the common areas pleasant and comfortable for socializing or relaxing?
Answer: No
How would you rate the quality and variety of the meals? (1-5)
Answer: 1
Are special diets handled well?
Answer: No
Is the dining schedule flexible enough to meet your preferences?
Answer: No
How do you feel about the level of social interaction available with other residents?
Answer: It’s horrible
How was the units offered in this community?
Answer: There wasn’t any
Do you feel safe living in this community?
Answer: No
How well do you think the community handles emergencies or unexpected events?
Answer: Not well
Are there any hidden fees or unexpected charges?
Answer: No
Would you recommend this community to others looking for senior living options?
Answer: No
Is there anything you wish you knew before moving in?
Answer: No
The absolute worst ever the administrator is a failure the DON is a failure it should be shut down IMMEDIATELY.What do you like most about living here?
Answer: Nothing
Are there enough caregivers to handle the residents' needs, especially during emergencies?
Answer: No
Are the common areas pleasant and comfortable for socializing or relaxing?
Answer: No
How would you rate the quality and variety of the meals? (1-5)
Answer: 1
Are special diets handled well?
Answer: No
Is the dining schedule flexible enough to meet your preferences?
Answer: No
How do you feel about the level of social interaction available with other residents?
Answer: It’s horrible
How was the units offered in this community?
Answer: There wasn’t any
Do you feel safe living in this community?
Answer: No
How well do you think the community handles emergencies or unexpected events?
Answer: Not well
Are there any hidden fees or unexpected charges?
Answer: No
Would you recommend this community to others looking for senior living options?
Answer: No
Is there anything you wish you knew before moving in?
Answer: No
Angela Stinnett
Please do not let your loved one go here. Worst mistake you will ever make. Starting from the administrator which he has no business in that position to the director of nursing and again, she is just laughable, and keep going on down to the kitchen staff. They treat the residents like trash and the family members even worse. When my family member need someone during the night now one could even be found. The CNA's and nurses would actually hide so they didn't have to work and help the residents. I'm so glad my family member has gotten out of there. They withheld his medication and left him laying in his own feces because he is not mobile. It's horrible.What do you like most about living here?
Answer: His roommate was always helpful.
Are there enough caregivers to handle the residents' needs, especially during emergencies?
Answer: Yes
Are the common areas pleasant and comfortable for socializing or relaxing?
Answer: No
How would you rate the quality and variety of the meals? (1-5)
Answer: 1
Are special diets handled well?
Answer: No
Is the dining schedule flexible enough to meet your preferences?
Answer: No
How do you feel about the level of social interaction available with other residents?
Answer: None except roommate which was good.
How was the units offered in this community?
Answer: N/A
Do you feel safe living in this community?
Answer: No
How well do you think the community handles emergencies or unexpected events?
Answer: Not well at all. As stated above, during the night on numerous occasions there were not any employees to be found in the entire home.
Are there any hidden fees or unexpected charges?
Answer: N/A
Would you recommend this community to others looking for senior living options?
Answer: Absolutely Not
Is there anything you wish you knew before moving in?
Answer: Yes, I wish I would have been told how terrible they would treat my family member beforehand.
--
Please do not let your loved one go here. Worst mistake you will ever make. Starting from the administrator which he has no business in that position to the director of nursing and again, she is just laughable, and keep going on down to the kitchen staff. They treat the residents like trash and the family members even worse. When my family member need someone during the night now one could even be found. The CNA's and nurses would actually hide so they didn't have to work and help the residents. I'm so glad my family member has gotten out of there. They withheld his medication and left him laying in his own feces because he is not mobile. It's horrible.What do you like most about living here?
Answer: His roommate was always helpful.
Are there enough caregivers to handle the residents' needs, especially during emergencies?
Answer: Yes
Are the common areas pleasant and comfortable for socializing or relaxing?
Answer: No
How would you rate the quality and variety of the meals? (1-5)
Answer: 1
Are special diets handled well?
Answer: No
Is the dining schedule flexible enough to meet your preferences?
Answer: No
How do you feel about the level of social interaction available with other residents?
Answer: None except roommate which was good.
How was the units offered in this community?
Answer: N/A
Do you feel safe living in this community?
Answer: No
How well do you think the community handles emergencies or unexpected events?
Answer: Not well at all. As stated above, during the night on numerous occasions there were not any employees to be found in the entire home.
Are there any hidden fees or unexpected charges?
Answer: N/A
Would you recommend this community to others looking for senior living options?
Answer: Absolutely Not
Is there anything you wish you knew before moving in?
Answer: Yes, I wish I would have been told how terrible they would treat my family member beforehand.
--
Places of interest near Old Southwest Rehabilitation and Nursing
0.8 miles from city center
Estimated distance in miles from Roanoke's city center to Old Southwest Rehabilitation and Nursing's address, calculated via Google Maps.
— 0.4 miles to nearest hospital (Pediatric Clinic)
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Nursing Home in Virginia
Old Southwest Rehabilitation and Nursing is located in Roanoke, Virginia.
Here are the financial assistance programs available to residents in Virginia.
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The information below is reported by the Virginia Department of Social Services and Department of Health.
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| Virginia Veterans Care Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Roanoke (Shenandoah Avenue Northwest) | 3 | 64.4% | -25% | 4.28 | +5% | +14% | $0 | 16 | 5.3 | - | 195 | - | 19 | Todd Barnes | $33.8M | $25.5M | 75.4% | 495274 | ||||
| Brandon Oaks Nursing and Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Roanoke (Westland) | 43 | 89.5% | +4% | 5.33 | +28% | +42% | $0 | 12 | 4.0 | - | 57 | - | 33 | Heather Neff | $31.6M | $7.5M | 23.6% | 495373 | ||||
| Our Lady of the Valley |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Roanoke (Gainsboro) | 127 | 88.2% | +3% | 3.79 | -42% | +1% | $0 | 14 | 4.7 | - | 65 | A+ | 68 | David Rawlings | $17.2M | $8.2M | 47.6% | 495357 | ||||
| South Roanoke Nursing Home |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Roanoke (Edgehill) | 98 | 85.7% | 0% | 3.36 | +6% | -10% | $0 | 39 | 13.0 | - | 85 | A+ | 45 | American Healthcare LLC | $10.6M | $5.8M | 54.4% | 495002 | ||||
| Old Southwest Rehabilitation and Nursing |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Roanoke (Old Southwest) | 130 | 51.3% | -40% | 3.82 | -27% | +2% | $153.3k | 131 | 18.7 | 4 | 96 | A+ | 57 | Andrew Shuler | $10.5M | $5.6M | 53.1% | 495156 |
Frequently Asked Questions about Old Southwest Rehabilitation and Nursing
What neighborhood is Old Southwest Rehabilitation and Nursing in?
Old Southwest Rehabilitation and Nursing is in the Old Southwest neighborhood of Roanoke.
Is Old Southwest Rehabilitation and Nursing in a walkable area?
Old Southwest Rehabilitation and Nursing has a walk score of 57. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Are there photos of Old Southwest Rehabilitation and Nursing?
Yes — there are 2 photos of Old Southwest Rehabilitation and Nursing in the photo gallery on this page.
What is the phone number of Old Southwest Rehabilitation and Nursing?
(540) 345-8139 will put you in contact with the team at Old Southwest Rehabilitation and Nursing.
Is Old Southwest Rehabilitation and Nursing Medicare or Medicaid certified?
Yes — Old Southwest Rehabilitation and Nursing is a CMS-certified provider of Medicare and Medicaid.
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