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
Old Southwest Rehabilitation and Nursing
Nursing Home
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
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
LPN / LVN
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
130
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
51.3%
Residents per day (avg)
96
Occupancy rate
51.3%
Residents per day (avg)
96
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
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
Finances and operations
Proprietary home
Partnership
Home revenue
$10.5M
Operating loss
-$585.3K
Proprietary home
Partnership
Home revenue
$10,496,667.00
Operating loss
$-585,308.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$11.1M
40 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 57 / 100
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.
Leadership
Contact:
Mr. Trent Clugston, Administrator
Care Services
Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
All Levels of Care
Programs & Activities
Specific Programs
Skilled Nursing, Long Term Care, Rehabilitative Care
Compare Nursing Homes around Roanoke
The information below is reported by the Virginia Department of Social Services and Department of Health.
Brandon Oaks Nursing and Rehabilitation Center
+16%
+42%
+4%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Roanoke
62
No
-
33
NEFF, HEATHER
89.5%
$10,548,485.00
$5,871,705.00
55.7%
57.40
5.3278
-
12
-
+16%+42%+4%
Our Lady of the Valley
-15%
+1%
+3%
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
SNF
Nursing Homes 24/7 care needed
Roanoke (Gainsboro)
189
No
A+
68
RAWLINGS, DAVID
88.2%
$16,424,252.00
$6,720,888.00
40.9%
64.70
3.7870
-
14
-
-15%+1%+3%
South Roanoke Nursing Home
-15%
-10%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Roanoke
98
No
A+
45
AMERICAN HEALTHCARE LLC
85.7%
$10,567,825.00
$4,507,786.00
42.7%
85.20
3.3595
-
39
-
-15%-10%
0%
Pheasant Ridge Nursing and Rehab Center
-2%
-5%
+4%
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
SNF
Nursing Homes 24/7 care needed
Roanoke
101
No
A+
15
BELL, VICTOR
89.3%
$14,018,919.00
$4,558,852.00
32.5%
89.10
3.5617
13
25
1
-2%-5%+4%
Old Southwest Rehabilitation and Nursing
-7%
+2%
-40%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Roanoke (Old Southwest)
130
No
A+
57
SHULER, ANDREW
51.3%
$10,435,874.00
$3,804,537.00
36.5%
95.70
3.8211
6
131
4
-7%+2%-40%
Brandon Oaks Nursing and Rehabilitation Center
Type of care:
SNF
AL
Community:
Roanoke
Bed Count:
62
Pets Allowed:
No
Operator:
NEFF, HEATHER
CCN:
495373
Occupancy:
89.5%
Home Revenue:
$10,548,485.00
Payroll Costs:
$5,871,705.00
Payroll %:
55.7%
Avg Residents/Day:
57.40
Overall Rating:
Adj Nurse Hours:
5.3278
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
12
RN share vs State Avg:
+16%
+16%
Staffing vs State Avg:
+42%
+42%
Occupancy vs State Avg:
+4%
+4%
Our Lady of the Valley
Type of care:
AL
IL
MC
SNF
Community:
Roanoke (Gainsboro)
Bed Count:
189
Pets Allowed:
No
Operator:
RAWLINGS, DAVID
CCN:
495357
Occupancy:
88.2%
Home Revenue:
$16,424,252.00
Payroll Costs:
$6,720,888.00
Payroll %:
40.9%
Avg Residents/Day:
64.70
Overall Rating:
Adj Nurse Hours:
3.7870
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
14
RN share vs State Avg:
-15%
-15%
Staffing vs State Avg:
+1%
+1%
Occupancy vs State Avg:
+3%
+3%
South Roanoke Nursing Home
Type of care:
SNF
AL
Community:
Roanoke
Bed Count:
98
Pets Allowed:
No
Operator:
AMERICAN HEALTHCARE LLC
CCN:
495002
Occupancy:
85.7%
Home Revenue:
$10,567,825.00
Payroll Costs:
$4,507,786.00
Payroll %:
42.7%
Avg Residents/Day:
85.20
Overall Rating:
Adj Nurse Hours:
3.3595
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
39
RN share vs State Avg:
-15%
-15%
Staffing vs State Avg:
-10%
-10%
Occupancy vs State Avg:
0%
Pheasant Ridge Nursing and Rehab Center
Type of care:
AL
IL
MC
SNF
Community:
Roanoke
Bed Count:
101
Pets Allowed:
No
Operator:
BELL, VICTOR
CCN:
495325
Occupancy:
89.3%
Home Revenue:
$14,018,919.00
Payroll Costs:
$4,558,852.00
Payroll %:
32.5%
Avg Residents/Day:
89.10
Overall Rating:
Adj Nurse Hours:
3.5617
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
13
Citations:
25
Severe Citations:
1
RN share vs State Avg:
-2%
-2%
Staffing vs State Avg:
-5%
-5%
Occupancy vs State Avg:
+4%
+4%
Old Southwest Rehabilitation and Nursing
Type of care:
SNF
AL
Community:
Roanoke (Old Southwest)
Bed Count:
130
Pets Allowed:
No
Operator:
SHULER, ANDREW
CCN:
495156
Occupancy:
51.3%
Home Revenue:
$10,435,874.00
Payroll Costs:
$3,804,537.00
Payroll %:
36.5%
Avg Residents/Day:
95.70
Overall Rating:
Adj Nurse Hours:
3.8211
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
6
Citations:
131
Severe Citations:
4
RN share vs State Avg:
-7%
-7%
Staffing vs State Avg:
+2%
+2%
Occupancy vs State Avg:
-40%
-40%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 — 0.4 miles to nearest hospital (Pediatric Clinic)
324 King George Ave SW, Roanoke, VA 24016
Calculate Travel Distance to Old Southwest Rehabilitation and Nursing
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
152
Total Staff
132
Employees
20
Contractors
33,595
Total Hours (Quarter)
47
Avg Staff/Day
7.9
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 13 | 7.3 | Yes |
| Licensed Practical Nurse | 41 | 7.8 | Yes |
| Certified Nursing Assistant | 67 | 8.1 | Yes |
Staff by Category
Administration ⓘ
1 staff
8hs shift avg
Nursing Staff ⓘ
129 staff
8hs shift avg
Physicians & Practitioners ⓘ
7 staff
7.8hs shift avg
Therapy Services ⓘ
7 staff
5.8hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
4 staff
3hs shift avg
Dietary Services ⓘ
3 staff
7.7hs shift avg
Other Services ⓘ
1 staff
8hs shift avg
Contractor Analysis
4.7%
of total hours from contractors
1,565 contractor hours this quarter
Certified Nursing Assistant: 3
Licensed Practical Nurse: 11
Registered Nurse: 6
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 64 | 3 | 67 | 17,531 | 91 | 100% | 8.1 |
| Licensed Practical Nurse | 30 | 11 | 41 | 6,921 | 91 | 100% | 7.8 |
| RN Director of Nursing | 8 | 0 | 8 | 2,971 | 90 | 99% | 8.2 |
| Registered Nurse | 7 | 6 | 13 | 1,310 | 83 | 91% | 7.3 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 890 | 63 | 69% | 7.7 |
| Other Dietary Services Staff | 2 | 0 | 2 | 546 | 69 | 76% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Administrator | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 495 | 58 | 64% | 5.3 |
| Dietitian | 1 | 0 | 1 | 482 | 64 | 70% | 7.5 |
| Physical Therapy Aide | 1 | 0 | 1 | 408 | 55 | 60% | 7.4 |
| Speech Language Pathologist | 1 | 0 | 1 | 360 | 61 | 67% | 5.9 |
| Qualified Social Worker | 4 | 0 | 4 | 149 | 46 | 51% | 3 |
| Physical Therapy Assistant | 2 | 0 | 2 | 21 | 12 | 13% | 1.7 |
Health Inspection History
Inspections
Total health citations
131
Citations per inspection
18.71
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 3 years)
Critical Health citations
0
0
100% better than Virginia averageVirginia average: 0.4
Serious Health citations
4
4
300% worse than Virginia averageVirginia average: 1
0 critical citations
4 serious citations
125 moderate citations
2 minor citations
Citations history (last 3 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
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit LLC
Resident Census by Payment Source
66
Total Residents
Medicare
4
(6.1%)
ⓘ
Medicaid
56
(84.8%)
ⓘ
Private Pay/Other
6
(9.1%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
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
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
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.
Penalties and fines
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
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.
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
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 13, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 13, 2023
$2K
Last updated: Jan 2026
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
-$585,308
↓ ~$121K vs 2022
Total Payroll
$5,573,421
↑ ~$704K vs 2022
Profit Margin
-5.6%
↑ 1.7pp vs 2022
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