Old Southwest Rehabilitation and Nursing
Old Southwest Rehabilitation and Nursing is a Nursing Home in Virginia
Old Southwest Rehabilitation and… is a Nursing Home in Virginia
Old Southwest Rehabilitation and Nursing
Old Southwest Rehabilitation and Nursing is a Nursing Home in Virginia
Old Southwest Rehabilitation and… is a Nursing Home in Virginia
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.
Home Information
OLD SOUTHWEST HEALTH AND REHABILITATION
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Occupancy trails most facilities in the state, suggesting excess open capacity. The facility operates with a larger bed count than most state competitors, supporting broader intake. Resident stays are comparable to other state facilities, implying stable turnover.
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Home revenue sits below most peers, indicating modest billing throughput. Payroll costs fall below most facilities, hinting at lean staffing budgets. Total income trails most communities, suggesting tighter operating margins.
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Medicare nights track the statewide midpoint, keeping volumes steady. Medicaid nights fall below most peers, pointing to lighter Medicaid reliance. Private pay nights trail most peers, signaling limited market-rate volume.
OccupancyBeds
130
Occupancy
63.9%
Total Bed Days Available
39780
Avg. Length of Stay
92 days
Avg. Residents per Day
96
FinanceHome Revenue
$6,329,142.00
Payroll Costs
$1,872,922.00
Profit
$-464,167.00
Total Costs
$1,003,460.00
Payroll % of Revenue
Percentage of home revenue spent on payroll costs.
Percentage of home revenue spent on payroll costs.
29.6%
House Specifics:CCN
495156
Owner Name
SHULER, ANDREW
Rural vs. Urban
Urban
County
Roanoke City
Type of Control
Proprietary — Individual
OperationsTotal Admissions
201
Total Discharges
198
% Medicaid Admissions
53%
% Medicare Admissions
26%
% Private Pay Admissions
21%
% Medicaid Discharges
65%
% Medicare Discharges
15%
% Private Pay Discharges
20%
Quality Ratings
Overall Rating
CMS 5-star rating based on health inspections, staffing, and quality measures.
CMS 5-star rating based on health inspections, staffing, and quality measures.
1 / 5
Health Inspection Rating
Rating based on deficiencies found during state health inspections.
Rating based on deficiencies found during state health inspections.
1 / 5
Staffing Rating
Rating based on nurse staffing hours per resident per day.
Rating based on nurse staffing hours per resident per day.
1 / 5
QM Rating
Quality Measures rating based on clinical outcomes for residents.
Quality Measures rating based on clinical outcomes for residents.
2 / 5
Nurse Hours / Resident / Day
Adjusted total nurse staffing hours per resident per day.
Adjusted total nurse staffing hours per resident per day.
3.82 hrs
Number of Fines
6
Medicaid, Medicare & Private
Medicare Nights
Number of resident nights paid by Medicare for short-term or rehab care.
Number of resident nights paid by Medicare for short-term or rehab care.
15774
Medicaid Nights
Resident nights covered by Medicaid for long-term care or support services.
Resident nights covered by Medicaid for long-term care or support services.
1215
Free Market Nights
Nights paid privately by residents or families, without Medicare/Medicaid coverage.
Nights paid privately by residents or families, without Medicare/Medicaid coverage.
1295
18+ 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
Rated A+
Facility & Licensing Details
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Primary Contact
Main representative or administrator responsible for the community, as listed in Virginia licensing records.
Mr. Trent Clugston, Administrator
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Date Business Started
The date the business reports it began operations.
April 25, 1985
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BBB License Details
License information from the Better Business Bureau profile.
- NH-0002491 — Virginia Dept of Health
- 11466754 — State Corporation Commission
Issued: November 30, 2022 - 1701002780 — Department of Health Professions
Issued: September 30, 2015
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
324 King George Ave SW, Roanoke, VA 24016
324 King George Ave SW, Roanoke, VA 24016
Email:
[email protected]
Phone:
+1 540-345-8139
Email:[email protected]
Phone:+1 540-345-8139
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Comparison Chart
Compare Nursing Homes around Roanoke
Old Southwest Rehabilitation and Nursing
AL
For seniors needing help with daily tasks but not full-time nursing.
Roanoke
-
No
A+
57
SHULER, ANDREW
63.9%
$6,329,142.00
$1,872,922.00
29.6%
95.70
1/5
3.8211
1/5
1/5
2/5
6
Avante at Roanoke
AL
For seniors needing help with daily tasks but not full-time nursing.
IL
For self-sufficient seniors seeking community and minimal assistance.
MC
Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
SNF
24/7 care needed
Roanoke
-
No
-
57
SHULER, ANDREW
63.9%
$6,329,142.00
$1,872,922.00
29.6%
95.70
1/5
3.8211
1/5
1/5
2/5
6
Brandon Oaks Nursing and Rehabilitation Center
AL
For seniors needing help with daily tasks but not full-time nursing.
Roanoke
43
No
-
33
NEFF, HEATHER
89.7%
$8,577,463.00
$5,090,145.00
59.3%
57.40
5/5
5.3278
4/5
4/5
5/5
-
Our Lady of the Valley
AL
For seniors needing help with daily tasks but not full-time nursing.
IL
For self-sufficient seniors seeking community and minimal assistance.
MC
Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
SNF
24/7 care needed
Roanoke
127
No
A+
68
RAWLINGS, DAVID
99.0%
$17,424,664.00
$6,259,150.00
35.9%
64.70
5/5
3.7870
4/5
3/5
5/5
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Pheasant Ridge Nursing and Rehab Center
AL
For seniors needing help with daily tasks but not full-time nursing.
IL
For self-sufficient seniors seeking community and minimal assistance.
MC
Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
SNF
24/7 care needed
Roanoke
101
No
A+
15
BELL, VICTOR
88.9%
$13,267,745.00
$4,464,495.00
33.6%
89.10
2/5
3.5617
2/5
2/5
4/5
13
Claim What’s Yours: Financial Aid for Virginia Seniors
Program
State Program Name
Eligibility
Benefits
Commonwealth Coordinated Care Plus (CCC Plus)
VA Medicaid CCC Plus
Official government program page
- General: Age 65+ or disabled, Virginia resident, Medicaid-eligible, nursing home-level care need.
- Income Limits (2025): ~$2,829/month (300% FBR, individual).
- Asset Limits: $2,000 (individual), $3,000 (couple).
- VA Specifics: Managed care model; high demand in urban areas.
- Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care ($65/day), home modifications ($1,500 avg.).
Virginia Respite Care Grant Program
VA Respite Grant
Official government program page
- General: Caregiver of someone 60+, Virginia resident.
- Income Limits: ~$2,500/month (individual, varies).
- Asset Limits: $40,000 (individual).
- VA Specifics: Limited grants; rural/urban balance.
- Services: In-home respite (up to 30 days/year), adult day care (~$65/day), facility respite (up to 5 days).
Adult Services Program
Virginia Adult Services (AS)
Official government program page
- General: Age 60+ (or disabled 18+), VA resident, need significant care (2+ ADLs), not Medicaid-eligible.
- Income Limits (2025): Varies by locality; typically < ~$2,510/month (200% FPL).
- Asset Limits: Limited assets (excludes home, car); varies by DSS.
- VA Specifics: Serves ~5,000 annually; focuses on low-income independence.
- Services: Personal care (4-6 hours/week), adult day care (~$60/day), chore services, assessments, respite (~5 days/year).
Auxiliary Grant Program
Virginia Auxiliary Grant (AG)
Official government program page
- General: Age 65+ (or disabled 18+), VA resident, living in approved ALF/foster care, SSI-eligible or low-income.
- Income Limits (2025): ~$1,041/month (individual, SSI level + $20 disregard); higher with medical deductions.
- Asset Limits: $2,000 (individual).
- VA Specifics: Serves 4,000; personal needs allowance ($90/month).
- Services: Cash (~$1,400-$1,700/month in 2025, varies by region) for ALF/foster care costs; basic care included.
Medicare Savings Program (MSP)
Virginia Medicare Savings Program
- General: Age 65+ or disabled, VA resident, Medicare Part A/B.
- Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
- Asset Limits: $9,430 (individual), $14,130 (couple).
- VA Specifics: Includes Extra Help for Part D; no waitlist.
- Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Energy Assistance Program (EAP)
Virginia Energy Assistance Program
Official government program page
- General: Age 60+ prioritized, VA resident, low-income household.
- Income Limits (2025): ~$3,970/month (185% FPL).
- Asset Limits: Not assessed.
- VA Specifics: Fuel, Crisis, Cooling components; serves ~100,000 households.
- Services: Heating/cooling aid ($300-$1,000/season), crisis aid ($500 max), equipment repair (~$250).
Senior Community Service Employment Program (SCSEP)
Virginia SCSEP
Official government program page
- General: Age 55+, unemployed, low-income, VA resident.
- Income Limits (2025): ~$1,983/month (125% FPL).
- Asset Limits: Not specified.
- VA Specifics: Priority for veterans, rural residents; AARP/Goodwill partnership.
- Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
VA Aid and Attendance (A&A) and Housebound Benefits
Virginia VA Aid and Attendance/Housebound
- General: Age 65+ or disabled veteran/spouse, VA resident, wartime service, ADL help (A&A) or homebound.
- Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
- Asset Limits: ~$155,356 (net worth).
- VA Specifics: High veteran population; supports rural/urban needs.
- Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs.
Property Tax Relief for the Elderly and Disabled
Virginia Property Tax Relief
Official government program page
- General: Age 65+ or disabled, VA resident, homeowner, income/asset limits vary by locality.
- Income Limits (2025): ~$50,000-$75,000/year (household, e.g., Fairfax: $72,000; Richmond: $50,000).
- Asset Limits: Varies (e.g., Fairfax: $400,000 net worth; Richmond: $100,000).
- VA Specifics: Offered in 90% of localities; saves ~$500-$2,000/year.
- Services: Tax exemption/deferral (~$500-$2,000/year depending on locality).
Senior Farmers’ Market Nutrition Program (SFMNP)
Virginia SFMNP
Official government program page
- General: Age 60+, VA resident, low-income.
- Income Limits (2025): ~$2,322/month (185% FPL).
- Asset Limits: Not assessed.
- VA Specifics: Vouchers (~$50-$75/season); serves ~15,000 via AAAs.
- Services: Vouchers (~$50-$75/season) for produce at farmers’ markets.
Claim What’s Yours Financial Aid for Virginia Seniors
VA Medicaid CCC Plus
Commonwealth Coordinated Care Plus (CCC Plus)
Requirements:
- General:Age 65+ or disabled, Virginia resident, Medicaid-eligible, nursing home-level care need.
- Income Limits (2025):~$2,829/month (300% FBR, individual).
- Asset Limits:$2,000 (individual), $3,000 (couple).
- VA Specifics:Managed care model; high demand in urban areas.
Benefits without Contact:
- Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care ($65/day), home modifications ($1,500 avg.).
VA Respite Grant
Virginia Respite Care Grant Program
Requirements:
- General:Caregiver of someone 60+, Virginia resident.
- Income Limits:~$2,500/month (individual, varies).
- Asset Limits:$40,000 (individual).
- VA Specifics:Limited grants; rural/urban balance.
Benefits without Contact:
- Services: In-home respite (up to 30 days/year), adult day care (~$65/day), facility respite (up to 5 days).
Virginia Adult Services (AS)
Adult Services Program
Requirements:
- General:Age 60+ (or disabled 18+), VA resident, need significant care (2+ ADLs), not Medicaid-eligible.
- Income Limits (2025):Varies by locality; typically < ~$2,510/month (200% FPL).
- Asset Limits:Limited assets (excludes home, car); varies by DSS.
- VA Specifics:Serves ~5,000 annually; focuses on low-income independence.
Benefits without Contact:
- Services: Personal care (4-6 hours/week), adult day care (~$60/day), chore services, assessments, respite (~5 days/year).
Virginia Auxiliary Grant (AG)
Auxiliary Grant Program
Requirements:
- General:Age 65+ (or disabled 18+), VA resident, living in approved ALF/foster care, SSI-eligible or low-income.
- Income Limits (2025):~$1,041/month (individual, SSI level + $20 disregard); higher with medical deductions.
- Asset Limits:$2,000 (individual).
- VA Specifics:Serves 4,000; personal needs allowance ($90/month).
Benefits without Contact:
- Services: Cash (~$1,400-$1,700/month in 2025, varies by region) for ALF/foster care costs; basic care included.
Virginia Medicare Savings Program
Medicare Savings Program (MSP)
Requirements:
- General:Age 65+ or disabled, VA resident, Medicare Part A/B.
- Income Limits (2025):~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
- Asset Limits:$9,430 (individual), $14,130 (couple).
- VA Specifics:Includes Extra Help for Part D; no waitlist.
Benefits without Contact:
- Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Virginia Energy Assistance Program
Energy Assistance Program (EAP)
Requirements:
- General:Age 60+ prioritized, VA resident, low-income household.
- Income Limits (2025):~$3,970/month (185% FPL).
- Asset Limits:Not assessed.
- VA Specifics:Fuel, Crisis, Cooling components; serves ~100,000 households.
Benefits without Contact:
- Services: Heating/cooling aid ($300-$1,000/season), crisis aid ($500 max), equipment repair (~$250).
Virginia SCSEP
Senior Community Service Employment Program (SCSEP)
Requirements:
- General:Age 55+, unemployed, low-income, VA resident.
- Income Limits (2025):~$1,983/month (125% FPL).
- Asset Limits:Not specified.
- VA Specifics:Priority for veterans, rural residents; AARP/Goodwill partnership.
Benefits without Contact:
- Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
Virginia VA Aid and Attendance/Housebound
VA Aid and Attendance (A&A) and Housebound Benefits
Requirements:
- General:Age 65+ or disabled veteran/spouse, VA resident, wartime service, ADL help (A&A) or homebound.
- Income Limits (2025):Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
- Asset Limits:~$155,356 (net worth).
- VA Specifics:High veteran population; supports rural/urban needs.
Benefits without Contact:
- Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs.
Virginia Property Tax Relief
Property Tax Relief for the Elderly and Disabled
Requirements:
- General:Age 65+ or disabled, VA resident, homeowner, income/asset limits vary by locality.
- Income Limits (2025):~$50,000-$75,000/year (household, e.g., Fairfax: $72,000; Richmond: $50,000).
- Asset Limits:Varies (e.g., Fairfax: $400,000 net worth; Richmond: $100,000).
- VA Specifics:Offered in 90% of localities; saves ~$500-$2,000/year.
Benefits without Contact:
- Services: Tax exemption/deferral (~$500-$2,000/year depending on locality).
Virginia SFMNP
Senior Farmers’ Market Nutrition Program (SFMNP)
Requirements:
- General:Age 60+, VA resident, low-income.
- Income Limits (2025):~$2,322/month (185% FPL).
- Asset Limits:Not assessed.
- VA Specifics:Vouchers (~$50-$75/season); serves ~15,000 via AAAs.
Benefits without Contact:
- Services: Vouchers (~$50-$75/season) for produce at farmers’ markets.
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