Show Inspection Reports
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.
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Nursing Home in Roanoke
CMS overall rating
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.
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.
Old Southwest Rehabilitation and Nursing
Nursing Home in Roanoke
CMS overall rating
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.
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.
Old Southwest Rehabilitation and Nursing
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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.
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
25.4%
Residents per day
33
Occupancy rate
25.4%
Residents per day
33
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
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
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.
$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.
ContactMr. Trent Clugston, Administrator
Rehabilitation Services
Respite Care
Skilled Nursing
24-Hour Staffing
Long Term Care
Rehabilitative Care
Palliative Care
Hospice Care
Specific ProgramsSkilled Nursing, Long Term Care, Rehabilitative 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.
0 inspections
Latest inspection
Date
July 16, 2024
Re Inspection108 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Virginia average: 32 deficiencies
Health Inspection History
Inspections
Total health citations
131
Virginia average 38.4
Citations per inspection
18.71
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 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
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Jul 16, 2024
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Jul 16, 2024
Corrected
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Jul 16, 2024
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Jul 16, 2024
Corrected
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Jul 16, 2024
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Jul 16, 2024
Corrected
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Jul 16, 2024
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
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.
Compare Nursing Homes around Roanoke The information below is reported by the Virginia Department of Social Services and Department of Health.
Filter by care type
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
62
89.5%
+4%
5.33
+42%
0
12
4.0
0
57
-
33
Neff, Heather
$10.5M
$5.9M
55.7%
495373
Our Lady of the Valley
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.
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).
Roanoke (Gainsboro)
189
88.2%
+3%
3.79
+1%
0
14
4.7
0
65
A+
68
Rawlings, David
$16.4M
$6.7M
40.9%
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
98
85.7%
0%
3.36
-10%
0
39
13.0
0
85
A+
45
American Healthcare Llc
$10.6M
$4.5M
42.7%
495002
Pheasant Ridge Nursing and Rehab Center
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.
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).
Roanoke
101
89.3%
+4%
3.56
-5%
13
25
6.3
1
89
A+
15
Bell, Victor
$14.0M
$4.6M
32.5%
495325
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
+2%
6
131
18.7
4
96
A+
57
Shuler, Andrew
$10.4M
$3.8M
36.5%
495156
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)
Calculate Travel Distance to Old Southwest Rehabilitation and Nursing
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
152
Employees
132
Contractors
20
Staff to resident ratio
2.30:1
38% better than Virginia averageVirginia average ratio: 1.67:1
Avg staff/day
47
Average shift
7.9 hours
0% compared with Virginia averageVirginia average: 8 hours
Total staff hours (quarter)
33,595
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
13
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
41
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
67
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 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
4.7%
1,565 contractor hours this quarter
Licensed Practical Nurse: 11
Registered Nurse: 6
Certified Nursing Assistant: 3
Staff by category
| 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 |
67 Certified Nursing Assistant
% of Days
100%
41 Licensed Practical Nurse
% of Days
100%
8 RN Director of Nursing
% of Days
99%
13 Registered Nurse
% of Days
91%
6 Clinical Nurse Specialist
% of Days
69%
2 Other Dietary Services Staff
% of Days
76%
1 Nurse Practitioner
% of Days
71%
1 Administrator
% of Days
68%
1 Mental Health Service Worker
% of Days
68%
3 Respiratory Therapy Technician
% of Days
64%
1 Dietitian
% of Days
70%
1 Physical Therapy Aide
% of Days
60%
1 Speech Language Pathologist
% of Days
67%
4 Qualified Social Worker
% of Days
51%
2 Physical Therapy Assistant
% of Days
13%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
66 residents
Residents by payment source
Medicare
4 residents (6.1%)
Medicaid
56 residents (84.8%)
Private pay or other
6 residents (9.1%)
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.
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.
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
-$585.3K
↓ ~$121.1K vs 2022
Total Payroll
$5.6M
↑ ~$703.7K vs 2022
Profit Margin
-5.6%
↑ 1.7pp vs 2022
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