Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.

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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.
Offers a balance of services and community atmosphere.
Lower occupancy suggests more openings may be available.
Most residents stay for extended periods and receive ongoing daily care.
26% of new residents, usually for short-term rehab.
21% of new residents, often for short stays.
53% of new residents, often for long-term daily care.
Key information about the people who lead and staff this community.
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Independent Living For self-sufficient seniors seeking community and minimal assistance.
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Nursing Homes 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Independent Living For self-sufficient seniors seeking community and minimal assistance.
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Nursing Homes 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
0.8 miles from city center
324 King George Ave SW, Roanoke, VA 24016
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Source: CMS Payroll-Based Journal (Q2 2025)
| 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 |
| 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 |
Source: CMS Health Citations (Aug 2021 – Jul 2024)
| Date | Severity ? | Category | Tag | Status |
|---|---|---|---|---|
| Jul 16, 2024 | D | Administration | F0770 | Corrected |
| Jul 16, 2024 | D | Administration | F0773 | Corrected |
| Jul 16, 2024 | D | Administration | F0775 | Corrected |
| Jul 16, 2024 | F | Administration | F0865 | Corrected |
| Jul 16, 2024 | E | Administration | F0940 | Corrected |
| Jul 16, 2024 | E | Infection Control | F0880 | Corrected |
| Jul 16, 2024 | D | Infection Control | F0883 | Corrected |
| Jul 16, 2024 | D | Infection Control | F0887 | Corrected |
| Jul 16, 2024 | F | Nursing Services | F0726 | Corrected |
| Jul 16, 2024 | D | Pharmacy | F0755 | Corrected |
| Jul 16, 2024 | D | Pharmacy | F0756 | Corrected |
| Jul 16, 2024 | D | Pharmacy | F0757 | Corrected |
| Jul 16, 2024 | D | Pharmacy | F0760 | Corrected |
| Jul 16, 2024 | E | Quality of Care | F0677 | Corrected |
| Jul 16, 2024 | E | Quality of Care | F0684 | Corrected |
| Jul 16, 2024 | D | Quality of Care | F0688 | Corrected |
| Jul 16, 2024 | E | Quality of Care | F0689 | Corrected |
| Jul 16, 2024 | D | Care Planning | F0657 | Corrected |
| Jul 16, 2024 | D | Care Planning | F0658 | Corrected |
| Jul 16, 2024 | D | Care Planning | F0842 | Corrected |
| Jul 16, 2024 | E | Resident Rights | F0578 | Corrected |
| Jul 16, 2024 | D | Resident Rights | F0584 | Corrected |
| Jul 16, 2024 | E | Resident Rights | F0623 | Corrected |
| Jul 16, 2024 | E | Resident Rights | F0625 | Corrected |
| Mar 29, 2024 | E | Abuse/Neglect | F0600 | Corrected |
| Mar 29, 2024 | E | Abuse/Neglect | F0607 | Corrected |
| Mar 29, 2024 | E | Abuse/Neglect | F0943 | Corrected |
| Mar 29, 2024 | D | Administration | F0770 | Corrected |
| Mar 29, 2024 | D | Administration | F0773 | Corrected |
| Mar 29, 2024 | D | Administration | F0775 | Corrected |
| Mar 29, 2024 | D | Administration | F0865 | Corrected |
| Mar 29, 2024 | G | Administration | F0867 | Corrected |
| Mar 29, 2024 | E | Administration | F0940 | Corrected |
| Mar 29, 2024 | E | Administration | F0941 | Corrected |
| Mar 29, 2024 | E | Administration | F0944 | Corrected |
| Mar 29, 2024 | E | Administration | F0949 | Corrected |
| Mar 29, 2024 | E | Infection Control | F0880 | Corrected |
| Mar 29, 2024 | D | Infection Control | F0883 | Corrected |
| Mar 29, 2024 | E | Infection Control | F0887 | Corrected |
| Mar 29, 2024 | E | Nursing Services | F0725 | Corrected |
| Mar 29, 2024 | F | Nursing Services | F0726 | Corrected |
| Mar 29, 2024 | E | Nursing Services | F0730 | Corrected |
| Mar 29, 2024 | E | Nursing Services | F0947 | Corrected |
| Mar 29, 2024 | E | Pharmacy | F0755 | Corrected |
| Mar 29, 2024 | E | Pharmacy | F0756 | Corrected |
| Mar 29, 2024 | D | Pharmacy | F0757 | Corrected |
| Mar 29, 2024 | G | Pharmacy | F0760 | Corrected |
| Mar 29, 2024 | D | Quality of Care | F0676 | Corrected |
| Mar 29, 2024 | E | Quality of Care | F0677 | Corrected |
| Mar 29, 2024 | D | Quality of Care | F0679 | Corrected |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Active councils help families stay involved in care decisions and facility operations.
CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.
Source: CMS Nursing Home Compare (Data as of Jan 2026)
Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline
Composite score based on ADL decline, walking ability decline, and incontinence
Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.
Measures for residents who stay 100 days or less (typically rehabilitation patients).
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)
Showing first 5 of 7 penalties (Feb 2023 - Mar 2024)
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