Old Southwest Rehabilitation and Nursing
Nursing Home, Hospice Care, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Roanoke, VA
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Old Southwest Rehabilitation and Nursing

Nursing Home, Hospice Care, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Roanoke, VA
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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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

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▼ 66.7% Below VA avg. ▼ 66.7% Below VA avg.VA average: 3.0Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▼ 64.0% Below VA avg. ▼ 64.0% Below VA avg.VA average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▼ 19.0% Below VA avg. ▼ 19.0% Below VA avg.VA average: 2.5Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▼ 22.0% Below VA avg. ▼ 22.0% Below VA avg.VA average: 3.8Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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.

Hours per resident per day vs Virginia averages

Rank #40 / 70Nurse hours — State benchmarkedThis home is ranked 40th out of 70 homes we track in Virginia for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Virginia average, with a ranking across 70 Virginia facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Virginia that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 40th out of 70 homes we track in Virginia for nurse hours. 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.

4h 8m

10% above state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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.
30m
−26% State avg: 41m per day · National avg: 41m per day
LPN / LVN Info 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 34m
+56% State avg: 1h 0m per day · National avg: 52m per day
Nurse Aide Info 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 4m
−3% State avg: 2h 8m per day · National avg: 2h 21m per day
Weekend Total Nursing Info 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.
3h 37m
+9% State avg: 3h 19m per day · National avg: 3h 26m per day
Physical Therapist Info 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.
4m
−10% State avg: 5m per day · National avg: 4m per day
Weekend RN Info 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.
20m
−27% State avg: 28m per day · National avg: 29m per day

4 of 6 metrics below state avg

Capacity and availability

This home usually has availability

Lower occupancy than the Virginia average: 70.4%
Occupancy rate
25.4% Rank #290 / 297Occupancy rate — State benchmarkedThis home is ranked 290th out of 297 homes we track in Virginia for occupancy. Shows this facility's occupancy rate versus the Virginia average, with its Statewide rank out of 297. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Virginia that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Residents per day
33
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
86 days
Bed community size
130-bed community Rank #68 / 365Bed count — State benchmarkedThis home is ranked 68th out of 365 homes we track in Virginia for bed count. Shows this facility's certified or reported bed count compared to other Virginia facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Virginia that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
41 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 57 / 100 Rank #132 / 435Walk Score — State benchmarkedThis home is ranked 132nd out of 435 homes we track in Virginia for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Virginia facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Virginia that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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
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

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Staffing & Medical

1 service
24-Hour Staffing

Additional Services

2 services
Rehabilitative Care
Palliative Care

Additional Policies & Features

Pets not allowed

Contact Old Southwest Rehabilitation and Nursing

CMS Health Inspection History

Inspections Since 2024 · 2 years of data
Total health inspections 7

Virginia average 4.2


Last Health inspection on Jul 2024

Total health citations
131 Rank #68 / 69Health citations — State benchmarkedThis home is ranked 68th out of 69 homes we track in Virginia for health citations. Shows this facility's total health deficiency citations benchmarked to the Virginia State average, with a ranking across all 69 VA facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Virginia that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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 #67 / 69Citations per inspection — State benchmarkedThis home is ranked 67th out of 69 homes we track in Virginia for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Virginia mean across 69 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Virginia that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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 average

Virginia average: 0.4


Serious health citations
4
300% worse than Virginia average

Virginia average: 1

0 critical citations Virginia average: 0.4

4 serious citations Virginia average: 1

125 moderate citations Virginia average: 36.3

2 minor citations Virginia average: 0.8
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% more staff per resident than Virginia average
Virginia average ratio: 1.67 : 1 Virginia average ratio: 1.67 : 1See full Virginia ranking
Avg staff/day 37
Average shift 8.6 hours
8% better than Virginia average
Virginia average: 8 hours Virginia average shift: 8 hoursSee full Virginia ranking
Total staff hours (quarter) 29,112

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info 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 Info All 9 RN Staff are full-time employees. No contractors work on this role. 9
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 51 total: 22 full-time employees and 29 contractors. 51
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.6 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 42 total: 39 full-time employees and 3 contractors. 42
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.2 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info 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 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant3934213,58392100%9.2
Licensed Practical Nurse2229516,07092100%9.6
RN Director of Nursing100102,8199098%7.7
Registered Nurse9092,1379199%8.1
Clinical Nurse Specialist2025887076%7.2
Administrator1015596672%8.5
Nurse Practitioner1015596672%8.5
Qualified Social Worker2024856672%7.3
Dietitian1014386065%7.3
Other Dietary Services Staff1014335762%7.6
Respiratory Therapy Technician3034335863%5.1
Physical Therapy Aide1013845863%6.6
Speech Language Pathologist1013726470%5.8
Mental Health Service Worker1012383437%7
Physical Therapy Assistant20215910%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%

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 #74 / 74Federal fines — State benchmarkedThis home is ranked 74th out of 74 homes we track in Virginia for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Virginia average among facilities with fines, and where it ranks among 74 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Virginia that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
193% higher than Virginia average

Virginia average: $52K

Number of fines 6
241% more fines than Virginia average

Virginia average: 1.8

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 1
1214% more payment denials than Virginia average

Virginia 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 Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Mar 29, 2024
$136K
Payment Denial Info 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 Info 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 Info 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 average

Virginia average: 10.1

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 21.2
7% worse than Virginia average

Virginia average: 19.7

Long-stay resident measures
Average Virginia avg: 3.9 Info 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 Info Percent of long-stay residents whose need for help with daily activities has increased 17.5%
In line with Virginia average

Virginia average: 16.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 21.2%
7% worse than Virginia average

Virginia average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 24.9%
10% worse than Virginia average

Virginia average: 22.6%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.4%
7% better than Virginia average

Virginia average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 7.8%
44% worse than Virginia average

Virginia average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.5%
In line with Virginia average

Virginia average: 1.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 6.1%
In line with Virginia average

Virginia average: 5.9%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 14.4%
In line with Virginia average

Virginia average: 14.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 16.2%
26% worse than Virginia average

Virginia average: 12.9%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 60.7%
34% worse than Virginia average

Virginia average: 91.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 20.0%
79% worse than Virginia average

Virginia average: 94.0%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 18.2%
76% worse than Virginia average

Virginia average: 74.9%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.4%
101% worse than Virginia average

Virginia average: 1.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 5.7%
92% worse than Virginia average

Virginia average: 73.6%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 25.7%
17% worse than Virginia average

Virginia average: 22.0%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 7.2%
38% better than Virginia average

Virginia average: 11.7%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Virginia average

Virginia average: 0.8%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 30.6%
40% worse than Virginia average

Virginia average: 50.6%

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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$8.8M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$646.1K
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$8.8M Rank #62 / 69Net patient revenue — State benchmarkedThis home is ranked 62nd out of 69 homes we track in Virginia. Shows this facility's net patient revenue compared to the Virginia average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Virginia that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$646.1K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$60.8K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #67 / 69Payroll costs — State benchmarkedThis home is ranked 67th out of 69 homes we track in Virginia. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Virginia average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Virginia that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$4.2M 47.8% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #40 / 69Payroll % of net patient revenue — State benchmarkedThis home is ranked 40th out of 69 homes we track in Virginia. Shows payroll as a percentage of net patient revenue versus the Virginia average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Virginia that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$5.2M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$9.4M

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Most new residents arrive under Medicaid (64% of admissions), and a typical Medicaid stay runs around 3 - 4 months.

Admissions
298 total

Coverage residents most often arrive under.

Medicare 14%
Private pay 22%
Medicaid 64%
Discharges
284 total

Coverage residents most often leave under.

Medicare 14%
Private pay 21%
Medicaid 65%
Reviews (2)

Old Southwest Rehabilitation and Nursing Reviews

Jazmin Vance
The absolute worst ever the administrator is a failure the DON is a failure it should be shut down IMMEDIATELY.

Rating Their Experiences

What do you like most about living here?

Nothing

Are there enough caregivers to handle the residents' needs, especially during emergencies?

No

Are the common areas pleasant and comfortable for socializing or relaxing?

No

How do you feel about the level of social interaction available with other residents?

It’s horrible

How was the units offered in this community?

There wasn’t any

Do you feel safe living in this community?

No

How well do you think the community handles emergencies or unexpected events?

Not well

How would you rate the quality and variety of the meals? (1-5)

1

Are special diets handled well?

No

Is the dining schedule flexible enough to meet your preferences?

No

Are there any hidden fees or unexpected charges?

No

Would you recommend this community to others looking for senior living options?

No

Is there anything you wish you knew before moving in?

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.

Rating Their Experiences

What do you like most about living here?

His roommate was always helpful.

Are there enough caregivers to handle the residents' needs, especially during emergencies?

Yes

Are the common areas pleasant and comfortable for socializing or relaxing?

No

How do you feel about the level of social interaction available with other residents?

None except roommate which was good.

How was the units offered in this community?

N/A

Do you feel safe living in this community?

No

How well do you think the community handles emergencies or unexpected events?

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.

How would you rate the quality and variety of the meals? (1-5)

1

Are special diets handled well?

No

Is the dining schedule flexible enough to meet your preferences?

No

Are there any hidden fees or unexpected charges?

N/A

Would you recommend this community to others looking for senior living options?

Absolutely Not

Is there anything you wish you knew before moving in?

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

Address 0.8 miles from city center Info Estimated distance in miles from Roanoke's city center to Old Southwest Rehabilitation and Nursing's address, calculated via Google Maps.

Calculate Travel Distance to Old Southwest Rehabilitation and Nursing

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Compare Nursing Homes around Roanoke

Info below is compiled from CMS reports & the VA Depts. of Social Services & Health, senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care):
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level D or higher — meaning actual harm occurred or residents were placed in immediate jeopardy. Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Virginia average is: 76.3% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Our Lady of the Valley
NH
AL
MC
RC
SNF
Roanoke (Gainsboro)
127
Facility 127
VA AVG 96
Rank #76 / 365
87.4%
Facility 87.4%
VA AVG 70.4
Rank #62 / 297
+24%
4.13
Facility 4.13
VA AVG 3.74
Rank #40 / 70
-42%+10%
$0
Facility $0
VA AVG $54.3k
Rank #1 / 74
14
Facility 14
VA AVG 38.4
Rank #13 / 69
4.7
Facility 4.7
VA AVG 8.9
Rank #16 / 69
-111A+
68
Facility 68
VA AVG 45
Rank #73 / 435
David Rawlings
$14.8MFiscal year ending 06/2024
Facility $14.8MFiscal year ending 06/2024
VA AVG $19.9M
Rank #42 / 69
$8.2MFiscal year ending 06/2024
Facility $8.2MFiscal year ending 06/2024
VA AVG $11.3M
Rank #39 / 69
55.5%Fiscal year ending 06/2024
Facility 55.5%Fiscal year ending 06/2024
VA AVG 76.3%
Rank #24 / 69
495357
Virginia Veterans Care Center
NH
Roanoke (Shenandoah Avenue Northwest)
3
Facility 3
VA AVG 96
Rank #365 / 365
100.0%
Facility 100.0%
VA AVG 70.4
Rank #1 / 297
+42%
4.94
Facility 4.94
VA AVG 3.74
Rank #32 / 70
+5%+32%
$0
Facility $0
VA AVG $54.3k
Rank #1 / 74
16
Facility 16
VA AVG 38.4
Rank #20 / 69
5.3
Facility 5.3
VA AVG 8.9
Rank #22 / 69
-3-
19
Facility 19
VA AVG 45
Rank #363 / 435
Todd Barnes
$26.4MFiscal year ending 06/2024
Facility $26.4MFiscal year ending 06/2024
VA AVG $19.9M
Rank #20 / 69
$24.7MFiscal year ending 06/2024
Facility $24.7MFiscal year ending 06/2024
VA AVG $11.3M
Rank #5 / 69
93.3%Fiscal year ending 06/2024
Facility 93.3%Fiscal year ending 06/2024
VA AVG 76.3%
Rank #9 / 69
495274
Brandon Oaks Nursing and Rehabilitation Center
NH
AL
HC
IL
MC
SNF
Roanoke (Westland)
43
Facility 43
VA AVG 96
Rank #313 / 365
53.5%
Facility 53.5%
VA AVG 70.4
Rank #240 / 297
-24%
6.00
Facility 6.00
VA AVG 3.74
Rank #14 / 70
+28%+60%
$0
Facility $0
VA AVG $54.3k
Rank #1 / 74
12
Facility 12
VA AVG 38.4
Rank #8 / 69
4.0
Facility 4.0
VA AVG 8.9
Rank #9 / 69
-23-
33
Facility 33
VA AVG 45
Rank #282 / 435
Heather Neff
$7.2MFiscal year ending 12/2023
Facility $7.2MFiscal year ending 12/2023
VA AVG $19.9M
Rank #65 / 69
$7.0MFiscal year ending 12/2023
Facility $7.0MFiscal year ending 12/2023
VA AVG $11.3M
Rank #45 / 69
96.3%Fiscal year ending 12/2023
Facility 96.3%Fiscal year ending 12/2023
VA AVG 76.3%
Rank #6 / 69
495373
Friendship Retirement Community
NH
AL
IL
MC
RC
SNF
Roanoke (Hollins)
253
Facility 253
VA AVG 96
Rank #5 / 365
91.0%
Facility 91.0%
VA AVG 70.4
Rank #42 / 297
+29%
4.08
Facility 4.08
VA AVG 3.74
Rank #31 / 70
+4%+9%
$0
Facility $0
VA AVG $54.3k
Rank #1 / 74
18
Facility 18
VA AVG 38.4
Rank #24 / 69
4.5
Facility 4.5
VA AVG 8.9
Rank #15 / 69
-230A+
48
Facility 48
VA AVG 45
Rank #185 / 435
Friendship Foundation Inc
$29.8MFiscal year ending 06/2024
Facility $29.8MFiscal year ending 06/2024
VA AVG $19.9M
Rank #13 / 69
$15.3MFiscal year ending 06/2024
Facility $15.3MFiscal year ending 06/2024
VA AVG $11.3M
Rank #16 / 69
51.5%Fiscal year ending 06/2024
Facility 51.5%Fiscal year ending 06/2024
VA AVG 76.3%
Rank #28 / 69
495092
Old Southwest Rehabilitation and Nursing
NH
HOS
MC
PC
RC
SNF
Roanoke (Old Southwest)
130
Facility 130
VA AVG 96
Rank #68 / 365
25.4%
Facility 25.4%
VA AVG 70.4
Rank #290 / 297
-64%
4.13
Facility 4.13
VA AVG 3.74
Rank #40 / 70
-27%+10%
$143.8k
Facility $143.8k
VA AVG $54.3k
Rank #74 / 74
131
Facility 131
VA AVG 38.4
Rank #68 / 69
18.7
Facility 18.7
VA AVG 8.9
Rank #67 / 69
433A+
57
Facility 57
VA AVG 45
Rank #132 / 435
Andrew Shuler
$8.8MFiscal year ending 12/2023
Facility $8.8MFiscal year ending 12/2023
VA AVG $19.9M
Rank #62 / 69
$4.2MFiscal year ending 12/2023
Facility $4.2MFiscal year ending 12/2023
VA AVG $11.3M
Rank #67 / 69
47.8%Fiscal year ending 12/2023
Facility 47.8%Fiscal year ending 12/2023
VA AVG 76.3%
Rank #40 / 69
495156

Financial Assistance for
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.

Get Financial aid guidance

Commonwealth Coordinated Care Plus (CCC Plus)

VA Medicaid CCC Plus

Age 65+ or disabled
General 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

Managed care model; high demand in urban areas.

Benefits
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

Age Caregiver of someone 60+
General Virginia resident.
Income Limits ~$2,500/month individual, varies
Asset Limits $40,000 individual
VA

Limited grants; rural/urban balance.

Benefits
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)

Age 60+ (or disabled 18+)
General 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

Serves ~5,000 annually; focuses on low-income independence.

Benefits
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)

Age 65+ (or disabled 18+)
General 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

Serves 4,000; personal needs allowance ($90/month).

Benefits
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

Age 65+ or disabled
General 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

Includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Energy Assistance Program (EAP)

Virginia Energy Assistance Program

Age 60+ prioritized
General VA resident, low-income household.
Income Limits (2025) ~$3,970/month 185% FPL
Asset Limits Not assessed.
VA

Fuel, Crisis, Cooling components; serves ~100,000 households.

Benefits
Heating/cooling aid ($300-$1,000/season) Crisis aid ($500 max) Equipment repair (~$250)

VA Aid and Attendance (A&A) and Housebound Benefits

Virginia VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General 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

High veteran population; supports rural/urban needs.

Benefits
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

Age 65+ or disabled
General 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

Offered in 90% of localities; saves ~$500-$2,000/year.

Benefits
Tax exemption/deferral (~$500-$2,000/year depending on locality)

Senior Farmers’ Market Nutrition Program (SFMNP)

Virginia SFMNP

Age 60+
General VA resident, low-income.
Income Limits (2025) ~$2,322/month 185% FPL
Asset Limits Not assessed.
VA

Vouchers (~$50-$75/season); serves ~15,000 via AAAs.

Benefits
Vouchers (~$50-$75/season) for produce at farmers’ markets

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.

What is the occupancy rate at Old Southwest Rehabilitation and Nursing?

Old Southwest Rehabilitation and Nursing's occupancy is 51.3%.

How long has Old Southwest Rehabilitation and Nursing been in business?

Old Southwest Rehabilitation and Nursing has been operating for approximately 41 years, based on available licensing and registration records.

Are pets allowed at Old Southwest Rehabilitation and Nursing?

No, Old Southwest Rehabilitation and Nursing has a no-pet policy.

Does Old Southwest Rehabilitation and Nursing operate as a for-profit or non-profit?

Old Southwest Rehabilitation and Nursing is registered as a for-profit in VA.

Has Old Southwest Rehabilitation and Nursing had any deficiencies?

Old Southwest Rehabilitation and Nursing has had 108 reported deficiencies since 2021 according to records from Virginia Department of Social Services (VDSS).

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