Old Southwest Rehabilitation and Nursing

Nursing Home · Roanoke, VA

CMS overall rating

Old Southwest Rehabilitation and Nursing

Q: What neighborhood is Old Southwest Rehabilitation and Nursing in?

Old Southwest Rehabilitation and Nursing is in the Old Southwest neighborhood of Roanoke.

Q: 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.

Q: Are there photos of Old Southwest Rehabilitation and Nursing?

Yes — there are 2 photos of Old Southwest Rehabilitation and Nursing in the photo gallery on this page.

Q: What is the phone number of Old Southwest Rehabilitation and Nursing?

(540) 345-8139 will put you in contact with the team at Old Southwest Rehabilitation and Nursing.

Q: Is Old Southwest Rehabilitation and Nursing Medicare or Medicaid certified?

Yes — Old Southwest Rehabilitation and Nursing is a CMS-certified provider of Medicare and Medicaid.

Nursing Home · Roanoke, VA

CMS overall rating

324 King George Ave Sw, Roanoke, VA 24016 View map

Calculator: See prices in your area

Old Southwest Rehabilitation and Nursing accepts Medicare, Medicaid, and private pay.

Calculator: See prices in your area

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.

(540) 345-8139

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to Virginia state averages

Total nursing care / resident

3h 49m per day

This facility Virginia avg (4h 47m per day)

vs Virginia avg

-20%

5 of 6 metrics below state avg

Standout metric LPN / LVN is +12% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) 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.	20m per day	▼ 51% State avg: 41m per day · National avg: 41m per day
LPN / LVN 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 7m per day	▲ 12% State avg: 1h 0m per day · National avg: 52m per day
Nurse Aide 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 2m per day	▼ 5% State avg: 2h 8m per day · National avg: 2h 21m per day
Weekend Total Nursing 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.	2h 46m per day	▼ 17% State avg: 3h 19m per day · National avg: 3h 26m per day
Physical Therapist 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.	3m per day	▼ 40% State avg: 5m per day · National avg: 4m per day
Weekend RN 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.	10m per day	▼ 64% State avg: 28m per day · National avg: 29m per day

Capacity and availability

This home usually has availability

Occupancy lower than 85% suggests more openings may be available.

25.4%

86 days

41 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

About this community

Staffing

Key information about the people who lead and staff this community.

ContactMr. Trent Clugston, Administrator

Rehabilitation Services

Respite Care

24-Hour Staffing

Rehabilitative Care

Palliative Care

Since 2021 · 5 years of data 108 deficiencies 8 inspections

Inspection Scorecard This scorecard compares key inspection, citation, and complaint metrics at this facility against the Virginia state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2021 vs. Virginia state average

Overall vs. VA average

Latest Inspection July 16, 2024 Re Inspection

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	VA Average	vs. VA Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	108	32	This facility has 238% more total deficiencies than a typical Virginia nursing home (108 vs. VA avg 32).↑ 238% worse
Deficiencies per year Average deficiencies per year since 2021.	21.6	6.4	This facility has 238% more deficiencies per year than a typical Virginia nursing home (21.6 vs. VA avg 6.4).↑ 238% worse
Deficiencies per inspection Average deficiencies per inspection.	13.5	2.3	This facility has 487% more deficiencies per inspection than a typical Virginia nursing home (13.5 vs. VA avg 2.3).↑ 487% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	VA Average	vs. VA Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	8	14	This facility has 43% fewer total inspections than a typical Virginia nursing home (8 vs. VA avg 14).↓ 43% better

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The most recent inspection on July 16, 2024, identified multiple deficiencies related to resident care, medication administration, infection control, documentation, and the facility’s Quality Assurance and Performance Improvement (QAPI) program. Earlier inspections showed a consistent pattern of issues including incomplete care plans, medication errors, inadequate bathing and grooming, and failure to provide timely laboratory services. Complaint investigations substantiated concerns about neglect, inadequate supervision resulting in heat stroke, and failures in medication monitoring and resident fund availability. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s deficiencies have persisted over time without clear improvement, particularly in medication management, resident care, and quality assurance processes.

Read the full inspection reports for this facility, including detailed findings and corrective actions.

Show Inspection Reports

Inspections since 2024

Total health inspections 7

Virginia average 4.2

Last Health inspection on Jul 2024

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 2 years)

Critical Health citations

100% better than Virginia average

Virginia average: 0.4

Serious Health citations

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

Total staff 128

Employees 96

Contractors 32

Staff to resident ratio 1.94:1

16% better than Virginia average

Avg staff/day 37

Average shift 8.6 hours

8% better than Virginia average

Total staff hours (quarter) 29,112

Nursing staff breakdown

RN Staff 9

8.1 hours

No contractors work on this role.

LPN Staff 51

9.6 hours

This role is partially covered by contractors.

CNA Staff 42

9.2 hours

This role is partially covered by contractors.

Contractor staffing

1,302 contractor hours this quarter

Licensed Practical Nurse: 29 Certified Nursing Assistant: 3

Staff by category


Certified Nursing Assistant	39	3	42	13,583	92	100%	9.2
Licensed Practical Nurse	22	29	51	6,070	92	100%	9.6
RN Director of Nursing	10	0	10	2,819	90	98%	7.7
Registered Nurse	9	0	9	2,137	91	99%	8.1
Clinical Nurse Specialist	2	0	2	588	70	76%	7.2
Administrator	1	0	1	559	66	72%	8.5
Nurse Practitioner	1	0	1	559	66	72%	8.5
Qualified Social Worker	2	0	2	485	66	72%	7.3
Dietitian	1	0	1	438	60	65%	7.3
Other Dietary Services Staff	1	0	1	433	57	62%	7.6
Respiratory Therapy Technician	3	0	3	433	58	63%	5.1
Physical Therapy Aide	1	0	1	384	58	63%	6.6
Speech Language Pathologist	1	0	1	372	64	70%	5.8
Mental Health Service Worker	1	0	1	238	34	37%	7
Physical Therapy Assistant	2	0	2	15	9	10%	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%

2 Clinical Nurse Specialist

% of Days 76%

1 Administrator

% of Days 72%

1 Nurse Practitioner

% of Days 72%

2 Qualified Social Worker

% of Days 72%

1 Dietitian

% of Days 65%

1 Other Dietary Services Staff

% of Days 62%

3 Respiratory Therapy Technician

% of Days 63%

1 Physical Therapy Aide

% of Days 63%

1 Speech Language Pathologist

% of Days 70%

1 Mental Health Service Worker

% of Days 37%

2 Physical Therapy Assistant

% of Days 10%

View All Staffing Data in Roanoke

Total fines amount $153K

193% higher than Virginia average

Virginia average: $52K

Number of fines 6

241% more fines than Virginia average

Virginia average: 1.8

Payment Denials 1

1214% more payment denials than Virginia average

Virginia average: 0.1

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 Mar 29, 2024

$136K

Payment Denial Mar 29, 2024

61 days

Civil Money Penalty Aug 16, 2023

$8K

Last updated: Jan 2026

High-risk clinical events score 11.2

10% worse than Virginia average

Virginia average: 10.1

Functional decline score 21.2

7% worse than Virginia average

Virginia average: 19.7

Long-stay resident measures

Average Virginia avg: 3.9

Need for Help with Daily Activities Increased 17.5%

In line with Virginia average

Virginia average: 16.8%

Walking Ability Worsened 21.2%

7% worse than Virginia average

Virginia average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence 24.9%

10% worse than Virginia average

Virginia average: 22.6%

Falls with Major Injury 3.4%

7% better than Virginia average

Virginia average: 3.6%

High Risk Residents with Pressure Ulcers 7.8%

44% worse than Virginia average

Virginia average: 5.4%

Urinary Tract Infection 1.5%

In line with Virginia average

Virginia average: 1.5%

Lost Too Much Weight 6.1%

In line with Virginia average

Virginia average: 5.9%

Depressive Symptoms 14.4%

In line with Virginia average

Virginia average: 14.9%

Antipsychotic Use 16.2%

26% worse than Virginia average

Virginia average: 12.9%

Pneumococcal Vaccine 60.7%

34% worse than Virginia average

Virginia average: 91.3%

Influenza Vaccine 20.0%

79% worse than Virginia average

Virginia average: 94.0%

Short-stay resident measures

Significantly below average Virginia avg: 3.9

Pneumococcal Vaccine 18.2%

76% worse than Virginia average

Virginia average: 74.9%

Antipsychotic medication increase 2.4%

101% worse than Virginia average

Virginia average: 1.2%

Influenza Vaccine 5.7%

92% worse than Virginia average

Virginia average: 73.6%

Re-hospitalized after SNF stay 25.7%

17% worse than Virginia average

Virginia average: 22.0%

Emergency department visits 7.2%

38% better than Virginia average

Virginia average: 11.7%

Falls with major injury 0.0%

100% better than Virginia average

Virginia average: 0.8%

Successful return to home or community 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

Total residents 66

Medicare

6.1% of residents

Medicaid

84.8% of residents

Private pay or other

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.

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

Metric	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	76.9%	70.3%	65.0%	62.7%	58.7%	62.5%	67.5%	63.1%	54.1%	45.8%	46.0%	51.3%
Beds	130	130	130	130	130	130	130	130	130	130	130	130
Net Income	$1,432,883	-$724,662	-$183,381	-$601,503	-$827,475	-$814,560	-$578,653	$10,059	-$810,126	-$458,230	-$464,167	-$585,308
Gross Revenue	$7,352,304	$8,430,643	$8,967,097	$8,511,573	$8,578,734	$8,525,166	$9,937,199	$7,097,029	$7,836,914	$6,850,810	$6,329,142	$10,435,874
Operating Expenses	$8,215,333	$6,748,200	$6,972,304	$7,639,547	$7,290,012	$7,559,541	$7,880,313	$6,991,413	$9,107,419	$7,266,613	$6,789,300	$9,444,518
Net Patient Revenue	$6,281,152	$6,354,618	$6,700,819	$7,080,801	$6,616,870	$6,749,229	$7,337,246	$6,986,221	$7,433,646	$6,506,978	$6,121,792	$8,798,418
Total Payroll	$4,243,209	$3,989,527	$4,025,013	$3,932,558	$3,829,099	$3,929,311	$4,066,391	$4,179,593	$5,147,113	$3,712,205	$4,869,711	$5,573,421
Profit Margin %	19.5%	-8.6%	-2.1%	-7.1%	-9.7%	-9.6%	-5.8%	0.1%	-10.3%	-6.7%	-7.3%	-5.6%
Medicare %	4.1%	5.5%	7.9%	5.5%	4.2%	3.5%	4.9%	4.7%	10.1%	5.3%	6.6%	5.0%
Medicaid %	88.5%	88.1%	87.8%	63.9%	92.3%	88.3%	87.6%	9.2%	7.5%	78.1%	86.3%	87.5%
Private %	7.5%	6.4%	4.3%	30.7%	3.6%	8.1%	7.4%	86.1%	82.5%	16.6%	7.1%	7.5%
Revenue/Day	$172	$191	$217	$238	$237	$227	$229	$255	$289	$300	$335	$362
Cost/Day	$225	$202	$226	$257	$261	$255	$246	$255	$354	$335	$371	$388
Avg Length of Stay	167.8 days	190.6 days	161.6 days	187.1 days	174.4 days	127.4 days	146.8 days	181.5 days	124.9 days	69.8 days	92.3 days	85.7 days

Finances and operations

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

$5.6M

53.1% of revenue

Other operating costs

$5.5M

Total costs $11.1M

TYPE OF STAY

Mostly long-term care residents

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

How we assess these insights Show admissions and discharges

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!

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

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. --

0.8 miles from city center Estimated distance in miles from Roanoke's city center to Old Southwest Rehabilitation and Nursing's address, calculated via Google Maps. — 0.4 miles to nearest hospital (Pediatric Clinic)

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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).

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

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.

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

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).

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.

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

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

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.

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

Benefits

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

Compare Nursing Home around Roanoke

The information below is reported by the Virginia Department of Social Services and Department of Health.

5 facilities compared · CMS & VA Dept. of Health data

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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 (Westland)	43	89.5%	+4%	5.33	+28%	+42%	$0	12	4.0	-	57	-	33	Heather Neff	$31.6M	$7.5M	23.6%	495373
Our Lady of the Valley	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. 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.	Roanoke (Gainsboro)	127	88.2%	+3%	3.79	-42%	+1%	$0	14	4.7	-	65	A+	68	David Rawlings	$17.2M	$8.2M	47.6%	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 (Edgehill)	98	85.7%	0%	3.36	+6%	-10%	$0	39	13.0	-	85	A+	45	American Healthcare LLC	$10.6M	$5.8M	54.4%	495002
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	-27%	+2%	$153.3k	131	18.7	4	96	A+	57	Andrew Shuler	$10.5M	$5.6M	53.1%	495156

Nursing Home Explorer

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.

Are there photos of Old Southwest Rehabilitation and Nursing?

Yes — there are 2 photos of Old Southwest Rehabilitation and Nursing in the photo gallery on this page.

What is the phone number of Old Southwest Rehabilitation and Nursing?

(540) 345-8139 will put you in contact with the team at Old Southwest Rehabilitation and Nursing.

Is Old Southwest Rehabilitation and Nursing Medicare or Medicaid certified?

Yes — Old Southwest Rehabilitation and Nursing is a CMS-certified provider of Medicare and Medicaid.

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Old Southwest Rehabilitation and Nursing

Overview of Old Southwest Rehabilitation and Nursing

Quality ratings

Staffing hours breakdown

Capacity and availability

This home usually has availability

About this community

Staffing

Leadership

Therapy & Rehabilitation

Staffing & Medical

Additional Services

Contact Old Southwest Rehabilitation and Nursing

Inspection History

Inspection Scorecard This scorecard compares key inspection, citation, and complaint metrics at this facility against the Virginia state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2024

Breakdown of citation severity (last 2 years)

Citations history (last 2 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

42 Certified Nursing Assistant

51 Licensed Practical Nurse

10 RN Director of Nursing

9 Registered Nurse

2 Clinical Nurse Specialist

1 Administrator

1 Nurse Practitioner

2 Qualified Social Worker

1 Dietitian

1 Other Dietary Services Staff

3 Respiratory Therapy Technician

1 Physical Therapy Aide

1 Speech Language Pathologist

1 Mental Health Service Worker

2 Physical Therapy Assistant

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly long-term care residents

Old Southwest Rehabilitation and Nursing Reviews

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Financial Assistance for Nursing Home in Virginia

Commonwealth Coordinated Care Plus (CCC Plus)

Virginia Respite Care Grant Program

Adult Services Program

Auxiliary Grant Program

Medicare Savings Program (MSP)

Energy Assistance Program (EAP)

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

Property Tax Relief for the Elderly and Disabled

Senior Farmers’ Market Nutrition Program (SFMNP)

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