Our Lady of the Valley

Nursing Home
Overview of Our Lady of the Valley

Nestled in the peaceful community of Roanoke, VA, Our Lady of the Valley is a distinguished senior living community that provides assisted living, memory care, rehabilitation, and nursing care services. Here, residents can choose from one-bedroom suites to an intensive personal care studios that accommodate unique needs and preferences. With its well-trained and compassionate team, residents can receive the utmost care and support they need throughout their stay.

The community hosts several exciting and entertaining events from piano concerts to wine tasting. Indulge in delightful and healthy chef-prepared meals that satisfy your cravings. Participate in diverse social activities and life-enrichment programs to boost engagement and wellness. With Our Lady of the Valley, seniors are assured of an empowering and glorious retirement.

Managed by Meagan Seale

Executive Director

Meagan Seale serves as the Executive Director at Our Lady of the Valley. She leads the community with a focus on providing quality care and fostering a supportive environment for residents and staff. Her leadership ensures the community operates smoothly and meets the needs of those it serves.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
5/5
Virginia average: 3.0/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
4/5
Virginia average: 2.8/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
3/5
Virginia average: 2.5/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
5/5
Virginia average: 3.8/5

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
3h 47m per day

This home provides 1% more nursing time per resident than the state average.

Virginia average: 3h 45m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 30m per day 41m per day 41m per day
LPN / LVN Info Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day. 55m per day 1h 0m per day 52m per day
Nurse Aide Info Nurse aide hours per resident per day. 2h 10m per day 2h 8m per day 2h 21m per day
Total Nursing (Weekend) Info Total number of nurse staff hours per resident per day on weekends. 3h 30m per day 3h 19m per day 3h 26m per day
Physical Therapist Info Physical therapist staff hours per resident per day. 6m per day 5m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 28m per day 28m per day 29m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 127

This home usually has limited availability

Occupancy is moderate, suggesting balanced demand.

Similar demand to the Virginia average
Occupancy rate 88.2%
Residents per day (avg) 65
Occupancy rate
88.2%
Residents per day (avg)
65

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

85% of new residents, usually for short-term rehab.

Typical stay 1 months

Private pay

13% of new residents, often for short stays.

Typical stay 5 years

Medicaid

2% of new residents, often for long-term daily care.

Typical stay 6 - 7 years

Finances and operations

Voluntary non-profit home
Church
Home revenue
$17.2M
Surplus of revenue
$1.5M
Voluntary non-profit home Church
Home revenue
$17,210,147.00
Surplus of revenue
$1,545,600.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$6.7M
39.1% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$8.9M
Total costs $15.7M
Bed community size
127-bed community
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
36 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 68 / 100
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

About this community

Occupancy Rate
87%
Occupied Beds
111 of 127
Percentage of available beds currently in use by residents.
License Status
Active
Facility Type
Assisted Living Facility
License Expiration
March 31, 2026

Additional licensing details

CMS Certification Number: 495357
Qualification: Residential and Assisted Living Care | Non-Ambulatory | Special Care Unit

Ownership & operating entity

Our Lady of the Valley is administrated by Meagan Seale.

Staffing

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

Leadership

Contact: Mr. Trent Clugston, Director

Care Services

Nursing Services
Rehabilitation Services
Memory Care
Independent Living
Skilled Nursing
Licensed Nurses/CNAs

All Levels of Care

Assisted Living
Memory Care
Rehabilitation
Nursing Care

Contact Information

Business Hours: 24 x 7 , Monday - Sunday

Programs & Activities

Specific Programs
Assisted Living, Memory Care, Rehabilitation, Nursing Care, Life Enrichment, Dining, Events

What does this home offer?

Housing options icon
Housing options icon

Housing Options: Studio / 1 Bed

Building type icon
Building type icon

Building Type: Mid-rise

Types of Care at Our Lady of the Valley

Assisted Living Memory Care
Contact Our Lady of the Valley

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.

20 inspections

7 inspections related to complaints

11 inspections with violations (55%)

7 complaints

Formal expressions of dissatisfaction or concern made by residents, or their families regarding various aspects of the care, services, and environment provided.

Latest inspection

Date:October 21, 2025
Type:Complaint Investigation

Inspection oversight

Inspector name:Holly Copeland

20 total citations

Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.

11 violations

Violations indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

43 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Compare Nursing Homes around Roanoke

The information below is reported by the Virginia Department of Social Services and Department of Health.
Brandon Oaks Nursing and Rehabilitation Center
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Roanoke
62
No
-
33
NEFF, HEATHER
89.5%
$10,548,485.00
$5,871,705.00
55.7%
57.40
5/5
5.3278
4/5
4/5
5/5
-
12
-
+16%
+42%
+4%
Studio / 1 Bed
Our Lady of the Valley
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

SNF

Nursing Homes 24/7 care needed

Roanoke (Gainsboro)
189
No
A+
68
RAWLINGS, DAVID
88.2%
$16,424,252.00
$6,720,888.00
40.9%
64.70
5/5
3.7870
4/5
3/5
5/5
-
14
-
-15%
+1%
+3%
Studio / 1 Bed
South Roanoke Nursing and Rehabilitation
SNF

Nursing Homes 24/7 care needed

Roanoke
98
No
A+
45
AMERICAN HEALTHCARE LLC
85.7%
$10,567,825.00
$4,507,786.00
42.7%
85.20
3/5
3.3595
2/5
2/5
5/5
-
39
-
-15%
-10%
0%
Studio / 1 Bed
Pheasant Ridge Nursing and Rehab Center
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

SNF

Nursing Homes 24/7 care needed

Roanoke
101
No
A+
15
BELL, VICTOR
89.3%
$14,018,919.00
$4,558,852.00
32.5%
89.10
2/5
3.5617
2/5
2/5
4/5
13
25
1
-2%
-5%
+4%
Studio / 1 Bed
Old Southwest Rehabilitation and Nursing
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Roanoke (Old Southwest)
130
No
A+
57
SHULER, ANDREW
51.3%
$10,435,874.00
$3,804,537.00
36.5%
95.70
1/5
3.8211
1/5
1/5
2/5
6
131
4
-7%
+2%
-40%
Studio / 1 Bed

Places of interest near Our Lady of the Valley

Address 0.8 miles from city center — 0.81 miles to nearest hospital (Carilion Clinic-Rehabilitation)

Address 650 N Jefferson St, Roanoke, VA 24016

Calculate Travel Distance to Our Lady of the Valley

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Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

116
Total Staff
78
Employees
38
Contractors
26,024
Total Hours (Quarter)
38
Avg Staff/Day
7.5
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse99.4 No
Licensed Practical Nurse187.6 No
Certified Nursing Assistant528 Yes
Staff by Category
Administration
2 staff
6.5hs shift avg
Nursing Staff
80 staff
8hs shift avg
Physicians & Practitioners
2 staff
8hs shift avg
Therapy Services
21 staff
5.5hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
4 staff
6.8hs shift avg
Dietary Services
5 staff
6.7hs shift avg
Other Services
2 staff
7.2hs shift avg
Contractor Analysis
12.8%
of total hours from contractors
3,327 contractor hours this quarter
Certified Nursing Assistant: 11 Occupational Therapy Aide: 1 Feeding Assistant: 1 Physical Therapy Aide: 4 Speech Language Pathologist: 8 Qualified Social Worker: 3 Physical Therapy Assistant: 3 Diagnostic X-ray Services Staff: 1 Medical Director: 1 Respiratory Therapy Technician: 5
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant41115212,19691100%8
Licensed Practical Nurse180184,78291100%7.6
Registered Nurse9092,10791100%9.4
Other Dietary Services Staff5051,4349099%6.7
Speech Language Pathologist0887726774%5.6
Qualified Social Worker0336436571%6.3
Clinical Nurse Specialist1014835864%8.3
Nurse Practitioner1014826268%7.8
Administrator1014666470%7.3
Mental Health Service Worker1014566571%7
Other Social Services Staff1014465864%7.7
Physical Therapy Assistant0334446268%6.2
Respiratory Therapy Technician0553866571%4.6
Feeding Assistant0113785257%7.3
Physical Therapy Aide0443104651%6.6
Occupational Therapy Aide0111042629%4
Diagnostic X-ray Services Staff0111041314%8
Medical Director011331314%2.5

Health Inspection History

Inspections
Total health inspections 3

Virginia average 4.2


Last Health inspection on Aug 2023

Total health citations 14
Citations per inspection
4.67

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

11 of 14 citations resulted from standard inspections; 2 of 14 resulted from complaint investigations; and 1 of 14 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Virginia average

Virginia average: 0.4


Serious Health citations More info 0
100% better than Virginia average

Virginia average: 1

0 critical citations More info Virginia average: 0.4

0 serious citations More info Virginia average: 1

13 moderate citations More info Virginia average: 36.3

1 minor citation More info Virginia average: 0.8
Citations history (last 3 years)
Pharmacy moderate citation Aug 25, 2023
Corrected

Quality of Care moderate citation Aug 25, 2023
Corrected

Quality of Care moderate citation Aug 25, 2023
Corrected

Quality of Care moderate citation Aug 25, 2023
Corrected

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Ownership: Non-Profit (Church)
Resident Census by Payment Source
63 Total Residents
Medicare 16 (25.4%)
Medicaid 23 (36.5%)
Private Pay/Other 24 (38.1%)

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. 16.3
61% 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. 30.4
54% worse than Virginia average

Virginia average: 19.7

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 24.1%
43% worse than Virginia average

Virginia average: 16.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 44.2%
124% 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 22.7%
In line with Virginia average

Virginia average: 22.6%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 6.9%
91% worse than Virginia average

Virginia average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 3.6%
34% better 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 2.6%
55% better than Virginia average

Virginia average: 5.9%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Virginia average

Virginia average: 14.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 6.4%
50% better than Virginia average

Virginia average: 12.9%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.5%
9% better than Virginia average

Virginia average: 91.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
6% better than Virginia average

Virginia average: 94.0%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.56
7% worse than Virginia average

Virginia average: 1.46

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.90
36% better than Virginia average

Virginia average: 1.41

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.0%
32% better than Virginia average

Virginia average: 74.9%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.7%
42% better than Virginia average

Virginia average: 1.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 96.4%
31% better 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. 26.6%
21% worse than Virginia average

Virginia average: 22.0%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 10.6%
9% 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. 0.7%
9% better than Virginia average

Virginia average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 70.7%
32% better than Virginia average

Virginia average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 63.2%
25% better than Virginia average

Virginia average: 50.6%

Guides for Better Senior Living

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Financial Aid for Virginia Seniors

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Commonwealth Coordinated Care Plus (CCC Plus)

VA Medicaid CCC Plus

Age 65+ or disabled, Virginia resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Managed care model; high demand in urban areas.

Virginia Respite Care Grant Program

VA Respite Grant

Caregiver of someone 60+, Virginia resident.

~$2,500/month (individual, varies).

$40,000 (individual).

Limited grants; rural/urban balance.

Adult Services Program

Virginia Adult Services (AS)

Age 60+ (or disabled 18+), VA resident, need significant care (2+ ADLs), not Medicaid-eligible.

Varies by locality; typically < ~$2,510/month (200% FPL).

Limited assets (excludes home, car); varies by DSS.

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

Auxiliary Grant Program

Virginia Auxiliary Grant (AG)

Age 65+ (or disabled 18+), VA resident, living in approved ALF/foster care, SSI-eligible or low-income.

~$1,041/month (individual, SSI level + $20 disregard); higher with medical deductions.

$2,000 (individual).

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

Medicare Savings Program (MSP)

Virginia Medicare Savings Program

Age 65+ or disabled, VA resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Includes Extra Help for Part D; no waitlist.

Energy Assistance Program (EAP)

Virginia Energy Assistance Program

Age 60+ prioritized, VA resident, low-income household.

~$3,970/month (185% FPL).

Not assessed.

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

Senior Community Service Employment Program (SCSEP)

Virginia SCSEP

Age 55+, unemployed, low-income, VA resident.

~$1,983/month (125% FPL).

Not specified.

Priority for veterans, rural residents; AARP/Goodwill partnership.

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

Virginia VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, VA resident, wartime service, ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth).

High veteran population; supports rural/urban needs.

Property Tax Relief for the Elderly and Disabled

Virginia Property Tax Relief

Age 65+ or disabled, VA resident, homeowner, income/asset limits vary by locality.

~$50,000-$75,000/year (household, e.g., Fairfax: $72,000; Richmond: $50,000).

Varies (e.g., Fairfax: $400,000 net worth; Richmond: $100,000).

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

Senior Farmers’ Market Nutrition Program (SFMNP)

Virginia SFMNP

Age 60+, VA resident, low-income.

~$2,322/month (185% FPL).

Not assessed.

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

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