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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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.
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.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
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.
This home is ranked 34th out of 59 homes in Virginia.| Staff type | Hours / day | 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.
| 30m per day | ▼ 27% 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.
| 55m per day | ▼ 8% 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 10m per day | ■ Avg State avg: 2h 8m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
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 17m per day | ■ Avg 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.
| 6m per day | ▲ 20% State avg: 5m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 28m per day | ■ Avg State avg: 28m per day · National avg: 29m per day |
Most residents typically stay for a few weeks or months before returning home or moving on.
85% of new residents, usually for short-term rehab.
13% of new residents, often for short stays.
2% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #32 / 59Payroll — state benchmarkedThis home is ranked 32nd out of 59 homes in Virginia.Shows total annual staff payroll benchmarked to the Virginia average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Similar to the Virginia average: 85.7%Our Lady of the Valley is administrated by Meagan Seale.
Key information about the people who lead and staff this community.
Housing Options: Studio / 1 Bed
Building Type: Mid-rise
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.
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
7 inspections related to complaints
11 inspections with violations (55%)
Virginia average: 14 inspections
Virginia average: 64.3% of inspections with violations
Formal expressions of dissatisfaction or concern made by residents, or their families regarding various aspects of the care, services, and environment provided.
Virginia average: 7 complaints
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Virginia average: 32 deficiencies
The most recent inspection on October 21, 2025, was a complaint investigation that found no deficiencies and did not substantiate allegations related to resident care. Earlier inspections showed a mixed pattern, with some monitoring visits finding no issues, while others cited deficiencies primarily involving medication administration errors, documentation problems, and staff recordkeeping. Complaint investigations were mostly unsubstantiated, except for one in December 2024 that found a deficiency related to missing required signatures on individualized service plans. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility’s inspection history shows some recurring issues with medication management and documentation, but recent inspections suggest some improvement in compliance.
Virginia average 4.2
Last Health inspection on Aug 2023
Virginia average 38.4
Virginia average 8.93
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).
100% better than Virginia averageVirginia average: 0.4
0
100% better than Virginia averageVirginia average: 1
Issues related to medication management, including how drugs are stored, administered, and monitored.
Aug 25, 2023
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 25, 2023
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 25, 2023
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 25, 2023
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Our Lady of the Valley is located in Roanoke, Virginia.
Here are the financial assistance programs available to residents in Virginia.
0.8 miles from city center
Estimated distance in miles from Roanoke's city center to Our Lady of the Valley's address, calculated via Google Maps.
— 0.81 miles to nearest hospital (Carilion Clinic-Rehabilitation)
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
10% better than Virginia averageVirginia average ratio: 1.67:1
6% worse than Virginia averageVirginia average: 8 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursThis role is partially covered by contractors.
Total hours from contractors
3,327 contractor hours this quarter
| Certified Nursing Assistant | 41 | 11 | 52 | 12,196 | 91 | 100% | 8 |
| Licensed Practical Nurse | 18 | 0 | 18 | 4,782 | 91 | 100% | 7.6 |
| Registered Nurse | 9 | 0 | 9 | 2,107 | 91 | 100% | 9.4 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,434 | 90 | 99% | 6.7 |
| Speech Language Pathologist | 0 | 8 | 8 | 772 | 67 | 74% | 5.6 |
| Qualified Social Worker | 0 | 3 | 3 | 643 | 65 | 71% | 6.3 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 483 | 58 | 64% | 8.3 |
| Nurse Practitioner | 1 | 0 | 1 | 482 | 62 | 68% | 7.8 |
| Administrator | 1 | 0 | 1 | 466 | 64 | 70% | 7.3 |
| Mental Health Service Worker | 1 | 0 | 1 | 456 | 65 | 71% | 7 |
| Other Social Services Staff | 1 | 0 | 1 | 446 | 58 | 64% | 7.7 |
| Physical Therapy Assistant | 0 | 3 | 3 | 444 | 62 | 68% | 6.2 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 386 | 65 | 71% | 4.6 |
| Feeding Assistant | 0 | 1 | 1 | 378 | 52 | 57% | 7.3 |
| Physical Therapy Aide | 0 | 4 | 4 | 310 | 46 | 51% | 6.6 |
| Occupational Therapy Aide | 0 | 1 | 1 | 104 | 26 | 29% | 4 |
| Diagnostic X-ray Services Staff | 0 | 1 | 1 | 104 | 13 | 14% | 8 |
| Medical Director | 0 | 1 | 1 | 33 | 13 | 14% | 2.5 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
63Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 averageVirginia average: 10.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
30.4
54% worse than Virginia averageVirginia average: 19.7
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
24.1%
43% worse than Virginia averageVirginia average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
44.2%
124% worse than Virginia averageVirginia average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.7%
In line with Virginia averageVirginia average: 22.6%
Percent of long-stay residents experiencing one or more falls with major injury
6.9%
91% worse than Virginia averageVirginia average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
3.6%
34% better than Virginia averageVirginia average: 5.4%
Percent of long-stay residents with a urinary tract infection
1.5%
In line with Virginia averageVirginia average: 1.5%
Percent of long-stay residents who lose too much weight
2.6%
55% better than Virginia averageVirginia average: 5.9%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Virginia averageVirginia average: 14.9%
Percent of long-stay residents who received an antipsychotic medication
6.4%
50% better than Virginia averageVirginia average: 12.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
9% better than Virginia averageVirginia average: 91.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than Virginia averageVirginia average: 94.0%
Number of hospitalizations per 1,000 long-stay resident days.
1.56
7% worse than Virginia averageVirginia average: 1.46
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.90
36% better than Virginia averageVirginia average: 1.41
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.0%
32% better than Virginia averageVirginia average: 74.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
42% better than Virginia averageVirginia average: 1.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.4%
31% better than Virginia averageVirginia average: 73.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
26.6%
21% worse than Virginia averageVirginia average: 22.0%
Percentage of short-stay residents who had an outpatient emergency department visit.
10.6%
9% better than Virginia averageVirginia average: 11.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.7%
9% better than Virginia averageVirginia average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
70.7%
32% better than Virginia averageVirginia average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
63.2%
25% better than Virginia averageVirginia average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
| 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 | +16% | +42% | 0 | 12 | 4.0 | 0 | 57 | - | 33 | Neff, Heather | $31.6M | $5.9M | 18.6% | 495373 | ||||
| Our Lady of the Valley |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Roanoke (Gainsboro) | 127 | 88.2% | +3% | 3.79 | -15% | +1% | 0 | 14 | 4.7 | 0 | 65 | A+ | 68 | Rawlings, David | $17.2M | $6.7M | 39.1% | 495357 | ||||
| South Roanoke Nursing and Rehabilitation |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Roanoke (Edgehill) | 98 | 85.7% | 0% | 3.36 | -15% | -10% | 0 | 39 | 13.0 | 0 | 85 | A+ | 45 | American Healthcare Llc | $10.6M | $4.5M | 42.6% | 495002 | ||||
| Pheasant Ridge Nursing and Rehab Center |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Roanoke (Southern Hills) | 101 | 89.3% | +4% | 3.56 | -2% | -5% | 13 | 25 | 6.3 | 1 | 89 | A+ | 15 | Bell, Victor | $14.5M | $4.6M | 31.5% | 495325 | ||||
| Old Southwest Rehabilitation and Nursing |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Roanoke (Old Southwest) | 130 | 51.3% | -40% | 3.82 | -7% | +2% | 6 | 131 | 18.7 | 4 | 96 | A+ | 57 | Shuler, Andrew | $10.5M | $3.8M | 36.2% | 495156 |
Historical financial and operational data for Our Lady of the Valley based on CMS SNF Cost Reports.
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