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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeVirginiaOld Southwest Health and Rehabilitation

Old Southwest Health and Rehabilitation

324 King George Ave Sw, Roanoke, VA 240165403458139
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
2/5
Quality
2/5
Beds
130
certified
5 fine(s) totaling $150,144

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 130 certified beds with an average of 95.2 residents per day (73% occupancy)

• Last health inspection found 46 deficiencies (inspected Mar 29, 2024)

• Has been fined a total of $150,144 across 5 fine(s)

• Total nursing staff: 3.48 hours per resident per day

• Staff turnover rate: 69.9% (high)

• Part of the Eastern Healthcare Group chain (17 facilities)

Old Southwest Health and Rehabilitation is a 1-star Medicare and Medicaid certified nursing home in Roanoke, Virginia with 130 certified beds. It has been operating since 1985. The facility scored below average compared to Virginia facilities.

Beds
130
Avg Residents/Day
95.2
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Apr 25, 1985
Sprinklers
Yes
Council
Resident
County
Roanoke City
Last Inspection
Mar 29, 2024
Deficiencies (Cycle 1)
46
Weighted Score
429.0
Infection Citations
0

Deficiency Citations (131)

F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Mar 29, 2024Corrected: NoCycle: 1
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Mar 29, 2024Corrected: NoCycle: 1
F0561Potential for Harm

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Survey: Mar 29, 2024Corrected: NoCycle: 1
F0575Minimal Harm

Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

Survey: Mar 29, 2024Corrected: NoCycle: 1
F0577Minimal Harm

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Survey: Mar 29, 2024Corrected: NoCycle: 1
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Mar 29, 2024Corrected: NoCycle: 1
F0584Potential for Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey: Mar 29, 2024Corrected: NoCycle: 1
F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Mar 29, 2024Corrected: NoCycle: 1
F0607Potential for Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Mar 29, 2024Corrected: NoCycle: 1
F0623Potential for Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey: Mar 29, 2024Corrected: NoCycle: 1
F0625Potential for Harm

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Survey: Mar 29, 2024Corrected: NoCycle: 1
F0636Potential for Harm

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Survey: Mar 29, 2024Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Mar 29, 2024Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Mar 29, 2024Corrected: NoCycle: 1
F0679Potential for Harm

Provide activities to meet all resident's needs.

Survey: Mar 29, 2024Corrected: NoCycle: 1
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Mar 29, 2024Corrected: NoCycle: 1
F0688Potential for Harm

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Survey: Mar 29, 2024Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Mar 29, 2024Corrected: NoCycle: 1
F0692Potential for Harm

Provide enough food/fluids to maintain a resident's health.

Survey: Mar 29, 2024Corrected: NoCycle: 1
F0697Potential for Harm

Provide safe, appropriate pain management for a resident who requires such services.

Survey: Mar 29, 2024Corrected: NoCycle: 1
F0725Potential for Harm

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey: Mar 29, 2024Corrected: NoCycle: 1
F0726Potential for Harm

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Survey: Mar 29, 2024Corrected: NoCycle: 1
F0730Potential for Harm

Observe each nurse aide's job performance and give regular training.

Survey: Mar 29, 2024Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Mar 29, 2024Corrected: NoCycle: 1
F0756Potential for Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey: Mar 29, 2024Corrected: NoCycle: 1
F0757Potential for Harm

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Survey: Mar 29, 2024Corrected: NoCycle: 1
F0760Actual Harm

Ensure that residents are free from significant medication errors.

Survey: Mar 29, 2024Corrected: NoCycle: 1
F0773Potential for Harm

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Survey: Mar 29, 2024Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Mar 29, 2024Corrected: NoCycle: 1
F0865Potential for Harm

Have a plan that describes the process for conducting QAPI and QAA activities.

Survey: Mar 29, 2024Corrected: NoCycle: 1

+ 101 more deficiencies

Total Fines
$150,144
Number of Fines
5
Payment Denials
1
Total Penalties
6

Penalty History

FineFeb 28, 2023
$1,761
FineMar 6, 2023
$2,113
FineMar 13, 2023
$2,447
FineAug 16, 2023
$8,190
FineMar 29, 2024
$135,633
Payment DenialMar 29, 2024
61 days denied

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.03 hrs
National avg: 2.35 hrs
LPN1.12 hrs
National avg: 0.86 hrs
RN0.34 hrs
National avg: 0.68 hrs
Total Nursing3.48 hrs
National avg: 3.89 hrs
Weekend Total3.03 hrs
National avg: 0.00 hrs
Physical Therapist0.06 hrs
National avg: 0.07 hrs
Total Turnover
69.9%
RN Turnover
94.4%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (6)

NameRoleTypeOwnership %Since
VA SNF OPERATIONS HOLDINGS 2 LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Feb 1, 2024
JJ UNITED TR5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 1, 2024
YDI EASTERN HOLDCO LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 1, 2024
YDI IRREVOCABLE TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 1, 2024
SHAPIRO, AKIVACORPORATE OFFICERIndividualN/AFeb 1, 2024
SHULER, ANDREWW-2 MANAGING EMPLOYEEIndividualN/AFeb 1, 2024

Nearby Nursing Homes

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Brandon Oaks Nursing and Rehabilitation Center

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Frequently Asked Questions

What is the CMS rating for Old Southwest Health and Rehabilitation?▾
Old Southwest Health and Rehabilitation has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 2/5, and quality measures rating of 2/5. This facility is rated below average.
Has Old Southwest Health and Rehabilitation had any health inspection violations?▾
Old Southwest Health and Rehabilitation had 46 deficiency citations in its most recent health inspection (Mar 29, 2024). The facility has been fined a total of $150,144 across 5 fine(s).
What are the staffing levels at Old Southwest Health and Rehabilitation?▾
Old Southwest Health and Rehabilitation provides 3.48 total nursing staff hours per resident per day, including 0.34 RN hours, 1.12 LPN hours, and 2.03 nurse aide hours. The total staff turnover rate is 69.9%.
How many beds does Old Southwest Health and Rehabilitation have?▾
Old Southwest Health and Rehabilitation has 130 certified beds with an average of 95.2 residents per day, resulting in approximately 73% occupancy. The facility is For profit - Limited Liability company owned and is part of the Eastern Healthcare Group chain.
Are there other nursing homes near Old Southwest Health and Rehabilitation?▾
Yes, there are 10 other nursing homes in Roanoke, Virginia with an average rating of 3.3/5. You can compare all facilities on the Roanoke nursing homes page.

Part of Eastern Healthcare Group

This chain operates 17 facilities. View all →