Our Lady of the Valley, Roanoke
650 North Jefferson Street, Roanoke, VA 24016 · 1.3 mi
4 of 5 CMS overall · Above average
- Inspections4/5
- Staffing3/5
- Quality4/5
- 70 beds
- Nonprofit
Nursing Home in Roanoke, VA · CMS Data August 2026
Old Southwest Health and Rehabilitation
How Does Old Southwest Health and Rehabilitation Rate?
Old Southwest Health and Rehabilitation is a 130-bed for-profit nursing home in Roanoke, VA. CMS rates it 1 out of 5 stars overall (August 2026), with 1 for health inspections, 2 for staffing and 3 for quality measures. Residents got an average of 3.5 hours of nursing care per resident per day, against a national median of 3.7 hours. Its last standard health inspection, on March 29, 2024, cited 46 health deficiencies.
- CMS overall rating
- 1 of 5
- Nursing per resident per day
- 3.5 hours
- Deficiencies at last inspection
- 46
- Certified beds
- 130
324 King George Ave SW
Roanoke, VA 24016
1 of 5 CMS overall · Much below average
From CMS Care Compare, data processed August 1, 2026. A listing is not an endorsement, and no home pays to appear.
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CMS Star Ratings
| Rating | Stars | CMS label |
|---|---|---|
| Overall rating | 1 of 5 | Much below average |
| Health inspections | 1 of 5 | Much below average |
| Staffing | 2 of 5 | Below average |
| Quality measures | 3 of 5 | Average |
| Quality for long-stay residents | 3 of 5 | Average |
CMS compares each home with others in its state for the inspection rating. See how CMS star ratings work.
Staffing and Turnover
| Measure | This home | National median |
|---|---|---|
| Total nursing hours per resident per day | 3.5 hours | 3.7 hours |
| Registered nurse hours per resident per day | 0.4 hours | 0.6 hours |
| Nurse aide hours per resident per day | 1.7 hours | 2.2 hours |
| Total nursing hours per resident on weekends | 3.0 hours | 3.3 hours |
| Nursing staff turnover (past year) | 70% | 45% |
| Registered nurse turnover (past year) | 75% | 42% |
Hours are reported by the home through CMS's payroll-based staffing data. Turnover is the share of nursing staff who left over the year. Why staffing matters.
Inspections and Penalties
| Last standard health inspection | March 29, 2024 |
|---|---|
| Health deficiencies cited at that inspection | 46 |
| Deficiencies from complaint inspections (same rating cycle) | 5 |
| Fines in the past 3 years | 1 totaling $135,633 |
| Payment denials in the past 3 years | 1 |
The full inspection reports, with each deficiency described, are on the home's Medicare Care Compare page. CMS notes that this home's most recent health inspection was more than 2 years ago.
Quality Measures for Long-Stay Residents
The share of residents in long-term care (101 days or more) at Old Southwest Health and Rehabilitation who, according to CMS's resident assessments (2025Q2 to 2026Q1):
| Residents who | This home | National median | Compared |
|---|---|---|---|
| Received an antipsychotic medication | 21% | 13% | Higher than the national median |
| Received an antianxiety or hypnotic medication | 25% | 18% | Higher than the national median |
| Had a fall with major injury | 3.6% | 2.8% | Higher than the national median |
| Have pressure ulcers | 7.9% | 4.2% | Higher than the national median |
| Lost too much weight | 6.6% | 4.7% | Higher than the national median |
| Were physically restrained | 0.0% | 0.0% | At the national median |
| Have depressive symptoms | 13% | 3.6% | Higher than the national median |
| Needed more help with daily activities over time | 13% | 13% | Higher than the national median |
Lower is better for each measure. Antipsychotic use matters most for residents with dementia: what families should know.
About the Home
| Certified beds | 130 |
|---|---|
| Average residents per day | 77 |
| Ownership | For profit - Limited Liability company |
| Legal business name | OLD SOUTHWEST HEALTH AND REHABILITATION LLC |
| Chain or affiliated group | EASTERN HEALTHCARE GROUP (18 homes) |
| Certified for | Medicare and Medicaid |
| First certified | April 1985 |
| Councils | Resident council |
Before you choose, visit at different times of day and ask about openings, costs and Medicaid beds. How to choose a nursing home has CMS's checklist, and Virginia's Office of the State Long-Term Care Ombudsman (800-552-5019) can answer questions about residents' rights. See all nursing homes and senior care in Virginia.
Other Nursing Homes Near Old Southwest Health and Rehabilitation
Measured by straight-line distance. See every home on the Roanoke nursing homes page.
Raleigh Court Health and Rehabilitation Center, Roanoke
1527 Grandin Road Southwest, Roanoke, VA 24015 · 1.7 mi
4 of 5 CMS overall · Above average
- Inspections3/5
- Staffing2/5
- Quality5/5
- 120 beds
- For-profit
South Roanoke Nursing and Rehabilitation, Roanoke
3823 Franklin Rd, SW, Roanoke, VA 24014 · 2.2 mi
3 of 5 CMS overall · Average
- Inspections2/5
- Staffing3/5
- Quality5/5
- 98 beds
- For-profit
Pheasant Ridge Nursing and Rehabilitation, Roanoke
4355 Pheasant Ridge Road, Roanoke, VA 24014 · 2.7 mi
2 of 5 CMS overall · Below average
- Inspections2/5
- Staffing2/5
- Quality4/5
- 101 beds
- For-profit
Star City Rehabilitation and Nursing, Roanoke
1047 Mecca Street NE, Roanoke, VA 24012 · 3.5 mi
2 of 5 CMS overall · Below average
- Inspections3/5
- Staffing1/5
- Quality3/5
- 116 beds
- For-profit
Berkshire Health &Amp; Rehabilitation Center, Vinton
705 Clearview Drive, Vinton, VA 24179 · 3.6 mi
4 of 5 CMS overall · Above average
- Inspections4/5
- Staffing1/5
- Quality5/5
- 180 beds
- For-profit
- Continuing care community