The nursing home failed to ensure residents were free from significant medication errors. Cited March 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
Nursing home report
Old Southwest Rehabilitation & Nursing
Registered name: OLD SOUTHWEST HEALTH AND REHABILITATION
ROANOKE, VA · Medicare-certified · 130 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall
Old Southwest Rehabilitation & Nursing in Roanoke has an overall rating of 1 out of 5 stars, with a 1-star health inspection rating and a 2-star staffing rating. It has the lowest overall rating flag, reported staffing of 3.47 hours per resident per day versus the 4.1-hour federal benchmark, and $0 in fines over the last 24 months.
Facility ratings
Health inspections
Staffing
3.4697 hrs/resident/day
Quality measures
Last inspection: July 16, 2024Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4697.
Staffing detail
- Registered nurses
- 0.42
- Licensed practical nurses
- 1.31
- Nurse aides
- 1.73
- Weekend nursing
- 3.05
Hours per resident per day.
Total staff turnover: 70%
Registered nurse turnover: 75%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
27.5%17.7%Improving
Residents with a fall causing major injury
2.5%3.8%Worsening
Residents with pressure ulcers (bedsores)
7.6%7.7%No change
Residents with a urinary tract infection
0%2.6%Worsening
Residents who lost too much weight
9.6%4.2%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
18.5%15.9%Improving
Residents whose ability to walk got worse
24.8%10.2%Improving
Long-stay residents on antianxiety or sleep medication
17.8%29.2%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
1%0.9%No change
Residents with new or worsening incontinence
30%22.2%Improving
Residents with depressive symptoms
11.7%12.7%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—20%—
Long-stay residents given the pneumonia vaccine
46.8%58.2%Improving
Short-stay residents given the seasonal flu vaccine
—5.7%—
Short-stay residents given the pneumonia vaccine
6.2%8.3%Improving
What the inspectors found
The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited March 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 867 — 42 CFR §483.75 — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited August 2021 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited July 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 24 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 49 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 15 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $143,823 in total fines · 1 payment denial.
- 61 days
Medicare/Medicaid payment denial
Mar 29, 2024
- $135,633
Federal fine
Mar 29, 2024
- $8,190
Federal fine
Aug 16, 2023
Operator & ownership
Recent ownership change · Feb 1, 2024
Now operated by Old Southwest Health and Rehabilitation, previously Choice Healthcare at Roanoke.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of EASTERN HEALTHCARE GROUP · 18 homes · 1.5 stars avg
- Occupancy
- 76.5 residents on an average day (59% of 130 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 41 years
The most recent standard health inspection was more than two years ago.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.