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 September 1, 2026
1 of 5 overall
Old Southwest Rehabilitation & Nursing has a 1 out of 5 overall rating, with a 1-star health inspection rating and a 2-star staffing rating. Reported nurse staffing is 3.47 hours per resident per day versus the 4.1 federal benchmark, there were no fines in the last 24 months, and it is flagged for the lowest overall rating.
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 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
The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited July 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 865 — 42 CFR §483.75 — 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: 1 fine · $135,633 in total fines · 1 payment denial.
- 61 days
Medicare/Medicaid payment denial
Mar 29, 2024
- $135,633
Federal fine
Mar 29, 2024
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.