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 HEALTH AND REHABILITATION
ROANOKE, VA · Medicare-certified · 130 beds
Needs attention
For-profitChain member
1 of 5 overall
1 out of 5 stars overall, with a 1-star health inspection rating and a 2-star staffing rating; reported nurse staffing is 3.36 hours per resident per day, below the federal benchmark of 4.1. There were no fines in the last 24 months, but the facility has the lowest overall rating and recent inspection issues included medication errors, quality-assurance deficiencies, and accident hazards/supervision problems.
Facility ratings
Health inspections
Staffing
3.3637 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 3.3637.
Staffing detail
- Registered nurses
- 0.43
- Licensed practical nurses
- 1.16
- Nurse aides
- 1.77
- Weekend nursing
- 2.85
Hours per resident per day.
Total staff turnover: 62%
Registered nurse turnover: 83%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
20.8%Worsening
Residents with a fall causing major injury
3.5%Steady
Residents with pressure ulcers (bedsores)
8.1%Improving
Residents with a urinary tract infection
1.6%Steady
Residents who lost too much weight
7.3%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
11.9%Worsening
Residents whose ability to walk got worse
15.4%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
21.2%Worsening
Short-stay residents newly given an antipsychotic
0.8%Improving
Residents with a long-term catheter
1.3%Steady
Residents with new or worsening incontinence
32.6%Improving
Residents with depressive symptoms
13.9%Improving
Long-stay residents given the seasonal flu vaccine
20%Steady
Long-stay residents given the pneumonia vaccine
50.2%Worsening
Short-stay residents given the seasonal flu vaccine
5.7%Steady
Short-stay residents given the pneumonia vaccine
7.1%Worsening
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
- Ownership
- For profit - Limited Liability company
- Chain
- Part of EASTERN HEALTHCARE GROUP · 18 homes · 1.3 stars avg
- Occupancy
- 83.2 residents on an average day (64% 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.