Nursing home
Old Southwest Health and Rehabilitation
324 King George Ave Sw, Roanoke, VA 24016 · Map
For profit - Limited Liability company · Part of Eastern Healthcare Group (17 facilities) · 130 certified beds
Old Southwest Health and Rehabilitation is a Medicare-certified nursing home in Roanoke, Virginia. CMS rates it 1 out of 5 stars overall (2/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.48 hours per resident per day, below the Virginia average of 3.81. Its most recent inspection on Mar 29, 2024 cited 46 deficiencies.
- 2 fines totaling $143,823In CMS records: 3 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Old Southwest Health and Rehabilitation compares
This facility vs. the Virginia and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Virginia avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.48 | 3.81 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.34 | 0.69 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.03 | 2.12 | 2.34 | below avg |
| Nursing staff turnover | 69.9% | 48.4% | 46.4% | above avg |
| Deficiencies cited, last inspection | 46.0 | 14.5 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the July 16, 2024 inspection was corrected by August 29, 2024
Penalties in CMS records: 2 fines totaling $143,823, 3 total penalties, 1 Medicare payment denial.
What inspectors found at Old Southwest Health and Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · Jul 16, 2024 · Full report (PDF) - Potential 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.
Nursing and Physician Services Deficiencies · Jul 16, 2024 · Full report (PDF) - Potential for harm
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Administration Deficiencies · Jul 16, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jul 16, 2024 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jul 16, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Jul 16, 2024 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Jul 16, 2024 · Full report (PDF) - Potential 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.
Resident Rights Deficiencies · Jul 16, 2024 · Full report (PDF) - Potential for harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Jul 16, 2024 · Full report (PDF) - Potential for harm
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies · Jul 16, 2024 · Full report (PDF) - Potential for harm
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Infection Control Deficiencies · Jul 16, 2024 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Jul 16, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 324 King George Ave Sw
Roanoke, VA 24016 - CMS certification #
- 495156
- Ownership
- For profit - Limited Liability company
- Certified beds
- 130
- Avg residents/day
- 95.2
- Provider type
- Medicare and Medicaid
- First certified
- 1985-04-25
- Chain
- Eastern Healthcare Group (17 facilities)
- Setting
- Urban
Part of Eastern Healthcare Group
Eastern Healthcare Group operates 17 nursing facilities across the United States. View all Eastern Healthcare Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Old Southwest Health and Rehabilitation using Google Maps.
Other public records
- Website says Respite stays, nurse 24 hours a day, diabetes care
Full public records, with dates and sources
Care and services
From the community’s website
What Old Southwest Health and Rehabilitation says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
Location and nearby care
- Nearest hospital with an emergency room
- Carilion Medical Center, Roanoke. 0.6 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Our Lady of the Valley, Roanoke. 1.3 miles away, straight line.
- Nearest home health agency office
- Carilion Home Care Services - Roanoke, Roanoke. 0.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Carilion Clinic Pharmacy. 0.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 24016 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Bma - Crystal Spring, Roanoke, 0.6 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Fresenius Kidney Care South Roanoke, Roanoke, 1.9 miles away, straight line (CMS rating 3 of 5 stars)
Bma - North Roanoke, Roanoke, 2.0 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 10 Medicare hospices tell CMS they serve ZIP code 24016.
Carilion Hospice Services Of Roanoke, office in Roanoke, 0.1 miles away, straight line (CMS family survey rating 4 of 5 stars)
Medi Home Health & Hospice, office in Roanoke, 2.7 miles away, straight line
Heartland Hospice (Roanoke), office in Roanoke, 4.3 miles away, straight line (CMS family survey rating 2 of 5 stars) - Nearest geriatric medicine practice
- Carilion Medical Center, Roanoke. 0.6 miles away, straight line. 4 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane relatively low, inland flooding relatively high, wildfire very low, tornado relatively low, heat wave very low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Old Southwest Health and Rehabilitation a good nursing home?
CMS gives Old Southwest Health and Rehabilitation an overall rating of 1 out of 5 stars, including 2/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Old Southwest Health and Rehabilitation staffed?
Old Southwest Health and Rehabilitation reports 3.48 total nurse hours per resident per day, compared with the Virginia average of 3.81.
Has Old Southwest Health and Rehabilitation had inspection problems?
Its most recent CMS inspection cited 46 deficiencies.
How many beds does Old Southwest Health and Rehabilitation have?
Old Southwest Health and Rehabilitation is certified for 130 beds.