Nursing home · Top rated by CMS
Our Lady of the Valley (Skilled Nursing)
650 North Jefferson Street, Roanoke, VA 24016 · Map
Non profit - Church related · 70 certified beds
Our Lady of the Valley (Skilled Nursing) is a Medicare-certified nursing home in Roanoke, Virginia. CMS rates it 5 out of 5 stars overall (3/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.59 hours per resident per day, below the Virginia average of 3.81. Its most recent inspection on Aug 25, 2023 cited 3 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Our Lady of the Valley (Skilled Nursing) 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) | 3.59 | 3.81 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.50 | 0.69 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.17 | 2.12 | 2.34 | above avg |
| Nursing staff turnover | 51.9% | 48.4% | 46.4% | above avg |
| Deficiencies cited, last inspection | 3.0 | 14.5 | 9.5 | below 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.
What inspectors found at Our Lady of the Valley (Skilled Nursing)
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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Aug 25, 2023 - Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Aug 25, 2023 - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Aug 25, 2023 - Potential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Aug 25, 2023 - Potential for harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Aug 25, 2023
Show all 12 deficiencies
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Apr 15, 2021 - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Apr 15, 2021 - Potential for harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Apr 15, 2021 - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Apr 15, 2021 - Minimal
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies · Apr 15, 2021 - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Apr 8, 2019 - Potential for harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Apr 8, 2019
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
- 650 North Jefferson Street
Roanoke, VA 24016 - CMS certification #
- 495357
- Ownership
- Non profit - Church related
- Certified beds
- 70
- Avg residents/day
- 64.4
- Provider type
- Medicare and Medicaid
- First certified
- 2001-10-01
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Our Lady of the Valley (Skilled Nursing) using Google Maps.
Other public records
- Workplace safety 1 OSHA workplace safety inspection since 2026, 2 violations cited
Full public records, with dates and sources
Care and services
From the community’s website
What Our Lady of the Valley (Skilled Nursing) says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Apartment types named: one-bedroom.
One Bedroom Suite with Sunroom
(page, checked Oct 15, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
DOL also concluded 1 case here with no violations found, most recently for a period ending Dec 18, 2010.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Mar 19, 2026: referral inspection, partial (health). Case closed Jun 4, 2026. 2 violations cited (2 other). Penalties: $0 proposed, $0 now. OSHA record. OSHA recorded the employer as Our Lady of the Valley, INC.
Details
- Other than serious: Hazard communication (chemical labels, safety data sheets, training) (1910.1200(e)(1)). Penalty $0 proposed, $0 now. To be fixed by Jun 1, 2026.
- Other than serious: Personal protective equipment (general) (1910.132(d)(2)). Penalty $0 proposed, $0 now. To be fixed by Jun 1, 2026.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Carilion Medical Center, Roanoke. 1.8 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Old Southwest Health and Rehabilitation, Roanoke. 1.3 miles away, straight line.
- Nearest home health agency office
- Carilion Home Care Services - Roanoke, Roanoke. 1.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 1.0 mile 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 - North Roanoke, Roanoke, 0.8 miles away, straight line (CMS rating 2 of 5 stars)
Bma - Crystal Spring, Roanoke, 1.9 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Fresenius Kidney Care South Roanoke, Roanoke, 3.2 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 10 Medicare hospices tell CMS they serve ZIP code 24016.
Carilion Hospice Services Of Roanoke, office in Roanoke, 1.3 miles away, straight line (CMS family survey rating 4 of 5 stars)
Medi Home Health & Hospice, office in Roanoke, 4.0 miles away, straight line
Good Samaritan Hospice Inc, office in Roanoke, 4.2 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Carilion Medical Center, Roanoke. 0.8 miles away, straight line. 1 geriatric medicine doctor 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 moderate, 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 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| 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 Our Lady of the Valley (Skilled Nursing) a good nursing home?
CMS gives Our Lady of the Valley (Skilled Nursing) an overall rating of 5 out of 5 stars, including 3/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Our Lady of the Valley (Skilled Nursing) staffed?
Our Lady of the Valley (Skilled Nursing) reports 3.59 total nurse hours per resident per day, compared with the Virginia average of 3.81.
Has Our Lady of the Valley (Skilled Nursing) had inspection problems?
Its most recent CMS inspection cited 3 deficiencies.
How many beds does Our Lady of the Valley (Skilled Nursing) have?
Our Lady of the Valley (Skilled Nursing) is certified for 70 beds.