OLD SOUTHWEST HEALTH AND REHABILITATION

324 KING GEORGE AVE SW, ROANOKE, VA 24016 · CCN 495156 · 130 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing2 of 5CMS quality3 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 2 citation(s) in the last three years where CMS determined a resident was actually harmed.

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Serious inspection findings

2024-03-29 — ACTUAL HARM (tag F0867, severity G)

Administration Deficiencies · correction not recorded in CMS data

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

2024-03-29 — ACTUAL HARM (tag F0760, severity G)

Pharmacy Service Deficiencies · correction not recorded in CMS data

Ensure that residents are free from significant medication errors.

2023-08-16 — ACTUAL HARM (tag F0689, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2021-08-05 — ACTUAL HARM (tag F0686, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Staffing, from payroll records

Nursing hours / resident / day

2.92

state median 3.10

Weekend staffing gap

−4%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.21

registered nurses only

Contract (agency) staff

share of all nursing hours

Nursing staff turnover

70%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

3 enforcement action(s), totaling $143,823 in fines.

Date	Type	Amount
2024-03-29	Fine	$135,633
2024-03-29	Payment Denial	payment denial
2023-08-16	Fine	$8,190

Ownership

Ownership type: For profit - Limited Liability company. Part of the EASTERN HEALTHCARE GROUP chain.

Other facilities under the same ownership, with their CMS overall ratings:

BAY POINTE REHABILITATION AND NURSING (VIRGINIA BEACH, VA) — CMS overall2 of 5
BLUE RIDGE REHABILITATION AND NURSING (HARRISONBURG, VA) — CMS overall2 of 5
RIVER EDGE REHABILITATION AND NURSING (WAYNESBORO, VA) — CMS overall1 of 5
BIRCHWOOD PARK REHABILITATION (VIRGINIA BEACH, VA) — CMS overall1 of 5
SEVEN HILLS REHABILITATION AND NURSING (LYNCHBURG, VA) — CMS overall1 of 5
Twin Lakes Rehabilitation and Nursing (SOUTH HILL, VA) — CMS overall3 of 5
OLD DOMINION REHABILITATION AND NURSING (NEWPORT NEWS, VA) — CMS overall1 of 5
NORTHERN CARDINAL REHABILITATION AND NURSING (SUFFOLK, VA) — CMS overall1 of 5

Full citation history

By severity: No harm, potential for minimal harm: 2 · Actual harm: 4 · Potential for more than minimal harm: 123

Survey date	Tag	Category	Severity	Corrected
2024-07-16	F0578	Resident Rights Deficiencies	E	not recorded
2024-07-16	F0584	Resident Rights Deficiencies	D	not recorded
2024-07-16	F0623	Resident Rights Deficiencies	E	not recorded
2024-07-16	F0625	Resident Rights Deficiencies	E	not recorded
2024-07-16	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-07-16	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-07-16	F0677	Quality of Life and Care Deficiencies	E	not recorded
2024-07-16	F0684	Quality of Life and Care Deficiencies	E	not recorded
2024-07-16	F0688	Quality of Life and Care Deficiencies	D	not recorded
2024-07-16	F0689	Quality of Life and Care Deficiencies	E	not recorded
2024-07-16	F0726	Nursing and Physician Services Deficiencies	F	not recorded
2024-07-16	F0755	Pharmacy Service Deficiencies	D	not recorded
2024-07-16	F0756	Pharmacy Service Deficiencies	D	not recorded
2024-07-16	F0757	Pharmacy Service Deficiencies	D	not recorded
2024-07-16	F0760	Pharmacy Service Deficiencies	D	not recorded
2024-07-16	F0770	Administration Deficiencies	D	not recorded
2024-07-16	F0773	Administration Deficiencies	D	not recorded
2024-07-16	F0775	Administration Deficiencies	D	not recorded
2024-07-16	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-07-16	F0865	Administration Deficiencies	F	not recorded
2024-07-16	F0880	Infection Control Deficiencies	E	not recorded
2024-07-16	F0883	Infection Control Deficiencies	D	not recorded
2024-07-16	F0887	Infection Control Deficiencies	D	not recorded
2024-07-16	F0940	Administration Deficiencies	E	not recorded
2024-03-29	F0550	Resident Rights Deficiencies	D	not recorded
2024-03-29	F0558	Resident Rights Deficiencies	E	not recorded
2024-03-29	F0561	Resident Rights Deficiencies	D	not recorded
2024-03-29	F0575	Resident Rights Deficiencies	C	not recorded
2024-03-29	F0577	Resident Rights Deficiencies	C	not recorded
2024-03-29	F0578	Resident Rights Deficiencies	E	not recorded
2024-03-29	F0580	Resident Rights Deficiencies	D	not recorded
2024-03-29	F0584	Resident Rights Deficiencies	D	not recorded
2024-03-29	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	E	not recorded
2024-03-29	F0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	E	not recorded
2024-03-29	F0623	Resident Rights Deficiencies	E	not recorded
2024-03-29	F0625	Resident Rights Deficiencies	E	not recorded
2024-03-29	F0636	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-03-29	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-03-29	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-03-29	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-03-29	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-03-29	F0676	Quality of Life and Care Deficiencies	D	not recorded
2024-03-29	F0677	Quality of Life and Care Deficiencies	E	not recorded
2024-03-29	F0679	Quality of Life and Care Deficiencies	D	not recorded
2024-03-29	F0684	Quality of Life and Care Deficiencies	E	not recorded
2024-03-29	F0686	Quality of Life and Care Deficiencies	D	not recorded
2024-03-29	F0688	Quality of Life and Care Deficiencies	D	not recorded
2024-03-29	F0689	Quality of Life and Care Deficiencies	E	not recorded
2024-03-29	F0692	Quality of Life and Care Deficiencies	D	not recorded
2024-03-29	F0697	Quality of Life and Care Deficiencies	D	not recorded
2024-03-29	F0725	Nursing and Physician Services Deficiencies	E	not recorded
2024-03-29	F0726	Nursing and Physician Services Deficiencies	F	not recorded
2024-03-29	F0730	Nursing and Physician Services Deficiencies	E	not recorded
2024-03-29	F0755	Pharmacy Service Deficiencies	E	not recorded
2024-03-29	F0756	Pharmacy Service Deficiencies	E	not recorded
2024-03-29	F0757	Pharmacy Service Deficiencies	D	not recorded
2024-03-29	F0760	Pharmacy Service Deficiencies	G	not recorded
2024-03-29	F0770	Administration Deficiencies	D	not recorded
2024-03-29	F0773	Administration Deficiencies	D	not recorded
2024-03-29	F0775	Administration Deficiencies	D	not recorded
2024-03-29	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-03-29	F0865	Administration Deficiencies	D	not recorded
2024-03-29	F0867	Administration Deficiencies	G	not recorded
2024-03-29	F0880	Infection Control Deficiencies	E	not recorded
2024-03-29	F0883	Infection Control Deficiencies	D	not recorded
2024-03-29	F0887	Infection Control Deficiencies	E	not recorded
2024-03-29	F0940	Administration Deficiencies	E	not recorded
2024-03-29	F0941	Administration Deficiencies	E	not recorded
2024-03-29	F0942	Resident Rights Deficiencies	E	not recorded
2024-03-29	F0943	Freedom from Abuse, Neglect, and Exploitation Deficiencies	E	not recorded
2024-03-29	F0944	Administration Deficiencies	E	not recorded
2024-03-29	F0947	Nursing and Physician Services Deficiencies	E	not recorded
2024-03-29	F0949	Administration Deficiencies	E	not recorded
2023-11-01	F0584	Resident Rights Deficiencies	E	not recorded
2023-11-01	F0655	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-11-01	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-11-01	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-11-01	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-11-01	F0686	Quality of Life and Care Deficiencies	D	not recorded
2023-11-01	F0687	Quality of Life and Care Deficiencies	D	not recorded
2023-11-01	F0689	Quality of Life and Care Deficiencies	E	not recorded
2023-11-01	F0692	Quality of Life and Care Deficiencies	D	not recorded
2023-11-01	F0755	Pharmacy Service Deficiencies	E	not recorded
2023-11-01	F0759	Pharmacy Service Deficiencies	D	not recorded
2023-11-01	F0760	Pharmacy Service Deficiencies	D	not recorded
2023-11-01	F0761	Pharmacy Service Deficiencies	F	not recorded
2023-11-01	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-11-01	F0880	Infection Control Deficiencies	D	not recorded
2023-08-16	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2023-08-16	F0684	Quality of Life and Care Deficiencies	D	not recorded
2023-08-16	F0689	Quality of Life and Care Deficiencies	G	not recorded
2022-07-19	F0578	Resident Rights Deficiencies	D	not recorded
2022-07-19	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2022-07-19	F0625	Resident Rights Deficiencies	D	not recorded
2022-07-19	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2022-07-19	F0645	Resident Assessment and Care Planning Deficiencies	D	not recorded
2022-07-19	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2022-07-19	F0684	Quality of Life and Care Deficiencies	D	not recorded
2022-07-19	F0689	Quality of Life and Care Deficiencies	D	not recorded
2022-07-19	F0692	Quality of Life and Care Deficiencies	D	not recorded
2022-07-19	F0695	Quality of Life and Care Deficiencies	D	not recorded
2022-07-19	F0755	Pharmacy Service Deficiencies	D	not recorded
2022-07-19	F0756	Pharmacy Service Deficiencies	D	not recorded
2022-07-19	F0761	Pharmacy Service Deficiencies	D	not recorded
2022-07-19	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2021-08-05	F0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2021-08-05	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2021-08-05	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2021-08-05	F0622	Resident Rights Deficiencies	D	not recorded
2021-08-05	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2021-08-05	F0645	Resident Assessment and Care Planning Deficiencies	D	not recorded
2021-08-05	F0656	Resident Assessment and Care Planning Deficiencies	E	not recorded
2021-08-05	F0657	Resident Assessment and Care Planning Deficiencies	E	not recorded
2021-08-05	F0677	Quality of Life and Care Deficiencies	E	not recorded
2021-08-05	F0684	Quality of Life and Care Deficiencies	E	not recorded
2021-08-05	F0686	Quality of Life and Care Deficiencies	G	not recorded
2021-08-05	F0690	Quality of Life and Care Deficiencies	D	not recorded
2021-08-05	F0691	Quality of Life and Care Deficiencies	D	not recorded
2021-08-05	F0692	Quality of Life and Care Deficiencies	D	not recorded
2021-08-05	F0693	Quality of Life and Care Deficiencies	D	not recorded
2021-08-05	F0695	Quality of Life and Care Deficiencies	D	not recorded
2021-08-05	F0697	Quality of Life and Care Deficiencies	D	not recorded
2021-08-05	F0698	Quality of Life and Care Deficiencies	D	not recorded
2021-08-05	F0756	Pharmacy Service Deficiencies	D	not recorded
2021-08-05	F0761	Pharmacy Service Deficiencies	D	not recorded
2021-08-05	F0772	Administration Deficiencies	D	not recorded
2021-08-05	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2021-08-05	F0883	Infection Control Deficiencies	D	not recorded
2021-08-05	F0919	Environmental Deficiencies	E	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “OLD SOUTHWEST HEALTH AND REHABILITATION, ROANOKE” at medicare.gov/care-compare.