Overview
Old Southwest Health and Rehabilitation has a Medicare overall rating of 1 out of 5, below the Virginia average of 3.1. It ranks 11th of 11 nursing homes in Roanoke. Its strongest area is quality of care (2 of 5), and its weakest is health inspections (1 of 5).
Residents receive about 3.5 hours of nursing care per day, fewer than at 54% of nursing homes in Virginia (the state average is 3.9 hours). Of that, 0.4 hours come from registered nurses.
Its most recent standard inspection, on March 29, 2024, found 46 health deficiencies, more than the Virginia average of 14.0. 5 of them came from complaint investigations. Medicare records 1 fine totaling $135,633 in the past three years.
Old Southwest Health and Rehabilitation is a for-profit facility with 130 certified beds, caring for about 77 residents on an average day. It accepts both Medicare and Medicaid and has participated since 1985.
Medicare ratings
- Health inspections
- Quality of care
- Staffing
Source: Medicare Care Compare, data as of October 1, 2026.
How it compares nearby
Ranked by Medicare overall rating, then quality, inspection and staffing ratings.
Top 100%
Top 96%
Top 97%
Family reviews
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Inspections and penalties
- Most recent standard inspection
- March 29, 2024
- Health deficiencies cited
- 46
- Complaint-related deficiencies
- 5
- Fines in the last 3 years
- 1 totaling $135,633
- Payment denials
- 1
- Total penalties
- 2
Staffing
Average hours of care each resident receives per day.
- All nursing staff3.53 hrs
- Registered nurses (RN)0.39 hrs
- Licensed practical nurses (LPN)1.45 hrs
- Nurse aides1.68 hrs
- Physical therapists0.08 hrs
Facility details
- Ownership
- For profit - Limited Liability company
- Certified beds
- 130
- Average residents per day
- 77
- Participates in
- Medicare and Medicaid
- Medicare/Medicaid since
- April 25, 1985
- Inside a hospital
- No
- Continuing care retirement community
- No
- Changed ownership in last 12 months
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes