Open Care Data
Independent Review & Safety Record · CCN 495156 Monitoring available

OLD SOUTHWEST HEALTH AND REHABILITATION

An independent review of Old Southwest Health And Rehabilitation's safety record, its Medicare rating, health-inspection citations, staffing, fines and complaints, drawn from public federal data (not user star-ratings).

324 KING GEORGE AVE SW · ROANOKE, VA 24016 · 130 beds
Phone: 5403458139
F
Open Care Data Safety Grade

This facility raises serious safety concerns and ranks well below its peers.

Starts from the Medicare rating, then weighs below-average staffing; high RN turnover (75%); $135,633 in federal fines. How we grade · See how it compares
Open Care Data's independent assessment of public federal data, not an official CMS rating. Data can lag or change. Operate this facility? Report a correction.

Recent News August 2026 federal update

Total federal fines changed to $135,633

In the August 2026 federal update, the total dollar amount of federal fines on this facility's record changed from $143,823 to $135,633. Fines are civil monetary penalties CMS levies when serious problems are identified and not corrected.

These changes are drawn from the U.S. federal (CMS) nursing home data. The facts are CMS's; the explanations are Open Care Data's. Federal data updates periodically and can lag current conditions. Operate this facility? Add context or report a correction.

Medicare Five-Star Rating · as of the latest federal update

Overall
1 / 5
Staffing
★★
2 / 5
Health Inspection
1 / 5
Quality Measures
★★★
3 / 5

Top concerns What stands out in the record

  • Below-average overall Medicare rating (1 of 5 stars).
  • $135,633 in federal fines across 1 penalties.
  • Staffing rating is in the bottom tier, often the strongest predictor of care quality.
  • High registered-nurse turnover (75%), care continuity may suffer.

How it compares vs. 289 VA nursing homes

Overall Medicare rating
1of 5 stars
Better than 0% of VA homes
Staffing rating
2of 5 stars
Better than 30% of VA homes
Health-inspection rating
1of 5 stars
Better than 0% of VA homes
Total nurse hours / resident / day
3.46966hrs
Better than 51% of VA homes
RN hours / resident / day
0.42437hrs
Better than 27% of VA homes
RN turnover
75%
Better than 9% of VA homes

Percentiles rank this facility against every other Medicare-rated nursing home in Virginia, using the latest federal data.

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Safety & Enforcement Federal inspection record

Safety indicators

Abuse indicator None on record
Substantiated complaints 0

Financial penalties

1
Fines
$135,633
Total fines
1
Payment denials
2
Total penalties

Staffing Hours per resident / day

0.42437
RN hours per resident / day
Benchmark ≥ 0.75
3.46966
Total nursing hours / day
Benchmark ≈ 4.1
3.62118
Weekend nursing hours / day
Look for parity with weekdays

Higher staffing, especially RN time, correlates with better outcomes and higher Medicare star ratings.

Recent Deficiency Citations Last 36 months · federal inspections

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Quality Measures Medicare quality data · lower is better

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Highly-rated facilities nearby Same area · by rating