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DBelow average · score 28/100 · #251 of 287 in Virginia

Old Southwest Health And Rehabilitation

324 King George Ave Sw, Roanoke, VA 24016 · 130 certified beds · For profit - Limited Liability company

Staffing 3.5 nurse hours per resident-dayabove median in Virginia
46 health deficiencies at the last standard survey (CMS severity score 456)bottom quarter
$135,633 in fines in 3 years, 1 payment denials

Why Old Southwest Health And Rehabilitation is graded D

Each metric below is percentile-ranked against Virginia nursing homes in the same size band (large, 130 beds), then weighted. The score is the weighted sum; A ≥ 72, B ≥ 58, C ≥ 42, D ≥ 28, F below. Nothing here can be edited or paid for.

Old Southwest Health And Rehabilitation at a Glance

D 28/100
Nurse staffing · weight 30Total nurse hours per resident per day, as reported to CMS (PBJ). Raw: 3.47 h.
61<small style="font-size:12px;color:var(--muted)">th pct</small>
Health inspections · weight 30Health deficiencies cited at the last standard survey and complaint surveys, weighted by severity. Raw: 456.
8<small style="font-size:12px;color:var(--muted)">th pct</small>
Quality measures · weight 25CMS quality-measure rating: falls, pressure ulcers, rehospitalisation, antipsychotic use. Raw: 3.
27<small style="font-size:12px;color:var(--muted)">th pct</small>
Penalties · weight 15Fines and payment denials in the last three years. Raw: $135,633 fines, 1 denials.
5<small style="font-size:12px;color:var(--muted)">th pct</small>
CMS overall star ratingMedicare's own 1–5 rating, shown for reference; not part of our grade.
1/5

Data: CMS Care Compare, as of Aug 1, 2026 · graded Sep 11, 2026 · peer group: Virginia, large facilities · CMS record 495156 · How we grade.

Facility details

Address324 King George Ave Sw, Roanoke, VA 24016
Phone5403458139
CountyRoanoke City
OwnershipFor profit - Limited Liability company
Certified beds130
AcceptsMedicare Medicaid
Special Focus FacilityNo

Higher-graded nursing homes nearby

1

Davis And Mcdaniel Veterans Care Center - Roanoke, VA · 180 beds

  • Staffing 4.0 nurse hours per resident-day — top quarter in Virginia
  • 3 health deficiencies at the last standard survey (CMS severity score 16) — top 10%
2

Brandon Oaks Nursing And Rehabilitation Center - Roanoke, VA · 62 beds

  • Staffing 5.4 nurse hours per resident-day — top 10% in Virginia
  • 3 health deficiencies at the last standard survey (CMS severity score 24) — top quarter
3

Friendship Health And Rehab Center - Roanoke, VA · 253 beds

  • Staffing 3.9 nurse hours per resident-day — top quarter in Virginia
  • 5 health deficiencies at the last standard survey (CMS severity score 24) — top quarter

A grade is a shortlist tool, not medical or legal advice. Visit the facility, ask for the latest survey report, and talk to residents' families before choosing.