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D
Poor

OLD SOUTHWEST HEALTH AND REHABILITATION

324 KING GEORGE AVE SW · ROANOKE, VA 24016

5403458139 · For profit - Limited Liability company

130 beds95.2 residents141 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

OLD SOUTHWEST HEALTH AND REHABILITATION receives an overall staffing grade of D (Poor). With 3.4804 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.3368 HPRD, below the recommended 0.75. It is 0.42 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 17.07% compared to weekdays. The facility has low agency staff usage (6.19% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.3368 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.4804hrs/resident/day▼ 0.42
CMS benchmark: 3.48
RN HPRD
0.3368hrs/resident/day▼ 0.35
Recommended: 0.75
Weekend Drop-off
17.07%
3.6567 weekday → 3.0327 weekend
Agency Staff
6.19%
4.82% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.0257hrs/resident/day
Direct care aides
LPN HPRD
1.118hrs/resident/day
Licensed practical nurses
Consistency
0.3868std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Roanoke City County Average-0.04 HPRD
3.52
03.48 HPRD
vs. Virginia State Average-0.35 HPRD
3.83
03.48 HPRD
vs. National Average-0.42 HPRD
3.90
03.48 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
OLD SOUTHWEST HEALTH AND REHABILITATION ★
ROANOKE · This facility
—
D
3.48040.3368★☆☆☆☆
RALEIGH COURT HEALTH AND REHABILITATION CENTER
ROANOKE
1.7 mi
C
3.35050.5311★★★☆☆
SOUTH ROANOKE NURSING AND REHABILITATION
ROANOKE
2.2 mi
C
3.19340.5116★★★☆☆
Pheasant Ridge Nursing and Rehabilitation
ROANOKE
2.7 mi
C
3.44550.711★★★☆☆
Berkshire Health & Rehabilitation Center
VINTON
3.5 mi
D
3.08480.3636★★★★☆
VIRGINIA VETERANS CARE CENTER
ROANOKE
3.8 mi
B
3.69840.7134★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

7
Inspections
131
Total Deficiencies
$150,144
Fines Assessed
Jul 16, 2024Health
24 deficiencies cited
▼
Mar 29, 2024Health
49 deficiencies cited· Includes actual harm
▼
Nov 1, 2023Health
15 deficiencies cited
▼
Aug 16, 2023Health
3 deficiencies cited· Includes actual harm
▼
Feb 23, 2023Health
2 deficiencies cited
▼
Jul 19, 2022Health
14 deficiencies cited
▼
Aug 5, 2021Health
24 deficiencies cited· Includes actual harm
▼

Penalty History

Mar 29, 2024Fine
$135,633
Mar 29, 2024Payment Denial
Aug 16, 2023Fine
$8,190
Mar 13, 2023Fine
$2,447
Mar 6, 2023Fine
$2,113
Feb 28, 2023Fine
$1,761
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.