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Data / Nursing homes / Virginia / Old Southwest Health and Rehabilitation

Old Southwest Health and Rehabilitation, Roanoke, VA: 1 star rating, fined $135,633 across 1 fine and had 1 payment denial

Old Southwest Health and Rehabilitation in Roanoke, VA is owned by Va SNF Operations Holdings 2 LLC, is rated 1 of 5 stars by Medicare, and was fined $135,633 across 1 fine and had 1 payment denial in the three years to October 1, 2026. CMS lists 88 health citations from inspections in that time, the latest survey on July 16, 2024, and 2 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Virginia
Address
324 King George Ave SW, Roanoke, VA 24016
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measure rating
2 of 5
Certified beds
130
Residents per day
76 on average
Ownership type
For profit, limited liability company
Legal business name
Old Southwest Health and Rehabilitation LLC
Chain
Eastern Healthcare Group, 18 facilities
Fines
$135,633 across 1 fine, three years to October 1, 2026
Payment denials
1
Health citations
88, of which 2 with actual harm or immediate jeopardy
Latest survey
July 16, 2024
CMS Certification Number
495156
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
March 29, 2024Fine$135,633Not listeddata.cms.gov
March 29, 2024Payment denialNot listedJune 29, 202461data.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
July 16, 2024F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
July 16, 2024F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
July 16, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
July 16, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
July 16, 2024F865Have a plan that describes the process for conducting QAPI and QAA activities.F: widespread, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
July 16, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
July 16, 2024F775Keep complete, dated laboratory records in the resident's record.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
July 16, 2024F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
July 16, 2024F770Provide timely, quality laboratory services/tests to meet the needs of residents.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
July 16, 2024F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
July 16, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
July 16, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
July 16, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
July 16, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.F: widespread, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
July 16, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
July 16, 2024F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
July 16, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
July 16, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
July 16, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
July 16, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
July 16, 2024F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
July 16, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
July 16, 2024F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
July 16, 2024F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
March 29, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.G: isolated, actual harmCorrectedJuly 16, 2024data.cms.gov
March 29, 2024F760Ensure that residents are free from significant medication errors.G: isolated, actual harmCorrectedAugust 29, 2024data.cms.gov
March 29, 2024F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 16, 2024data.cms.gov
March 29, 2024F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 16, 2024data.cms.gov
March 29, 2024F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 16, 2024data.cms.gov
March 29, 2024F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 16, 2024data.cms.gov
March 29, 2024F942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 16, 2024data.cms.gov
March 29, 2024F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 16, 2024data.cms.gov
March 29, 2024F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
March 29, 2024F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
March 29, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
March 29, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
March 29, 2024F865Have a plan that describes the process for conducting QAPI and QAA activities.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
March 29, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
March 29, 2024F775Keep complete, dated laboratory records in the resident's record.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
March 29, 2024F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
March 29, 2024F770Provide timely, quality laboratory services/tests to meet the needs of residents.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
March 29, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
March 29, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
March 29, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
March 29, 2024F730Observe each nurse aide's job performance and give regular training.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 16, 2024data.cms.gov
March 29, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.F: widespread, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
March 29, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 16, 2024data.cms.gov
March 29, 2024F697Provide safe, appropriate pain management for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 16, 2024data.cms.gov
March 29, 2024F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 16, 2024data.cms.gov
March 29, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
March 29, 2024F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
March 29, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 16, 2024data.cms.gov
March 29, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
March 29, 2024F679Provide activities to meet all resident's needs.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 16, 2024data.cms.gov
March 29, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
March 29, 2024F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 16, 2024data.cms.gov
March 29, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
March 29, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
March 29, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 16, 2024data.cms.gov
March 29, 2024F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 16, 2024data.cms.gov
March 29, 2024F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 16, 2024data.cms.gov
March 29, 2024F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
March 29, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
March 29, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 16, 2024data.cms.gov
March 29, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 16, 2024data.cms.gov
March 29, 2024F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
March 29, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 16, 2024data.cms.gov
March 29, 2024F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
March 29, 2024F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.C: widespread, minimal harm potentialCorrectedJuly 16, 2024data.cms.gov
March 29, 2024F575Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.C: widespread, minimal harm potentialCorrectedJuly 16, 2024data.cms.gov
March 29, 2024F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 16, 2024data.cms.gov
March 29, 2024F558Reasonably accommodate the needs and preferences of each resident.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 16, 2024data.cms.gov
March 29, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 16, 2024data.cms.gov
November 1, 2023F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 18, 2024data.cms.gov
November 1, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 18, 2024data.cms.gov
November 1, 2023F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.F: widespread, no actual harm, potential for more than minimal harmCorrectedJanuary 18, 2024data.cms.gov
November 1, 2023F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 18, 2024data.cms.gov
November 1, 2023F759Ensure medication error rates are not 5 percent or greater.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 18, 2024data.cms.gov
November 1, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 18, 2024data.cms.gov
November 1, 2023F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 18, 2024data.cms.gov
November 1, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 18, 2024data.cms.gov
November 1, 2023F687Provide appropriate foot care.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 18, 2024data.cms.gov
November 1, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 18, 2024data.cms.gov
November 1, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 18, 2024data.cms.gov
November 1, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 18, 2024data.cms.gov
November 1, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 18, 2024data.cms.gov
November 1, 2023F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 18, 2024data.cms.gov
November 1, 2023F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 18, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 3 individual or personal trusts (1 owners, 1 managers, 1 officers, directors or trustees). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Va SNF Operations Holdings 2 LLCDirect owner100%February 1, 2024data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.