Old Southwest Health and Rehabilitation: Staffing, Turnover, and Inspection Record
Old Southwest Health and Rehabilitation is a 130-bed for-profit nursing home in Roanoke, Virginia, part of Eastern Healthcare Group. In the CMS August 2026 release it reported 1.73 nurse aide hours per resident per day, 16% below the Virginia average of 2.07, and 69.5% nursing staff turnover (Virginia average 48.1%).
Old Southwest Health and Rehabilitation
324 King George Ave SWRoanoke, VA 24016
Roanoke City County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Old Southwest Health and Rehabilitation, nurse aides logged 1.73 hours per resident per day, 16% below the Virginia average. With about 77 residents a day, that works out to roughly 133 aide hours a day, or about 17 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 12% below the all-days figure.
| Hours per resident per day | This home | Virginia avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.73 | 2.07 | 2.32 |
| Licensed practical nurses | 1.31 | 1.00 | 0.86 |
| Registered nurses | 0.42 | 0.69 | 0.69 |
| All nursing staff | 3.47 | 3.76 | 3.86 |
| All nursing staff, weekends | 3.05 | 3.29 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
69.5% of nursing staff at Old Southwest Health and Rehabilitation left over the year CMS measured, against a Virginia average of 48.1% and a US average of 45.8%. Registered nurse turnover was 75.0%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Mar 29, 2024. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 46 health deficiencies (Virginia average 14.5). CMS lists 1 fine totaling $135,633 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Mar 29, 2024 | Fine | $135,633 |
| Mar 29, 2024 | Payment Denial | 61 days from Jun 29, 2024 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Old Southwest Health and Rehabilitation holds 1 of 5 overall; the Virginia average is 3.0.
About Old Southwest Health and Rehabilitation
- Ownership: For profit - Limited Liability company
- Chain: Eastern Healthcare Group, 18 homes
- Legal name: Old Southwest Health and Rehabilitation LLC
- Medicare and Medicaid certified since: Apr 25, 1985
- Councils: resident council
- Area: urban
Nursing homes near Old Southwest Health and Rehabilitation
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Our Lady Of The Valley Roanoke | 1.3 | 70 | 2.29 | 3.84 | 45.3% | 4 | None |
| Raleigh Court Health and Rehabilitation Center Roanoke | 1.7 | 120 | 1.91 | 3.48 | 53.4% | 4 | None |
| South Roanoke Nursing and Rehabilitation Roanoke | 2.2 | 98 | 1.93 | 3.23 | 38.2% | 3 | None |
| Pheasant Ridge Nursing and Rehabilitation Roanoke | 2.7 | 101 | 1.69 | 3.27 | 53.8% | 2 | None |
| Star City Rehabilitation and Nursing Roanoke · many days without an RN | 3.5 | 116 | 2.15 | 3.72 | 68.3% | 2 | None |
| Berkshire Health & Rehabilitation Center Vinton | 3.6 | 180 | 1.80 | 3.21 | 56.1% | 4 | None |
| Brandon Oaks Nursing and Rehabilitation Center Roanoke | 3.6 | 62 | 2.82 | 5.40 | 34.6% | 5 | None |
| Davis and McDaniel Veterans Care Center Roanoke | 3.8 | 180 | 2.47 | 3.99 | 28.7% | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.