About Old Southwest Health and Rehabilitation
Old Southwest Health And Rehabilitation, located in ROANOKE, VA, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Old Southwest Health and Rehabilitation
Key Performance Indicators
- CMS Overall Rating 1 Stars
- Nursing Hours 3.36 hrs
- Safety Record Clean
Chain Affiliations & Network
This facility is part of the EASTERN HEALTHCARE GROUP network. This chain operates 18 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Below Average Staffing
Old Southwest Health and Rehabilitation provides less care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 1 |
|
| Health Inspection | 1 |
|
| Quality Measures | 3 |
|
| Staffing | 2 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 456 | Mar 29, 2024 |
| Weighted Average | 426 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 33.4% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 8.6% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | N/A |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | N/A |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 11.9% |
| Percentage of long-stay residents who lose too much weight (QM404) | 7.3% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 1.3% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 1.6% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 13.9% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 3.5% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 50.2% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 7.1% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 0.8% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 15.4% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 21.2% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 20.0% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 5.7% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 8.1% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 32.6% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 20.8% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 3 complaints
- 2024: 47 complaints
- Total: 50 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Aug 29, 2024 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. |
| Aug 29, 2024 | Honor 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. |
| Aug 29, 2024 | Honor 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. |
| Aug 29, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| Aug 29, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Aug 29, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| Aug 29, 2024 | Keep complete, dated laboratory records in the resident's record. |
| Aug 29, 2024 | Provide timely, quality laboratory services/tests to meet the needs of residents. |
| Aug 29, 2024 | Honor 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. |
| Aug 29, 2024 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. |
| Aug 29, 2024 | Educate 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. |
| Aug 29, 2024 | Develop and implement policies and procedures for flu and pneumonia vaccinations. |
| Aug 29, 2024 | Provide and implement an infection prevention and control program. |
| Aug 29, 2024 | Have a plan that describes the process for conducting QAPI and QAA activities. |
| Aug 29, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Aug 29, 2024 | Keep complete, dated laboratory records in the resident's record. |
| Aug 29, 2024 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. |
| Aug 29, 2024 | Provide timely, quality laboratory services/tests to meet the needs of residents. |
| Aug 29, 2024 | Ensure that residents are free from significant medication errors. |
| Aug 29, 2024 | Ensure each resident?s drug regimen must be free from unnecessary drugs. |
| Aug 29, 2024 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. |
| Aug 29, 2024 | Provide 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. |
| Aug 29, 2024 | Notify 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. |
| Aug 29, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. |
| Aug 29, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Aug 29, 2024 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Aug 29, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Aug 29, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Aug 29, 2024 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. |
| Jul 16, 2024 | Ensure each resident receives an accurate assessment. |
| Jul 16, 2024 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. |
| Jul 16, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| Jan 18, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| Jan 18, 2024 | Provide appropriate foot care. |
| Jan 18, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Jan 18, 2024 | Provide enough food/fluids to maintain a resident's health. |
| Jan 18, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Jan 18, 2024 | Provide and implement an infection prevention and control program. |
| Jan 18, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Jan 18, 2024 | Ensure 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. |
| Jan 18, 2024 | Ensure that residents are free from significant medication errors. |
| Jan 18, 2024 | Ensure medication error rates are not 5 percent or greater. |
| Jan 18, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. |
| Jan 18, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| Jan 18, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Jan 18, 2024 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted |
| Jan 18, 2024 | Honor 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. |
| Oct 27, 2023 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Oct 12, 2023 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Oct 12, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
Nearby Hospitals
LEWISGALE MEDICAL CENTER
SALEM, VA
CARILION MEDICAL CENTER
ROANOKE, VA
CARILION FRANKLIN MEMORIAL HOSPITAL
ROCKY MOUNT, VA
SALEM VA MEDICAL CENTER
SALEM, VA
CENTRA BEDFORD MEMORIAL HOSPITAL
BEDFORD, VA
CATAWBA HOSPITAL
CATAWBA, VA
Owner & Operator Information
Business Entity
OLD SOUTHWEST HEALTH AND REHABILITATION LLC
Ownership Structure
- JJ UNITED TR Indirect
- VA SNF OPERATIONS HOLDINGS 2 LLC Direct: 100%
Management & Direction
- AKIVA SHAPIRO CORPORATE OFFICER
- ANDREW SHULER W-2 MANAGING EMPLOYEE
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| The Glebe | N/A | 5 |
| Davis and Mcdaniel Veterans Care Center | N/A | 5 |
| Our Lady of The Valley | N/A | 5 |
| Bedford Co Nursing Home | N/A | 3 |
| Friendship Health and Rehab Center | N/A | 4 |
| Brandon Oaks Nursing and Rehabilitation Center | N/A | 5 |
| Brian Center of Fincastle | N/A | 4 |
| Franklin Health and Rehabilitation Center | N/A | 4 |
| Berkshire Health and Rehabilitation Center | N/A | 4 |
| Snyder Nursing Home | N/A | 5 |
Related Analysis
Best Nursing Homes in ROANOKE, VA
Compare Old Southwest Health and Rehabilitation to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Old Southwest Health and Rehabilitation directly at 5403458139. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.