Old Southwest Health And Rehabilitation is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1985-04-25. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (540) 345-8139 or your local Medicaid office to verify current eligibility.

Old Southwest Health And Rehabilitation holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 1 out of 5 stars. This is made up of three components: Health Inspection (1★), Staffing (2★), and Quality of Resident Care (2★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 48.7/100, placing it #14135 of 14703 facilities nationally and #279 of 289 in Virginia. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Old Southwest Health And Rehabilitation receives a reported average of 3 hours 29 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 20 minutes; Licensed Practical Nurse (LPN) — 1 hour 7 minutes; Nurse Aide — 2 hours 2 minutes. On weekends, total nurse staffing is 3 hours 2 minutes per resident per day. The CMS Staffing Rating for this facility is 2 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 69.9%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 2 fine(s) totaling $143,823. 34 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. There were 1 Medicare payment denial(s) in the current period. In the most recent CMS reporting period, the facility received 2 fine(s) totaling $143,823, and 1 Medicare payment denial(s). Total penalties: 3. The Total Weighted Health Survey Score is 426.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Old Southwest Health And Rehabilitation ranks 14135th out of 14,703 facilities (composite score: 48.7/100), placing it in the bottom 25% nationwide. Within VA, it ranks 279th out of 289 nursing homes. In Roanoke, it ranks 11th out of 11 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 2. For 2026 staffing: total nurse hours rank #9,267 nationally and RN hours rank #12,145 nationally (#246 in VA). Our composite quality score of 48.7/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Roanoke, visit: https://nursinghomesnearme.org/virginia/roanoke/