Skilled Nursing
The Glebe
Scout 100Daleville, VA · 32 beds
5.0CMS rating
Skilled NursingContinuing Care (CCRC / Life Plan)● Fills quickly
One of Daleville's top-rated skilled nursing communities.
Est. $7,630–$10,010/mo
View full evaluation →Skilled NursingCMS verified
Old Southwest Health and Rehabilitation
324 King George Ave Sw, Roanoke, VA 24016 · Roanoke City County
At Old Southwest Health Rehab, we know care is personal. Our caregivers see people, not patients, and treat your family as their own — because they are!
26
Use CautionHaven Scout Score
Our composite of CMS ratings, staffing, and safety. This community rates use caution.
Photos via facility website.
Availability outlookUsually has openings
Typically 64% full — availability is generally good.
Source: federal census data (average daily residents vs. certified beds, CMS Care Compare). Confirm current openings with an advisor — availability changes weekly.
Our evaluation
An honest, data-grounded look at this community — every claim is drawn from public inspection data.
A low federal rating — review the details closely
Old Southwest Health and Rehabilitation is a for-profit skilled nursing facility in Roanoke, VA, with 130 certified beds and an average of about 83 residents per day. It operates as part of the Eastern Healthcare Group network.
Medicare rates it 1 out of 5 stars overall — below the national average of about 3 stars. Component ratings: 1/5 on health inspections, 2/5 on staffing, 3/5 on quality measures.
Staff provide about 3.36 total nurse hours per resident each day (0.43 of them from registered nurses), below the national benchmark of roughly 3.9 hours. Annual nursing-staff turnover is about 61.6%, higher than the ~52% national average. On the safety record, CMS notes 46 health deficiencies at its most recent standard survey, and 2 federal fines totaling $143,823 in the recent record.
Strengths
- ✓Full sprinkler system
- ✓Active resident & family council
Things to ask about
- •Below-average 1-star overall CMS rating
- •Below-average health-inspection rating
- •Below-average nurse staffing (3.36 hrs/resident/day)
- •46 deficiencies at last survey
- •$143,823 in federal fines
Best for: Families considering this community should tour in person, request the latest survey, and weigh it against higher-rated Roanoke options — our advisors can help you compare.
At a glance
- Certified beds
- 130
- Avg. residents/day
- 83
- Ownership
- For profit - Limited Liability company
- Part of a chain
- Eastern Healthcare Group
- Continuing care
- No
- CMS provider #
- 495156
Federal quality ratings
From the U.S. Centers for Medicare & Medicaid Services (CMS), on a 1–5 star scale.
Overall rating
Health inspections
Staffing
Quality measures
Pricing & cost
We publish transparent estimates and verify exact pricing on request. No surprises.
| Level of care | Monthly cost | Source |
|---|---|---|
| Skilled Nursing | $7,630–$10,010/mo (median $8,570) | Local market estimate |
2024–2026 published survey medians, state median adjusted to local Roanoke prices (BEA regional price parities). Request a quote for exact pricing. Range spans semi-private to private rooms. How we estimate costs
Staffing & care
More nursing time per resident — and lower turnover — generally means more attentive care.
- Total nurse hrs / resident / day
- 3.36
- National avg ≈ 3.9
- RN hrs / resident / day
- 0.43
- National avg ≈ 0.75
- Nursing staff turnover
- 61.6%
- National avg ≈ 52%
Safety & inspection record
Federal inspectors survey nursing homes roughly once a year. Here's the latest on file.
- Health deficiencies (last survey)
- 46
- Federal fines
- 2 ($143,823)
- Total penalties
- 3
- Last standard survey
- 2024-03-29
- Sprinkler system
- Yes
- Resident & family council
- Resident
What inspectors found
The most recent findings from federal health inspections (129 citations on record — showing the latest 8). Every nursing home is inspected roughly once a year; most receive some citations.
2024-07-16Severity F — potential for harmFrom a complaintNursing and Physician Services Deficiencies
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.
2024-07-16Severity F — potential for harmFrom a complaintAdministration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
2024-07-16Severity E — potential for harmFrom a complaintResident Rights Deficiencies
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.
2024-07-16Severity E — potential for harmFrom a complaintResident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
2024-07-16Severity E — potential for harmFrom a complaintResident Rights Deficiencies
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.
2024-07-16Severity E — potential for harmFrom a complaintQuality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
2024-07-16Severity E — potential for harmFrom a complaintQuality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-07-16Severity E — potential for harmFrom a complaintQuality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity uses the CMS scope/severity scale: D–F = potential for harm, G–I = actual harm, J–L = immediate jeopardy. Source: CMS Care Compare health citations; data as of the latest federal release. Discuss any finding directly with the community on a tour.
Penalty history
Federal fines and Medicare/Medicaid payment denials on record.
| Date | Type | Amount |
|---|---|---|
| 2024-03-29 | Fine | $135,633 |
| 2024-03-29 | Payment denial | — |
| 2023-08-16 | Fine | $8,190 |
Services & amenities
- ✓ Full automatic sprinkler system
- ✓ Medicare & Medicaid certified
- ✓ 24-hour licensed nursing
- ✓ On-site rehabilitation therapy
- ✓ Rehabilitation services
- ✓ Memory care
- ✓ Respite / short-term stays
- ✓ Daily activities & events
- ✓ 24/7 staff
Location
324 King George Ave Sw, Roanoke, VA
- Monday: Open 24 hours
- Tuesday: Open 24 hours
- Wednesday: Open 24 hours
- Thursday: Open 24 hours
- Friday: Open 24 hours
- Saturday: Open 24 hours
- Sunday: Open 24 hours
Reviews & reputation
We aggregate ratings across Google, Yelp, and verified families — and link back to every source so you can read more.
Verified family reviews
No verified family reviews yet for Old Southwest Health and Rehabilitation.
Have a loved one here, or recently toured? Help other families by sharing your experience — we verify every review before it's published.
Talk to an advisor about this communityCommon questions about Old Southwest Health and Rehabilitation
How much does Old Southwest Health and Rehabilitation cost?
Old Southwest Health and Rehabilitation does not publish exact rates. Comparable skilled nursing in the Roanoke, VA area typically runs $7,630–$10,010 per month (median $8,570, based on published survey medians adjusted for local prices). A Haven advisor can confirm current pricing for free.
What is Old Southwest Health and Rehabilitation's Medicare rating?
Medicare (CMS) rates Old Southwest Health and Rehabilitation 1 out of 5 stars overall, including 1/5 for health inspections, 2/5 for staffing, 3/5 for quality measures. The national average is about 3 stars.
How is the staffing at Old Southwest Health and Rehabilitation?
Staff provide about 3.36 total nurse hours per resident per day (national benchmark ≈ 3.9), and annual nursing-staff turnover is about 61.6% (national average ≈ 52%). These figures are reported to the federal government and updated regularly.
What did inspectors find at Old Southwest Health and Rehabilitation?
Old Southwest Health and Rehabilitation has 129 health citations on its recent federal inspection record (last standard survey: 2024-03-29). The full citation-by-citation detail, with severity levels, is published on this page.
Does Old Southwest Health and Rehabilitation have availability?
Typically 64% full — availability is generally good. Availability changes weekly — a Haven advisor can confirm current openings at no cost.
What types of care does Old Southwest Health and Rehabilitation offer?
Old Southwest Health and Rehabilitation in Roanoke, VA offers skilled nursing and is licensed for 130 beds.
The best time to decide is before a crisis decides for you
Most families start this search after a fall, a hospital stay, or a caregiver reaching a breaking point — and end up choosing from whatever has a bed open that week. Families who plan even a few weeks ahead get to choose on quality, fit, and price instead of availability alone.
- Move-ins take time: assessments, paperwork, and preparation typically run 2–6 weeks in Roanoke.
- The best communities fill first: top-rated communities often run a waitlist — touring early holds your place in line.
- Touring costs nothing and commits you to nothing — but it turns a future emergency into a calm, informed choice.
Your next steps — this week
- 1Confirm the fitCheck the inspection record and staffing data on this page against your loved one's needs.
- 2Get exact pricing & availabilityRequest current rates for Old Southwest Health and Rehabilitation — takes one minute, answered same day.
- 3Tour 2–3 communitiesCompare this community against two alternatives. Ask about staff turnover, all-in monthly cost, and care-plan changes.
- 4Hold a spotMost communities hold a residence with a small refundable deposit while you decide.
Data sources:CMS verifiedGoogleOfficial website
Last verified 2026-07-06. We refresh inspection data monthly and reviews continuously.
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