Old Southwest Health and Rehabilitation
Public record summary
About this facility — Old Southwest Health and Rehabilitation
Old Southwest Health and Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Roanoke, Virginia. It is licensed for 130 beds — close to the median for skilled nursing facilities in Virginia (117 beds).
It is one of 34 senior care facilities in Roanoke and 289 skilled nursing facilities across Virginia. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.
Federal inspectors have cited Old Southwest Health and Rehabilitation 156 times across 10 inspections in the last three years, and CMS has imposed $135,633 in fines. Every citation is listed, dated, and graded in the inspection record below.
This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.
Facility background
Ownership & operator
Registered owners & officers
Regulatory standing
Cost & payer profile (FY2023 cost report)
Services & coverage
Inspection record
Kitchen & food safety
7 earlier / fire-safety inspections (83 citations)
Federal penalties
Visitor reviews
★★Maliek Harris · 2026-03-11 · via Google“THEY DONT HAVE THE STAFF THEY NEED , STAFF (CNA) ARE VERY UNPROFESSIONAL SOME ARE GREAT ) NO linen for The residence like washcloth towels, sheets, pillowcases, etc. a young lady used to work there bought her own stuff just to make sure they had it The receptionist make your day with a bubble personality her smile lights up the building Therapy is great, but I would not put my loved one in that bu…”
★★★★★Theodore Killian · 2025-08-21 · via Google“This community has definitely had its challenges in the past; however, it is a blessing that the new leadership and ownership is not only talented, compassionate, skilled and courageous, but most importantly, made it their mission to deliver the highest level of care and dignity. The current leadership team of this community has made astonishing improvements and puts the residents at their forefro…”
★Aaron · 2025-11-15 · via Google“If you value safe and consistent care for your loved one, avoid Old Southwest Rehabilitation and Nursing. Official inspection reports show repeated deficiencies, including failure to provide needed medications and timely laboratory services, and a lack of quality assurance in management practices. Residents have gone without enough food and fluids to maintain health, and the facility has been cite…”
