Starfile / Virginia

OLD SOUTHWEST HEALTH AND REHABILITATION

324 KING GEORGE AVE SW, ROANOKE, VA 24016 · CCN 495156

Inspection history vs Virginia & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$143,823

Number of fines

2

Number of penalties

3

Payment denials

1

Chain

Chain

EASTERN HEALTHCARE GROUP

Facilities in chain

17

Chain avg overall

1.30 / 5

Inspection citations (129)4 actual harm

1. EF0578Honor 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.2024-07-16 · Health · corrected 2024-08-29

   Potential for more than minimal harm

2. DF0584Honor 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.2024-07-16 · Health · corrected 2024-08-29

   Potential for more than minimal harm

3. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-07-16 · Health · corrected 2024-08-29

   Potential for more than minimal harm

4. EF0625Notify 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.2024-07-16 · Health · corrected 2024-08-29

   Potential for more than minimal harm

5. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-07-16 · Health · corrected 2024-08-29

   Potential for more than minimal harm

6. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-07-16 · Health · corrected 2024-08-29

   Potential for more than minimal harm

7. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-07-16 · Health · corrected 2024-08-29

   Potential for more than minimal harm

8. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-07-16 · Health · corrected 2024-08-29

   Potential for more than minimal harm

9. DF0688Provide 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.2024-07-16 · Health · corrected 2024-08-29

   Potential for more than minimal harm

10. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-16 · Health · corrected 2024-08-29

    Potential for more than minimal harm

11. FF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-07-16 · Health · corrected 2024-08-29

    Potential for more than minimal harm

12. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-07-16 · Health · corrected 2024-08-29

    Potential for more than minimal harm

13. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-07-16 · Health · corrected 2024-08-29

    Potential for more than minimal harm

14. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-07-16 · Health · corrected 2024-08-29

    Potential for more than minimal harm

15. DF0760Ensure that residents are free from significant medication errors.2024-07-16 · Health · corrected 2024-08-29

    Potential for more than minimal harm

16. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2024-07-16 · Health · corrected 2024-08-29

    Potential for more than minimal harm

17. DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2024-07-16 · Health · corrected 2024-08-29

    Potential for more than minimal harm

18. DF0775Keep complete, dated laboratory records in the resident's record.2024-07-16 · Health · corrected 2024-08-29

    Potential for more than minimal harm

19. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-07-16 · Health · corrected 2024-08-29

    Potential for more than minimal harm

20. FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2024-07-16 · Health · corrected 2024-08-29

    Potential for more than minimal harm

21. EF0880Provide and implement an infection prevention and control program.2024-07-16 · Health · corrected 2024-08-29

    Potential for more than minimal harm

22. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-07-16 · Health · corrected 2024-08-29

    Potential for more than minimal harm

23. DF0887Educate 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.2024-07-16 · Health · corrected 2024-08-29

    Potential for more than minimal harm

24. EF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2024-07-16 · Health · corrected 2024-08-29

    Potential for more than minimal harm

25. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-03-29 · Health · corrected 2024-07-16

    Potential for more than minimal harm

26. EF0558Reasonably accommodate the needs and preferences of each resident.2024-03-29 · Health · corrected 2024-07-16

    Potential for more than minimal harm

27. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-03-29 · Health · corrected 2024-07-16

    Potential for more than minimal harm

28. CF0575Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.2024-03-29 · Health · corrected 2024-07-16

    Potential for minimal harm

29. CF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2024-03-29 · Health · corrected 2024-07-16

    Potential for minimal harm

30. EF0578Honor 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.2024-03-29 · Health · corrected 2024-08-29

    Potential for more than minimal harm

31. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-03-29 · Health · corrected 2024-07-16

    Potential for more than minimal harm

32. DF0584Honor 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.2024-03-29 · Health · corrected 2024-08-29

    Potential for more than minimal harm

33. EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-03-29 · Health · corrected 2024-07-16

    Potential for more than minimal harm

34. EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-03-29 · Health · corrected 2024-07-16

    Potential for more than minimal harm

35. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-03-29 · Health · corrected 2024-08-29

    Potential for more than minimal harm

36. EF0625Notify 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.2024-03-29 · Health · corrected 2024-08-29

    Potential for more than minimal harm

37. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2024-03-29 · Health · corrected 2024-07-16

    Potential for more than minimal harm

38. DF0641Ensure each resident receives an accurate assessment.2024-03-29 · Health · corrected 2024-07-16

    Potential for more than minimal harm

39. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-03-29 · Health · corrected 2024-07-16

    Potential for more than minimal harm

40. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-03-29 · Health · corrected 2024-08-29

    Potential for more than minimal harm

41. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-03-29 · Health · corrected 2024-08-29

    Potential for more than minimal harm

42. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2024-03-29 · Health · corrected 2024-07-16

    Potential for more than minimal harm

43. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-03-29 · Health · corrected 2024-08-29

    Potential for more than minimal harm

44. DF0679Provide activities to meet all resident's needs.2024-03-29 · Health · corrected 2024-07-16

    Potential for more than minimal harm

45. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-03-29 · Health · corrected 2024-08-29

    Potential for more than minimal harm

46. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-03-29 · Health · corrected 2024-07-16

    Potential for more than minimal harm

47. DF0688Provide 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.2024-03-29 · Health · corrected 2024-08-29

    Potential for more than minimal harm

48. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-29 · Health · corrected 2024-08-29

    Potential for more than minimal harm

49. DF0692Provide enough food/fluids to maintain a resident's health.2024-03-29 · Health · corrected 2024-07-16

    Potential for more than minimal harm

50. DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-03-29 · Health · corrected 2024-07-16

    Potential for more than minimal harm

51. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-03-29 · Health · corrected 2024-07-16

    Potential for more than minimal harm

52. FF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-03-29 · Health · corrected 2024-08-29

    Potential for more than minimal harm

53. EF0730Observe each nurse aide's job performance and give regular training.2024-03-29 · Health · corrected 2024-07-16

    Potential for more than minimal harm

54. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-03-29 · Health · corrected 2024-08-29

    Potential for more than minimal harm

55. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-03-29 · Health · corrected 2024-08-29

    Potential for more than minimal harm

56. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-03-29 · Health · corrected 2024-08-29

    Potential for more than minimal harm

57. GF0760Ensure that residents are free from significant medication errors.2024-03-29 · Health · corrected 2024-08-29

    Actual harm

58. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2024-03-29 · Health · corrected 2024-08-29

    Potential for more than minimal harm

59. DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2024-03-29 · Health · corrected 2024-08-29

    Potential for more than minimal harm

60. DF0775Keep complete, dated laboratory records in the resident's record.2024-03-29 · Health · corrected 2024-08-29

    Potential for more than minimal harm

61. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-03-29 · Health · corrected 2024-08-29

    Potential for more than minimal harm

62. DF0865Have a plan that describes the process for conducting QAPI and QAA activities.2024-03-29 · Health · corrected 2024-08-29

    Potential for more than minimal harm

63. GF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-03-29 · Health · corrected 2024-07-16

    Actual harm

64. EF0880Provide and implement an infection prevention and control program.2024-03-29 · Health · corrected 2024-08-29

    Potential for more than minimal harm

65. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-03-29 · Health · corrected 2024-08-29

    Potential for more than minimal harm

66. EF0887Educate 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.2024-03-29 · Health · corrected 2024-08-29

    Potential for more than minimal harm

67. EF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2024-03-29 · Health · corrected 2024-08-29

    Potential for more than minimal harm

68. EF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.2024-03-29 · Health · corrected 2024-07-16

    Potential for more than minimal harm

69. EF0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.2024-03-29 · Health · corrected 2024-07-16

    Potential for more than minimal harm

70. EF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2024-03-29 · Health · corrected 2024-07-16

    Potential for more than minimal harm

71. EF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2024-03-29 · Health · corrected 2024-07-16

    Potential for more than minimal harm

72. EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-03-29 · Health · corrected 2024-07-16

    Potential for more than minimal harm

73. EF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2024-03-29 · Health · corrected 2024-07-16

    Potential for more than minimal harm

74. EF0584Honor 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.2023-11-01 · Health · corrected 2024-01-18

    Potential for more than minimal harm

75. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-11-01 · Health · corrected 2024-01-18

    Potential for more than minimal harm

76. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-11-01 · Health · corrected 2024-01-18

    Potential for more than minimal harm

77. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-11-01 · Health · corrected 2024-01-18

    Potential for more than minimal harm

78. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-11-01 · Health · corrected 2024-01-18

    Potential for more than minimal harm

79. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-11-01 · Health · corrected 2024-01-18

    Potential for more than minimal harm

80. DF0687Provide appropriate foot care.2023-11-01 · Health · corrected 2024-01-18

    Potential for more than minimal harm

81. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-01 · Health · corrected 2024-01-18

    Potential for more than minimal harm

82. DF0692Provide enough food/fluids to maintain a resident's health.2023-11-01 · Health · corrected 2024-01-18

    Potential for more than minimal harm

83. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-11-01 · Health · corrected 2024-01-18

    Potential for more than minimal harm

84. DF0759Ensure medication error rates are not 5 percent or greater.2023-11-01 · Health · corrected 2024-01-18

    Potential for more than minimal harm

85. DF0760Ensure that residents are free from significant medication errors.2023-11-01 · Health · corrected 2024-01-18

    Potential for more than minimal harm

86. FF0761Ensure 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.2023-11-01 · Health · corrected 2024-01-18

    Potential for more than minimal harm

87. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-11-01 · Health · corrected 2024-01-18

    Potential for more than minimal harm

88. DF0880Provide and implement an infection prevention and control program.2023-11-01 · Health · corrected 2024-01-18

    Potential for more than minimal harm

89. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-08-16 · Health · corrected 2023-10-12

    Potential for more than minimal harm

90. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-08-16 · Health · corrected 2023-10-27

    Potential for more than minimal harm

91. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-08-16 · Health · corrected 2023-10-12

    Actual harm

92. DF0578Honor 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.2022-07-19 · Health · corrected 2022-08-22

    Potential for more than minimal harm

93. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2022-07-19 · Health · corrected 2022-08-22

    Potential for more than minimal harm

94. DF0625Notify 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.2022-07-19 · Health · corrected 2022-08-22

    Potential for more than minimal harm

95. DF0641Ensure each resident receives an accurate assessment.2022-07-19 · Health · corrected 2022-08-22

    Potential for more than minimal harm

96. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2022-07-19 · Health · corrected 2022-08-22

    Potential for more than minimal harm

97. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-07-19 · Health · corrected 2022-08-22

    Potential for more than minimal harm

98. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-07-19 · Health · corrected 2022-08-22

    Potential for more than minimal harm

99. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-07-19 · Health · corrected 2022-08-22

    Potential for more than minimal harm

100. DF0692Provide enough food/fluids to maintain a resident's health.2022-07-19 · Health · corrected 2022-08-22

     Potential for more than minimal harm

101. DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-07-19 · Health · corrected 2022-08-22

     Potential for more than minimal harm

102. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-07-19 · Health · corrected 2022-08-22

     Potential for more than minimal harm

103. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-07-19 · Health · corrected 2022-08-22

     Potential for more than minimal harm

104. DF0761Ensure 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.2022-07-19 · Health · corrected 2022-08-22

     Potential for more than minimal harm

105. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-07-19 · Health · corrected 2022-08-22

     Potential for more than minimal harm

106. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2021-08-05 · Health · corrected 2021-09-23

     Potential for more than minimal harm

107. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2021-08-05 · Health · corrected 2021-09-23

     Potential for more than minimal harm

108. DF0610Respond appropriately to all alleged violations.2021-08-05 · Health · corrected 2021-09-23

     Potential for more than minimal harm

109. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2021-08-05 · Health · corrected 2021-09-23

     Potential for more than minimal harm

110. DF0641Ensure each resident receives an accurate assessment.2021-08-05 · Health · corrected 2021-09-23

     Potential for more than minimal harm

111. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2021-08-05 · Health · corrected 2021-09-23

     Potential for more than minimal harm

112. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-08-05 · Health · corrected 2021-10-15

     Potential for more than minimal harm

113. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2021-08-05 · Health · corrected 2021-10-15

     Potential for more than minimal harm

114. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2021-08-05 · Health · corrected 2021-10-15

     Potential for more than minimal harm

115. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-08-05 · Health · corrected 2021-09-23

     Potential for more than minimal harm

116. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2021-08-05 · Health · corrected 2021-09-23

     Actual harm

117. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2021-08-05 · Health · corrected 2021-09-23

     Potential for more than minimal harm

118. DF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2021-08-05 · Health · corrected 2021-09-23

     Potential for more than minimal harm

119. DF0692Provide enough food/fluids to maintain a resident's health.2021-08-05 · Health · corrected 2021-09-23

     Potential for more than minimal harm

120. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2021-08-05 · Health · corrected 2021-09-23

     Potential for more than minimal harm

121. DF0695Provide safe and appropriate respiratory care for a resident when needed.2021-08-05 · Health · corrected 2021-10-15

     Potential for more than minimal harm

122. DF0697Provide safe, appropriate pain management for a resident who requires such services.2021-08-05 · Health · corrected 2021-09-23

     Potential for more than minimal harm

123. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2021-08-05 · Health · corrected 2021-09-23

     Potential for more than minimal harm

124. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2021-08-05 · Health · corrected 2021-09-23

     Potential for more than minimal harm

125. DF0761Ensure 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.2021-08-05 · Health · corrected 2021-09-23

     Potential for more than minimal harm

126. DF0772Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.2021-08-05 · Health · corrected 2021-09-23

     Potential for more than minimal harm

127. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2021-08-05 · Health · corrected 2021-09-23

     Potential for more than minimal harm

128. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2021-08-05 · Health · corrected 2021-09-23

     Potential for more than minimal harm

129. EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2021-08-05 · Health · corrected 2021-10-15

     Potential for more than minimal harm

Ownership

Other facilities in ROANOKE

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.