Old Southwest Health and Rehabilitation
Nursing Home Facility
324 King George Ave Sw, Roanoke, VA 24016
Set in one of Virginia's most historic and scenic cities, Avanté at Roanoke is an exceptional skilled nursing and rehabilitation center that specializes in short and long-term care provided by highly skilled professionals. Working together as a team, our staff coordinates efforts through patient care conferences with the resident and family members to ensure the best possible outcomes. You will be pleased by the features -- including our new "Star Suites" - at this facility, Avanté at Roanoke!
Operated by Avante Group, which runs 20 communities in our directory.
With 130 beds, Old Southwest Health and Rehabilitation is one of the larger communities in the area, senior care communities in Roanoke average about 90 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.
Federal reporting puts occupancy at about 59% of its licensed beds, so availability is more likely here than at busier communities nearby. That is below the Roanoke average of roughly 90%.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Roanoke average about 3.6 stars. Its most recent standard health inspection was in March 2024 and recorded 46 deficiencies.
Residents receive about 3.5 hours of nursing care per day on average, including 0.4 hours from a registered nurse. Communities in Roanoke average about 3.9 hours. Nursing staff turnover over the past year was about 70%, which is high and can affect continuity of care.
The community is located in Roanoke City County, VA.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 129 problems at Old Southwest Health and Rehabilitation. 4 findings involved harm to a resident. 50 came from investigating complaints by residents or families.
In the last three years Medicare fined this home once, a total of $135,633. Medicare also stopped paying for new admissions once in that period.
Findings from the most recent inspection cycle
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Caused harm to a resident, one or a few residents
Pharmacy Service
Ensure that residents are free from significant medication errors.
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Caused harm to a resident, one or a few residents
Administration
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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Could cause more than minimal harm, widespread
Nursing and Physician Services
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.
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Could cause more than minimal harm, a pattern
Resident Rights
Reasonably accommodate the needs and preferences of each resident.
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Could cause more than minimal harm, a pattern
Freedom from Abuse, Neglect, and Exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Could cause more than minimal harm, a pattern
Freedom from Abuse, Neglect, and Exploitation
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Could cause more than minimal harm, a pattern
Resident Rights
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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Could cause more than minimal harm, a pattern
Resident Rights
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.
Show 38 more
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Provide care and assistance to perform activities of daily living for any resident who is unable.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, a pattern
Nursing and Physician Services
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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Could cause more than minimal harm, a pattern
Nursing and Physician Services
Observe each nurse aide's job performance and give regular training.
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Could cause more than minimal harm, a pattern
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Could cause more than minimal harm, a pattern
Pharmacy Service
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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Could cause more than minimal harm, a pattern
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, a pattern
Infection Control
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.
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Could cause more than minimal harm, a pattern
Administration
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
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Could cause more than minimal harm, a pattern
Administration
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
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Could cause more than minimal harm, a pattern
Resident Rights
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
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Could cause more than minimal harm, a pattern
Freedom from Abuse, Neglect, and Exploitation
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
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Could cause more than minimal harm, a pattern
Administration
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
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Could cause more than minimal harm, a pattern
Nursing and Physician Services
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
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Could cause more than minimal harm, a pattern
Administration
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Could cause more than minimal harm, one or a few residents
Resident Rights
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.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure each resident receives an accurate assessment.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure services provided by the nursing facility meet professional standards of quality.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide activities to meet all resident's needs.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
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.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide enough food/fluids to maintain a resident's health.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide safe, appropriate pain management for a resident who requires such services.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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Could cause more than minimal harm, one or a few residents
Administration
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Could cause more than minimal harm, one or a few residents
Administration
Have a plan that describes the process for conducting QAPI and QAA activities.
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Could cause more than minimal harm, one or a few residents
Infection Control
Develop and implement policies and procedures for flu and pneumonia vaccinations.
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Minimal harm or the potential for it, widespread
Resident Rights
Post 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.
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Minimal harm or the potential for it, widespread
Resident Rights
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Old Southwest Health and Rehabilitation offers nursing home care and senior living.
Facility details
- Organization type for-profit corporation
- Beds / units 130
- Occupancy 59%
- Nursing hours per resident/day 3.5
- Annual staff turnover 70%
- Last health inspection March 2024
Resident & family reviews
No one has shared a review of Old Southwest Health and Rehabilitation yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.