Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Old Southwest Health And Rehabilitation during CMS and state inspections, most recent first.
The facility failed to ensure residents and their representatives were given the opportunity to develop advance directives. One resident's representative was not provided with written information about treatment rights, and attempts to contact them were unsuccessful. Another resident with intact cognition reported not receiving information about advance directives. A third resident in a vegetative state had no written evidence of advance directive discussions. The facility's policy required providing such information, but there was no evidence of compliance.
A resident with multiple health issues, including dementia and chronic cystitis, experienced a delay in obtaining a urinalysis as ordered by a medical provider. The urinalysis, ordered for a specific two-day period, was not collected until two days later. The facility's management could not explain the delay, and the relevant lab policy was unavailable. The survey team discussed the issue with the facility management, but no additional information was provided.
A facility failed to file lab results in a resident's clinical record, leading to a deficiency. The resident, who was severely cognitively impaired and had multiple diagnoses, had orders for a urinalysis and a TSH blood test, but the results were not found in the clinical record. The DON later provided the missing results, along with additional lab results that were also not filed. The lab system was not integrated with the clinical record system, and the facility could not provide the lab policy for the relevant period.
Failure to Provide Advance Directive Information
Penalty
Summary
The facility staff failed to ensure that residents and/or their representatives were given the opportunity to develop an advance directive. For one resident, the facility did not provide the resident representative with written information about the right to accept or refuse medical or surgical treatment and the option to formulate an advance directive. The resident was not interviewable, and attempts to contact the responsible parties were unsuccessful. The social worker documented a discussion about a DNR order, but there was no signature from the resident or representative on the form. Another resident, who had intact cognition, reported not receiving any specific information about advance directives upon admission or afterward. The facility's documentation lacked the resident's signature and did not detail any discussion about advance directives beyond code status. The facility's policy required providing residents or their representatives with information about their rights to refuse treatment and formulate an advance directive, but the facility could not provide evidence of compliance with this policy. For a third resident, who was in a persistent vegetative state, there was no written evidence that the resident or their representative agreed to or declined to develop an advance directive. The facility's form indicated a discussion with the resident's representative, but only the facility's director of social services had signed it. The facility's policy stated that residents should be provided with information about their rights regarding medical treatment and advance directives, but the facility failed to provide written evidence of this information being shared.
Delay in Obtaining Urinalysis for Resident
Penalty
Summary
The facility staff failed to provide timely laboratory services for a resident, resulting in a deficiency. The medical provider ordered a urinalysis with culture and sensitivity (UA C&S) to be obtained between November 11 and November 12, 2022, but it was not collected until November 14, 2022. This delay in obtaining the urinalysis was identified during a closed record review. The resident involved had multiple diagnoses, including acute and chronic respiratory failure, obstructive and reflux uropathy, acute congestive heart failure, dementia, and chronic cystitis. The resident was also noted to be severely cognitively impaired, with a BIMS score of 3 out of 15. The surveyor was unable to locate the results of the ordered UA C&S in the resident's clinical record initially. Upon inquiry, the Director of Nursing (DON) provided the lab results, which showed significant findings, including positive nitrites and a high count of white blood cells. The facility management, including the Administrator and DON, could not explain the delay in obtaining the urinalysis. Additionally, the facility was unable to provide the lab policy effective at the time of the incident. The survey team discussed the concern with the facility management, but no further information was provided before the exit conference.
Failure to File Lab Results in Resident's Clinical Record
Penalty
Summary
The facility staff failed to file laboratory results in the clinical record for a resident, leading to a deficiency. Specifically, the results of a urinalysis with culture and sensitivity (UA C&S) and a thyroid-stimulating hormone (TSH) blood test were not included in the resident's clinical record. The resident had multiple diagnoses, including acute and chronic respiratory failure, obstructive and reflux uropathy, hypothyroidism, acute congestive heart failure, dementia, and chronic cystitis. The resident was severely cognitively impaired, as indicated by a brief interview for mental status (BIMS) score of 3 out of 15. The medical provider had ordered the UA C&S on 11/10/22 and the TSH level on 1/04/23, but the surveyor could not locate these results in the clinical record during the review. Upon request, the Director of Nursing (DON) provided the lab results for the UA C&S collected on 11/14/22 and the TSH level obtained on 1/05/23, along with eight additional lab test results that were also missing from the resident's clinical record. The lab system was not integrated with the clinical record system at the time, and the facility had to request all lab results from the lab provider. The facility was unable to provide the lab policy effective during the relevant period, and the issue was discussed with the facility management team, including the Administrator and DON, but no further information was provided before the exit conference.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 32 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Roanoke
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Our Lady Of The Valley | 1.3 mi | ★★★★★ | 0 | 0 |
| Raleigh Court Health And Rehabilitation Center | 1.7 mi | ★★★★★ | 0 | 0 |
| South Roanoke Nursing And Rehabilitation | 2.2 mi | ★★★★★ | 0 | 0 |
| Pheasant Ridge Nursing And Rehabilitation | 2.7 mi | ★★★★★ | 7 | 0 |
| Star City Rehabilitation And Nursing | 3.5 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.