Old Southwest Health And Rehabilitation
324 King George Ave Sw, Roanoke, VA, 24016
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Eastern Healthcare Group
- Certified beds
- 130 · avg 83 residents/day
- Total nursing staff turnover
- 61.6% — higher than most Virginia nursing homesVirginia avg: 48.3% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 83.3% — higher than most Virginia nursing homesVirginia avg: 48.9% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Virginia averageVirginia avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $143,823 total
- Payment denials
- 1 denial
Medicare certification
- CMS Certification Number
- 495156
- Certified beds
- 130 beds · avg 83 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Old Southwest Health And Rehabilitation Llc
- Chain affiliation
- Eastern Healthcare Group
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Eastern Healthcare Group chain — 18 facilities. Chain-wide average overall rating 1.3 / 5.
Disclosed owners (6 on record)
- Akiva Shapiro
Corporate Officer · since 2024
- Andrew Shuler
W-2 Managing Employee · since 2024
- jj United tr
5% or Greater Indirect Ownership Interest · 50% · since 2024
- va Snf Operations Holdings 2 LlcHolding
5% or Greater Direct Ownership Interest · 100% · since 2024
- Ydi Eastern Holdco Llc
5% or Greater Indirect Ownership Interest · 50% · since 2024
- Ydi Irrevocable Trust
5% or Greater Indirect Ownership Interest · 100% · since 2024
Recent change of ownership
February 2024 (2 years ago) · acquired from Choice Healthcare at Roanoke
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 129)
- E0940·Jul 16, 2024Complaint
Administration Deficiencies
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
- D0887·Jul 16, 2024Complaint
Infection Control Deficiencies
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.
- D0883·Jul 16, 2024Complaint
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E0880·Jul 16, 2024Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- F0865·Jul 16, 2024Complaint
Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
- D0842·Jul 16, 2024Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D0775·Jul 16, 2024Complaint
Administration Deficiencies
Keep complete, dated laboratory records in the resident's record.
- D0773·Jul 16, 2024Complaint
Administration Deficiencies
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Federal penalties
By year
- 20241 fine · $136K · 1 payment denial
- 20231 fine · $8,190
Most recent events
- Mar 29, 2024Payment denial · 61 days · starting Jun 29, 2024
- Mar 29, 2024Fine · $136K
- Aug 16, 2023Fine · $8,190
Largest single fine on record: $136K.
Fire-safety citations
27 Life-Safety-Code citations on file. Most recent: Mar 29, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Old Southwest Health And Rehabilitationinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.