| Old Southwest Health and Rehabilitation | |
| 324 King George Ave Sw, Roanoke, Virginia 24016 | |
| (540) 345-8139 | |
| Name | Old Southwest Health and Rehabilitation |
|---|---|
| Location | 324 King George Ave Sw, Roanoke, Virginia |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 130 |
| Occupancy Rate | 58.85% |
| Medicare ID (CCN) | 495156 |
| Legal Business Name | Old Southwest Health and Rehabilitation LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Eastern Healthcare Group (18 nursing homes) |
| Chain Average Overall Rating | 1.5 out of 5 |
| NPI Number | 1750094033 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Old Southwest Health and Rehabilitation LLC |
| Doing Business As | Old Southwest Health and Rehabilitation |
| Address | 324 King George Ave Sw, Roanoke, VA 24016 |
| Phone Number | 540-345-8139 |
| NPI Number | 1073001079 |
| Match | Possible same name, address or phone number |
| Organization Name | Curis at Roanoke Opco LLC |
| Doing Business As | Curis at Roanoke Transitional Care & Rehabilitation Center |
| Address | 324 King George Ave Sw, Roanoke, VA 24016 |
| Phone Number | 540-345-8139 |
| NPI Number | 1558444505 |
| Match | Possible same name, address or phone number |
| Organization Name | Avante at Roanoke, Inc. |
| Address | 324 King George Ave Sw, Roanoke, VA 24016 |
| Phone Number | 540-345-8139 |
| NPI Number | 1598419467 |
| Match | Possible same name, address or phone number |
| Organization Name | 324 King George Opco LLC |
| Doing Business As | Choice Healthcare at Roanoke |
| Address | 324 King George Ave Sw, Roanoke, VA 24016 |
| Phone Number | 540-345-8139 |
| NPI Number | 1760955116 |
| Match | Possible same name, address or phone number |
| Organization Name | Accordius Health at Roanoke LLC |
| Address | 324 King George Ave Sw, Roanoke, VA 24016 |
| Phone Number | 540-345-8139 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.47 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.42 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.31 | 0.86 |
| Nurse aide hours per resident per day | 1.73 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.05 | 3.42 |
| RN hours per resident per day on the weekend | 0.34 | 0.48 |
| Physical therapist hours per resident per day | 0.07 | 0.07 |
| Total nursing staff turnover | 69.5% | 45.8% |
| Registered nurse turnover | 75% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $135,633 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 2 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jul 16, 2024 | 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. F0726, Nursing and Physician Services, Complaint inspection | Potential for harm, widespread | Corrected by Aug 29, 2024 |
| Jul 16, 2024 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865, Administration, Complaint inspection | Potential for harm, widespread | Corrected by Aug 29, 2024 |
| Jul 16, 2024 | Honor 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. F0578, Resident Rights, Complaint inspection | Potential for harm, pattern | Corrected by Aug 29, 2024 |
| Jul 16, 2024 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623, Resident Rights, Complaint inspection | Potential for harm, pattern | Corrected by Aug 29, 2024 |
| Jul 16, 2024 | 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. F0625, Resident Rights, Complaint inspection | Potential for harm, pattern | Corrected by Aug 29, 2024 |
| Jul 16, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Complaint inspection | Potential for harm, pattern | Corrected by Aug 29, 2024 |
| Jul 16, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, pattern | Corrected by Aug 29, 2024 |
| Jul 16, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Potential for harm, pattern | Corrected by Aug 29, 2024 |
| Jul 16, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, pattern | Corrected by Aug 29, 2024 |
| Jul 16, 2024 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. F0940, Administration, Complaint inspection | Potential for harm, pattern | Corrected by Aug 29, 2024 |
| Jul 16, 2024 | 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. F0584, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Aug 29, 2024 |
| Jul 16, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Aug 29, 2024 |
| Jul 16, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Aug 29, 2024 |
| Jul 16, 2024 | 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. F0688, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Aug 29, 2024 |
| Jul 16, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Aug 29, 2024 |
| Jul 16, 2024 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Aug 29, 2024 |
| Jul 16, 2024 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Aug 29, 2024 |
| Jul 16, 2024 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Aug 29, 2024 |
| Jul 16, 2024 | Provide timely, quality laboratory services/tests to meet the needs of residents. F0770, Administration, Complaint inspection | Potential for harm, isolated | Corrected by Aug 29, 2024 |
| Jul 16, 2024 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. F0773, Administration, Complaint inspection | Potential for harm, isolated | Corrected by Aug 29, 2024 |
| Jul 16, 2024 | Keep complete, dated laboratory records in the resident's record. F0775, Administration, Complaint inspection | Potential for harm, isolated | Corrected by Aug 29, 2024 |
| Jul 16, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Aug 29, 2024 |
| Jul 16, 2024 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883, Infection Control, Complaint inspection | Potential for harm, isolated | Corrected by Aug 29, 2024 |
| Jul 16, 2024 | 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. F0887, Infection Control, Complaint inspection | Potential for harm, isolated | Corrected by Aug 29, 2024 |
| Mar 29, 2024 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection | Actual harm, isolated | Corrected by Aug 29, 2024 |
| Mar 29, 2024 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867, Administration, Standard inspection | Actual harm, isolated | Corrected by Jul 16, 2024 |
| Mar 29, 2024 | 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. F0726, Nursing and Physician Services, Standard inspection | Potential for harm, widespread | Corrected by Aug 29, 2024 |
| Mar 29, 2024 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Jul 16, 2024 |
| Mar 29, 2024 | Honor 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. F0578, Resident Rights, Complaint inspection | Potential for harm, pattern | Corrected by Aug 29, 2024 |
| Mar 29, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, pattern | Corrected by Jul 16, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.13 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 6.56 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.14 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 1.52 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 12.83 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.61 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 49.4 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 5.95 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 14.15 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 24.76 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 20 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 5.74 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 7.91 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.54 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 21.28 | 15.38 |
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