Roanoke · 1.3 mi
Old Southwest Health and Rehabilitation
1 of 5 · Medicare
View facility →Our Lady of the Valley
⌖ Roanoke, VA · Roanoke City County · Medicare data as of September 2026
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Medicare overall rating 5 of 5 stars
Certified beds70
Medicare / MedicaidMedicare & Medicaid
OwnershipNon-profit (church related)
About Our Lady of the Valley
Our Lady of the Valley is a 70-bed nonprofit nursing home in Roanoke, VA. Medicare rates it 5 out of 5 stars overall (much above average); the average in Virginia is 3.0.
- Inspections: 3 problems at its last full inspection (Aug 2023), fewer than the Virginia average of 14.3. None of its recent citations were for residents being harmed.
- Staffing: nurses and aides spend about 3 hr 50 min a day with each resident, about the same as the Virginia average of 3 hr 46 min. About 45% of nursing staff left in the past year.
- Fines: no federal fines in the last three years.
- Stands out: 3.2% of long-term residents were given antipsychotic drugs, compared with 15.4% nationally.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
Key details
Facility nameOur Lady Of The Valley
LocationRoanoke City County, Virginia
Phone(540) 345-5111
Address650 North Jefferson Street, Roanoke, VA 24016 · Roanoke City County
Medicare provider number495357
Ownership typeNon-profit (church related)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceOctober 1, 2001 (24 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official Medicare inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from Medicare's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
3 strengths and 1 thing to ask about in Medicare's inspection, fine and staffing records for this home. 2 care-quality measures are worse than the state average in the rehab and long-term care section below.
Strengths
- Serious health citationsNone since Aug 2023No citations for actual harm or immediate jeopardy since Aug 2023.Strength
- Fines and penaltiesNoneNo federal fines or payment denials in the last three years.Strength
- Health citations at last inspection3 (Aug 2023)Virginia average: 14.3.Strength
About average
- Nurse staffing per resident3 hr 50 min a dayVirginia average: 3 hr 46 minAbout average
- Nursing staff turnover45% a yearVirginia average: 48%About average
Things to ask about
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- Registered nurse time per resident27 min a dayVirginia average: 41 minWorse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Virginia average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Sent back to the hospital34.3%State average: 22.3%Worse than average
- Needed an emergency room visit8.9%State average: 11.5%Better than average
- Newly given antipsychotic drugs0.8%State average: 1.3%Better than average
Physical therapist time: about 2 minutes a day per resident, averaged across all residents, including long-term residents who get little or no therapy. That is less than the state average of 5 minutes. It is not one person’s therapy schedule; if rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury6.3%State average: 3.6%Worse than average
- Pressure sores (bedsores)3.8%State average: 4.7%About average
- Given antipsychotic drugs3.2%State average: 14.2%Better than average
- Hospital stays per 1,000 resident days1.7State average: 1.5About average
Source: Medicare (CMS) quality measures, compared with the Virginia average. Lower is better for every rate shown.
Who pays, and how full it is
Many residents here pay privately or through insurance. In Virginia, Medicaid pays for 63% of resident days at a typical home.
- 13% Medicaid
- 10% Medicare
- 77% Private pay, insurance and other
Beds in use, on average93%Virginia typical: 90%
Facility operating cost per resident day$233Virginia typical: $336
Shares of resident days, from the home’s Medicare cost report for the year ending June 2025. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
What a stay may cost
- Short-term rehab with Medicare: after a qualifying hospital stay, Medicare pays in full for days 1–20. From day 21 to day 100 you pay $217 a day (2026), unless other coverage pays it. Medicare stops after day 100. Estimate a rehab stay →
- Paying privately: ask the home for its daily rate and what it includes. As a guide, Virginia’s Medicaid program uses about $7,324 a month as the average cost of nursing home care in this home’s region (January 2025); see the state’s figure.
- Medicaid: this home is certified for Medicaid, which pays for most long-term care once savings run low. Ask whether a Medicaid bed is available. Medicaid rules in Virginia →
Medicare amounts from Medicare.gov. Prices vary with room type and care needs, so always confirm with the home.
Ratings over time
Its overall Medicare rating is 5 stars now, up from 1 star in January 2019. It has ranged from 1 to 5 stars and changed 12 times.
Overall rating5★
Health inspections5★
Staffing3★
Quality of care4★
Nurse hours per resident per day3.8
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 1 | 1 | 1 | 3 | 2.0 |
| Jan 2020 | 3 | 3 | 3 | 4 | 4.0 |
| Jan 2021 | 3 | 3 | – | 4 | – |
| Jan 2022 | 4 | 4 | 4 | 4 | 3.7 |
| Jan 2023 | 5 | 4 | 3 | 5 | 3.6 |
| Jan 2024 | 5 | 4 | 3 | 5 | 3.7 |
| Feb 2025 | 5 | 4 | 3 | 5 | 3.9 |
| Feb 2026 | 5 | 4 | 3 | 5 | 3.6 |
| Sep 2026 | 5 | 5 | 3 | 4 | 3.8 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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View facility →Family reviews
No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.