Our Lady of the Valley
650 North Jefferson Street, Roanoke, VA 24016 · Roanoke City County · (540) 345-5111
70 certified beds, about 64 residents a day · Non profit - Church related · Medicare and Medicaid since 2001
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495357 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 25, 2023, inspectors cited 3 health deficiencies (the Virginia average is 14.3, the national average 9.2).
None of its 12 health citations since April 2019 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.84 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.45 of those hours.
45.3% of nursing staff left within the year CMS measured (Virginia average 48.1%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 12 health citations on file.
August 25, 2023Standard inspection · 3 citations
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on staff interview and clinical record review the facility staff failed to follow physician's orders for one of 21 residents, Resident #221.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on resident and staff interview, resident observation and clinical record review, the facility staff failed to ensure that residents maintain acceptable parameters of nutrition for one of 23 residents in the survey sample, resident # 46. For resident # 46, the facility staff failed to follow the recommendations of the Registered Dietician (RD) to obtain another weight, and then do weekly weights if an actual weight loss is confirmed Additionally, the facility staff failed to ensure that resident # 46's weight loss was addressed by the physician. Resident # 46's diagnoses list included but was not limited to, Type II diabetes mellitus, gastro esophageal reflux disease, vitamin deficiency unspecified, mild protein calorie malnutrition, and chronic kidney disease. [...]
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on staff interview, facility document review and record review, the facility staff failed to ensure the physician reviewed the pharmacy recommendations for one of 21 residents in the survey sample, Resident #4.
April 15, 2021Standard inspection · 5 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interview and facility document review the facility staff failed to store, prepare and serve food in a safe and sanitary manner.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on staff interviews, clinical record reviews, and in the course of a complaint investigation, the facility staff failed to ensure that residents receive treatment and care by not following physician's orders for one (1) of 16 sampled residents (Resident #105).
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation and staff interview, the facility staff failed to safely store medications in 1 of 2 medication rooms. This medication room contained expired medications.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, the facility staff failed to maintain an effective infection prevention and control program for 1 of 16 residents, Resident #12.
- C Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspectors wroteBased on staff interview and facility document review the facility staff failed to provided evidence that the facility QA (quality assurance) committee met at least quarterly for the last 2 quarters of 2020.
April 8, 2019Standard inspection · 4 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interview and facility policy review it was determined the kitchen staff failed prepare food in a clean and sanitary manner for facility residents.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to follow physician's orders for 1 of 19 Residents in the survey sample, Resident # 14.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, staff interview, and clinical record review, facility staff failed to provide services to prevent urinary tract infections for 1 of 19 Residents in the survey sample, Resident # 52.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation and staff interview, facility staff failed to securely store medication in 1 of 2 medication rooms. On [DATE], when the surveyors arrived to the facility at 7:45 AM, the door to the medication room behind the nurse's station on [NAME] hall was open. The treatment cart was unlocked. No nursing staff were present in the room or at the nurse's station nearby. Two nurses were working medication carts in the hall and the nursing supervisor was in the dining room. The medication refrigerator was unlocked. There were no controlled substances in the refrigerator. None of the stored medications were expired. The door to the medication room was closed by 8:15 AM. The medication rooms were not observed open and unattended again during the survey. The director of nursing was notified of the concern during a discussion on [DATE] at approximately 3 PM. [...]
Fire safety inspections
23 fire safety citations on file: 2 on August 25, 2023, 16 on April 15, 2021, 5 on April 8, 2019.
Every fire safety citation23 citations
- D Install emergency lighting that can last at least 1 1/2 hours.
- D Install a fire alarm system that can be heard throughout the facility.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Have properly located and lighted "Exit" signs.
- E Have properly installed electrical wiring and gas equipment.
- E Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E Have generator or other power source capable of supplying service within 10 seconds.
- D Install corridor and hallway doors that block smoke.
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D Ensure proper usage of power strips and extension cords.
- C Develop and maintain an Emergency Preparedness Program (EP).
- C Conduct risk assessment and an All-Hazards approach.
- C Address patient/client population and determine types of services needed.
- C Address subsistence needs for staff and patients.
- C Establish policies and procedures for volunteers.
- C Conduct testing and exercise requirements.
- F Use approved construction type or materials.
- F Meet other general requirements that are deficient.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Virginia | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.84 | 3.76 | 3.86 |
| Registered nurses | 0.45 | 0.69 | 0.69 |
| All nursing staff on weekends | 3.61 | 3.29 | 3.42 |
| Nurse aides | 2.29 | ||
| Licensed practical nurses | 1.09 | ||
| Nursing staff turnover (share who left in a year) | 45.3% | 48.1% | 45.8% |
| Registered nurse turnover | 37.5% | 48.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.56 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.93 on weekdays and 3.61 on weekends, 8% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.41 in April to June 2025 to 3.84 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.84 | 0.45 | 3.93 | 3.61 | 1.7% | 0 of 90 | 64 |
| Oct to Dec 2025 | 3.64 | 0.39 | 3.63 | 3.65 | 5.0% | 2 of 92 | 64 |
| Jul to Sep 2025 | 3.59 | 0.50 | 3.62 | 3.50 | 3.3% | 0 of 92 | 64 |
| Apr to Jun 2025 | 3.41 | 0.52 | 3.45 | 3.28 | 0.8% | 0 of 91 | 65 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Virginia, Jan to Mar 2026 | 3.58 | 0.56 | 3.76 | 3.12 | 5.7% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Virginia | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 15.4 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.3 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.8 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 23.1 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.8 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 3.2 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 34.3 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.9 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.5 | 1.8 |
Owners and operators
Legal business name: OUR LADY OF THE VALLEY, INC..
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| McNichols, Mary | W-2 managing employee | Individual | 11/26/1988 | |
| Rawlings, David | Corporate director | Individual | 11/29/2011 | |
| Staples, Emily | Corporate director | Individual | 11/01/2024 | |
| White, Denise | Corporate director | Individual | 11/29/2011 | |
| Catrambone, Joseph | Operational/managerial control | Individual | 12/31/2024 | |
| Rawlings, David | Operational/managerial control | Individual | 11/29/2011 | |
| Staples, Emily | Operational/managerial control | Individual | 11/01/2024 | |
| White, Denise | Operational/managerial control | Individual | 11/29/2011 | |
| Catrambone, Joseph | Adp of the SNF | Individual | 12/31/2024 | |
| Rawlings, David | Adp of the SNF | Individual | 11/29/2011 | |
| Staples, Emily | Adp of the SNF | Individual | 11/01/2024 | |
| White, Denise | Adp of the SNF | Individual | 11/29/2011 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on August 25, 2023: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on August 25, 2023: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on April 15, 2021: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on April 15, 2021: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Old Southwest Health and Rehabilitation Roanoke, 1.3 mi · 1 of 5 stars · 126 citations
- Raleigh Court Health and Rehabilitation Center Roanoke, 2.3 mi · 4 of 5 stars · 29 citations
- Star City Rehabilitation and Nursing Roanoke, 2.5 mi · 2 of 5 stars · 31 citations
- Berkshire Health & Rehabilitation Center Vinton, 3.1 mi · 4 of 5 stars · 28 citations
- Friendship Health and Rehab Center Roanoke, 3.1 mi · 4 of 5 stars · 17 citations
- Springtree Healthcare & Rehab Center Roanoke, 3.1 mi · 3 of 5 stars · 40 citations
- South Roanoke Nursing and Rehabilitation Roanoke, 3.5 mi · 3 of 5 stars · 39 citations
- Pheasant Ridge Nursing and Rehabilitation Roanoke, 4 mi · 1 of 5 stars · 44 citations
Virginia contacts for a concern about a nursing home
These are the official offices in Virginia. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Virginia Department of Health, Office of Licensure and Certification, Division of Long-Term Care Services, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Virginia Office of the State Long-Term Care Ombudsman, 800-552-5019. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: VDH Nursing Home and ICF/IID Inspections and Surveys, where Virginia publishes its own records on licensed homes.
Common questions
- What is Our Lady of the Valley's Medicare star rating?
- CMS rates Our Lady of the Valley 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Our Lady of the Valley get at its last inspection?
- 3 health deficiencies at the standard inspection on August 25, 2023. The Virginia average is 14.3.
- Has Our Lady of the Valley been fined?
- CMS lists no fines in the last three years.
- Does Our Lady of the Valley accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Our Lady of the Valley?
- CMS lists 12 owners and managers. Legal business name: OUR LADY OF THE VALLEY, INC..
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.