Our Lady of the Valley

Name: Our Lady of the Valley
Address: 650 NORTH JEFFERSON STREET, Roanoke, VA, 24016, US
Telephone: 5403455111

650 North Jefferson Street, Roanoke, VA 24016 · Roanoke City County · 70 certified beds · avg 64 residents/day · certified since Oct 1, 2001

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.13

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (14)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Aug 25, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Aug 25, 2023	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Aug 25, 2023	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Aug 25, 2023	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint
Aug 25, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Apr 15, 2021	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Apr 15, 2021	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Apr 15, 2021	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Apr 15, 2021	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Apr 15, 2021	C · Minimal risk, facility-wide	The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months.
Apr 8, 2019	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Apr 8, 2019	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Apr 8, 2019	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Apr 8, 2019	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (5 → 3).

Year	Citations	Worst severity that year
2019	4	F
2021	5	F
2023	5	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Virginia avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.13	3.67	3.95	top 21% in Virginia; top 35% in the U.S.
Registered Nurse hours	0.49	0.66	0.69	bottom 45% in Virginia; bottom 36% in the U.S.
Weekend total nurse staffing	3.88	3.21	3.50	top 19% in Virginia; top 27% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.26	0.46	0.48	bottom 34% in Virginia; bottom 24% in the U.S.
Total nursing staff turnover (%)	45.3	48.1	45.8	top 41% in Virginia; bottom 49% in the U.S.
RN turnover (%)	37.5	48.2	42.9	top 30% in Virginia; top 42% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.84, RN 0.45, weekend 3.61. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5

Who owns this facility

Non profit - Church related

Owner / manager	Type	Role	Stake	Since
Catrambone, Joseph	Individual	Operational/Managerial Control	NOT APPLICABLE	12/31/2024
Catrambone, Joseph	Individual	ADP of the SNF	NOT APPLICABLE	12/31/2024
McNichols, Mary	Individual	W-2 Managing Employee	NOT APPLICABLE	11/26/1988
Rawlings, David	Individual	Corporate Director	NOT APPLICABLE	11/29/2011
Rawlings, David	Individual	Operational/Managerial Control	NOT APPLICABLE	11/29/2011
Rawlings, David	Individual	ADP of the SNF	NOT APPLICABLE	11/29/2011
Staples, Emily	Individual	Corporate Director	NOT APPLICABLE	11/01/2024
Staples, Emily	Individual	Operational/Managerial Control	NOT APPLICABLE	11/01/2024
Staples, Emily	Individual	ADP of the SNF	NOT APPLICABLE	11/01/2024
White, Denise	Individual	Corporate Director	NOT APPLICABLE	11/29/2011
White, Denise	Individual	Operational/Managerial Control	NOT APPLICABLE	11/29/2011
White, Denise	Individual	ADP of the SNF	NOT APPLICABLE	11/29/2011

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Old Southwest Health and Rehabilitation	1.3 mi	Roanoke, VA	★☆☆☆☆	1/5
Raleigh Court Health and Rehabilitation Center	2.3 mi	Roanoke, VA	★★★★☆	3/5
Star City Rehabilitation and Nursing	2.5 mi	Roanoke, VA	★★☆☆☆	3/5
Berkshire Health & Rehabilitation Center	3.1 mi	Vinton, VA	★★★★☆	4/5
Friendship Health and Rehab Center	3.1 mi	Roanoke, VA	★★★★☆	4/5
Springtree Healthcare & Rehab Center	3.1 mi	Roanoke, VA	★★★☆☆	3/5
South Roanoke Nursing and Rehabilitation	3.5 mi	Roanoke, VA	★★★☆☆	2/5
Pheasant Ridge Nursing and Rehabilitation	4.0 mi	Roanoke, VA	★★☆☆☆	2/5
Davis and McDaniel Veterans Care Center	4.0 mi	Roanoke, VA	★★★★★	5/5
Brandon Oaks Nursing and Rehabilitation Center	4.2 mi	Roanoke, VA	★★★★★	4/5
Salem Health & Rehabilitation	4.5 mi	Salem, VA	★☆☆☆☆	2/5
Friendship Health and Rehab Center - South	5.7 mi	Roanoke, VA	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Roanoke →

Facility data as of CMS processing date 2026-08-01. CCN 495357.

The Care File

Visit checklist — Our Lady of the Valley

650 North Jefferson Street, Roanoke, VA 24016 · 5403455111

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 495357 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)