Our Lady of the Valley

    650 N Jefferson St, Roanoke, VA 24016
    • Independent Living
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Excellent care, rehab, meals, community

    I placed my mom here and we've had a wonderful experience. The facility is beautiful, clean and peaceful; admissions (Kayla), nurses, therapists and the chef are genuinely caring and responsive, rehab was instrumental in recovery, meals are delicious, and the robust activities and warm, faith-based community keep residents engaged - I highly recommend it for assisted living, rehab, or memory care.

    Loved one of resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Memory care community services

    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (medical)
    • Transportation arrangement (non-medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.04·(54)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.8
    • Staff

      3.9
    • Meals

      3.7
    • Amenities

      4.2
    • Value

      2.0

    Pros

    • Compassionate and attentive caregiving staff
    • Strong rehabilitation and physical therapy program
    • Chef-driven, varied dining options
    • Active life-enrichment and activities program
    • Dedicated memory-care programming
    • Clean, well-maintained facility areas
    • New theater and chapel amenities
    • Private rooms with en-suite bathrooms and in-room refrigerators
    • On-site salon and personal grooming services
    • Accessible outdoor spaces and large front porch
    • Scheduled transportation and bus outings
    • Bistro-style dining area and beverage stations
    • Welcoming admissions and tour experience
    • Frequent music, pet, and seasonal activities
    • Social, community-oriented atmosphere around nurses' stations

    Cons

    • Inconsistent medication-management and timeliness
    • Variable staff responsiveness to call lights and requests
    • Understaffing during some shifts
    • Irregular discharge coordination and care-transition processes
    • Inconsistent dining quality and meal assistance
    • Gaps in follow-through for preventive and respiratory treatments
    • Inconsistent handling of personal belongings and laundry
    • Variable management/administrative reliability and communication
    • Transfer and mobility-equipment handling concerns

    Summary of reviews

    Reviews present a mixed but informative picture. Many families and residents praise front-line caregiving, rehabilitation services, and the facility’s activity program. Physical therapy and rehab staff are frequently described as effective and instrumental in recovery; reviewers cite caring CNAs and nurses, a welcoming admissions experience, and an active life-enrichment calendar that includes music, pet visits, outings, arts and crafts, and seasonal events. Memory-care programming and communal areas such as the new theater, chapel, bistro, and dining room receive consistent positive comments, and the property is generally described as clean and well maintained with private rooms, en-suite bathrooms, and thoughtful amenities (salon services, beverage stations, on-site transportation).

    At the same time, multiple reviews identify operational weaknesses that merit consideration. Medication administration and timeliness are uneven, with accounts of delayed doses and inconsistent processes. Call-light responsiveness and staff availability are described as variable, particularly on certain shifts, which reviewers associate with understaffing and delayed care. Several comments point to inconsistencies in clinical follow-through — for example, arranging respiratory equipment or providing preventive vaccines — and to concerns about how transfer equipment and mobility needs are managed.

    Administrative and management issues appear as a recurring theme separate from direct caregiving. Families describe uneven management communication, problems coordinating discharges and post-acute transitions, and inconsistent handling of personal belongings and laundry. Financial and billing clarity is also a noted concern for some reviewers. Dining receives both praise and critique: the facility offers chef-driven menus and attractive dining spaces, but some reviews describe inconsistent meal quality and insufficient assistance at mealtimes for residents who need help.

    Taken together, the pattern suggests a facility with strong front-line clinical and activity strengths but with operational variability at the shift and administrative levels. Prospective residents and families who prioritize robust rehabilitation, active programming, and a well-appointed campus may find this facility aligns with their needs, while those who require highly reliable medication management, tightly coordinated discharges, or consistently responsive staffing should inquire specifically about staffing ratios, medication protocols, and administrative practices during their tour. Asking for recent examples of care-transition workflows, medication-administration audits, and housekeeping/property-handling policies can help assess whether the operational gaps cited in reviews have been addressed.

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    Medicare Ratings

    5·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Our Lady of the Valley

    Our Lady of the Valley is located at 650 N Jefferson St, Roanoke, VA, 24016.

    About Our Lady of the Valley

    Our Lady of the Valley has 70 licensed beds and sits at 650 North Jefferson Street in Roanoke, Virginia, where it's served seniors since 1989. The community offers both assisted living and memory care, so families who need long-term care or specialized help for Alzheimer's or dementia can find services here. Memory care housing tries to help residents feel safe and prevent wandering, and nurses stay on-site around the clock. Meagan Seale is the full-time administrator during a recent year where patient days reached 23,393. People living here can choose semi-private rooms at $324 per day or private rooms for $379 per day. The community doesn't ask for a large buy-in, making moving in simpler. Skilled nursing, rehabilitation services, and help with daily activities like bathing or dressing are all provided. Residents can take part in art through Opening Minds through Art (OMA), join the choir, or just enjoy programs designed to keep everyone engaged. Amenities like high-speed Wi-Fi, handicap access, and on-site parking aim to make life easier. Friendly staff, numbering about 66 full-time equivalents, care for the residents with patience, compassion, and respect. Owned by the Catholic Diocese of Richmond, the not-for-profit and nondenominational community has focused on care and wellness for over thirty years. Dining is available with various menus, and there's always something going on-whether it's a community event, scheduled activity, or something in the Open Hearts newsletter. Staff work hard to provide quality care while trying to preserve each resident's sense of independence. Their website, ourladyofthevalley.com, provides further details, though sometimes certain browsers have trouble displaying it properly. You can also check updates through their Facebook page.

    People often ask...

    Our Lady of the Valley offers independent living, assisted living, memory care, and skilled nursing.

    There are 42 photos of Our Lady of the Valley on Mirador.

    Yes, Our Lady of the Valley allows residents to age in place and adjust their level of care as needed.

    The full address for this community is 650 N Jefferson St, Roanoke, VA 24016.

    No, Our Lady of the Valley does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Virginia, the Department of Social Services licenses assisted living facilities and publishes the results of its routine and complaint inspections.

    License number10864
    Facility typeAssisted Living Facility
    License class1yr
    Capacity127 residents
    Care servedSpecial Care Un, Assisted Living, Non-ambulatory
    ExpiresMarch 31st, 2027
    Special certificationSpecial Care Un, Assisted Living, Non-Ambulatory
    View the official license record

    Inspection Reports

    23

    Reports

    42

    Citations

    0

    Complaints

    4

    Years

    23 Mar 2026Inspection
    Investigated a self-reported incident related to resident care and related services; found no evidence of non-compliance.
    09 Feb 2026Inspection
    Identified deficiencies in medication management procedures, including monitoring for expired medications and proper documentation of controlled substances.
    • 22VAC40-73-(6)-640-A
    13 Jan 2026Inspection
    Investigated the complaint and found no deficiencies.
    13 Jan 2026Inspection
    Investigated the self-reported non-compliance related to resident care and related services; found no evidence to support the allegation.
    21 Oct 2025Inspection
    Investigated a complaint regarding resident care and related services and found no deficiencies.
    11 Sept 2025Inspection
    Identified medication-related deficiencies, including administering the wrong medication and failing to document actions after a medication error.
    • 22VAC40-73-(6)-680-D
    • 22VAC40-73-(6)-680-J
    11 Sept 2025Inspection
    Investigated a self-reported non-compliance in resident care and related services, including admission, retention and discharge of residents; found no evidence to support the allegation.
    29 May 2025Inspection
    Investigated a complaint related to building and grounds and resident care; found no deficiencies.
    15 Apr 2025Inspection
    Found no deficiencies. The investigation did not support the self-reported non-compliance with resident care and related services.
    01 Apr 2025Inspection
    Identified multiple deficiencies in staff records and medication management, including provisional medication aide status and errors in medication administration.
    • 22VAC40-73-(3)-250-C
    • 22VAC40-73-(6)-640-A
    • 22VAC40-73-(6)-670-2
    • 22VAC40-73-(6)-680-D
    27 Jan 2025Inspection
    Found deficiencies in fall risk assessment updates after falls and in documenting analyses and interventions to prevent future falls.
    • 22VAC40-73-(5)-325-B
    • 22VAC40-73-(5)-325-C
    05 Dec 2024Inspection
    Identified a deficiency where the individualized service plan was not signed by the resident or legal representative after completion and subsequent updates.
    • 22VAC40-73-(6)-450-E
    05 Dec 2024Inspection
    Investigated a self-reported incident alleging non-compliance with admission/retention and discharge provisions and cognitive impairment requirements; found no deficiencies.
    28 Oct 2024Inspection
    Found no deficiencies after reviewing a complaint alleging issues with resident care.
    28 Oct 2024Inspection
    Found no deficiencies after reviewing a self-reported incident alleging concerns in resident care and related services.
    18 Jan 2024Inspection
    Identified deficiencies in individualized service plans and medication administration.
    • 22VAC40-73-(6)-450-C
    • 22VAC40-73-(6)-680-D
    13 Jun 2023Inspection
    Investigated found that a preliminary plan of care was not completed on or within seven days prior to admission for a resident admitted 03/08/2023.
    • 22VAC40-73-(6)-450-A
    21 Feb 2023Inspection
    Identified multiple deficiencies across training, medication management, recordkeeping, and care planning that affected resident safety and care.
    • 22VAC40-73-(3)-270-4
    • 22VAC40-73-(6)-680-K
    • 22VAC40-73-(8)-860-I
    • 22VAC40-73-(3)-270-1
    • 22VAC40-73-(3)-250-D
    • 22VAC40-73-(6)-450-C
    • 22VAC40-73-(3)-210-D
    • 22VAC40-73-(2)-100-C-2
    • 22VAC40-73-(6)-560-E
    • 22VAC40-73-(6)-640-A
    • 22VAC40-73-(6)-450-E
    • 22VAC40-73-(6)-480-E
    • 22VAC40-73-(6)-440-D
    • 22VAC40-73-(6)-660-B
    • 22VAC40-73-(8)-860-D
    26 Sept 2022Inspection
    Found deficiencies: the resident's ISP did not include all identified needs, and the UAI was not updated after significant changes in condition.
    • 22VAC40-73-(6)-450-C
    • 22VAC40-73-(6)-440-A
    25 Jul 2022Inspection
    Found no deficiencies. No violations cited.
    21 Jun 2022Inspection
    Identified deficiencies in supervision of residents with exit-seeking behavior and in securing doors after a memory care resident exited the unit and left the building.
    • 22VAC40-73-(6)-460-D
    • 22VAC40-73-(10)-1150-A
    12 Apr 2022Inspection
    Found multiple deficiencies related to medication management, staffing on night shifts, cognitive impairment assessment, facility safety, and emergency preparedness.
    • 22VAC40-73-(6)-660-B
    • 22VAC40-73-(6)-680-E
    • 22VAC40-73-(10)-1130-C
    • 22VAC40-73-(6)-680-I
    • 22VAC40-73-(6)-450-C
    • 22VAC40-73-(10)-1090-A
    • 22VAC40-73-(10)-1150-B
    • 22VAC40-73-(3)-260-A
    • 22VAC40-73-(8)-930-D
    • 22VAC40-73-(9)-990-C
    09 Mar 2022Inspection
    Determined that the allegation of charges for services not being provided was not valid and found no violations.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Our Lady of the Valley. The information above has not been verified or approved by the owner or operator. For exact information, please contact Our Lady of the Valley directly. There is no cost for this service. We are compensated by the community you select.

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