Our Lady of the Valley

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

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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

    3.92·(59)

    Overall rating

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

      3.7
    • Staff

      3.9
    • Meals

      3.6
    • Amenities

      4.2
    • Value

      1.8

    Pros

    • compassionate and attentive caregiving staff
    • skilled rehabilitation and physical therapy services
    • engaged and well-run activities/life-enrichment program
    • chef-driven, varied dining options and salad bar
    • clean, well-maintained campus and common areas
    • new amenities including theatre and chapel
    • spacious private rooms with private bathrooms and mini-fridges
    • on-site salon and routine personal-care services
    • pleasant outdoor spaces and ample parking
    • welcoming admissions process and informative tours
    • memory-care program with structured activities
    • regular music, pet visits, and community outings
    • bistro/dining area with all-day beverage stations
    • friendly front-desk and visible nursing presence
    • faith-based affiliation and community atmosphere

    Cons

    • inconsistent staffing levels and turnover
    • medication-delivery delays and unreliable medication management
    • unreliable call-response systems and slow staff responsiveness
    • variable dining quality and inconsistent meal assistance
    • inconsistent adherence to mobility/transfer protocols
    • gaps in discharge planning and care coordination
    • inconsistent administrative responsiveness and leadership instability
    • inadequate handling of resident belongings and laundry processes
    • communication gaps between care team and families
    • cleanliness issues and localized odor concerns
    • variable social-work performance and family support
    • billing transparency and fee-management concerns

    Summary of reviews

    Overall impressions of Our Lady of the Valley are mixed, with clear areas of strength alongside recurring operational concerns. Many families and residents praise the direct-care staff — caregivers, nurses on several shifts, and therapy teams — for compassionate bedside care and effective rehabilitation. The facility offers a range of attractive amenities (new theatre and chapel, salon, bistro/dining area, outdoor spaces) and generally well-maintained rooms that support recovery and social engagement. Memory-care programming and the life-enrichment schedule receive consistent positive mention for structured activities, music, pet visits, and community outings that contribute to a social, active atmosphere.

    Clinical care experiences diverge. The rehabilitation and therapy services are frequently described as high-quality and instrumental in recovery, with knowledgeable therapists and positive outcomes for short-term rehab stays. Conversely, longer-term and transition-of-care experiences show variability: medication-delivery delays, slow responses to call lights, and inconsistent assistance with meals are recurring operational issues. Several accounts indicate delays in pain- and symptom-management medications and uneven follow-through on mobility and transfer protocols, suggesting room to strengthen clinical process controls and staff training on time-sensitive tasks.

    Dining and daily-living services present a mixed picture. Many reviewers highlight chef-driven menus, fresh produce, plated meals, and pleasant dining environments. Others describe uneven meal quality over time or inadequate dining assistance for residents who need help eating. Activities and social programs are a clear strength, with a robust calendar, active life-enrichment staff, and frequent special events that support resident engagement and quality of life.

    Facility maintenance and amenities are frequently cited positively: clean public spaces, roomy private rooms with en-suite bathrooms and mini-fridges, accessible outdoor areas, and ample parking. That said, a number of reviews raise localized cleanliness and odor concerns in certain units or common areas, indicating inconsistencies in housekeeping or sanitation oversight. Administrative and management practices are another clear pattern: several families report problems with discharge coordination, handling of personal belongings and laundry, billing transparency, and uneven responsiveness from leadership and social-work staff. These administrative issues, combined with staffing shortages and turnover, appear to be the primary drivers of negative experiences described by families.

    In summary, Our Lady of the Valley offers many substantive strengths for prospective residents seeking active rehab, memory care, or a faith-based community setting: skilled therapy, engaging activities, attractive amenities, and many empathetic caregivers. Prospective residents and families should balance those positives with operational caveats — particularly around staffing consistency, medication/timeliness processes, call-response reliability, discharge coordination, and administrative responsiveness — and consider direct questions about those areas during tours and admissions discussions. For short-term rehab stays the facility often receives high marks; for long-term placement, families may want to clarify staffing ratios, medication administration protocols, meal assistance procedures, and the facility's policies for handling personal belongings and billing before committing.

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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

    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 49 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 servedAssisted Living, Non-ambulatory, Special Care Un
    ExpiresMarch 31st, 2027
    Special certificationAssisted Living, Non-Ambulatory, Special Care Un
    View the official license record

    Inspection Reports

    27

    Reports

    43

    Citations

    0

    Complaints

    4

    Years

    06 Aug 2026Inspection
    Found a violation of a resident's rights due to economic abuse/exploitation based on records and investigation of missing checks and unauthorized payments.
    • 22VAC40-73-(6)-550-C
    06 Aug 2026Inspection
    Investigated a self-reported allegation about personnel and resident accommodations; found no deficiencies.
    06 Aug 2026Inspection
    Found no deficiencies. The self-reported non-compliance was not supported.
    06 Aug 2026Inspection
    Investigated a self-reported incident and found no non-compliance.
    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 self-reported non-compliance related to resident care and related services; found no evidence to support the allegation.
    13 Jan 2026Inspection
    Investigated the complaint and found no deficiencies.
    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-J
    • 22VAC40-73-(6)-680-D
    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-(6)-670-2
    • 22VAC40-73-(6)-640-A
    • 22VAC40-73-(6)-680-D
    • 22VAC40-73-(3)-250-C
    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-C
    • 22VAC40-73-(5)-325-B
    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 self-reported incident alleging concerns in resident care and related services.
    28 Oct 2024Inspection
    Found no deficiencies after reviewing a complaint alleging issues with resident care.
    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-(6)-680-K
    • 22VAC40-73-(3)-270-1
    • 22VAC40-73-(3)-270-4
    • 22VAC40-73-(6)-450-E
    • 22VAC40-73-(6)-480-E
    • 22VAC40-73-(8)-860-I
    • 22VAC40-73-(3)-250-D
    • 22VAC40-73-(6)-560-E
    • 22VAC40-73-(2)-100-C-2
    • 22VAC40-73-(6)-660-B
    • 22VAC40-73-(3)-210-D
    • 22VAC40-73-(6)-450-C
    • 22VAC40-73-(6)-440-D
    • 22VAC40-73-(6)-640-A
    • 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)-680-E
    • 22VAC40-73-(10)-1130-C
    • 22VAC40-73-(10)-1150-B
    • 22VAC40-73-(6)-680-I
    • 22VAC40-73-(10)-1090-A
    • 22VAC40-73-(3)-260-A
    • 22VAC40-73-(6)-660-B
    • 22VAC40-73-(6)-450-C
    • 22VAC40-73-(9)-990-C
    • 22VAC40-73-(8)-930-D
    09 Mar 2022Inspection
    Determined that the allegation of charges for services not being provided was not valid and found no violations.

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    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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