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Alleghany Health and Rehab

1725 Main Street, Clifton Forge, VA 24422 · Alleghany County · (540) 862-5791

105 certified beds, about 87 residents a day · For profit - Corporation · Medicare and Medicaid since 1984

Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
1 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 495141 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 27, 2023, inspectors cited 12 health deficiencies (the Virginia average is 14.3, the national average 9.2).

Of 59 health citations since March 2019, 4 were rated as actual harm or immediate jeopardy to residents (4 immediate jeopardy).

CMS lists 2 fines totaling $108,698 in the last three years; the largest was $87,878, and the latest is dated January 28, 2025.

Nurses and nurse aides worked 3.23 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.56 of those hours.

62.2% of nursing staff left within the year CMS measured (Virginia average 48.1%).

CMS links it to Trio Healthcare, an affiliated group of 9 nursing homes.

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.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

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 59 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
2J
2K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
39D
11E
5F
Potential for minimal harm
0A
0B
0C
September 11, 2025Complaint inspection · 5 citations
  1. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 5, 2026
    Inspectors wroteBased on resident interview, staff interview, clinical record review, facility documentation reviews the facility staff failed to give notification of a room change to one resident, Resident #1(R1) out of a survey sample of eight residents.
  2. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 5, 2026
    Inspectors wroteBased on resident interview, staff interview, clinical record review, facility documentation reviews the facility staff failed to conduct an accurate investigation of an allegation for two residents, Resident #1 (R1) and Resident #2 (R2) out of a survey sample of eight residents.
  3. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 5, 2026
    Inspectors wroteBased on staff interview, clinical record review, facility documentation reviews the facility failed to follow professional standards of care for two residents, Resident #2 (R2) and Resident #3 (R3) out of a survey sample of eight residents.
  4. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 5, 2026
    Inspectors wroteBased on staff interview, clinical record review, facility documentation reviews the facility staff failed to implement fall interventions for two residents, Resident #2 (R2) and Resident #3 (R3) out of a survey sample of eight residents.
  5. D
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 5, 2026
    Inspectors wroteBased on observations, resident interview, staff interview, facility documentation reviews the facility staff failed to maintain a sanitary environment on two of three units.
January 28, 2025Complaint inspection · 17 citations
  1. K
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 14, 2025
    Inspectors wroteBased on observation, resident interview, facility staff interview, clinical record review, and facility documentation review, the facility staff failed to ensure residents were free from abuse and neglect having the potential to affect numerous residents on 2 of 3 nursing units. The abuse and neglect resulted in psychosocial harm for two residents (Resident #8- R8 and Resident #17-R17), which resulted in the identification of Immediate Jeopardy and Substandard Quality of Care.
  2. K
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 14, 2025
    Inspectors wroteThe facility staff have failed to implement abuse policies and procedures to protect residents from alleged perpetrators and failed to report and investigate all allegations of abuse/neglect affecting multiple residents on 2 of 3 nursing units, resulting in psychosocial harm for two residents (Resident #8 and Resident #17). The facility staff have also failed to follow their abuse policy with regards to the prescreening of employees affecting 1 employee, in a sample of 13 employee records reviewed. This facility noncompliance led to the identification of Immediate Jeopardy and Substandard Quality of Care.
  3. J
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
    F742 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 14, 2025
    Inspectors wroteBased on observation, resident and staff interviews, clinical record review, and facility documentation review, the facility staff failed to ensure residents with mental disorders and a history of trauma, receive appropriate treatment and services to attain their highest practicable mental and psychosocial well-being for two residents (Resident #8 and Resident #16) in a survey sample of 19 residents. The fidnings included: 1. For Resident #8 who had a known history of trauma, the facility staff failed to ensure she received appropriate treatment and services, including trauma-informed care, to attain the highest practicable mental and psychosocial well-being. On 1/22/25 at approximately 9:30 a.m., R8 was interviewed in her room. During the conversation, R8 began making reports of being threatened by the prior administrator. [...]
  4. F
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) March 14, 2025
    Inspectors wroteBased on observation, staff interviews and facility documentation the facility staff failed to post daily staffing information, having the potential to affect residents on 3 of 3 nursing units.
  5. F
    Administer the facility in a manner that enables it to use its resources effectively and efficiently.
    F835 · Administration · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) March 14, 2025
    Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility documentation review, the facility staff failed to effectively administer the facility to ensure residents are free from abuse and fully implement their abuse policy, having the potential to affect residents on 2 of 3 nursing units.
  6. F
    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
    F838 · Administration · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) March 14, 2025
    Inspectors wroteBased on staff interview and facility documentation review, the facility staff failed to have credible evidence that the facility assessment was reveiwed at least annually and failed to ensure that the facility assessment involved the appropriate participants, which had the potential to affect all operations and residents residing on 3 of 3 nursing units.
  7. F
    Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
    F843 · Administration · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) March 14, 2025
    Inspectors wroteBased on staff interview, the facility staff failed to maintain an active transfer agreement with a hospital, having the potential to affect residents on 3 of 3 nursing units.
  8. E
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 14, 2025
    Inspectors wroteBased on staff interviews, resident interviews, clinical record review, and facility documentation review, the facility staff failed to provide an ongoing activity program to meet the needs of numerous residents on one of three units.
  9. E
    Observe each nurse aide's job performance and give regular training.
    F730 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 14, 2025
    Inspectors wroteBased on observation, staff interviews and facility documentation the facility staff failed to conduct annual performance reviews for one certified nursing assistant (CNA #14) in a sample of three certified nursing assistants reviewed.
  10. E
    Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
    F840 · Administration · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 14, 2025
    Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility documentation review, the facility staff failed to utilize outside resources to ensure ongoing psychiatric services were available to residents needing such service, having the ability to affect residents on 3 of 3 nursing units.
  11. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 14, 2025
    Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility documentation review, the facility staff failed to implement policies and procedures for ensuring the reporting of reasonable suspicion of abuse violations, resulting in the failure to protect residents from further potential abuse by an alleged perpetrator, as required for three residents (Resident #8, Resident #16, and Resident #17), in a survey sample of 19 residents.
  12. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 14, 2025
    Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility documentation review, the facility staff failed to conduct a thorough investigation into allegation of abuse and neglect involving two residents (Resident #8 and Resident #17) in a survey sample of 19 residents.
  13. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 14, 2025
    Inspectors wroteBased on observation, resident interviews, staff interviews, clinical record review, and facility documentation review, the facility staff failed to review and revise the care plan for two residents (Resident #8-R8 and Resident #16-R16), in a survey sample of 19 residents.
  14. D
    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
    F740 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 14, 2025
    Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility documentation review, the facility staff failed to provide behavioral health services to two residents (resident #8- R8 and resident #16-R16) in a survey sample of 19 residents.
  15. D
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 14, 2025
    Inspectors wroteBased on observation, staff interviews, resident interviews, and facility documentation, the facility staff failed to provide meals at an appetizing temperature for residents on one of three units.
  16. D
    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
    F944 · Administration · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 14, 2025
    Inspectors wroteBased on staff interviews and facility documentation, the facility staff failed to provide Quality Assurance and Performance Improvement (QAPI) training for one employee (the director of nursing) in a survey sample of 10 employee records reviewed for training.
  17. D
    Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
    F945 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 14, 2025
    Inspectors wroteBased on staff interviews and facility documentation, the facility staff failed to provide annual infection control training for one employee (the director of nursing) in a survey sample of 10 employee records reviewed.
March 14, 2024Complaint inspection · 10 citations
  1. J
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 24, 2024
    Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility document review, the facility failed to protect the resident's right to be free from abuse for three of 5 resident's (Resident #2, #3, and #4), resulting in immediate jeopardy (IJ), substandard quality of care, and a determination of a severity level three - isolated. The facility staff did not implement interventions to protect Resident #2 (R2) from sexual abuse. The facility staff also failed to put interventions in place to protect R3 and R4 from verbal abuse and aggressive behavior from R1. The Findings Include: According to R1's clinical record, medical diagnoses included Dementia, bipolar, anxiety, and mood disturbance. [...]
  2. E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 24, 2024
    Inspectors wroteBased on observation, staff interview and in the course of this investigation, it was determined that the facility staff failed to provide a home like environment on 3 of 3 units in the facility.
  3. E
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 24, 2024
    Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility document review the facility failed to implement resident to resident abuse policies for three of five residents (Resident #2, #3, and #4). The facility failed to implement resident to resident abuse policies in regard to sexual abuse for Resident #2 (R2) and failed to implement resident to resident verbal abuse and aggressive behavior policies for R3 and R4. The Findings Include: According to the clinical record, diagnoses for R1 included Dementia, bipolar, anxiety, and mood disturbance. The most current MDS (minimum data set - assessment tool) was a quarterly assessment with an According to the clinical record,ARD (assessment reference date ) of 11/30/24, which assessed R1 with a cognitive score of 14 out of 15, indicating cognitively intact for daily decision making. [...]
  4. E
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 24, 2024
    Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility document review, the facility failed to report suspicion of resident to resident sexual abuse for one of 5 residents and failed to report allegation of resident to resident verbal abuse for two of 5 residents. 1. The facility did not report resident to resident sexual encounters between Resident #1 (R1) and R2 on two occasions. 2. The facility failed to report resident to resident verbal and aggressive behavior between R1 and R3. 3. The facility failed to report resident to resident verbal and aggressive behavior between R1 and R4. The Findings Include: 1. Diagnoses for R1 included Dementia, bipolar, anxiety, and mood disturbance. [...]
  5. E
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 24, 2024
    Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility document review, the facility failed to thoroughly investigate resident to resident abuse allegations for three of five residents, Resident # 2, #3, and #4. The facility failed to investigate resident to resident abuse in regard to sexual abuse for Resident #2 (R2) and failed to investigate resident to resident verbal abuse and aggressive behavior for Resident #3 (R3) and Resident #4 (R4), which were perpetrated by Resident #1 (R1). The Findings Include: Diagnoses for R1 included Dementia, bipolar, anxiety, and mood disturbance. The most current MDS (minimum data set - assessment tool) was a quarterly assessment with an ARD (assessment reference date) of 11/30/24, which assessed R1 with a cognitive score of 14 out of 15, indicating cognitively intact for daily decision making. [...]
  6. E
    Administer the facility in a manner that enables it to use its resources effectively and efficiently.
    F835 · Administration · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 24, 2024
    Inspectors wroteBased staff and resident interviews, clinical record reviews, and facility documentation reviews, the facility staff failed to provide effective administration regarding abuse prevention and the provision of behavioral health services, resulting in the identification of immediate jeopardy and substandard quality of care being identified, which had the potential to affect multiple residents.
  7. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 24, 2024
    Inspectors wroteBased on staff interview, and clinical record review, the facility staff failed to develop a care plan for two of five residents in the survey sample (Residents #3 and #4). 1. The facility did not develop a psychosocial care plan for Resident #3 (R3). 2. The facility did not develop a psychosocial care plan for Resident #4 (R4).
  8. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 24, 2024
    Inspectors wroteBased on staff interview, and clinical record review, the facility staff failed to review and revise the comprehensive care plan for two of five residents in the survey sample (Residents #1 and #2). 1. Resident #1 (R1) behavior care plan was not revised to include sexual behaviors. 2. Resident #2 (R2) behavior care plan was not revised to include sexual behaviors.
  9. D
    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
    F740 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 24, 2024
    Inspectors wroteBased on resident interview, staff interview, and clinical record review, the facility staff failed to assess and implement behavioral health interventions regarding sexual and verbal abuse for one of five in the survey sample, Residents #1 (R1).
  10. D
    Provide medically-related social services to help each resident achieve the highest possible quality of life.
    F745 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 24, 2024
    Inspectors wroteBased on resident interview, staff interview, and clinical record review, the facility staff failed to provide medically-related social services in response to verbal abuse for two of five residents (Residents #3 and #4). 1. The facility did not provide care planning and outside services related to coping with verbal abuse for Resident #3 (R3). 2. The facility did not provide care planning and outside services related to coping with verbal abuse for Resident #4 (R4).
April 27, 2023Standard inspection · 12 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) June 5, 2023
    Inspectors wroteBased on observation, staff interview, and facility document review, the facility staff failed to prepare and serve food in a sanitary manner from the main kitchen.
  2. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 5, 2023
    Inspectors wroteBased on observation, staff interview and clinical record review, the facility failed to provide and/or follow physician orders for three of 23 residents (Resident #18, Resident #82, & Resident #97). The Findings Include: 1. Resident #18 did not have physician orders for the placement and care of an air cast. Diagnoses for Resident #18 included; Atrial fibrillation, diabetes, schizocarp disorder, fractured left ankle. The most current MDS (minimum data set) was a annual assessment with an ARD (assessment reference date) of 2/8/23. Resident #18 was assessed with a cognitive score of 15 out of 15 indicating cognitively intact. On 4/25/23 at 4:35 PM during an interview with Resident #18, an air cast was observed on the left ankle, when asked what happened, Resident #18 verbalized that she had fallen in her room and fractured her ankle. [...]
  3. E
    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
    F809 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 5, 2023
    Inspectors wroteBased on observations, Group Interview, clinical record review, and staff interview, the facility failed to serve Lunch in a timely manner in the Main Dining Room, and failed to provide evening snacks on one of three nursing units, Unit A. During the Group Meeting, the residents complained about late meal service and the lack of snacks in the evening.
  4. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 5, 2023
    Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to implement their abuse policy for reporting and investigating injuries of unknown origin for one of 23 residents, Resident #69.
  5. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 5, 2023
    Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to report and thoroughly investigate injuries of unknown origin for one of 23 residents, Resident #69.
  6. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 5, 2023
    Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to thoroughly investigate injuries of unknown origin for one of 23 residents, Resident #69.
  7. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 5, 2023
    Inspectors wroteBased on staff interview and clinical record review, the facility failed to develop a care plan for two of 23 residents. Resident #18 did not have a care plan for the care of an air cast and Resident #76 did not have a care plan for activities. The Findings Include: 1. Diagnoses for Resident #18 included; Atrial fibrillation, diabetes, schizocarp disorder, fractured left ankle. The most current MDS (minimum data set) was a annual assessment with an ARD (assessment reference date) of 2/8/23. Resident #18 was assessed with a cognitive score of 15 out of 15 indicating cognitively intact. On 4/25/23 at 4:35 PM during an interview with Resident #18, an air cast was observed on the left ankle, when asked what happened, Resident #18 verbalized that she had fallen in her room and fractured her ankle. Resident #18 stated the cast was placed at the hospital. [...]
  8. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 5, 2023
    Inspectors wroteBased on observation, resident interview, staff interview and clinical record review, the facility staff failed to provide nail care for one of twenty-three residents in the survey sample (Resident #78)
  9. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 5, 2023
    Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to ensure a medication was available for administration to one of twenty-three residents in the survey sample (Resident #97).
  10. D
    Provide or obtain dental services for each resident.
    F791 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 5, 2023
    Inspectors wroteBased on observation, resident interview, staff interview and clinical record review, the facility staff failed to provide dental services for one of twenty-three residents in the survey sample (Resident #78).
  11. D
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 5, 2023
    Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to ensure the menu provided met resident needs for one of 23 residents, Resident #82.
  12. D
    Provide special eating equipment and utensils for residents who need them and appropriate assistance.
    F810 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 5, 2023
    Inspectors wroteBased on observations, clinical record review, and staff interview, the facility staff failed for one of 23 residents in the survey sample, Resident # 147, to provide an assistive device to enhance drinking ability. Resident # 147 was not provided with a specialized drinking cup, and was not provided assistance to prevent spillage while drinking.
September 2, 2021Standard inspection · 8 citations
  1. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 27, 2021
    Inspectors wroteBased on observation, staff interview and clinical record review, the facility staff failed to provide dignity for one of twenty residents in the survey sample, Resident #53. Resident #53, without clothing and wearing only an incontinence brief was visible to other residents and staff on her living unit.
  2. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 27, 2021
    Inspectors wroteBased on observation, staff interview, facility policy review and clinical record review, the facility staff failed to ensure privacy during personal care for one of twenty residents in the survey sample, Resident #50. Staff provided incontinence care for Resident #50 with the door open and no use of the privacy curtain.
  3. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 27, 2021
    Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to review and revise the comprehensive care plan for two of twenty residents in the survey sample, Resident #26 and #25. Resident #26's care plan was not revised with problems, goals and interventions regarding a significant weight loss. Resident #25's care plan was not revised to include non-drug interventions for pain.
  4. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 27, 2021
    Inspectors wroteBased on observation, clinical record review, and staff interview, the facility staff failed to follow hospital discharge instructions for one of 20 residents in the survey sample, Resident 62. The facility failed to ensure Resident #62's hospital discharge orders/instructions to follow up with the resident's PCP (primary care physician) were followed.
  5. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 27, 2021
    Inspectors wroteBased on a medication pass and pour observation, staff interview, clinical record review and facility document review, the facility staff failed to ensure drugs and biologicals were labeled during a medication pass and pour observation for one of 4 residents in the medication pass, Resident #20. The facility failed to ensure Resident #20's insulin pen had a pharmacy label.
  6. D
    Provide timely, quality laboratory services/tests to meet the needs of residents.
    F770 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 27, 2021
    Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to ensure physician ordered laboratory services were obtained for one of 20 residents, Resident #6.
  7. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 27, 2021
    Inspectors wroteBased on a medication pass and pour observation, staff interview, clinical record review and facility document review, the facility staff failed to to don gloves for insulin administration, and failed to perform appropriate hand washing after resident contact on one of three nursing wings, A wing (COVID 19 unit); and failed to follow infection control practices during incontinence care for one of 20 residents, Resident #50.
  8. D
    Provide bedrooms that don't allow residents to see each other when privacy is needed.
    F914 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 27, 2021
    Inspectors wroteBased on observation, staff interview and clinical record review, the facility staff failed to provide a privacy curtain for one of twenty residents in the survey sample, Resident #53. Resident #53's room had no suspended room curtain installed for privacy.
March 21, 2019Standard inspection · 7 citations
  1. E
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 10, 2019
    Inspectors wroteBased on clinical record review, staff interview and facility document review the facility staff failed to correctly assess and document flu and pneumonia vaccine status for one of 5 records reviewed: Resident # 61. Resident # 61 was admitted to the facility 10/28/18 with a readmission date of 12/8/18 with diagnoses to include, but were not limited to: cognitive communication deficit, COPD, chronic respiratory failure, diabetes, and chronic kidney disease. The most recent MDS (minimum data set) was a quarterly review with an ARD (assessment reference date) of 2/18/19 had Resident # 61 with moderate impairment in cognition with a total summary score of 07 out of 15. On 3/19/19 at 10:30 a.m. a review of Resident # 61's record revealed he was not offered pneumonia vaccine per the MDS admission assessment dated [DATE]. [...]
  2. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2019
    Inspectors wroteBased on observations, clinical record review, and staff interview, the facility staff failed for one of 21 residents in the survey sample (Resident # 25) to ensure an accurate Minimum Data Set. Resident # 25 was identified on the most recent Quarterly Minimum Data Set as having a physical restraint.
  3. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2019
    Inspectors wroteBased on staff interview, and clinical record review, the facility staff failed to develop an initial care plan for one of 21 residents, Resident #184. Resident #184 did not have an initial care plan to address a feeding tube. The Findings Include: Resident #184 was admitted to the facility on [DATE]. Diagnoses for Resident #184 included: Skin Cancer of face receiving chemotherapy, CVA, traumatic brain injury, placement of feeding tube. The most current MDS (minimum data set) was an entry assessment with an ARD (assessment reference date) of 3/12/19. Resident #184 was not cognitively assessed at the time of the entry assessment. On 03/19/19 at 8:26 AM, Resident #184 was interviewed. During the interview Resident #184 verbalized that a feeding tube had been recently placed prior to being admitted to the facility. [...]
  4. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2019
    Inspectors wroteBased on observations, clinical record review, and staff interview, the facility failed for one of 21 residents in the survey sample (Resident # 25) to develop a person centered plan of care with measurable goals and objectives to meet the resident's care needs. The facility failed to develop a plan of care to address Resident # 25's use of side rails.
  5. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2019
    Inspectors wroteBased on staff interview, clinical record review, and in the course of a complaint investigation, facility staff failed to follow physician orders for one of 21 residents, Resident #285. Resident #285 was hospitalized from [DATE] through 10/04/2018. Upon her return to the facility, staff failed to correctly transcribe physician orders for Depakote. Resident #285 was ordered 750 mg of Depakote at bedtime. The orders were transcribed as 250 mg at bedtime. Resident #285 was under-medicated with her Depakote, which was ordered as a mood stabilizer.
  6. D
    Provide routine and 24-hour emergency dental care for each resident.
    F790 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2019
    Inspectors wroteBased on staff interview, clinical record review and in the course of a complaint investigation, facility staff failed to ensure dental services for one of 21 residents in the survey sample, Resident #334. Resident #334 did not receive any dental services while a resident in the facility.
  7. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2019
    Inspectors wroteBased on observation and staff interview, facility staff failed to ensure infection control practices during a dressing change for one of 21 Resident's, Resident #22. Proper hand hygiene was not performed during a wound dressing change. The Findings Include: Resident #22 was admitted to the facility on [DATE] with a readmission on [DATE]. The most current MDS (minimum data set) was a significant change assessment with an ARD (assessment reference date) of 1/17/19. Resident #22 was assessed as having long and short-term memory problems and assessed as being severely cognitively impaired. Diagnoses for Resident #22 included: Parkinson's disease, bilateral knee contractures, and unstageable pressure ulcers. On 03/19/19 at 12:55 PM, a dressing change was observed on Resident #22. [...]

Fire safety inspections

13 fire safety citations on file: 10 on April 27, 2023, 3 on March 21, 2019.

Every fire safety citation13 citations
  1. F
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · April 27, 2023 · Corrected (the home has a date of correction)
  2. F
    Provide properly protected cooking facilities.
    K 324 · April 27, 2023 · Corrected (the home has a date of correction)
  3. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 27, 2023 · Corrected (the home has a date of correction)
  4. F
    Have properly installed electrical wiring and gas equipment.
    K 511 · April 27, 2023 · Corrected (the home has a date of correction)
  5. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · April 27, 2023 · Corrected (the home has a date of correction)
  6. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · April 27, 2023 · Corrected (the home has a date of correction)
  7. E
    Use approved construction type or materials.
    K 161 · April 27, 2023 · Corrected (the home has a date of correction)
  8. E
    Install corridor and hallway doors that block smoke.
    K 363 · April 27, 2023 · Corrected (the home has a date of correction)
  9. D
    Provide a written emergency evacuation plan.
    K 711 · April 27, 2023 · Corrected (the home has a date of correction)
  10. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · April 27, 2023 · Corrected (the home has a date of correction)
  11. F
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · March 21, 2019 · Corrected (the home has a date of correction)
  12. F
    Have exits that are accessible at all times.
    K 271 · March 21, 2019 · Corrected (the home has a date of correction)
  13. F
    Ensure proper usage of power strips and extension cords.
    K 920 · March 21, 2019 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
January 28, 2025Fine $87,878
March 14, 2024Fine $20,820

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeVirginiaUnited States
All nursing staff (RN, LPN and aides)3.233.763.86
Registered nurses0.560.690.69
All nursing staff on weekends3.013.293.42
Nurse aides1.99
Licensed practical nurses0.69
Nursing staff turnover (share who left in a year)62.2%48.1%45.8%
Registered nurse turnover70.6%48.2%42.9%
Administrators who left1

CMS expects 3.62 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 3.33 on weekdays and 3.01 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 11.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.01 in April to June 2025 to 3.23 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.230.563.333.01 11.6%0 of 9087
Oct to Dec 20253.450.573.573.14 12.3%0 of 9285
Jul to Sep 20253.620.653.793.20 12.6%0 of 9285
Apr to Jun 20253.010.623.172.61 9.0%0 of 9187
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Virginia, Jan to Mar 20263.580.563.763.125.7%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.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Virginia

JobMedianMiddle halfEmployed
Virginia, all employers
CNAs (nursing assistants)$20.77$17.80 to $22.5640,580
LPNs and LVNs$31.21$28.66 to $35.8415,550
Registered nurses$45.00$38.51 to $49.5377,490
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Alleghany Health and Rehab. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

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Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeVirginiaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
38.314.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.70.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.91.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.13.63.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
4.91.31.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
18.015.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.54.74.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
20.114.215.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
31.222.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
13.311.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.51.51.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.11.51.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Alleghany Health and Rehab's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (44.5% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

44.5% this home

No different from the national rate

US median of homes 51.5% · Virginia: 101 better, 22 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 30 eligible stays.

Potentially preventable readmissions

10.6% this home

No different from the national rate

US median of homes 10.7% · Virginia: 1 better, 9 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 38 eligible stays.

Infections that led to a hospital stay

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

US median of homes 7.1% · Virginia: 2 better, 8 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 23 eligible stays.

Self-care and mobility at discharge

41.7% this home

Median of homes: Virginia60.0% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 24 residents counted.

Falls with major injury

0.0% this home

Median of homes: Virginia0.7% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 33 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Virginia2.1% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 33 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Virginia97.8% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 1 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: GL VIRGINIA ALLEGHANY LLC. CMS links this home to Trio Healthcare, a group of 9 nursing homes averaging 1.6 stars overall.

NameRoleTypeShareSince
Gl Virginia Holdings LLC5% or greater direct ownership interestOrganization100%12/16/2016
Trio Health Care - East, LLC5% or greater indirect ownership interestOrganization05/24/2019
Trio Healthcare Investors LLC5% or greater indirect ownership interestOrganization12/16/2016
Trio Healthcare LLC5% or greater indirect ownership interestOrganization12/10/2019
Gentry, Boyd5% or greater indirect ownership interestIndividual12/16/2016
Rubenstein, David5% or greater indirect ownership interestIndividual12/16/2016
Jerman, PhillipW-2 managing employeeIndividual03/31/2022
Gentry, BoydCorporate officerIndividual12/16/2016
Rubenstein, DavidCorporate officerIndividual12/16/2016

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.

  1. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 12 problems in this area, most recently on September 11, 2025: "Respond appropriately to all alleged violations."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 12 problems in this area, most recently on September 11, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 9 problems in this area, most recently on September 11, 2025: "Ensure services provided by the nursing facility meet professional standards of quality."
  4. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 7 problems in this area, most recently on January 28, 2025: "Administer the facility in a manner that enables it to use its resources effectively and efficiently."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.01 hours per resident per day, below the Virginia average of 3.29.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Virginia contacts for a concern about a nursing home

These are the official offices in Virginia. NursingHomeClear cannot take or act on complaints.

Common questions

What is Alleghany Health and Rehab's Medicare star rating?
CMS rates Alleghany Health and Rehab 1 out of 5 stars overall, with 1 for health inspections, 2 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Alleghany Health and Rehab get at its last inspection?
12 health deficiencies at the standard inspection on April 27, 2023. The Virginia average is 14.3.
Has Alleghany Health and Rehab been fined?
Yes. CMS lists 2 fines totaling $108,698 in the last three years.
Does Alleghany Health and Rehab 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 Alleghany Health and Rehab?
CMS lists 9 owners and managers, and links the home to Trio Healthcare. Legal business name: GL VIRGINIA ALLEGHANY LLC.

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