Brian Center of Alleghany
100 Alleghany Regional Hospital Lane, Low Moor, VA 24457 · Alleghany County · (540) 862-3610
89 certified beds, about 84 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1990
Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495221 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 24, 2024, inspectors cited 10 health deficiencies (the Virginia average is 14.3, the national average 9.2).
None of its 12 health citations since October 2019 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.82 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 1.11 of those hours.
31.8% of nursing staff left within the year CMS measured (Virginia average 48.1%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
210/19
002/22
1001/24
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 12 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
10D
2E
0F
Potential for minimal harm
0A
0B
0C
January 24, 2024Standard inspection · 10 citations
- E Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on resident interview, staff interview, facility document review and clinical record review, the facility staff failed to review and revise the comprehensive care plan for two of twenty-three residents in the survey sample (Residents #57 and #61).
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, clinical record review and facility documentation review, the facility staff failed to implement infection control practices to prevent the transmission of communicable diseases and infections on 2 of 5 units, which had the potential of affect multiple residents.
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on staff interview, clinical record review, and state code, the facility staff failed to document a valid do not resuscitate order form for one of twenty-three residents in the survey sample (Resident 59).
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on staff interview, clinical record review, and facility documentation review, the facility staff failed to develop and implement a baseline care plan for one Resident (Resident #234) in a survey sample of 23 Residents, which should to direct the patient centered care of the resident.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on staff interview, clinical record review, and facility document review the facility failed to develop a care plan for one of 23 residents. Resident #1 (R1) had an admitting diagnosis of PTSD (Post Traumatic Stress Disorder), and a care plan was not developed. The Findings Include: Diagnoses for R1 included: PTSD, anxiety, depression, and obsessive-compulsive disorder. The most current MDS (minimum data set) was a quarterly assessment with an ARD (assessment reference date) of 12/17/23. R1 was assessed with a cognitive score of 12 indicating cognitively intact. A review of the Trauma Informed Screen assessment dated [DATE] revealed R1 was in Vietnam and did not reveal any other information related to PTSD. No other social service assessments or notes revealed information related to PTSD. [...]
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wrote2. For resident #3, the facility staff failed to administer oxygen at the rate ordered by the physician. Resident #3(R3) had diagnosis of obstructive and reflux uropathy, muscle weakness, cerebral infarction, and atrial fibrillation. The most current MDS (minimum data set) was a significant change in status assessment with an ARD (assessment reference date) of 12/31/23. R3 was assessed with a cognitive score of 8 indicating moderate cognitive impairment. On 1/22/24 at 1:20 P.M. R3 was observed in bed with oxygen administered at 1.5 lpm from an oxygen concentrator. R3 was observed again on 1/23/24 at 9:00 A.M. with oxygen administered at 1.5 lpm. R3's clinical record documented a physician's order dated 12/25/23 for oxygen administration via nasal cannula at 2 lpm continuously. [...]
- D Provide care or services that was trauma informed and/or culturally competent.
Inspectors wroteBased on resident interview, staff interview, clinical record review and facility documentation the facility failed to initiate trauma informed care for one of 23 residents. Resident #1 (R1) had an admitting diagnosis of PTSD (Post Traumatic Stress Disorder), and the facility did not identify triggers which may cause re-traumatization. The Findings Include: Diagnoses for R1 included: PTSD, anxiety, depression, and obsessive-compulsive disorder. The most current MDS (minimum data set) was a quarterly assessment with an ARD (assessment reference date) of 12/17/23. R1 was assessed with a cognitive score of 12 indicating cognitively intact. A review of the Trauma Informed Screen assessment dated [DATE] revealed R1 was in Vietnam and did not reveal any other information related to PTSD. No other social service assessments or notes revealed information related to PTSD. [...]
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, staff interview and facility document review, the facility staff failed to provide accurate and/or timely medication labeling on two of five units (100 hall, 200 hall). During a medication pass on the 200 hall, Resident #61's medication sertraline was labeled with an inaccurate dosage. On the 100 hall, a bottle of aspirin was observed in the medication cart without labeling indicating when the bottle was opened.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, and staff interview, the facility staff failed to store food properly in the main kitchen. Dried food was not labeled. The Findings Include: On 1/22/24 at 11:35 AM an initial kitchen tour was conducted with the dietary manager (other staff, OS #2). The dry storage room yielded an opened bulk bag of sugar without dates indicating when the item was opened or when the item was to be used by. when asked about the opened bag of sugar. OS #2 said the staff should have dated the bag with an open date and used by date. On 1/23/24 at 4:18 PM the administrator and director of nursing was notified of the above finding. No other information was provided prior to exit conference on 1/24/24.
- D Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Inspectors wroteBased on staff interview, clinical record review and facility documentation review, the facility staff failed to provide evidence that one resident (Resident #46) was offered the COVID-19 vaccine in a survey sample of 5 residents reviewed for immunizations.
February 24, 2022Standard inspection · 0 citations
October 2, 2019Standard inspection · 2 citations
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on clinical record review, resident interview, and staff interview the facility staff failed to include interventions for monitoring/assessment of an AV (arterio-venous) fistula on the comprehensive care plan for one of 20 residents, Resident #13.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on staff interview, clinical record review, and facility document review the facility staff failed to correctly and assess and document the pneumococcal vaccine status for 2 of 5 records reviewed: Resident # 23 and # 13.
Fire safety inspections
3 fire safety citations on file: 3 on October 2, 2019.
Every fire safety citation3 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have restrictions on the use of highly flammable decorations.
- F Ensure that testing and maintenance of electrical equipment is performed.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Virginia | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.82 | 3.76 | 3.86 |
| Registered nurses | 1.11 | 0.69 | 0.69 |
| All nursing staff on weekends | 3.39 | 3.29 | 3.42 |
| Nurse aides | 2.15 | ||
| Licensed practical nurses | 0.56 | ||
| Nursing staff turnover (share who left in a year) | 31.8% | 48.1% | 45.8% |
| Registered nurse turnover | 33.3% | 48.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.38 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 3.99 on weekdays and 3.39 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.01 in April to June 2025 to 3.82 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.82 | 1.11 | 3.99 | 3.39 | 0.0% | 0 of 90 | 84 |
| Oct to Dec 2025 | 3.87 | 1.01 | 4.02 | 3.48 | 0.0% | 0 of 92 | 82 |
| Jul to Sep 2025 | 3.85 | 0.98 | 4.02 | 3.40 | 0.0% | 0 of 92 | 82 |
| Apr to Jun 2025 | 4.01 | 0.96 | 4.17 | 3.62 | 0.0% | 0 of 91 | 80 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Virginia, Jan to Mar 2026 | 3.58 | 0.56 | 3.76 | 3.12 | 5.7% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
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.
Official wage estimates for Virginia
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Virginia, all employers | |||
| CNAs (nursing assistants) | $20.77 | $17.80 to $22.56 | 40,580 |
| LPNs and LVNs | $31.21 | $28.66 to $35.84 | 15,550 |
| Registered nurses | $45.00 | $38.51 to $49.53 | 77,490 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
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.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Virginia | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 10.7 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.1 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.9 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 7.1 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.0 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 8.9 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.5 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 5.2 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 18.0 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.9 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.5 | 1.8 |
Owners and operators
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on January 24, 2024: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on January 24, 2024: "Provide and implement an infection prevention and control program."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on January 24, 2024: "Provide safe and appropriate respiratory care for a resident when needed."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on January 24, 2024: "Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive."
Other nursing homes nearby
- The Woodlands Health and Rehab Center Clifton Forge, 4.4 mi · 5 of 5 stars · 12 citations
- Alleghany Health and Rehab Clifton Forge, 4.7 mi · 1 of 5 stars · 59 citations
- The Springs Nursing & Rehab Center Hot Springs, 12.9 mi · 5 of 5 stars · 16 citations
- Brian Center of Fincastle Fincastle, 18.6 mi · 4 of 5 stars · 21 citations
- White Sulphur Springs Center White Sulphur Spring, 20.6 mi · 3 of 5 stars · 45 citations
- Kendal at Lexington Lexington, 23.2 mi · 4 of 5 stars · 23 citations
- Heritage Hall Lexington East Lexington, 24.2 mi · 4 of 5 stars · 19 citations
Virginia contacts for a concern about a nursing home
These are the official offices in Virginia. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Virginia Department of Health, Office of Licensure and Certification, Division of Long-Term Care Services, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Virginia Office of the State Long-Term Care Ombudsman, 800-552-5019. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: VDH Nursing Home and ICF/IID Inspections and Surveys, where Virginia publishes its own records on licensed homes.
Common questions
- What is Brian Center of Alleghany's Medicare star rating?
- CMS rates Brian Center of Alleghany 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Brian Center of Alleghany get at its last inspection?
- 10 health deficiencies at the standard inspection on January 24, 2024. The Virginia average is 14.3.
- Has Brian Center of Alleghany been fined?
- CMS lists no fines in the last three years.
- Does Brian Center of Alleghany 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 Brian Center of Alleghany?
- CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.