Alleghany County, Virginia · Nursing home
Alleghany Health and Rehab
1 of 5 overall from CMS
1725 Main Street, Clifton Forge, VA 24422
At a glance
- Overall rating 1 of 5 Below the state average of 3.0
- Nurse time per resident, per day 3.23 hours Below the state average of 3.76
- Nursing staff who left in a year 62.2% Above the state average of 48.1%
- Health citations, last 3 inspection cycles 59 4 at the harm level or above
- Fines in 3 years $108,698 2 fines
- Certified beds in use 82.7% of 105 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Alleghany Health and Rehab is a 105-bed nursing home in Clifton Forge, Virginia (Alleghany County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.23 nurse staffing hours per resident per day, below the Virginia average of 3.76. CMS lists 2 fines totaling $108,698 in the past three years.
- Certified beds
- 105
- Residents per day (average)
- 86.8
- Certified since
- 1984 (42 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Trio Healthcare (9 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Alleghany Health and Rehab
Chosen from this home's public data.
- CMS lists 2 fines totaling $108,698 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 17 health deficiencies in the latest inspection cycle (the standard inspection on Apr 27, 2023 plus complaint and infection-control inspections); the Virginia average is 14.3. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 62.2%, above the Virginia average of 48.1%. How often would the same aides care for my relative?Turnover in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Virginia average 3.0
- Health inspections 1 of 5 Virginia average 2.7
- Staffing 2 of 5 Virginia average 2.4
- Quality measures 1 of 5 Virginia average 3.9
The vertical line marks the Virginia average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.23 h Virginia average 3.76
- Nurse aides 1.99 h Virginia average 2.07
- Licensed practical nurses 0.69 h Virginia average 1.00
- Registered nurses 0.56 h Virginia average 0.69
- All staff, weekends 3.01 h Virginia average 3.29
How much nurse staffing is enough? All bars share one scale, 0 to 10 hours. The vertical line marks the Virginia average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover62.2%
- Virginia average48.1%
- Registered nurse turnover70.6%
- Virginia average48.2%
- Administrators who left1
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Virginia and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Virginia | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 38.3% | 14.9% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 12.5% | 5.4% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% | 0.4% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 1.9% | 1.6% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 4.5% | 18.7% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 4.1% | 3.6% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 90.9% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 18.0% | 15.6% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 26.1% | 20.6% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 94.0% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 1.5% | 4.7% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.3% | 21.8% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 20.1% | 14.2% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.52 | 1.52 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 3.08 | 1.48 | 1.78 |
Short-stay residents
| Measure | This home | Virginia | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.4% | 73.7% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 4.9% | 1.3% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.6% | 73.6% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 31.2% | 22.3% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 13.3% | 11.5% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 59 health deficiencies in the three most recent inspection cycles. Of these, 4 were at the immediate jeopardy level; the rest were graded as no actual harm. 32 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Jan 28, 2025: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Apr 27, 2023 | 17 | 10 |
| Sep 2, 2021 | 25 | 0 |
| Mar 21, 2019 | 17 | 3 |
Virginia homes averaged 14.3 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (59)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jan 5, 2026)
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jan 5, 2026)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jan 5, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jan 5, 2026)
-
DPotential for more than minimal harm, isolated
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Jan 5, 2026)
Show 25 more
-
KImmediate jeopardy, pattern
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Mar 14, 2025)
-
KImmediate jeopardy, pattern
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Mar 14, 2025)
-
JImmediate jeopardy, isolated
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.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Mar 14, 2025)
-
FPotential for more than minimal harm, widespread
Post nurse staffing information every day.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Mar 14, 2025)
-
FPotential for more than minimal harm, widespread
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Complaint investigation · Administration · Deficient, Provider has date of correction (Mar 14, 2025)
-
FPotential for more than minimal harm, widespread
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.
Complaint investigation · Administration · Deficient, Provider has date of correction (Mar 14, 2025)
-
FPotential for more than minimal harm, widespread
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.
Complaint investigation · Administration · Deficient, Provider has date of correction (Mar 14, 2025)
-
EPotential for more than minimal harm, pattern
Provide activities to meet all resident's needs.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Mar 14, 2025)
-
EPotential for more than minimal harm, pattern
Observe each nurse aide's job performance and give regular training.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Mar 14, 2025)
-
EPotential for more than minimal harm, pattern
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.
Complaint investigation · Administration · Deficient, Provider has date of correction (Mar 14, 2025)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Mar 14, 2025)
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Mar 14, 2025)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 14, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Mar 14, 2025)
-
DPotential for more than minimal harm, isolated
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Mar 14, 2025)
-
DPotential for more than minimal harm, isolated
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Complaint investigation · Administration · Deficient, Provider has date of correction (Mar 14, 2025)
-
DPotential for more than minimal harm, isolated
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Mar 14, 2025)
-
JImmediate jeopardy, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Apr 24, 2024)
-
EPotential for more than minimal harm, pattern
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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Apr 24, 2024)
-
EPotential for more than minimal harm, pattern
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Apr 24, 2024)
-
EPotential for more than minimal harm, pattern
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Apr 24, 2024)
-
EPotential for more than minimal harm, pattern
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Apr 24, 2024)
-
EPotential for more than minimal harm, pattern
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Complaint investigation · Administration · Deficient, Provider has date of correction (Apr 24, 2024)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 24, 2024)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 24, 2024)
Showing the 30 most recent of 59.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Jan 28, 2025 | Fine | $87,878 |
| Mar 14, 2024 | Fine | $20,820 |
Virginia homes averaged 0.5 fines and $23,688 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Virginia
- Size165 of 289 by certified beds
- Virginia average residents per day99.5
- ChainTrio Healthcare
- Chain average overall rating1.6 of 5
- Resident or family councilBoth
- Homes in Alleghany County3
Common questions
What is the CMS star rating for Alleghany Health and Rehab?
Alleghany Health and Rehab has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 2 and quality measures is 1.
How many beds does Alleghany Health and Rehab have?
Alleghany Health and Rehab has 105 certified beds. It averages 86.8 residents per day, about 82.7% of its certified beds.
How much nursing care do residents get at Alleghany Health and Rehab?
The home reports 3.23 hours of nurse staffing per resident per day, including 0.56 hours from registered nurses. The Virginia average is 3.76 hours and 0.69 hours from registered nurses.
Has Alleghany Health and Rehab been fined?
Yes. CMS lists 2 fines totaling $108,698 in the past three years.
Does Alleghany Health and Rehab accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 5 of 5 The Woodlands Health and Rehab Center 60beds 91.8%in use 3.39nurse hours a day
- 5 of 5 Brian Center of Alleghany 89beds 94.5%in use 3.82nurse hours a day
- 5 of 5 The Springs Nursing & Rehab Center 60beds 92.0%in use 3.91nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Alleghany County
Who to call in Virginia
These offices serve residents of every nursing home in Virginia.
- Long-term care ombudsman Virginia Long-Term Care Ombudsman Program (Office of the State Long-Term Care Ombudsman) 800-552-5019 (Toll-free. Also 804-565-1600.) An advocate for residents and their families.
- File a complaint about a nursing home VDH Office of Licensure and Certification (OLC) Complaint Unit 1-800-955-1819 (Metro Richmond (804) 367-2106. Messages left after hours, on weekends or holidays are returned the next business day. An online complaint portal is also available.) The state agency that inspects nursing homes.
Virginia staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 495141. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.