All states › Virginia › Clifton Forge › Alleghany Health and Rehab
1725 Main Street Clifton Forge, VA 24422 · Alleghany County
All 2 nursing homes in Clifton Forge, VA (2 take Medicaid)
CMS certification number 495141 · See this home on Medicare Care Compare
Is Alleghany Health and Rehab a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Alleghany Health and Rehab as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Virginia average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.29 hours per resident per day at Alleghany Health and Rehab, below the Virginia median of 3.57 (US median: 3.72). About 0.71 of those hours are from registered nurses. On weekends it falls to 2.91 hours, 12% below its all-week average. 62.5% of nursing staff left within a year (Virginia median 47.7%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Alleghany Health and Rehab: Medicare and Medicaid
Alleghany Health and Rehab is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Virginia's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on April 27, 2023 and found 12 deficiencies. CMS notes that this home's most recent inspection was more than two years ago. In total, inspectors issued 59 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 59 citations at Alleghany Health and Rehab across 6 inspection dates, 32 of them from complaint investigations. 4 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on January 28, 2025 (complaint inspection). The most common areas cited were freedom from abuse, neglect, and exploitation (12) and quality of life and care (12). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level K, January 28, 2025). 12 citations were under CMS's abuse, neglect and exploitation rules.
September 11, 2025 · 5 citations · includes complaint inspection
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DRespond appropriately to all alleged violations.
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
January 28, 2025 · 17 citations, includes immediate jeopardy · includes complaint inspection
KProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
KDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
JProvide 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.
FPost nurse staffing information every day.
FAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
FConduct 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.
FHave 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.
EProvide activities to meet all resident's needs.
EObserve each nurse aide's job performance and give regular training.
EEmploy 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.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure each resident must receive and the facility must provide necessary behavioral health care and services.
DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DConduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
DInclude as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
March 14, 2024 · 10 citations, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
EHonor 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.
EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
ERespond appropriately to all alleged violations.
EAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure each resident must receive and the facility must provide necessary behavioral health care and services.
DProvide medically-related social services to help each resident achieve the highest possible quality of life.
April 27, 2023 · 12 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EEnsure 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.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DProvide or obtain dental services for each resident.
DEnsure 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.
DProvide special eating equipment and utensils for residents who need them and appropriate assistance.
September 2, 2021 · 8 citations
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DKeep residents' personal and medical records private and confidential.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure 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.
DProvide timely, quality laboratory services/tests to meet the needs of residents.
DProvide and implement an infection prevention and control program.
DProvide bedrooms that don't allow residents to see each other when privacy is needed.
March 21, 2019 · 7 citations
EDevelop and implement policies and procedures for flu and pneumonia vaccinations.
DEnsure each resident receives an accurate assessment.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide routine and 24-hour emergency dental care for each resident.
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of Alleghany Health and Rehab
- Inspectors cited the home at the immediate-jeopardy level on January 28, 2025 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on September 11, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 62.5% a year. How many of the staff come from agencies?
- CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- The last standard inspection was more than two years ago. Can I see any recent complaint inspection results?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $108,698 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jan 28, 2025 | Fine | $87,878 |
| Mar 14, 2024 | Fine | $20,820 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 2/5 | 1/5 |
| August 2026 | 1/5 | 1/5 | 2/5 | 1/5 |
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Location
Hospitals near Alleghany Health and Rehab
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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4.5 mi
Alleghany Regional Hospital Jackson RiverEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 1h 52m for patients treated and sent home
- 12.2 mi
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20.1 mi
Carilion Stonewall Jackson Hospital LexingtonEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 18m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Alleghany Health and Rehab › All nursing homes in Clifton Forge ›
Compare Alleghany Health and Rehab with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- The Woodlands Health and Rehab Center · Clifton Forge · 5 stars · 0.4 mi
- Brian Center of Alleghany · Low Moor · 5 stars · 4.7 mi
Other Trio Healthcare nursing homes in Virginia
- Fredericksburg Health and Rehab · Fredericksburg · 3 stars
- Martinsville Health and Rehab · Martinsville · 2 stars
- Galax Health and Rehab · Galax · 2 stars
- Bayside of Poquoson Health and Rehab · Poquoson · 2 stars
- Shenandoah Valley Health and Rehab · Buena Vista · 2 stars
- Elizabeth Adam Crump Health and Rehab · Glen Allen · 1 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 9 Trio Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.