Alleghany Health and Rehab
1725 Main Street · Clifton Forge, VA · 24422 · 5408625791
105 certified beds For profit - Corporation Chain: Trio Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $87,878 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
4 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$87,878 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
77% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.45 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.57 | 0.55–0.75 |
| Weekend hours / resident-day | 3.14 | ≈ weekday level |
| Nursing turnover / year | 77% | median 45% |
| Fines (3-yr window) | 2 · $108,698 |
Inspection citations (59 in the current record)
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Potential for harm · D September 11, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 5, 2026 · Resident Rights
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Potential for harm · D September 11, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected January 5, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 11, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 5, 2026 · Resident Assessment and Care Planning
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Potential for harm · D September 11, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 5, 2026 · Quality of Life and Care
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Potential for harm · D September 11, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected January 5, 2026 · Environmental
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Immediate jeopardy · K January 28, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 14, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K January 28, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected March 14, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J January 28, 2025 · found via complaint
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.
Corrected March 14, 2025 · Quality of Life and Care
-
Potential for harm · D January 28, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 14, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 28, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected March 14, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 28, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · E January 28, 2025 · found via complaint
Provide activities to meet all resident's needs.
Corrected March 14, 2025 · Quality of Life and Care
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Potential for harm · E January 28, 2025 · found via complaint
Observe each nurse aide's job performance and give regular training.
Corrected March 14, 2025 · Nursing and Physician Services
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Potential for harm · F January 28, 2025 · found via complaint
Post nurse staffing information every day.
Corrected March 14, 2025 · Nursing and Physician Services
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Potential for harm · D January 28, 2025 · found via complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected March 14, 2025 · Quality of Life and Care
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Potential for harm · D January 28, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected March 14, 2025 · Nutrition and Dietary
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Potential for harm · F January 28, 2025 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected March 14, 2025 · Administration
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Potential for harm · F January 28, 2025 · found via complaint
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.
Corrected March 14, 2025 · Administration
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Potential for harm · E January 28, 2025 · found via complaint
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.
Corrected March 14, 2025 · Administration
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Potential for harm · F January 28, 2025 · found via complaint
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.
Corrected March 14, 2025 · Administration
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Potential for harm · D January 28, 2025 · found via complaint
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected March 14, 2025 · Administration
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Potential for harm · D January 28, 2025 · found via complaint
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Corrected March 14, 2025 · Infection Control
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Immediate jeopardy · J March 14, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 24, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E March 14, 2024 · found via complaint
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.
Corrected April 24, 2024 · Resident Rights
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Potential for harm · E March 14, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected April 24, 2024 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 28, 2025 | Fine | $87,878 |
| March 14, 2024 | Fine | $20,820 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495141 · certified since July 1, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.