Alleghany Health and Rehab
A nursing home in Clifton Forge, Virginia 24422
1725 Main Street, Clifton Forge, Virginia 24422. (540) 862-5791.
- Not fully inspected in over two years (CMS flag)
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The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 12 health citations at the latest inspection cycle Virginia average: 14.0
- 3.29 nurse hours per resident per day Virginia average: 3.88
- 2 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
12 health citations at the latest inspection cycle
The Virginia average is 14.0.
Last standard inspection Apr 27, 2023.
Most serious in three years: immediate jeopardy to health or safety (K), at a complaint inspection on Jan 28, 2025
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
32 citations in 3 months of the last 36. Last cited Sep 2025. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 32 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 32 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Sep 11, 2025: complaint inspection5 citations
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Respond appropriately to all alleged violations.
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Ensure services provided by the nursing facility meet professional standards of quality.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Jan 28, 2025: complaint inspection17 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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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.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Respond appropriately to all alleged violations.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Provide activities to meet all resident’s needs.
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Observe each nurse aide’s job performance and give regular training.
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Post nurse staffing information every day.
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Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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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.
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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.
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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.
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Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
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Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Mar 14, 2024: complaint inspection10 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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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.
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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
-
Respond appropriately to all alleged violations.
-
Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
-
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
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Provide medically-related social services to help each resident achieve the highest possible quality of life.
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Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jul 1, 1984.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, corporation.
- 105 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 2 fines in the last three years, $108,698 in all.
- No Medicare payment denials in the last three years.
- 32 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Jan 28, 2025 | Fine | $87,878 |
| Mar 14, 2024 | Fine | $20,820 |
Who does the caring?
3.29 nurse hours per resident per day
The Virginia average is 3.88.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Virginia average |
|---|---|---|
| Nurse hours per resident per day | 3.29 | 3.88 |
| Of which registered nurses | 0.71 | 0.71 |
| At weekends | 2.91 | 3.35 |
| Nursing staff turnover | 62.5% | 47.5% |
| Registered nurse turnover | 66.7% | 46.5% |
| Administrators who left | 0 | Not given |
Who owns it?
- Gl Virginia Holdings LLC owns 100% directly since Dec 16, 2016.
- 5 owners or officers are people: David Rubenstein (owns 5% or more through other companies, 57.1%); Boyd P Gentry (owns 5% or more through other companies, 42.9%); Phillip Jerman (managing employee (on the payroll), 0%); Boyd P Gentry (corporate officer); David Rubenstein (corporate officer).
- Part of Trio Healthcare (9 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Trio Healthcare Investors LLC | Owns 5% or more through other companies | 100% | Dec 16, 2016 |
| Trio Health Care - East, LLC | Owns 5% or more through other companies | 100% | May 24, 2019 |
| Trio Healthcare LLC | Owns 5% or more through other companies | 100% | Dec 10, 2019 |
| Gl Virginia Holdings LLC | Owns 5% or more directly | 100% | Dec 16, 2016 |
How do residents fare?
- CMS rates its quality measures 1 of 5 (Virginia average 4.0).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 2 of 5 |
| Quality measures | 1 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 31.9 miles, this one had the 5th most health citations at the latest inspection cycle (12; the middle value was 10).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Alleghany Health and Rehab This nursing home | 12 | |
| The Woodlands Health and Rehab Center | 0.4 | 6 |
| Brian Center of Alleghany | 4.7 | 10 |
| The Springs Nursing & Rehab Center | 11.1 | 5 |
| Kendal at Lexington | 19.1 | 15 |
| Heritage Hall Lexington | 20.1 | 13 |
| Brian Center of Fincastle | 20.8 | 5 |
| White Sulphur Springs Center | 24.7 | 10 |
| Shenandoah Valley Health and Rehab | 25.3 | 6 |
| The Glebe | 28.0 | 4 |
| Daleville Health and Rehabilitation | 29.7 | 13 |
| Pocahontas Center | 31.9 | 21 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
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Paid listing
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