Alleghany Health and Rehab: No Transfer Agreement - VA
That admission, scrawled on a paper returned to the survey team on the afternoon of January 27, 2025, captured the central problem inspectors found at Alleghany Health and Rehab: a facility housing 66 residents with dementia, nine with sundowner's syndrome, and 32 with a behavioral health diagnosis had no active agreement with any hospital, for psychiatric emergencies or for any other kind.
The administrator confirmed it verbally as well. There was no transfer agreement, and no policy governing how one should work.
The facility's own assessment of its resident population made the gap harder to explain away. Thirty-two residents were actively receiving behavioral health services. The plan the facility had written for itself described a specific hospital's psychiatric wing as the safety valve for residents in crisis. That hospital, whose name was redacted in inspection records, had no agreement with Alleghany Health and Rehab.
What the facility did produce, two days after the survey concluded, were two documents. The administrator emailed them on January 30. One was a transfer agreement executed in July 2009, between the hospital and a prior owner of the facility. The other was dated 2006, between the hospital and the owner before that. Neither agreement involved the facility's current ownership. Neither was active.
Inspectors also found the director of nursing, the person responsible for overseeing infection control across the entire building, had not completed her annual infection control training for 2024. She was also the facility's designated infection preventionist. When inspectors requested employee files on the afternoon of January 27, her training gap was not yet apparent to the staff development coordinator who pulled the records. By nine the next morning, when surveyors reviewed the files, the lapse was clear.
The director of nursing, interviewed at eleven that same morning, brought her infection control certificate to the meeting and said she was certain she had completed the training every year. She could show proof for 2023. She could not show proof for 2024.
She had also not completed Quality Assurance and Performance Improvement training for 2024. That training was completed on the morning of January 28, after surveyors had already requested the records that would reveal she hadn't done it.
At 12:45 that afternoon, the regional vice president of operations, the administrator, and the director of nursing met with the survey team. The regional vice president and the director of nursing said they would try to locate any prior training records for infection control. No additional information was provided before the survey closed.
The training violations were cited at the level of minimal harm or potential for actual harm. The transfer agreement finding was part of an extended survey, reviewed to determine whether the facility was meeting basic compliance requirements for a population that its own documentation described as heavily dependent on behavioral health support.
A nursing home's transfer agreement is not a formality. For a resident experiencing a psychiatric crisis, it is the mechanism that determines whether a receiving hospital is prepared to take them, what information transfers with them, and whether the handoff happens with any coordination at all. Alleghany Health and Rehab had built its emergency plan around a hospital it had no agreement with, using documents from ownerships that had come and gone before the current operator took over.
The administrator told inspectors on January 27 that the facility also had no policy related to transfer agreements. Two days later, the oldest document they could find dated to 2006.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Alleghany Health and Rehab from 2025-01-28 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: July 5, 2026 · Our methodology
ALLEGHANY HEALTH AND REHAB in CLIFTON FORGE, VA was cited for violations during a health inspection on January 28, 2025.
The administrator confirmed it verbally as well.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.