Alleghany Health & Rehab: Feces, Urine Odors - VA
Federal inspectors documented the unsanitary conditions during a September complaint investigation, finding the facility failed to maintain basic cleanliness on two of its three units.
In room B6, inspectors found dried brownish material consistent with feces covering the base of the toilet, scattered across the floor around it, and running down the side of the fixture. The mess had been there long enough for the housekeeper to develop concerns about permanent damage.
"That is feces, and I feel like it's getting up under the floor tiles," the housekeeper told inspectors after observing the bathroom. "I don't have a scrubber to scrub with, so I just do the best I can with a rag and mop."
The housekeeper described her cleaning responsibilities as dusting blinds, cleaning sinks and bathrooms, dusting surfaces and lights, mopping and sweeping floors, and removing trash. But she said the conditions fell short of what residents deserved.
"There are times I feel like the rooms are not cleaned like they should be, and we could do a better job," she said. "I feel like the facility could be cleaner, but we're contracted. We're not allowed to touch personal belongings, and sometimes it's a struggle to get the nursing staff to remove the belongings so we can clean."
On the A wing, inspectors found a different problem that was making life miserable for one resident. Room A6 had puckered, moist wallpaper and an overwhelming smell of cat urine.
Resident #4 told inspectors the room had been painted, but the wallpaper problems and odor persisted. The smell was so strong it disrupted her sleep.
"It was hard to sleep," she said. "I sleep turned toward the window, and it makes it hard to rest."
When she asked staff about the problem, they offered conflicting explanations. "They told me the roof leaks, and that maybe an animal or person peed in the corner," she said.
The maintenance director had a different theory when inspectors interviewed him the next day. After observing the puckered wallpaper, he suggested moisture from a drain outside the window might be causing the damage.
"There's a drain right outside that window where it's puckered, and it could be sweating and causing the wallpaper to pucker," he said.
He claimed he didn't notice an odor during his observation, though he acknowledged that "if there is an odor, it might be coming from that wallpaper." No work order had been submitted to address the resident's complaint.
When inspectors brought facility leadership to see the room, the problems became undeniable. The Director of Nursing and regional director of clinical services immediately smelled the odor upon entering. All three administrators observed the wallpaper, felt the wall, and confirmed it was moist.
Only the facility administrator claimed she couldn't smell anything.
The inspection revealed gaps in the facility's approach to cleanliness standards. When inspectors requested the facility's policy for room sanitation and cleanliness, the administrator provided only a form titled "Job to be done. Complete room cleaning." No actual policy was provided.
The housekeeper's comments suggested systemic issues beyond individual room problems. Her description of being "contracted" and unable to move residents' belongings to clean properly pointed to coordination problems between housekeeping and nursing staff.
The resident in room A6 had found her own way to cope with conditions the facility hadn't addressed. She repositioned herself in bed each night, turning toward the window to escape the smell that staff couldn't agree on how to explain or fix.
Meanwhile, the bathroom mess in room B6 had persisted long enough for a housekeeper to worry about permanent structural damage, armed only with basic cleaning supplies inadequate for the job.
Federal inspectors classified the violations as causing minimal harm to few residents, but the findings illustrated how basic environmental failures can accumulate into persistent quality-of-life problems for people who have no choice but to live with them.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Alleghany Health and Rehab from 2025-09-11 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: June 17, 2026 · Our methodology
ALLEGHANY HEALTH AND REHAB in CLIFTON FORGE, VA was cited for violations during a health inspection on September 11, 2025.
The mess had been there long enough for the housekeeper to develop concerns about permanent damage.
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.