Alleghany Health and Rehab: Sanitation Failures Found - VA
What inspectors found in that bathroom, in room B6 on the facility's B wing, was dried brownish material consistent with feces on the base of the commode, down its side, and across the floor around it. The housekeeper looked at it and said she believed it was getting up under the floor tiles.
The inspection was a complaint visit. Inspectors arrived September 9, 2025, and within the first hour of observations had documented conditions on two separate units.
The housekeeper did not minimize what she saw. She told inspectors that rooms were not being cleaned the way they should be, that the facility could be cleaner, and that the contracted cleaning arrangement created specific obstacles. Staff were not permitted to touch residents' personal belongings, she said, and nursing staff did not always remove those belongings to allow proper cleaning to happen. "Sometimes it's a struggle," she said, "to get the nursing staff to remove the belongings so we can clean."
Across the building on the A wing, room A6 had a different problem. The wallpaper along one wall was puckered and moist. The room smelled like cat urine.
The resident living in that room, identified in the inspection report as Resident 4, said the smell had been there and that it was hard to sleep. She turned toward the window at night to get away from it. When she asked staff about the odor, she said they told her the roof leaks and suggested that maybe an animal or a person had urinated in the corner. That was the explanation she was given. She said the smell made it hard to rest.
The Maintenance Director walked through the room the following morning. He agreed the wallpaper was puckered. He pointed to a drain outside the window and said condensation could be causing the moisture. He said he did not notice an odor during his own visit, but allowed that if there was one, it might be coming from the wallpaper. He also confirmed that no work order had been submitted for the problem. Nobody had written it up.
Later that same morning, the Administrator, the Director of Nursing, and a regional director of clinical services entered the room together. The Director of Nursing and the regional director both said they could smell the odor. All three touched the wall and confirmed it was moist. The Administrator said she did not smell anything.
When inspectors asked for the facility's written policy on room sanitation and cleanliness, the Administrator produced a form called "Job to be done. Complete room cleaning." No formal policy document existed.
The inspection report classified the harm level as minimal, with few residents affected. But the housekeeper's account pointed to something structural. She described a situation where the tools weren't there, the authority to move belongings wasn't there, and the cooperation from other departments wasn't reliable. "I feel like the facility could be cleaner," she said, "but we're contracted."
On the afternoon of September 10, facility leadership, including the Administrator, the Director of Nursing, the regional director, and the president of operations, met with inspectors and were told what had been found. The inspection report notes that no additional information was provided in response.
Resident 4 had already told inspectors what the situation cost her. She sleeps facing the window. It makes it hard to rest.
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.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 22, 2026 · Our methodology
ALLEGHANY HEALTH AND REHAB in CLIFTON FORGE, VA was cited for violations during a health inspection on September 11, 2025.
The housekeeper looked at it and said she believed it was getting up under the floor tiles.
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.