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Complaint Investigation

Alleghany Health And Rehab

January 28, 2025 · Clifton Forge, VA · 1725 Main Street
Citations 2
CMS Rating 1/5
Beds 105
Provider ID 495141
Healthcare Facility
Alleghany Health And Rehab
Clifton Forge, VA  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)  ·  57 pages
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

ALLEGHANY HEALTH AND REHAB in CLIFTON FORGE, VA — inspection on January 28, 2025.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF742
Minimal harm or 49456 Few to provide meals at an appetizing temperature for residents on one of three units. affected

According to the facility assessment provided to the survey team, the facility plan read in part, [Facility name redacted] has a Psychiatric FNP who provides services in the facility a minimum of once weekly and provides on-call services when not in the building . If the resident's needs exceed what the facility can provide, [hospital name redacted] has a psychiatric wing that can provide hospitalization and stabilization for the resident. A Counselor provides services in the facility weekly

On 1/28/25, the facility administrator and Regional [NAME] President of Operations (RVPO) reported that they had routine psychiatric services until their provider resigned around mid-October of 2024.

They presented a typed document that read, [facility name redacted] entered into an agreement with [psychiatric provider name redacted] on 1/24/24.

They provided psychiatric services through 10/14/24, at which time the provider resigned.

From 10/14/24 until 1/23/25 [company name redacted] provided telehealth psychiatric services for acute needs and managed day to day by the primary care medical team.

They also stated, a new provider visited the facility for the first time on 1/24/25.

No further information was provided.

495141

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 495141 B.

Wing 01/28/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Alleghany Health and Rehab 1725 Main Street Clifton Forge, VA 24422

According to the facility assessment provided to the survey team, the facility noted, Resident/Facility Data which noted, 66 residents with dementia, 9 with sundowners, 32 with a behavioral health diagnosis and 32 being seen by behavioral health services.

The facility plan read in part, . If the resident's needs exceed what the facility can provide, [hospital name redacted] has a psychiatric wing that can provide hospitalization and stabilization for the resident

On the afternoon of 1/27/25, the administrator returned the paper, which listed the survey team's requested items and had noted beside transfer agreement don't have one, and verbally told the survey team they did not have an active transfer agreement, nor a policy related to the transfer agreement.

The facility had no evidence of having a transfer agreement with the said hospital for psychiatric services nor any other hospital for emergency medical services that may be needed by their resident population.

On 1/28/25 at 11:20 a.m., the survey team met with the facility Administrator, Director of Nursing and three corporate management staff to discuss the above findings.

No additional information was provided prior to conclusion of the survey.

On 1/30/25, the facility administrator submitted via email a transfer agreement between the facility's prior ownership and a local hospital that was executed July 2009.

Also included was another agreement dated 2006 between the hopsital and the facilities owner before the most recent prior owner of the nursing facility.

495141

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 495141 B.

Wing 01/28/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Alleghany Health and Rehab 1725 Main Street Clifton Forge, VA 24422

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in CLIFTON FORGE, VA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from ALLEGHANY HEALTH AND REHAB or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.