Cycle 1
Health 2024-01-24 · Fire 2024-01-24
10 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Low Moor, VA
Brian Center Of Alleghany
5-star overall rating with 4-star inspections with 10 recent health deficiencies
100 Alleghany Regional Hospital Lane, Low Moor, VA
(540) 862-3610
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
89
Certified beds
Average residents
82
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Kissito Healthcare
Operator or chain grouping
Approved since
1990-10-26
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
6 facilities
Chain averages 4 overall / 4 health / 3 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.98
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.64
Licensed practical nurse staffing · state 1.00 · national 0.87
Aide hours / resident day
2.23
Nurse aide staffing · state 2.12 · national 2.35
Total nurse hours
3.85
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.62
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
3.40
Weekend nurse staffing · state 3.31 · national 3.43
Weekend RN hours
0.83
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
1.04
CMS adjusted RN staffing hours
Adjusted total hours
4.10
CMS adjusted total nurse staffing hours
Case-mix index
1.28
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 49% · national 45%
Total nurse turnover
32%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,974
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
52.53
Composite VBP score used to determine payment impact.
Payment multiplier
1.0071
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.88
Baseline 17.39% · Performance 18.71% · Measure score 5.88 · Achievement 5.88 · Improvement 0
Healthcare-associated infections
3.54
Baseline 8.03% · Performance 6.80% · Measure score 3.54 · Achievement 3.46 · Improvement 3.54
Total nurse turnover
8.30
Baseline 38.04% · Performance 29.76% · Measure score 8.30 · Achievement 8.30 · Improvement 5.78
Adjusted total nurse staffing
3.30
Baseline 3.59 hours · Performance 4.02 hours · Measure score 3.30 · Achievement 3.30 · Improvement 1.45
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.04% |
10.72%
1.7 pts better
|
No Different than the National Rate · Eligible stays 247 · Observed rate 6.88% · Lower 95% interval 6.92% |
| Discharge to community | 60.15% |
50.57%
9.6 pts better
|
Better than the National Rate · Eligible stays 268 · Observed rate 57.09% · Lower 95% interval 54.38% |
| Medicare spending per beneficiary | 1.19 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 187 · Denominator 187 |
| Falls with major injury | 1.07% |
0.77%
0.3 pts worse
|
Numerator 2 · Denominator 187 |
| Discharge self-care score | 63.01% |
53.69%
9.3 pts better
|
Numerator 92 · Denominator 146 |
| Discharge mobility score | 65.75% |
50.94%
14.8 pts better
|
Numerator 96 · Denominator 146 |
| Pressure ulcers or injuries, new or worsened | 3.21% |
2.29%
0.9 pts worse
|
Numerator 6 · Denominator 187 · Adjusted rate 4.36% |
| Healthcare-associated infections requiring hospitalization | 6.8% |
7.12%
0.3 pts better
|
No Different than the National Rate · Eligible stays 169 · Observed rate 5.33% · Lower 95% interval 4.35% |
| Staff COVID-19 vaccination coverage | 1.36% |
8.2%
6.8 pts worse
|
Numerator 2 · Denominator 147 |
| Staff flu vaccination coverage | 30.82% |
42%
11.2 pts worse
|
Numerator 49 · Denominator 159 |
| Discharge function score | 69.86% |
56.45%
13.4 pts better
|
Numerator 102 · Denominator 146 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 124 · Denominator 124 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 37 · Denominator 37 |
| Resident COVID-19 vaccinations up to date | 34.04% |
25.2%
8.8 pts better
|
Numerator 32 · Denominator 94 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.0 |
1.5
0.5 pts better
|
1.9
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.2 · Expected 2.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
1.4
0.5 pts better
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 1.0 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
91.2%
8.8 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
94.0%
6 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.7% |
3.6%
4.1 pts worse
|
3.3%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 7.3% · Q3 9.3% · Q4 8.9% · 4Q avg 7.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.9% |
15.7%
13.8 pts better
|
11.4%
9.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 1.9% · Q3 0.0% · Q4 1.8% · 4Q avg 1.9% |
| Percentage of long-stay residents who lose too much weight | 10.0% |
5.7%
4.3 pts worse
|
5.4%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 18.9% · Q3 13.7% · Q4 0.0% · 4Q avg 10.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 28.6% |
20.2%
8.4 pts worse
|
19.6%
9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.4% · Q2 30.9% · Q3 24.5% · Q4 28.3% · 4Q avg 28.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.4% |
15.0%
7.6 pts better
|
16.7%
9.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 9.3% · Q3 6.5% · Q4 4.2% · 4Q avg 7.4% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 5.3% |
17.5%
12.2 pts better
|
16.3%
11 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 6.8% · Q3 11.5% · Q4 3.0% · 4Q avg 5.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.1% |
15.7%
6.6 pts better
|
14.9%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 11.3% · Q3 11.8% · Q4 7.8% · 4Q avg 9.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.4% |
0.5%
0.9 pts worse
|
1.0%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 2.3% · Q3 1.7% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.7% |
1.6%
3.1 pts worse
|
1.7%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 7.5% · Q3 5.8% · Q4 1.9% · 4Q avg 4.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.6% |
22.2%
1.4 pts worse
|
19.8%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 30.8% · Q3 21.9% · Q4 26.5% · 4Q avg 23.6% |
| Percentage of long-stay residents with pressure ulcers | 8.9% |
5.2%
3.7 pts worse
|
5.1%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 11.7% · Q3 12.0% · Q4 7.3% · 4Q avg 8.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.5% |
74.6%
21.9 pts better
|
81.7%
14.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.5% · Q2 94.4% · Q3 97.0% · Q4 96.8% · 4Q avg 96.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.4% |
11.7%
2.3 pts better
|
12.0%
2.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.4% · Observed 9.1% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
1.2%
0.2 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.0% · Q3 0.0% · Q4 2.8% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.3% |
73.6%
21.7 pts better
|
79.7%
15.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.9% |
22.0%
1.9 pts worse
|
23.9%
About the same
|
Short Stay · 20240701-20250630 · Adjusted 23.9% · Observed 20.6% · Expected 20.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-02-24 · Fire 2022-02-24
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2019-10-02 · Fire 2019-10-02
2 health deficiencies
Top issue: Infection Control (1 deficiency)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2019-10-02
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-11-26
F · Potential for more than minimal harm
2019-10-02
K753 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2019-11-26
F · Potential for more than minimal harm
2019-10-02
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2019-11-26
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-01-24
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-03-07
E · Potential for more than minimal harm
2024-01-24
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-03-07
D · Potential for more than minimal harm
2024-01-24
F578 · Resident Rights Deficiencies
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2024-03-07
D · Potential for more than minimal harm
2024-01-24
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-03-07
D · Potential for more than minimal harm
2024-01-24
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-03-07
D · Potential for more than minimal harm
2024-01-24
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-03-07
D · Potential for more than minimal harm
2024-01-24
F699 · Quality of Life and Care Deficiencies
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-03-07
D · Potential for more than minimal harm
2024-01-24
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2024-03-07
D · Potential for more than minimal harm
2024-01-24
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-03-07
D · Potential for more than minimal harm
2024-01-24
F887 · Infection Control Deficiencies
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2024-03-07
D · Potential for more than minimal harm
2019-10-02
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2019-10-25
D · Potential for more than minimal harm
2019-10-02
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2019-10-25
Penalties and ownership
What sits behind the stars
Ownership
Mcclintic Operations LLC
5% Or Greater Direct Ownership Interest · Organization
Ferrell, Mary
Operational/Managerial Control · Individual
Greystone Funding Company LLC
5% Or Greater Security Interest · Organization
Mcclintic Operations Holdco Ii LLC
5% Or Greater Indirect Ownership Interest · Organization
Mcclintic Operations Holdco Ii LLC
Operational/Managerial Control · Organization
Mcclintic Operations LLC
Operational/Managerial Control · Organization
Mcclintic, Robert
5% Or Greater Indirect Ownership Interest · Individual
Mcclintic, Robert
Operational/Managerial Control · Individual
Mcclintic, Robert
Corporate Officer · Individual
Perry, Katie
Operational/Managerial Control · Individual
Perry, Katie
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
The Woodlands Health And Rehab Center
Clifton Forge, VA
5-star overall rating with 4-star inspections with 6 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
#2
Alleghany Health And Rehab
Clifton Forge, VA
1-star overall rating with 1-star inspections with $108,698 in total fines with 17 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
#3
The Springs Nursing & Rehab Center
Hot Springs, VA
5-star overall rating with 4-star inspections with 5 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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