Heritage Hall Big Stone Gap
2045 Valley View Drive · Big Stone Gap, VA · 24219 · 2765233000
180 certified beds For profit - Corporation Chain: Heritage Hall
Why this verdict
- Federal penalties on record: $40,517 in fines in the last 24 months.
- 6 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.10 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.36 | 0.55–0.75 |
| Weekend hours / resident-day | 2.61 | ≈ weekday level |
| Nursing turnover / year | 27% | median 45% |
| Fines (3-yr window) | 2 · $71,620 |
Inspection citations (41 in the current record)
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Actual harm · G November 19, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G November 19, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 9, 2025 · Quality of Life and Care
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Actual harm · G November 19, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected January 9, 2025 · Pharmacy Service
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Potential for harm · D November 19, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 9, 2025 · Infection Control
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Actual harm · G August 15, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 11, 2023 · Quality of Life and Care
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Potential for harm · D February 1, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 7, 2023 · Resident Assessment and Care Planning
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Potential for harm · D February 1, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 7, 2023 · Resident Assessment and Care Planning
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Potential for harm · D February 1, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 7, 2023 · Quality of Life and Care
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Potential for harm · D February 1, 2023
Provide enough food/fluids to maintain a resident's health.
Corrected February 7, 2023 · Quality of Life and Care
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Potential for harm · D February 1, 2023
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected February 7, 2023 · Quality of Life and Care
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Actual harm · G May 12, 2021
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 8, 2021 · Quality of Life and Care
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Actual harm · G May 12, 2021
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected July 8, 2021 · Quality of Life and Care
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Potential for harm · D May 12, 2021
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 July 8, 2021 · Resident Rights
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Potential for harm · D May 12, 2021
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected July 8, 2021 · Resident Rights
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Potential for harm · E May 12, 2021
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected July 8, 2021 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 12, 2021
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 8, 2021 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 12, 2021
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Corrected July 8, 2021 · Resident Assessment and Care Planning
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Potential for harm · D May 12, 2021
Provide enough food/fluids to maintain a resident's health.
Corrected July 8, 2021 · Quality of Life and Care
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Potential for harm · D May 12, 2021
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Corrected July 8, 2021 · Nursing and Physician Services
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Potential for harm · D May 12, 2021
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 8, 2021 · Pharmacy Service
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Potential for harm · D May 12, 2021
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 July 8, 2021 · Pharmacy Service
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Potential for harm · E May 12, 2021
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected July 8, 2021 · Resident Assessment and Care Planning
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Potential for harm · E May 12, 2021
Perform COVID19 testing on residents and staff.
Corrected July 8, 2021 · Infection Control
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Potential for harm · D June 27, 2019
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 August 11, 2019 · Resident Rights
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Potential for harm · D June 27, 2019
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected August 11, 2019 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 19, 2024 | Fine | $40,517 |
| August 15, 2023 | Fine | $31,103 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495135 · certified since February 10, 1983. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.