nursing home in Big Stone Gap, VA
Heritage Hall Big Stone Gap
2045 Valley View Drive, Big Stone Gap, VA 24219 · (276) 523-3000
★★★★★4
Above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★2
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Heritage Hall Big Stone Gap at a glance
Heritage Hall Big Stone Gap is a 180-bed for-profit nursing home in Big Stone Gap, Virginia (Wise County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Virginia average of 3.
Residents receive about 3.1 hours of nursing care per day (0.4 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (February 1, 2023) found 5 health citations. The Virginia average is 14.4.
Federal regulators fined it 1 time in the past three years, totaling $40,517.
Nursing staff turnover is 26.6% per year (state average 48.1%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 180
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Heritage Hall
- Medicare-certified since
- February 10, 1983
- Resident/family council
- Resident
- County
- Wise County
- CMS Certification Number
- 495135
Ratings
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 3 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 2.4 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.9 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.6 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.11 hrs | 3.76 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.41 hrs | 0.69 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.97 hrs | 2.07 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.56 hrs | 3.29 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 26.6% | 48.1% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 6.3% | 48.2% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 5 | 14 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 55 | 122.3 | 80.6 | Better |
Penalties
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $40,517 | $23,688 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 180 | 113 | 107 | |
| Average residents per day | 166 | 99 | 86 | |
| Occupancy | 91.9% | 87.9% | 80.9% |
Long-stay residents
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.4% | 3.6% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 1.5% | 4.7% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 29.2% | 14.2% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.3% | 1.6% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.1% | 0.4% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 9% | 14.9% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 6.7% | 15.6% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 3.4% | 5.4% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 3.9% | 18.7% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 23.1% | 20.6% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 9.7% | 21.8% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 99.4% | 94% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.4% | 90.9% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 2.4% | 1.3% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 92.6% | 73.6% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 96.8% | 73.7% | 82% | Better |
Inspection citations
State inspectors cited this home for 40 health deficiencies and 12 fire safety deficiencies in the inspection records CMS currently publishes. 5 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| November 19, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | G Actual harm, isolated | Corrected January 9, 2025 |
| November 19, 2024 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | G Actual harm, isolated | Corrected January 9, 2025 |
| November 19, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | G Actual harm, isolated | Corrected January 9, 2025 |
| November 19, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected January 9, 2025 |
| February 1, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected April 3, 2023 |
| February 1, 2023 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | E Potential harm, pattern | Corrected April 3, 2023 |
| February 1, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected April 3, 2023 |
| February 1, 2023 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | E Potential harm, pattern | Corrected April 3, 2023 |
| February 1, 2023 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected April 3, 2023 |
| February 1, 2023 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected February 7, 2023 |
| February 1, 2023 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected February 7, 2023 |
| February 1, 2023 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected February 7, 2023 |
| February 1, 2023 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected February 7, 2023 |
| February 1, 2023 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected February 7, 2023 |
| May 12, 2021 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | F Potential harm, widespread | Corrected July 1, 2021 |
| May 12, 2021 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected July 1, 2021 |
| May 12, 2021 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected July 1, 2021 |
| May 12, 2021 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | E Potential harm, pattern | Corrected July 1, 2021 |
| May 12, 2021 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | D Potential harm, isolated | Corrected July 1, 2021 |
| May 12, 2021 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | D Potential harm, isolated | Corrected July 1, 2021 |
| May 12, 2021 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | D Potential harm, isolated | Corrected July 1, 2021 |
| May 12, 2021 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected July 8, 2021 |
| May 12, 2021 Standard | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Tag F0740 | G Actual harm, isolated | Corrected July 8, 2021 |
| May 12, 2021 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | E Potential harm, pattern | Corrected July 8, 2021 |
| May 12, 2021 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | E Potential harm, pattern | Corrected July 8, 2021 |
| May 12, 2021 Standard | Perform COVID19 testing on residents and staff. Infection Control Deficiencies · Tag F0886 | E Potential harm, pattern | Corrected July 8, 2021 |
| May 12, 2021 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected July 8, 2021 |
| May 12, 2021 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected July 8, 2021 |
| May 12, 2021 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected July 8, 2021 |
| May 12, 2021 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected July 8, 2021 |
| May 12, 2021 Standard | 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. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected July 8, 2021 |
| May 12, 2021 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected July 8, 2021 |
| May 12, 2021 Standard | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. Resident Assessment and Care Planning Deficiencies · Tag F0646 | D Potential harm, isolated | Corrected July 8, 2021 |
| May 12, 2021 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0728 | D Potential harm, isolated | Corrected July 8, 2021 |
| June 27, 2019 Standard | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Tag F0868 | F Potential harm, widespread | Corrected August 11, 2019 |
| June 27, 2019 Standard | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Tag F0625 | E Potential harm, pattern | Corrected August 11, 2019 |
| June 27, 2019 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | E Potential harm, pattern | Corrected August 11, 2019 |
| June 27, 2019 Standard | 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. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected August 11, 2019 |
| June 27, 2019 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected August 11, 2019 |
| June 27, 2019 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected August 11, 2019 |
| June 27, 2019 Standard | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected August 11, 2019 |
| June 27, 2019 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected August 11, 2019 |
| June 27, 2019 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected August 11, 2019 |
| June 27, 2019 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected August 11, 2019 |
| June 27, 2019 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected August 11, 2019 |
| June 27, 2019 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected August 11, 2019 |
| June 27, 2019 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected August 11, 2019 |
| June 27, 2019 Standard | Plan the resident's discharge to meet the resident's goals and needs. Resident Assessment and Care Planning Deficiencies · Tag F0660 | D Potential harm, isolated | Corrected August 11, 2019 |
| June 27, 2019 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected August 11, 2019 |
| June 27, 2019 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected August 11, 2019 |
| June 27, 2019 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected August 11, 2019 |
| June 27, 2019 Standard | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected August 11, 2019 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $40,517 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| November 19, 2024 | Fine | $40,517 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| DALTON, BRAD Individual | adp of the snf | NOT APPLICABLE | 04/01/2024 |
| DALTON, ROBERT Individual | adp of the snf | NOT APPLICABLE | 04/21/2014 |
| EAST, THOMAS Individual | adp of the snf | NOT APPLICABLE | 04/21/2014 |
| GALLANT, CASSANDRA Individual | adp of the snf | NOT APPLICABLE | 07/11/2024 |
| GILES, NORELLE Individual | adp of the snf | NOT APPLICABLE | 06/27/2025 |
| QUINN, DONALD Individual | adp of the snf | NOT APPLICABLE | 06/27/2025 |
| EAST, THOMAS Individual | corporate director | NOT APPLICABLE | 11/20/2012 |
| HOPKINS, WILLIAM Individual | corporate director | NOT APPLICABLE | 07/23/2010 |
| DALTON, BRAD Individual | corporate officer | NOT APPLICABLE | 07/11/2024 |
| DALTON, ROBERT Individual | corporate officer | NOT APPLICABLE | 04/21/2014 |
| EAST, THOMAS Individual | corporate officer | NOT APPLICABLE | 11/20/2012 |
| GALLANT, CASSANDRA Individual | corporate officer | NOT APPLICABLE | 07/11/2024 |
| DALTON, BRAD Individual | operational/managerial control | NOT APPLICABLE | 04/01/2024 |
| DALTON, ROBERT Individual | operational/managerial control | NOT APPLICABLE | 04/21/2014 |
Other nursing homes near Heritage Hall Big Stone Gap
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★★★★★4Above averageHeritage Hall Wise
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★★★★★4Above averageTri Cities Rehabilitation and Healthcare Center
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★★★★★1Much below averageLetcher Manor
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For-profit · 142 beds · Part of Bluegrass Health Ky
★★★★★2Below averageLee Health and Rehab Center
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★★★★★5Much above average
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Frequently asked questions
What is Heritage Hall Big Stone Gap's rating?
Heritage Hall Big Stone Gap has 4 out of 5 stars on the CMS overall star rating. The average for Virginia nursing homes is 3 stars.
How many inspection citations did Heritage Hall Big Stone Gap receive?
Its most recent standard health inspection found 5 citations, compared with a Virginia average of 14.4. Every citation is listed on this page with its severity.
Does Heritage Hall Big Stone Gap accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Heritage Hall Big Stone Gap?
It is for profit - corporation and part of Heritage Hall. The ownership section on this page lists the owners and managers reported to CMS.
Where is Heritage Hall Big Stone Gap and how do I contact it?
Heritage Hall Big Stone Gap is at 2045 Valley View Drive, Big Stone Gap, VA 24219. Phone: (276) 523-3000.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.