The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited November 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
HERITAGE HALL BIG STONE GAP
BIG STONE GAP, VA · Medicare-certified · 180 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
4 of 5 overall
Heritage Hall Big Stone Gap has an overall 4-star rating, with strong quality measures (5 stars) but weaker staffing (2 stars) and average health inspections (3 stars). It reports 3.11 nurse hours per resident per day versus the 4.1 federal benchmark, and it had $40,517 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.1071 hrs/resident/day
Quality measures
Last inspection: November 19, 2024Penalties, last 24 months: $40,517recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1071.
Staffing detail
- Registered nurses
- 0.41
- Licensed practical nurses
- 0.73
- Nurse aides
- 1.97
- Weekend nursing
- 2.56
Hours per resident per day.
Total staff turnover: 27%
Registered nurse turnover: 6%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
32.2%26.8%Improving
Residents with a fall causing major injury
1.9%1.2%Improving
Residents with pressure ulcers (bedsores)
0.8%2%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
4.6%3.2%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
14.8%9.6%Improving
Residents whose ability to walk got worse
11.3%4.7%Improving
Long-stay residents on antianxiety or sleep medication
23.5%21.5%Improving
Short-stay residents newly given an antipsychotic
4.3%0%Improving
Residents with a long-term catheter
0%0.6%Worsening
Residents with new or worsening incontinence
16.4%6.5%Improving
Residents with depressive symptoms
5.1%6.1%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—99.4%—
Long-stay residents given the pneumonia vaccine
100%98.8%Worsening
Short-stay residents given the seasonal flu vaccine
—92.6%—
Short-stay residents given the pneumonia vaccine
94.1%96.2%Improving
What the inspectors found
The nursing home failed to protect residents from abuse and neglect by others. Cited November 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The nursing home failed to ensure residents were free from significant medication errors. Cited November 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The nursing home failed to ensure residents received the behavioral health care and services they needed. Cited May 2021 — isolated incident, actual harm.
View the original federal record
F-Tag 740 — 42 CFR §483.40 — S/S: G
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $40,517 was recorded.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $71,620 in total fines.
- $40,517
Federal fine
Nov 19, 2024
- $31,103
Federal fine
Aug 15, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of HERITAGE HALL · 16 homes · 3.9 stars avg
- Occupancy
- 165.5 residents on an average day (92% of 180 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 43 years
The most recent standard health inspection was more than two years ago.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.