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
3 of 5 overall
HERITAGE HALL BIG STONE GAP has a 3 out of 5 overall rating. Its staffing is 3 out of 5, with reported nurse staffing at 3.10 hours per resident per day versus the 4.1 federal benchmark, and it has had $40,517 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.098 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 3.098.
Staffing detail
- Registered nurses
- 0.36
- Licensed practical nurses
- 0.75
- Nurse aides
- 1.99
- Weekend nursing
- 2.61
Hours per resident per day.
Total staff turnover: 27%
Registered nurse turnover: 0%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
29.4%Steady
Residents with a fall causing major injury
3.1%Improving
Residents with pressure ulcers (bedsores)
1.7%Improving
Residents with a urinary tract infection
0.8%Improving
Residents who lost too much weight
4%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
12.3%Improving
Residents whose ability to walk got worse
13.2%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
23.3%Worsening
Short-stay residents newly given an antipsychotic
2.5%Worsening
Residents with a long-term catheter
0.5%Improving
Residents with new or worsening incontinence
12.2%Improving
Residents with depressive symptoms
2.9%Steady
Long-stay residents given the seasonal flu vaccine
99.4%Steady
Long-stay residents given the pneumonia vaccine
99.5%Worsening
Short-stay residents given the seasonal flu vaccine
92.6%Steady
Short-stay residents given the pneumonia vaccine
96.7%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 · 3.8 stars avg
- Occupancy
- 167.8 residents on an average day (93% 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.