Virginia › Wise County › Big Stone Gap
Heritage Hall Big Stone Gap
2045 Valley View Drive, Big Stone Gap, VA 24219
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Heritage Hall Big Stone Gap is a For-profit, corporation nursing home in Big Stone Gap, Virginia, certified for 180 beds and caring for about 166 residents a day.
CMS gives it 4 of 5 stars overall, above the Virginia median of 3; the health inspection rating is 3, staffing 2 and quality measures 5.
Inspectors recorded 41 health deficiencies across the three most recent survey cycles (5, 17, 19 by cycle, most recent first), 6 of them at the actual-harm or immediate-jeopardy level. That is 22.8 per 100 beds, fewer than the state median of 34.5.
CMS lists 1 penalty in the period covered: fines totalling $41K.
Reported nurse staffing is 3.1 hours per resident per day (0.4 RN), close to the Virginia median of 3.4; nursing staff turnover is 26.6%.
CMS flags that the facility has not had a standard health inspection in more than two years.
Compared with county, state and nation
| Measure | This facility | Wise Co. median | Virginia median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 41 | 21 | 32 | 28.7 |
| Citations per 100 beds | 22.8 | 22.8 | 34.5 | 26.8 |
| Total nurse hours per resident day | 3.1 | 3.6 | 3.4 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.5 | 0.7 |
| Nursing staff turnover | 26.6% | 26.6% | 48.3% | 45.8% |
| Fines listed | $40,517 | $10,400 | $0 | — |
County and state figures are medians across facilities (3 in the county, 289 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Virginia average per facility for the same cycle, as published by CMS. Standard health survey dates: 1 Feb 2023, 12 May 2021.
Severity mix: G ×6 D ×29 E ×5 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 19 Nov 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 9 Jan 2025 |
| 19 Nov 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 9 Jan 2025 |
| 19 Nov 2024 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | 9 Jan 2025 |
| 19 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 9 Jan 2025 |
| 15 Aug 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 11 Oct 2023 |
| 1 Feb 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 7 Feb 2023 |
| 1 Feb 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 7 Feb 2023 |
| 1 Feb 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 7 Feb 2023 |
| 1 Feb 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 7 Feb 2023 |
| 1 Feb 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 7 Feb 2023 |
| 12 May 2021 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 8 Jul 2021 |
| 12 May 2021 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | G | Standard survey | 8 Jul 2021 |
| 12 May 2021 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 8 Jul 2021 |
| 12 May 2021 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 8 Jul 2021 |
| 12 May 2021 | F0886 | Perform COVID19 testing on residents and staff. | E | Standard survey | 8 Jul 2021 |
| 12 May 2021 | F0578 | 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. | D | Standard survey | 8 Jul 2021 |
| 12 May 2021 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 8 Jul 2021 |
| 12 May 2021 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 8 Jul 2021 |
| 12 May 2021 | F0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | Standard survey | 8 Jul 2021 |
| 12 May 2021 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 8 Jul 2021 |
| 12 May 2021 | F0728 | 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. | D | Standard survey | 8 Jul 2021 |
| 12 May 2021 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 8 Jul 2021 |
| 12 May 2021 | F0761 | 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. | D | Standard survey | 8 Jul 2021 |
| 27 Jun 2019 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Standard survey | 11 Aug 2019 |
| 27 Jun 2019 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 11 Aug 2019 |
| 27 Jun 2019 | F0625 | 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. | E | Standard survey | 11 Aug 2019 |
| 27 Jun 2019 | F0578 | 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. | D | Standard survey | 11 Aug 2019 |
| 27 Jun 2019 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 11 Aug 2019 |
| 27 Jun 2019 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 11 Aug 2019 |
| 27 Jun 2019 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 11 Aug 2019 |
| 27 Jun 2019 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Standard survey | 11 Aug 2019 |
| 27 Jun 2019 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 11 Aug 2019 |
| 27 Jun 2019 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 11 Aug 2019 |
| 27 Jun 2019 | F0693 | 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. | D | Standard survey | 11 Aug 2019 |
| 27 Jun 2019 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 11 Aug 2019 |
| 27 Jun 2019 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 11 Aug 2019 |
| 27 Jun 2019 | F0758 | 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. | D | Standard survey | 11 Aug 2019 |
| 27 Jun 2019 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 11 Aug 2019 |
| 27 Jun 2019 | F0761 | 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. | D | Standard survey | 11 Aug 2019 |
| 27 Jun 2019 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 11 Aug 2019 |
| 27 Jun 2019 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 11 Aug 2019 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 19 Nov 2024 | Fine | $40,517 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Virginia average. Turnover: nursing staff 26.6%, RNs 6.3%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Virginia median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 9.0% | 13.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.1% | 0.2% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.4% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.4% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 6.7% | 14.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.5% | 4.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 29.2% | 13.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Big Stone Gap Life Care Llc. Chain: Heritage Hall (15 facilities).
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Wise County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Norton Community Hospital SNF Unit | Norton | 44 | 5 | 4 | 5 | 21 | 47.7 | $10K | 12 Feb 2026 |
| Heritage Hall Wise | Wise | 97 | 4 | 4 | 2 | 20 | 20.6 | — | 1 Aug 2024 |
All 3 facilities in Wise County
Questions and answers
How many deficiencies has Heritage Hall Big Stone Gap been cited for?
41 health deficiencies across the three most recent survey cycles, 6 at the actual-harm or immediate-jeopardy level. The Virginia median is 32 per facility.
Has Heritage Hall Big Stone Gap been fined?
Yes. CMS lists fines totalling $41K in the period covered.
How does staffing at Heritage Hall Big Stone Gap compare?
Reported total nurse staffing is 3.1 hours per resident per day against a Virginia median of 3.4 and a national average of 3.9.
Who operates Heritage Hall Big Stone Gap?
It is part of the Heritage Hall chain. Ownership type is for-profit, corporation. Individual owners and managers are not listed on this site.
When was Heritage Hall Big Stone Gap last inspected?
The most recent survey or investigation in the CMS record is dated 19 Nov 2024; the most recent standard health survey was 1 Feb 2023.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.