CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 4951352026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Heritage Hall Big Stone Gap

2045 Valley View Drive · Big Stone Gap, VA 24219 · Wise County

CMS OVERALL RATING★★★★☆4/5CMS field—not our score or recommendation
Certified beds180CMS provider file
Recent citation rows53current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12023-02-0152023-02-015
Cycle 22021-05-12172021-05-127
Cycle 32019-06-27192019-06-270
02 / CITATION DETAIL

53 rows in the current release

6 rows carry G–L scope/severity codes; 0 carry J–L. 15 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2024-11-19 · HEALTHF0600Severity G · isolated actual harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Correction field: Deficient, Provider has date of correction · 2025-01-09 · complaint
2024-11-19 · HEALTHF0684Severity G · isolated actual harm

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction field: Deficient, Provider has date of correction · 2025-01-09 · complaint
2024-11-19 · HEALTHF0760Severity G · isolated actual harm

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Correction field: Deficient, Provider has date of correction · 2025-01-09 · complaint
2024-11-19 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2025-01-09 · complaint
2023-08-15 · HEALTHF0689Severity G · isolated actual harm

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction field: Deficient, Provider has date of correction · 2023-10-11 · complaint
2023-02-01 · HEALTHF0656Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Correction field: Deficient, Provider has date of correction · 2023-02-07
2023-02-01 · HEALTHF0657Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Correction field: Deficient, Provider has date of correction · 2023-02-07
2023-02-01 · HEALTHF0684Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction field: Deficient, Provider has date of correction · 2023-02-07
2023-02-01 · HEALTHF0692Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

Correction field: Deficient, Provider has date of correction · 2023-02-07
2023-02-01 · HEALTHF0698Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Correction field: Deficient, Provider has date of correction · 2023-02-07
2023-02-01 · FIREK0293Severity E · pattern; potential for more than minimal harm

Egress Deficiencies

Have properly located and lighted "Exit" signs.

Correction field: Waiver has been granted · 2023-04-03
2023-02-01 · FIREK0353Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Waiver has been granted · 2023-04-03
2023-02-01 · FIREK0363Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Correction field: Deficient, Provider has date of correction · 2023-04-03
2023-02-01 · FIREK0511Severity D · isolated; potential for more than minimal harm

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Correction field: Deficient, Provider has date of correction · 2023-04-03
2023-02-01 · FIREK0761Severity E · pattern; potential for more than minimal harm

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Correction field: Deficient, Provider has date of correction · 2023-04-03
2021-05-12 · HEALTHF0578Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2021-07-08
2021-05-12 · HEALTHF0580Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Correction field: Deficient, Provider has date of correction · 2021-07-08
2021-05-12 · HEALTHF0607Severity E · pattern; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Correction field: Deficient, Provider has date of correction · 2021-07-08
2021-05-12 · HEALTHF0609Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Correction field: Deficient, Provider has date of correction · 2021-07-08
2021-05-12 · HEALTHF0646Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

Correction field: Deficient, Provider has date of correction · 2021-07-08
2021-05-12 · HEALTHF0689Severity G · isolated actual harm

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction field: Deficient, Provider has date of correction · 2021-07-08
2021-05-12 · HEALTHF0692Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

Correction field: Deficient, Provider has date of correction · 2021-07-08
2021-05-12 · HEALTHF0728Severity D · isolated; potential for more than minimal harm

Nursing and Physician Services Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2021-07-08
2021-05-12 · HEALTHF0740Severity G · isolated actual harm

Quality of Life and Care Deficiencies

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Correction field: Deficient, Provider has date of correction · 2021-07-08
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
2024-11-19Fine$40,5170
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • EAST, THOMASIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 11/20/2012
  • HOPKINS, WILLIAMIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 07/23/2010
  • DALTON, BRADIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 07/11/2024
  • DALTON, ROBERTIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 04/21/2014
  • EAST, THOMASIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 11/20/2012
  • GALLANT, CASSANDRAIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 07/11/2024
  • DALTON, BRADIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 04/01/2024
  • DALTON, ROBERTIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 04/21/2014
  • DALTON, BRADIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 04/01/2024
  • DALTON, ROBERTIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 04/21/2014
  • EAST, THOMASIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 04/21/2014
  • GALLANT, CASSANDRAIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 07/11/2024
  • GILES, NORELLEIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 06/27/2025
  • QUINN, DONALDIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 06/27/2025

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours3.11per resident day
RN hours0.41per resident day
Weekend nurse hours2.56per resident day
Staff turnover26.6%CMS reported field
06 / LOCAL RECORDS

Other published facilities nearby

Open the Virginia ledger →

No second facility in the same city met the directory rule.

BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.