Heritage Hall Big Stone Gap

Nursing Home · Big Stone Gap, VA

CMS overall rating 4/5 For profit - Corporation

CMS certification number495135

Contact & location

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

Phone: (276) 523-3000
ZIP code: 24219 – all care providers

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Facility details

Certified beds: 180
Residents per day: 165.5 (92% occupied)
Ownership: For profit - Corporation
Legal name: Big Stone Gap Life Care LLC
Chain: Heritage Hall (15 facilities, avg 4.1★)
Medicare certified since: February 10, 1983
Participates in: Medicare and Medicaid
Council: Resident council

CMS star ratings

Overall★★★★★ 4/5

State avg 3.0

Health inspections★★★★★ 3/5

State avg 2.7

Staffing★★★★★ 2/5

State avg 2.4

Quality measures★★★★★ 5/5

State avg 3.9

Long-stay quality★★★★★ 5/5

Short-stay quality★★★★★ 5/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing: 3.11 (state 3.76 · U.S. 3.86)
Registered nurses (RN): 0.41 (state 0.69 · U.S. 0.69)
Licensed practical nurses: 0.73 (state 1.00 · U.S. 0.86)
Nurse aides: 1.97 (state 2.07 · U.S. 2.32)
Weekend total: 2.56 (state 3.29 · U.S. 3.42)
Nursing staff turnover: 26.6 (state 48.1 · U.S. 45.8)%
RN turnover: 6.3 (state 48.2 · U.S. 42.9)%
Administrators who left: 0 in the last year

Inspections

Last standard inspection: February 1, 2023
Health deficiencies (last cycle): 5.0 (state 14.5 · U.S. 9.3)
From complaints: 0
Citations on record (3 years): 41 health · 12 fire safety · includes actual harm

Date	Citation	Severity	Status
2024-11-19	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	G Actual harm	Corrected 2025-01-09
2024-11-19	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection	G Actual harm	Corrected 2025-01-09
2024-11-19	Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection	G Actual harm	Corrected 2025-01-09
2024-11-19	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-01-09
2023-08-15	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection	G Actual harm	Corrected 2023-10-11
2023-02-01	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-02-07
2023-02-01	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-02-07
2023-02-01	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-02-07
2023-02-01	Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-02-07
2023-02-01	Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-02-07
2021-05-12	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies	G Actual harm	Corrected 2021-07-08
2021-05-12	Ensure each resident must receive and the facility must provide necessary behavioral health care and services. F0740 · Quality of Life and Care Deficiencies	G Actual harm	Corrected 2021-07-08
2021-05-12	Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2021-07-08
2021-05-12	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2021-07-08
2021-05-12	Perform COVID19 testing on residents and staff. F0886 · Infection Control Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2021-07-08
2021-05-12	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. F0578 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2021-07-08
2021-05-12	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2021-07-08
2021-05-12	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2021-07-08
2021-05-12	Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. F0646 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2021-07-08
2021-05-12	Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2021-07-08
2021-05-12	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. F0728 · Nursing and Physician Services Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2021-07-08
2021-05-12	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2021-07-08
2021-05-12	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. F0761 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2021-07-08
2019-06-27	Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868 · Administration Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2019-08-11
2019-06-27	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2019-08-11
2019-06-27	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. F0625 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2019-08-11
2019-06-27	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. F0578 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-08-11
2019-06-27	Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-08-11
2019-06-27	Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-08-11
2019-06-27	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-08-11
2019-06-27	Plan the resident's discharge to meet the resident's goals and needs. F0660 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-08-11
2019-06-27	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-08-11
2019-06-27	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-08-11
2019-06-27	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. F0693 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-08-11
2019-06-27	Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-08-11
2019-06-27	Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-08-11
2019-06-27	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. F0758 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-08-11
2019-06-27	Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-08-11
2019-06-27	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. F0761 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-08-11
2019-06-27	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-08-11
2019-06-27	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-08-11

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $40,517 in fines.

Date	Type	Amount
2024-11-19	Fine	$40,517

Ownership & management

Name	Role	Since
Dalton, Brad (individual)	Administrator · NOT APPLICABLE
Dalton, Robert (individual)	Administrator · NOT APPLICABLE
East, Thomas (individual)	Administrator · NOT APPLICABLE
Gallant, Cassandra (individual)	Administrator · NOT APPLICABLE
Giles, Norelle (individual)	Administrator · NOT APPLICABLE
Quinn, Donald (individual)	Administrator · NOT APPLICABLE
East, Thomas (individual)	Corporate Director · NOT APPLICABLE
Hopkins, William (individual)	Corporate Director · NOT APPLICABLE
Dalton, Brad (individual)	Corporate Officer · NOT APPLICABLE
Dalton, Robert (individual)	Corporate Officer · NOT APPLICABLE
East, Thomas (individual)	Corporate Officer · NOT APPLICABLE
Gallant, Cassandra (individual)	Corporate Officer · NOT APPLICABLE
Dalton, Brad (individual)	Operational/managerial Control · NOT APPLICABLE
Dalton, Robert (individual)	Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Heritage Hall Big Stone Gap?

Heritage Hall Big Stone Gap has a 4-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Virginia.

How many beds does Heritage Hall Big Stone Gap have?

It has 180 certified beds and cares for about 166 residents per day.

Has Heritage Hall Big Stone Gap been fined?

Yes. CMS lists 1 penalty totaling $40,517 in the last three years.

Who owns Heritage Hall Big Stone Gap?

It is part of Heritage Hall and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Heritage Hall Big Stone Gap?

(276) 523-3000. The facility is located at 2045 Valley View Drive, Big Stone Gap, VA 24219.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.