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D
Poor

HERITAGE HALL BIG STONE GAP

2045 VALLEY VIEW DRIVE · BIG STONE GAP, VA 24219

2765233000 · For profit - Corporation

180 beds163.6 residents163 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

HERITAGE HALL BIG STONE GAP receives an overall staffing grade of D (Poor). With 3.3601 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.3732 HPRD, below the recommended 0.75. It is 0.54 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 22.23% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.3601 HPRD — needs 0.12 more hours per resident per day.
⚠️RN staffing (0.3732 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.3601hrs/resident/day▼ 0.54
CMS benchmark: 3.48
RN HPRD
0.3732hrs/resident/day▼ 0.31
Recommended: 0.75
Weekend Drop-off
22.23%
3.5854 weekday → 2.7883 weekend
⚠ Significant weekend reduction
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.0225hrs/resident/day
Direct care aides
LPN HPRD
0.7788hrs/resident/day
Licensed practical nurses
Consistency
0.4259std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Wise County Average-1.97 HPRD
5.33
03.36 HPRD
vs. Virginia State Average-0.47 HPRD
3.83
03.36 HPRD
vs. National Average-0.54 HPRD
3.90
03.36 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
HERITAGE HALL BIG STONE GAP ★
BIG STONE GAP · This facility
—
D
3.36010.3732★★★☆☆
RIDGECREST MANOR NURSING & REHABILITATION
DUFFIELD
11.5 mi
C
3.5420.5315★★★★☆
HERITAGE HALL CLINTWOOD
CLINTWOOD
25.2 mi
D
3.55710.2951★★★★☆
NHC HEALTHCARE, BRISTOL
BRISTOL
35.4 mi
B
3.90260.5521★★★★★
DEER MEADOWS REHABILITATION AND NURSING
ABINGDON
45.2 mi
F
3.1620.2385★☆☆☆☆
HERITAGE HALL GRUNDY
GRUNDY
48.2 mi
C
3.06240.5514★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
41
Total Deficiencies
$71,620
Fines Assessed
Nov 19, 2024Health
4 deficiencies cited· Includes actual harm
▼
Aug 15, 2023Health
1 deficiency cited· Includes actual harm
▼
Feb 1, 2023Health
5 deficiencies cited
▼
May 12, 2021Health
13 deficiencies cited· Includes actual harm
▼
Jun 27, 2019Health
18 deficiencies cited
▼

Penalty History

Nov 19, 2024Fine
$40,517
Aug 15, 2023Fine
$31,103
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.