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C
Below Standard

HERITAGE HALL GRUNDY

2966 SLATE CREEK ROAD · GRUNDY, VA 24614

2769358144 · For profit - Corporation

120 beds113.1 residents127 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

HERITAGE HALL GRUNDY receives an overall staffing grade of C (Below Standard). With 3.0624 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5514 HPRD, below the recommended 0.75. It is 0.83 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 18.54% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.0624 HPRD — needs 0.42 more hours per resident per day.
⚠️RN staffing (0.5514 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
3.0624hrs/resident/day▼ 0.83
CMS benchmark: 3.48
RN HPRD
0.5514hrs/resident/day▼ 0.13
Recommended: 0.75
Weekend Drop-off
18.54%
3.2317 weekday → 2.6325 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.7785hrs/resident/day
Direct care aides
LPN HPRD
0.5635hrs/resident/day
Licensed practical nurses
Consistency
0.3398std 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. Buchanan County Average+0.00 HPRD
3.06
03.06 HPRD
vs. Virginia State Average-0.77 HPRD
3.83
03.06 HPRD
vs. National Average-0.83 HPRD
3.90
03.06 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 GRUNDY ★
GRUNDY · This facility
—
C
3.06240.5514★★★★☆
CLINCH VALLEY MEDICAL CENTER
RICHLANDS
19.5 mi
A+
7.7765.4312★★★★★
HERITAGE HALL CLINTWOOD
CLINTWOOD
24.2 mi
D
3.55710.2951★★★★☆
HERITAGE HALL TAZEWELL
TAZEWELL
33.3 mi
D
3.07280.2932★★☆☆☆
VALLEY REHABILITATION AND NURSING CENTER
CHILHOWIE
40 mi
C
3.14920.5857★★★★☆
DEER MEADOWS REHABILITATION AND NURSING
ABINGDON
40.1 mi
F
3.1620.2385★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
24
Total Deficiencies
$0
Fines Assessed
Feb 28, 2023Health
3 deficiencies cited
▼
Mar 18, 2021Health
6 deficiencies cited
▼
Mar 21, 2019Health
15 deficiencies cited
▼
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.