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Nursing homeFAID #12461

Heritage Hall Big Stone Gap

2045 VALLEY VIEW DRIVE, BIG STONE GAP, VA, 24219

(276) 523-3000

180 licensed beds

★★★★★4/5CMS Five-Star overall3/5 health inspections2/5 staffing5/5 quality measuresSource: CMS Care Compare

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Photo via Google · Heritage Hall Big Stone Gap

Address

2045 Valley View Drive

Big Stone Gap, VA 24219

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Public record summary

What we can show you for free.

Bed capacity

180

CMS facility ID

495135

Care type

Nursing home

County

Wise

Facility name

Heritage Hall Big Stone Gap

Street address

2045 VALLEY VIEW DRIVE

City / state / ZIP

Big Stone Gap, VA 24219

Phone

(276) 523-3000

About this facility — Heritage Hall Big Stone Gap

Heritage Hall Big Stone Gap is a Medicare/Medicaid-certified skilled nursing facility in Big Stone Gap, Virginia. It is licensed for 180 beds — well above the median for skilled nursing facilities in Virginia (117 beds).

It is one of 1 senior care facility in Big Stone Gap and 289 skilled nursing facilities across Virginia. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Heritage Hall Big Stone Gap 53 times across 8 inspections in the last three years, and CMS has imposed $40,517 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Heritage Hall

Ownership type

For profit - Corporation

Registered owners & officers

Dalton, Brad

Officer · Operational control · Additional disclosable party — since 2024

Dalton, Robert

Officer · Operational control · Additional disclosable party — since 2014

East, Thomas

Director · Officer · Additional disclosable party — since 2012

Gallant, Cassandra

Officer · Additional disclosable party — since 2024

Giles, Norelle

Additional disclosable party — since 2025

Hopkins, William

Director — since 2010

Quinn, Donald

Additional disclosable party — since 2025

Regulatory standing

Federal court records

8 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1983-02-10

CMS overall rating

4 of 5 stars

Health deficiencies

5 at the last standard inspection

Federal fines

$40,517 total

Last standard inspection

2023-02-01

Nurse staffing

3.1 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$330 per day (≈ $10,030/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

81% Medicaid · 6% Medicare · 14% private/other

Occupancy

86% (fiscal year 2023)

Vs. state median

18% below the VA median of $401/day — full state cost breakdown

Services & coverage

Licensed beds

180

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.

2024-11-19Health inspectionComplaint-triggered4 citations

F-0600

G · Actual harmFrom a complaint

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

Corrected 2025-01-09

F-0684

G · Actual harmFrom a complaint

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

Corrected 2025-01-09

F-0760

G · Actual harmFrom a complaint

Ensure that residents are free from significant medication errors.

Corrected 2025-01-09

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2025-01-09

2023-08-15Health inspectionComplaint-triggered1 citation

F-0689

G · Actual harmFrom a complaint

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

Corrected 2023-10-11

5 earlier / fire-safety inspections (48 citations)

2023-02-01Health inspection5 citations

F-0656

D · No harm found

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

Corrected 2023-02-07

F-0657

D · No harm found

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

Corrected 2023-02-07

F-0684

D · No harm found

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

Corrected 2023-02-07

F-0692

D · No harm found

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

Corrected 2023-02-07

F-0698

D · No harm found

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

Corrected 2023-02-07

2021-05-12Health inspection13 citations

F-0578

D · No harm found

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.

Corrected 2021-07-08

F-0580

D · No harm found

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

Corrected 2021-07-08

F-0607

E · No harm found

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

Corrected 2021-07-08

F-0609

D · No harm found

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

Corrected 2021-07-08

F-0646

D · No harm found

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

Corrected 2021-07-08

F-0689

G · Actual harm

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

Corrected 2021-07-08

F-0692

D · No harm found

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

Corrected 2021-07-08

F-0728

D · No harm found

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.

Corrected 2021-07-08

F-0740

G · Actual harm

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

Corrected 2021-07-08

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2021-07-08

F-0761

D · No harm found

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.

Corrected 2021-07-08

F-0842

E · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2021-07-08

F-0886

E · No harm found

Perform COVID19 testing on residents and staff.

Corrected 2021-07-08

2019-06-27Health inspection18 citations

F-0578

D · No harm found

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.

Corrected 2019-08-11

F-0607

D · No harm found

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

Corrected 2019-08-11

F-0623

E · No harm found

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2019-08-11

F-0625

E · No harm found

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.

Corrected 2019-08-11

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2019-08-11

F-0657

D · No harm found

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

Corrected 2019-08-11

F-0660

D · No harm found

Plan the resident's discharge to meet the resident's goals and needs.

Corrected 2019-08-11

F-0684

D · No harm found

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

Corrected 2019-08-11

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2019-08-11

F-0693

D · No harm found

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.

Corrected 2019-08-11

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2019-08-11

F-0698

D · No harm found

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

Corrected 2019-08-11

F-0758

D · No harm found

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.

Corrected 2019-08-11

F-0760

D · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2019-08-11

F-0761

D · No harm found

Corrected 2019-08-11

F-0842

D · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2019-08-11

F-0868

F · No harm found

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2019-08-11

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2019-08-11

2023-02-01Fire-safety inspection5 citations

K-0293

E · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2023-04-03

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-04-03

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2023-04-03

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2023-04-03

K-0761

E · No harm found

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

Corrected 2023-04-03

2021-05-12Fire-safety inspection7 citations

K-0161

E · No harm found

Use approved construction type or materials.

Corrected 2021-07-01

K-0222

F · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2021-07-01

K-0293

D · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2021-07-01

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2021-07-01

K-0511

E · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2021-07-01

K-0741

D · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2021-07-01

K-0761

D · No harm found

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

Corrected 2021-07-01

Federal penalties

2024-11-19Fine$40,517

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 495135.

Visitor reviews

What people say on Google.

3.832 ratings on Google

★★★★★Kara Powers · 2023-03-01 · via Google
“This facility is by far one of the best in our area. I had loved ones in several different facilities in the area over the years. By far the staff here is the best I have seen. My situation was very sensitive and urgent for my loved one. They went above and beyond to help with all of my loved ones needs. The staff has always went above and beyond to care for my loved ones needs. From the the admis…”

★★★★James Rainey · 2022-07-27 · via Google
“My mom seems content with her experience here so far, even though she really wants to get back to her home. Most of the staff are courteous and respectful. COVID really knocked most homes like this for a loop but this place seemed to have things under control. Even the maintenance department gets involved in patient care! I think my mother's care is in good hands.”

★★★★★Dottie Blanken · 2025-05-15 · via Google
“I spend a substantial amount of time at HHBSG. It is one of the largest nursing facilities in number of residents served. Considering the Covid situation...employee shortage, supply shortage, etc., I feel like HHBSG has adapted to each challenge faced,and remained patient-centered and provided professional and compassionate care. The nursing, therapy and medical staff are well-trained and provide…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 53 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered