Nursing homeActive
Heritage Hall Grundy
2966 Slate Creek Road, Grundy, VA 246142769358144120 certified beds · 115 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2019
Deficiencies
24
● 2● 22● 0
Penalties · 3 yrs
—
none on file
Last survey
2023-02-28
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 4
Staffing 2
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Virginia Office of Licensure and Certification · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2023-02-28 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2021-03-18 | Standard | 060 | CMS-2567 (Care Compare) | — |
| 2019-03-21 | Standard | 2130 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Virginia Office of Licensure and Certification publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-26Record 495259-20230228-F695
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-26Record 495259-20230228-F842
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-04-26Record 495259-20230228-F921
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-04-26Record 495259-20210318-F607
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-04-26Record 495259-20210318-F755
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2021-04-26Record 495259-20210318-F756
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-04-26Record 495259-20210318-F757
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-04-26Record 495259-20210318-F758
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-04-26Record 495259-20210318-F842
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-05-05Record 495259-20190321-F550
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-05-05Record 495259-20190321-F580
F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-05-05Record 495259-20190321-F622
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-05-05Record 495259-20190321-F623
F625Notify 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-05-05Record 495259-20190321-F625
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-05-05Record 495259-20190321-F658
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-05-05Record 495259-20190321-F684
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-05-05Record 495259-20190321-F695
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-05-05Record 495259-20190321-F759
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-05-05Record 495259-20190321-F761
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-05-05Record 495259-20190321-F842
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-05-05Record 495259-20190321-F880
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-05-05Record 495259-20190321-F921
F565Honor the resident's right to organize and participate in resident/family groups in the facility.Scope/severity CPaperwork
Dignity & rights
Widespread; potential for minimal harm.Corrected 2019-05-05Record 495259-20190321-F565
F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Scope/severity CPaperwork
Dignity & rights
Widespread; potential for minimal harm.Corrected 2019-05-05Record 495259-20190321-F584
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.48
Facility
Virginia
National
Virginia 0.69 · National 0.69
Total nurse hours per resident day3.00
Facility
Virginia
National
Virginia 3.76 · National 3.86
Weekend total nurse hours2.50
Facility
Virginia
National
Virginia 3.29 · National 3.42
Total nursing staff turnover37%
Facility
Virginia
National
Virginia 48% · National 46%
Registered nurse turnover33%
Facility
Virginia
National
Virginia 48% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Virginia | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.7% | 4.7% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 6.3% | 3.6% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 10.7% | 14.2% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.0% | 1.6% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 9.6% | 14.9% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 1.6% | 5.4% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 29.3% | 20.6% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Ahc Acquisitions, LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 16% | — | — |
| Wcc Third Blind Trust Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 55% | — | — |
| American Healthcare LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Dalton, Brad Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Gallant, Cassandra Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Keene, Derek Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Dalton, Brad Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| East, Thomas Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| East, Thomas Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Gallant, Cassandra Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hopkins, William Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Keene, Derek Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Quinn, Donald Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Heritage Hall — 15 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Virginia.
No county cost figures on file for Buchanan.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Good Shepherd Health and Rehabilitation Phelps | 14.4 mi | 2026-01-22 | 036 |
| Elkhorn Health & Rehabilitation Elkhorn City | 16.7 mi | 2025-04-09 | 000 |
| Clinch Valley Medical Center Richlands | 19.7 mi | 2026-03-25 | 020 |
| Maple Grove Nursing & Rehab Center Lebanon | 28.1 mi | 2025-10-21 | 081 |
| Trinity Health Care Of Mingo Williamson | 27.4 mi | 2025-08-28 | 1131 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |