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Nursing Homes · Medicare certified

Heritage Hall Big Stone Gap

2045 Valley View Drive · Big Stone Gap, VA 24219 · 180 certified beds

(276) 523-3000

NPI 1679563068 (opens in a new tab)

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About Heritage Hall Big Stone Gap

Heritage Hall Big Stone Gap is a nursing home in Big Stone Gap, Virginia. Its capacity is 180 beds, above the Virginia median of 117 for nursing homes. It is run by a for-profit operator and is part of Heritage Hall. It is Medicare certified. Its public inspection record shows 41 citations, the most recent on November 19, 2024. CMS also lists 2 fines or payment denials against it. Nurse staffing averages 3.09 hours per resident per day. Its public records were last updated in October 2026.

Public record

CMS Care Compare, updated October 2026

Certification

Medicare-certified.

Ratings

Overall

3.0

Staffing

2.0

Quality measures

4.0

CMS Care Compare, October 2026.

Inspection history (41)

Records from June 2019 to November 2024.

  • May 12, 2021

    Tag F0755

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

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 8, 2021.

  • May 12, 2021

    Tag F0578

    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.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 8, 2021.

  • May 12, 2021

    Tag F0692

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

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 8, 2021.

  • June 27, 2019

    Tag F0690

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

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 11, 2019.

  • June 27, 2019

    Tag F0641

    Ensure each resident receives an accurate assessment.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 11, 2019.

  • June 27, 2019

    Tag F0625

    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.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 11, 2019.

  • June 27, 2019

    Tag F0660

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

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 11, 2019.

  • June 27, 2019

    Tag F0698

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

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 11, 2019.

  • June 27, 2019

    Tag F0623

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

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 11, 2019.

  • June 27, 2019

    Tag F0693

    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.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 11, 2019.

  • June 27, 2019

    Tag F0842

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

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 11, 2019.

  • June 27, 2019

    Tag F0880

    Provide and implement an infection prevention and control program.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 11, 2019.

  • June 27, 2019

    Tag F0758

    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 l….

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 11, 2019.

  • June 27, 2019

    Tag F0868

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

    Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected August 11, 2019.

  • June 27, 2019

    Tag F0684

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

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 11, 2019.

  • June 27, 2019

    Tag F0695

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

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 11, 2019.

  • June 27, 2019

    Tag F0761

    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.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 11, 2019.

  • June 27, 2019

    Tag F0607

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

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 11, 2019.

  • June 27, 2019

    Tag F0578

    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.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 11, 2019.

  • June 27, 2019

    Tag F0657

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

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 11, 2019.

See the source data on data.cms.gov (opens in a new tab)

Penalties (2)

Total fines: $71,620

  • November 19, 2024 · Fine

    CMS recorded a civil money penalty of $40,517 against this nursing home on November 19, 2024.

  • August 15, 2023 · Fine

    CMS recorded a civil money penalty of $31,103 against this nursing home on August 15, 2023.

See the source data on data.cms.gov (opens in a new tab)

Staffing

3.09 nurse hours per resident per day in Q2 2026, about the same as in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit - Corporation

Part of Heritage Hall, a chain of 15 nursing homes.

Average CMS star ratings across the chain: 4.0 overall, 3.7 for health inspections, 2.4 for staffing, 4.1 for quality measures.

Typical cost

CareScout Cost of Care Survey, 2025

This provider's prices aren't public. Here is what the same care typically costs in Virginia.

Nursing Homes

Virginia median$10,250/mo

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

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Heritage Hall Big Stone Gap in Big Stone Gap, VA · Inspections page 2 · ElderCareCosts