Quick answers
- Where is Heritage Hall Big Stone Gap?
- 2045 Valley View Drive, Big Stone Gap, VA 24219, in Wise County, Virginia.
- What is the phone number of Heritage Hall Big Stone Gap?
- (276) 523-3000, as listed by Medicare (CMS).
- What is the Medicare star rating of Heritage Hall Big Stone Gap?
- Medicare overall rating: 3 out of 5 stars (CMS data updated 2026-10-01).
- Has Heritage Hall Big Stone Gap been fined?
- Medicare lists 1 fine totaling $40,517.
- What did inspectors find at Heritage Hall Big Stone Gap?
- In its last three inspection cycles (June 27, 2019 to November 19, 2024), Medicare lists 40 health citations; the most serious was level G. 5 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (June 27, 2019 to November 19, 2024), Heritage Hall Big Stone Gap had 40 health citations; the most serious was level G (actual harm to residents). 5 of them were level G or higher (actual harm or immediate jeopardy). It was fined $40,517 in total (1 fine, the latest on November 19, 2024). Nurse staffing is 3.09 hours per resident per day; the Virginia average is 3.88 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: February 1, 2023 — 5 health citations
Inspections in this cycle: February 1, 2023 (standard health inspection).
Show 5 citations (levels A to F, no actual harm)
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0692 Level D
“Provide enough food/fluids to maintain a resident's health.”
F0698 Level D
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
Previous cycle: May 12, 2021 — 17 health citations
Inspections in this cycle: May 12, 2021 (standard health inspection); November 19, 2024 (complaint investigation).
F0600 Level G
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
actual harm to residents; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
F0684 Level G
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0760 Level G
“Ensure that residents are free from significant medication errors.”
actual harm to residents; isolated (a few residents) · Pharmacy Service Deficiencies
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0740 Level G
“Ensure each resident must receive and the facility must provide necessary behavioral health care and services.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 12 less serious citations (levels A to F)
F0607 Level E
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0842 Level E
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0886 Level E
“Perform COVID19 testing on residents and staff.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0578 Level D
“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.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0646 Level D
“Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.”
F0692 Level D
“Provide enough food/fluids to maintain a resident's health.”
F0728 Level D
“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.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0761 Level D
“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.”
Earlier cycle: June 27, 2019 — 18 health citations
Inspections in this cycle: June 27, 2019 (standard health inspection).
Show 18 citations (levels A to F, no actual harm)
F0868 Level F
“Have the Quality Assessment and Assurance group have the required members and meet at least quarterly”
F0623 Level E
“Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.”
F0625 Level E
“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.”
F0578 Level D
“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.”
F0607 Level D
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0660 Level D
“Plan the resident's discharge to meet the resident's goals and needs.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0693 Level D
“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.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0698 Level D
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
F0758 Level D
“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.”
F0760 Level D
“Ensure that residents are free from significant medication errors.”
F0761 Level D
“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.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (12)
K0293 Level E
“Have properly located and lighted "Exit" signs.”
K0353 Level E
“Inspect, test, and maintain automatic sprinkler systems.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0761 Level E
“To conduct inspection, testing and maintenance of fire doors by qualified individuals.”
K0511 Level D
“Have properly installed electrical wiring and gas equipment.”
K0222 Level F
“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.”
K0161 Level E
“Use approved construction type or materials.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0511 Level E
“Have properly installed electrical wiring and gas equipment.”
K0293 Level D
“Have properly located and lighted "Exit" signs.”
K0741 Level D
“Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”
K0761 Level D
“To conduct inspection, testing and maintenance of fire doors by qualified individuals.”
Fines and payment denials
Total fines over about the last three years: $40,517 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| November 19, 2024 | Fine | $40,517 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Virginia | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.40 | 0.71 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.70 | 1.03 | 0.86 |
| Nurse aide hours per resident per day | 1.99 | 2.14 | 2.35 |
| Total nurse staff hours per resident per day | 3.09 | 3.88 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 2.50 | 3.35 | 3.43 |
| RN hours per resident per day on the weekend | 0.24 | 0.48 | 0.48 |
| Nursing staff turnover (per year) | 29.0% | 47.5% | 45.3% |
| RN turnover (per year) | 12.5% | 46.5% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.6 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 15 nursing homes: Heritage Hall.
Legal business name: Big Stone Gap Life Care LLC.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 180 |
| Average residents per day | 165.3 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – corporation |
| Group or chain (affiliated entity) | Heritage Hall |
| Legal business name | Big Stone Gap Life Care LLC |
| First approved by Medicare/Medicaid | 1983-02-10 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 2045 Valley View Drive, Big Stone Gap, VA 24219 |
| County | Wise County |
| State | Virginia |
| Phone | (276) 523‑3000 |
| CMS Certification Number | 495135 |
| Name in Medicare records | HERITAGE HALL BIG STONE GAP |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Norton Community Hospital SNF Unit7.2 mi · Norton, VA · 5 of 5 stars
- Ridgecrest Manor Nursing & Rehabilitation12 mi · Duffield, VA · 4 of 5 stars
- Heritage Hall Wise13 mi · Wise, VA · 4 of 5 stars
- Tri Cities Rehabilitation and Healthcare Center16 mi · Cumberland, KY · 1 of 5 stars
- Letcher Manor17 mi · Whitesburg, KY · 3 of 5 stars
Nearest hospital emergency rooms
- Lonesome Pine Hospital0.1 mi · Big Stone Gap, VA · Acute Care Hospital
- Whitesburg Arh Hospital17 mi · Whitesburg, KY · Acute Care Hospital
- Lee County Community Hospital18 mi · Pennington Gap, VA · Critical Access Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13