Nursing home
Heritage Hall Big Stone Gap
2045 Valley View Drive, Big Stone Gap, VA 24219 · Map
For profit - Corporation · Part of Heritage Hall (16 facilities) · 180 certified beds
Heritage Hall Big Stone Gap is a Medicare-certified nursing home in Big Stone Gap, Virginia. CMS rates it 3 out of 5 stars overall (3/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.36 hours per resident per day, below the Virginia average of 3.81. Its most recent inspection on Feb 1, 2023 cited 5 deficiencies.
- 2 fines totaling $71,620In CMS records: 2 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Heritage Hall Big Stone Gap compares
This facility vs. the Virginia and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Virginia avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.36 | 3.81 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.37 | 0.69 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.21 | 2.12 | 2.34 | above avg |
| Nursing staff turnover | 29.1% | 48.4% | 46.4% | below avg |
| Deficiencies cited, last inspection | 5.0 | 14.5 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the November 19, 2024 inspection was corrected by January 9, 2025
Penalties in CMS records: 2 fines totaling $71,620, 2 total penalties.
What inspectors found at Heritage Hall Big Stone Gap
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Nov 19, 2024 · Full report (PDF) - Actual harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Nov 19, 2024 · Full report (PDF) - Actual harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Nov 19, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Nov 19, 2024 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Aug 15, 2023
Show all 12 deficiencies
- Potential for harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Feb 1, 2023 - Potential for harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Feb 1, 2023 - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Feb 1, 2023 - Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Feb 1, 2023 - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Feb 1, 2023 - Actual harm
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care Deficiencies · May 12, 2021 - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · May 12, 2021
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 2045 Valley View Drive
Big Stone Gap, VA 24219 - CMS certification #
- 495135
- Ownership
- For profit - Corporation
- Certified beds
- 180
- Avg residents/day
- 163.6
- Provider type
- Medicare and Medicaid
- First certified
- 1983-02-10
- Chain
- Heritage Hall (16 facilities)
- Setting
- Rural
Part of Heritage Hall
Heritage Hall operates 16 nursing facilities across the United States. View all Heritage Hall facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Heritage Hall Big Stone Gap using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Lonesome Pine Hospital, Big Stone Gap. 0.1 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Norton Community Hospital SNF Unit, Norton. 7.2 miles away, straight line.
- Nearest home health agency office
- Ballad Health Homecare - Norton, Norton. 7.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 7.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 24219 as small town (small town core).
- Dialysis within 15 miles
- Bma - Mountain Empire, Norton, 8.7 miles away, straight line (CMS rating 1 of 5 stars)
- Hospice
- 4 Medicare hospices tell CMS they serve ZIP code 24219.
Hospice & Palliative Care Of Virginia, office in Norton, 8.2 miles away, straight line - Nearest geriatric medicine practice
- Tapestry Telehealth PLLC, Pikeville. 42.6 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane very low, inland flooding very high, wildfire relatively low, tornado relatively low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Heritage Hall Big Stone Gap a good nursing home?
CMS gives Heritage Hall Big Stone Gap an overall rating of 3 out of 5 stars, including 3/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Heritage Hall Big Stone Gap staffed?
Heritage Hall Big Stone Gap reports 3.36 total nurse hours per resident per day, compared with the Virginia average of 3.81.
Has Heritage Hall Big Stone Gap had inspection problems?
Its most recent CMS inspection cited 5 deficiencies.
How many beds does Heritage Hall Big Stone Gap have?
Heritage Hall Big Stone Gap is certified for 180 beds.