Heritage Hall Clintwood

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

35.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 46 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.37 therapist hours per resident per day in 2026Q1 — more than 64% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 12% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 100 beds and averages 85.6 residents a day — about 86% occupied, or roughly 14 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.67 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.35 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.24 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.97 hrs/resident/day on weekends vs 3.96 on weekdays — 25% thinner on weekends — a notable drop. RN hours go from 0.42 to 0.20 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 41% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

18 citations, most serious first. The 10 most serious are shown; the remaining 8 are one tap away and print in full.

• Potential for harm · Ecited before2024-06-27 · tag F0684 — failed to provide proper treatment and quality of care — pattern
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interview, clinical record review, and facility document review, the facility staff failed to administer medications per the provider orders for 3 of 18 current residents, Resident #10, #44, and #292. The findings included: 1. For Resident #10, the facility nursing staff failed to administer the medication Gabapentin per the provider orders. Gabapentin is a controlled drug in the state of Virginia. Resident #10's diagnoses included, but were not limited to, cerebral palsy and neuropathy. Section C (cognitive patterns) of Resident #10's quarterly minimum data set (MDS) assessment with an assessment reference date (ARD) of 06/06/24 included a brief interview for mental status (BIMS) score of 15 out of a possible 15 points. Resident #10's comprehensive care plan included the focus area pain/comfort. Interventions included, but were not limited to, MEDS AS ORDERED. Resident #10's clinical record included a provider order for Gabapentin 300 mg every 8 hours for polyneuropathy. The clinical record included a progress note documented by the nursing staff on 05/30/24 at 5:40…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-06-27 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, staff interviews, clinical record review, and facility document review facility staff failed to maintain an effective infection control and prevention program for three of four residents observed during medication pass and on two of two units (Resident #8, Resident #10, Resident #65). The findings were: 1. For Resident #8, Resident #10 and Resident #65, facility staff failed to perform hand hygiene prior to donning gloves or after removing gloves during medication administration observations. Surveyor observed licensed practical nurse (LPN #1) don gloves prior to assembling Resident #8's medications on 06/25/24 at 8:25 a.m. The nurse did not perform hand hygiene prior to donning gloves. LPN #1 performed hand hygiene with soap and water after removing the gloves. Surveyor observed licensed practical nurse (LPN #7) don gloves prior to assembling Resident #65's medications on 06/25/24 at 11:55 a.m. The nurse did not perform hand hygiene prior to donning gloves. LPN #7 administered the medications and after removing gloves, retrieved wipes from the locked…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-06-27 · tag F0623 — isolated
  Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and clinical record review the facility staff failed to provide a resident's responsible party with written information related to a discharge/transfer for one (1) of 22 sampled residents (Resident #34). The findings were: For Resident #34, facility staff failed to provide the responsible party (RP) with written notice of the resident's transfer to an emergency department. Resident #34's minimum data set with an assessment reference date of 01/16/24 assessed the resident as being rarely/never understood. The resident was assessed as having problems with short-term memory and long-term memory. The resident was assessed at continuously having behaviors of inattention and disorganized thinking. Resident #34's progress notes read the resident was transferred to a local hospital via ambulance service for evaluation of hyperglycemia (elevated blood sugar) on 03/07/24. Resident #34 was admitted to a different local hospital the same day with the diagnosis of hypernatremia (elevated sodium). The unit manager (licensed practical nurse - LPN #2) documented the RP was aware…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-06-27 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, resident interview, staff interview and clinical record review, the facility staff failed to review and revise a comprehensive care plan (CCP) for 1 of 22 sampled residents, Resident #44. The findings included: The facility staff failed to review and revise Resident #44's CCP to indicate they would cover their nebulizer machine with clothing and other items. Resident #44's diagnoses included, but were not limited to, diabetes, chronic obstructive pulmonary disease, and obstructive sleep apnea. Section C (cognitive patterns) of Resident #44's quarterly minimum data set (MDS) assessment with an assessment reference date (ARD) of 04/05/24 included a brief interview for mental status (BIMS) score of 15 out of a possible 15 points. Resident #44's CCP included the focus areas of cardiovascular/respiratory. On 06/24/24 at 4:50 p.m., the surveyor observed Resident #44's nebulizer machine uncovered and sitting on top of a recliner in the residents room. This nebulizer machine was partially covered with clothing. Resident #44 stated the staff put it there. On 06/24/24 at…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-06-27 · tag F0693 — failed to provide proper feeding-tube care — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interviews, facility document review, and clinical record review, the facility staff failed to follow medical provider orders to check tube feeding residuals for one (1) of 18 sampled current residents (Resident #59). The findings include: The facility staff failed to check and record enteral feeding residuals for Resident #59. (Enteral feeding is a way to provide liquid nutrition to an individual's digestive system via a tube. The residual is the amount of liquid drained from the stomach of an individual receiving enteral feeding.) Resident #59's Minimum Data Set (MDS) assessment, with an Assessment Reference Date (ARD) of 5/30/24, was signed as completed on 5/31/24. Resident #59 was assessed as able to sometimes make self understood and as able to understand others. Resident #59's Brief Interview for Mental Status (BIMS) summary score was documented as a 15 out of 15; this indicated intact and/or borderline cognition. Resident #59 was assessed as dependent on others for eating, oral hygiene, toileting hygiene, dressing, personal hygiene, and bathing. Resident #59's…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-06-27 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, resident interview, staff interview, and clinical record review, the facility staff failed to administer Oxygen per the providers orders for 1 of 18 current residents, Resident #44. The findings included: The facility staff failed to provide Oxygen per the providers orders. Resident #44's Oxygen was observed to be at 3 and 3 1/2 liters a minute when the providers order was for 2 liters a minute. Resident #44's diagnoses included, but were not limited to, chronic obstructive pulmonary disease and obstructive sleep apnea. Section C (cognitive patterns) of Resident #44's quarterly minimum data set (MDS) assessment with an assessment reference date (ARD) of 04/05/24 included a brief interview for mental status (BIMS) score of 15 out of a possible 15 points. Resident #44's CCP included the focus areas of cardiovascular/respiratory. Interventions included, but were not limited to, Oxygen as ordered. Resident #44's clinical record included a provider order for Oxygen at 2 liters a minute via nasal cannula as needed for shortness of breath. The order date was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-06-27 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interviews, facility document review, and clinical document review, the facility staff failed to monitor two (2) of 18 sampled current residents for side effects of psychotropic medications (Resident #23 and Resident #24). The findings include: 1. Resident #23's clinical record failed to provide evidence of the facility staff monitoring the resident for potential side effects related to the resident receiving psychotropic medications. (On 6/27/24, Resident #23's clinical record included medical provider orders for fluoxetine, trazodone, and bupropion; these are psychotropic medications.) Resident #23's Minimum Data Set (MDS) assessment, with an Assessment Reference Date (ARD) of 4/8/24, was signed as completed on 4/9/24. Resident #23 was assessed as able to make self understood and as able to understand others. Resident #23's Brief Interview for Mental Status (BIMS) summary score was documented as a 15 out of 15; this indicated intact and/or borderline cognition. Resident #23 was assessed as requiring assistance with toileting hygiene, dressing, and bathing. Resident…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-06-27 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interviews and the review of clinical records, the facility staff failed to maintain complete and/or accurate clinical records for two (2) of 18 sampled current residents (Resident #87 and Resident #292). The findings include: 1. Resident #87's Durable Do Not Resuscitate (DDNR) form, dated 6/7/24, was incomplete. Resident #87's Minimum Data Set (MDS) assessment, with an Assessment Reference Date (ARD) of 6/9/24, was signed as completed on 6/10/24. Resident #87 was assessed as usually able to make self understood and as sometimes able to understand others. Resident #87 was assessed as having problems with both long-term memory and short term-memory. Resident #87 was assessed as requiring assistance with oral hygiene, toileting hygiene, personal hygiene, and bathing. The DDNR form has a section where the individual completing the form certifies that the resident is either capable or incapable of making an informed decision about providing, withholding, or withdrawing a specific medical treatment or course of medical treatment. This section was not answered by the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2022-05-05 · tag F0693 — failed to provide proper feeding-tube care — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interview, and clinical record review, the facility staff failed to provide the appropriate care and services in regards to a gastronomy tube for 1 of 18 Residents, Resident #1. Resident #1's tube feeding was ordered by the physician to be cut off at 10:00 A.M. The surveyor observed it to be off at 8:25 A.M. The findings included: Section C (cognitive patterns) of Resident #1's quarterly Minimum Data Set (MDS) assessment with an Assessment Reference Date (ARD) of 03/15/22 included a Brief Interview for Mental Status summary (BIMS) score of 15 out of a possible 15 points. Due to this resident's current health condition, the surveyor was unable to complete an interview with this resident. Section K (swallowing and nutrition) was coded to indicate Resident #1 had a feeding tube in place. Diagnoses included, but were not limited to, multiple sclerosis, respiratory failure, and dysphagia. On 05/04/22 at 8:25 a.m., Resident #1's tube feeding was observed to be off. On 05/04/22 at 9:11 A.M., Resident #1's tube feeding was observed to be off and the feeding bag…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2019-06-20 · tag F0867 — failed to act on quality-improvement findings — widespread
  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interview, facility document review, and clinical record review, the facility staff failed to ensure the quality assurance program meet the needs of the facility as evidenced by repeated deficiencies in the areas of Resident Assessment, Quality of Care, and Pharmacy Services and failed to effectively monitor the effects of implemented changes and make needed revisions to the action plans as needed for the prevention of further deficiencies. The findings included: As part of the survey process, the survey team identified deficient practice in the areas of Resident Assessment, Quality of Care, and Pharmacy Services. The surveyor and the DON (director of nursing) reviewed the facility QA (quality assurance) program and QAPI (quality assurance and performance improvement) plan/program on 08/21/19 at 1:00 p.m. The facility policy titled, Quality Assurance Performance Improvement read in part, Our Quality Assurance and Performance Improvement Program (QAPI) represent our facility's commitment to continuous quality improvement. The program ensures a systematic…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to HERITAGE HALL — 15 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 10 rows in the source record cover these 6 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 79% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $596K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in VA