Heritage Hall Grundy

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.

31.1% 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 57 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 69.2% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 26 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.32 therapist hours per resident per day in 2026Q1 — more than 52% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 6% 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 120 beds and averages 115.4 residents a day — about 96% occupied, or roughly 5 beds typically open. It runs essentially full — expect a waiting list. 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 3.00 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.48 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.86 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 2.50 hrs/resident/day on weekends vs 3.20 on weekdays — 22% thinner on weekends — a notable drop. RN hours go from 0.56 to 0.28 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 37% 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 fewer than at the previous inspection — improving. 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 3 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.

24 citations, most serious first. The 10 most serious are shown; the remaining 14 are one tap away and print in full.

• Potential for harm · Ecited before2023-02-28 · tag F0921 — failed to keep a safe, functional, sanitary building — pattern
  Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interview, resident review, and family interview, the facility staff failed to maintain a clean and homelike environment on 2 of 2 wings. The findings included: 02/26/23 during initial tour of the facility the surveyors identified a pervasive smell of urine throughout the facility. 02/26/23 at approximately 2:50 p.m., during an interview with a family member of a resident of the facility the family member stated the facility always had an odor. 02/27/23 08:45 a.m., Licensed Practical Nurse (LPN) #1 stated the facility had an odor at times. The surveyor again identified a strong odor on the C hall of the building. 02/27/23 4:15 p.m., the Administrator, Director of Nursing, Nurse Consultant #1 and #2, and the Assistant Administrator were made aware of the issue regarding odors in the building. 02/28/23 8:35 a.m., Resident Council President stated the facility had an odor occasionally and if it did have one it seemed to be more likely to happen in the evening. No further information regarding this issue was provided to the survey team prior to the exit…

  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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2023-02-28 · 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 follow physicians orders regarding oxygen therapy for 1 of 24 residents, Resident #34. The findings included: Resident #34's clinical record included a physician order for oxygen at 3 liters per minute. The surveyor observed the oxygen to be set at 6 liters per minute. Resident #34's diagnoses included, but were not limited to, obstructive sleep apnea, chronic obstructive pulmonary disease, and anxiety disorder. Section C (cognitive patterns) of Resident #34's significant change minimum data set (MDS) assessment with an assessment reference date (ARD) of 12/09/22 included a brief interview for mental status (BIMS) score of 9 out of a possible 15 points. Section O (special treatments/procedures/programs) was coded to indicate Resident #34 was receiving oxygen therapy. Resident #34's comprehensive care plan included the intervention provide oxygen as ordered. Resident #34's physician orders included an order for oxygen at 3 liters per minute via nasal cannula diagnosis…

  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 before2023-02-28 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview and clinical record review, the facility staff failed to maintain complete and accurate clinical records for 2 of 24 residents, Residents #34 and #118. The findings included: 1. For Resident #34, the facility staff documented they had administered Resident #34's medications. When in fact Resident #34 was in the hospital and not at the facility. Resident #34's diagnoses included, but were not limited to, obstructive sleep apnea, chronic obstructive pulmonary disease, and anxiety disorder. Section C (cognitive patterns) of Resident #34's significant change minimum data set (MDS) assessment with an assessment reference date (ARD) of 12/09/22 included a brief interview for mental status (BIMS) summary score of 9 out of a possible 15 points. Section O (special treatments/procedures/programs) was coded to indicate Resident #34 was receiving oxygen therapy. The clinical record review revealed that Resident #34 had been admitted to the hospital on [DATE]-[DATE]. Licensed Practical nurses (LPN)…

  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 · E2021-03-18 · tag F0756 — failed to review each resident's drug regimen — pattern
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on staff interview and clinical record review, facility staff failed to ensure that Drug Regimen Review reports were addressed by the physician and that documentation concerning the reviews was placed in the clinical record while reviewing the sample of 24 records. The findings included: During clinical record reviews on 3/17/2021, surveyors were unable to find documentation of drug regimen reviews (DRR) in the clinical records. A surveyor interviewed the director of nursing (DON) on 3/17/2021. The DON reported being unaware that the pharmacy review reports were supposed to be reviewed, reported to the physician, and placed in the clinical records. From November 2020 through March 17 2021, staff did not review pharmacy recommendations or place reviews on the resident records. The administrator and the corporate consultant were notified of the concern. On 3/18/2021, surveyors were given copies of the DRR reports from November 2020 through 3/17/2021. Nursing staff reported reviewing the reports and passing recommendations to the nurse practitioner for action.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2021-03-18 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interview, facility document review and employee record review the facility staff failed to implement facility policy for the screening of new employees for 3 of 25 new employees, #14, #15, and #21. The findings included: For new employee #14 and #21 the facility staff failed to obtain reference checks and for new employee #15 the facility staff failed to obtain criminal background checks per the facility abuse policy. The surveyor reviewed 25 records for new hire employees on 03/17/21. The surveyor could not locate references for new employee #14, a CNA (certified nursing aide) with a hire date of 11/16/2020, and new employee #21, a CNA with a hire date of 01/15/21. The surveyor also could not locate a criminal background check for new employee #15, a CNA with a hire date of 06/04/2020. Surveyor spoke with the BOM (business office manager) on 03/17/21 at approximately 1:40 pm. Surveyor asked BOM if they could locate the missing reference checks and criminal background check. BOM stated they could not. Surveyor reviewed the facility policy entitled Abuse, Neglect and…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2021-03-18 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  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 a routine narcotic and failed to follow their system of record keeping for a controlled narcotic in sufficient detail to enable an accurate reconciliation for 2 of 27 Residents, Resident's #85 and #90. The findings included: 1. For Resident #85, the facility staff failed to ensure the narcotic medication Valium was available for administration. Resident #85's clinical record included the diagnosis of anxiety disorder. Section C (cognitive patterns) of the residents quarterly (MDS) minimum data set assessment with an (ARD) assessment reference date of 02/15/2021 included a (BIMS) brief interview for mental status summary score of 15 indicating the resident was alert and orientated. The residents comprehensive care plan included the approach MEDICATE AS ORDERED. A review of Resident #85's (eMARs) electronic medication administration records revealed that the facility nursing staff had documented on 02/25/2021 at 9:19 p.m. that Resident #85's Valium was unavailable…

  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 · D2021-03-18 · tag F0757 — failed to avoid unnecessary drugs — isolated
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interview and clinical record review, and facility document review, facility staff failed to monitor by not following up on how pharmacy recommendations were acted up on regarding dose changes for 3 out of 3 unsampled residents (Residents #16, 51, and 91). The findings included: During clinical record reviews on 3/17/2021, surveyors were unable to find documentation of drug regimen reviews (DRR) in the clinical records. A surveyor interviewed the director of nursing (DON) on 3/17/2021. The DON reported being unaware that the pharmacy review reports were supposed to be reviewed, reported to the physician, and placed in the clinical records. From November 2020 through March 17 2021, staff did not review pharmacy recommendations or place reviews on the resident records. The administrator and the corporate consultant were notified of the concern. On 3/18/2021, surveyors were given copies of the DRR reports from November 2020 through 3/17/2021. Nursing staff reported reviewing the reports and passing recommendations to the nurse practitioner for action. For Resident #16, a…

  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 · D2021-03-18 · 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 interview clinical record review, and facility document review, facility staff failed to address gradual dose recommendations for 2 of 27 residents in the survey sample (Resident #68 and #96) and for 12 additional current residents not included in the survey sample. The findings included: 1. For Resident #68, facility staff failed to act upon a recommendation for a gradual dose reduction of Paroxetine (an antidepressant medication). Resident #68 was admitted to the facility with diagnoses including cerebrovascular accident, cardiac artery disease, hemiplegia, and depression. On the Minimum Data Set assessment with assessment reference date 2/8/2021, the resident scored 15/15 on the brief interview for mental status and was assessed as without signs of delirium, psychosis, or behaviors affecting care. During clinical record reviews on 3/17/2021, surveyors were unable to find documentation of drug regimen reviews (DRR) in the clinical records. A surveyor interviewed the director of nursing (DON) on 3/17/2021. The DON reported being unaware that the pharmacy review…

  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 · Dcited before2021-03-18 · 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 observation, staff interview, and clinical record review, the facility staff failed to ensure a complete and accurately documented clinical record for 2 of 27 residents in the survey sample, Resident's #34 and #85. The findings included: 1. For Resident #34, facility staff failed to accurately document the amount of tube feeding residual obtained on 3/16/21. Resident #34, diagnosis list indicated diagnoses, which included, but not limited to Parkinson's Disease, Gastrostomy Status, Dysphagia following Unspecified Cerebrovascular Disease, Unspecified Protein-Calorie Malnutrition, Unspecified Dementia with Behavioral Disturbance, and Chronic Kidney Disease Stage 3 Unspecified. The most recent significant change MDS (minimum data set) with an ARD (assessment reference date) of 3/09/21 assigned the resident a BIMS (brief interview for mental status) score of 99 indicating that the resident was unable to complete the interview. Resident #34 is coded as being severely impaired in cognitive skills for daily decision making with short-term and long term memory problems in section…

  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 · E2019-03-21 · tag F0622 — pattern
  Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 5. The facility staff failed to provide the hospital with the required paper work concerning Resident #110's medical information. Resident #110 was admitted to the facility on [DATE] with the following diagnoses of, but not limited to anemia, heart failure, high blood pressure, pneumonia and dementia. On the MDS (Minimum Data Set) with an ARD (Assessment Reference Date) of [DATE], the resident was coded as having short term and long-term memory problems and being moderately impaired in daily decision-making. Resident #110 was also coded as requiring extensive assistance of 2 staff members for dressing, personal hygiene and bathing. During the closed record review on [DATE], the surveyor noted that Resident #110 had been transferred to the hospital on [DATE]. The surveyor could not find any documentation that the facility provided to the hospital concerning the resident's medical condition and/or list of medications. Since the resident expired at the hospital on [DATE], the facility was not required to offer 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 Rights 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 13 rows in the source record cover these 9 parties — each is shown once here with every role it holds. Nothing is omitted.

3 organizational owners 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 71% 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 $827K 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