Heritage Hall-Rich Creek

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

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.

42.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 55 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 67.5% 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 40 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 0.19 therapist hours per resident per day in 2026Q1 — more than 20% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 15% 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 101.5 residents a day — about 85% occupied, or roughly 18 beds typically open. It usually has some room. 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 3.58 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.40 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.18 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 2.94 hrs/resident/day on weekends vs 3.84 on weekdays — 24% thinner on weekends — a notable drop. RN hours go from 0.48 to 0.22 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 38% 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.

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

• Potential for harm · E2024-03-14 · tag F0725 — failed to have enough nursing staff — pattern
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, resident interview, staff interview, and facility document review, the facility staff failed to ensure they had sufficient staff to attain the highest practicable well-being. The dining room was not being utilized for breakfast and was not used consistently at the evening meal due to staffing issues on 2 of 3 Units, Unit 1 and Unit 2. The findings included: The facility staff were not utilizing the dining room at breakfast and did not consistently use the dining room for the evening meal due to staffing issues. On 03/12/24 at 1:20 p.m., during an interview with Resident #11 this resident stated the facility did not use the dining room on Sunday morning's and sometimes it was not used because the facility did not have enough help. On 03/12/24 at 1:50 p.m., during an interview with the Administrator this staff stated that sometimes they had to close the dining room in the evenings if they did not have enough help, but it did not happen as much as it previously did. On 03/13/24 at 10:05 a.m., during an interview with the Director of Nursing (DON) this staff stated…

  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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-03-14 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  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 ensure a minimum data set (MDS) assessment accurately reflected the resident's status for 1 of 23 residents in the survey sample, Resident #53. The findings included: For Resident #53, the facility staff coded the resident's side rails on the 1/17/24 MDS as a restraint when they were being used as an enabler for positioning. Resident #53's diagnosis list indicated diagnoses, which included, but not limited to Hemiplegia and Hemiparesis following Cerebral Infarction, Dementia, Generalized Muscle Weakness, Dysphagia, Aphasia, Other Specified Interstitial Pulmonary Diseases, and Type 2 Diabetes Mellitus. The most recent minimum data set (MDS) with an assessment reference date (ARD) of 1/17/24 assigned the resident a brief interview for mental status (BIMS) summary score of 6 out of 15 indicating the resident was severely cognitively impaired. Resident #53 was coded as requiring supervision or touching assistance only with eating, 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-03-14 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  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 interviews, facility document review, and clinical record review, the facility staff failed to follow medical provider medication orders for two (2) of 23 sampled residents (Resident #88 and Resident #100). The findings include: 1. The facility staff failed to provide Resident #100's medications as ordered by the medical provider. Resident #100's Minimum Data Set (MDS) assessment, with an Assessment Reference Date (ARD) of 2/18/24, was signed as completed on 2/20/24. Resident #100 was assessed as able to make self understood and as able to understand others. Resident #100's Brief Interview for Mental Status (BIMS) summary score was documented as a 14 out of 15; this indicated intact and/or borderline cognition. Resident #100 was assessed as requiring assistance with toileting hygiene, dressing, and bathing. Resident #100's medication administration records (MARs) indicated the following medications had not been provided for the 9:00 a.m. dose on 2/4/24 and on 2/6/24: - cyanocobalamin 500 mcg tablet, - folic acid 1 mg tablet, - Lasix 40 mg tablet, - multivitamin…

  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 · D2024-03-14 · 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 ensure medications were available for administration for 1 of 20 current residents, Resident #29. The findings included: The facility staff failed to ensure the antibiotic Doxycycline was available for administration. Resident #29's diagnoses included, but were not limited to, methicillin resistant staphylococcus aureus infection (MRSA), history of urinary tract infection, and aphasia. Section C (cognitive patterns) of Resident #29's quarterly Minimum Data Set (MDS) assessment with an Assessment Reference Date (ARD) of 01/03/24 included a Brief Interview for Mental Status (BIMS) score of 0 out of a possible 15 points. Resident #29's clinical record included a provider order for the antibiotic Hyclate Oral Tablet 100 MG (Doxycycline Hyclate), give1 tablet two times a day for MRSA until 04/20/2024. A review of Resident #29's medication administration record for March 2024 revealed that for March 11, 2024, for both doses Licensed Practical Nurse (LPN) #4 documented a 5 for 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-03-14 · tag F0756 — failed to review each resident's drug regimen — isolated
  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 — 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 act upon a medication regimen review for 1 of 23 residents in the survey sample, resident #95. The findings include: For resident # 95, the facility staff failed to act upon a physician approved pharmacist recommendation, generated by the December 11, 2023 medication regimen review. Resident # 95 's diagnoses included but were not limited to, unspecified dementia, unspecified mood disorder, major depressive disorder, psychotic disturbance, and anxiety. Resident # 95's significant change minimum data set (MDS), with an assessment reference date (ARD) of 2/28/24, assigned the resident a brief interview for mental status (BIMS) score of 4, indicating severe cognitive impairment. Resident # 95 was also coded as refusing care and wandering during the look back period. Surveyor reviewed Resident # 95's pharmacy drug regimen review dated 12/11/23 which read in part, This resident is receiving the atypical antipsychotic GEODAN (Ziprasidone) which carries a risk to cause adverse…

  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 · D2024-03-14 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interview, and clinical record review facility staff failed to maintain a medication error rate less than 5% during medication pour and pass observation. The surveyor observed medication pour and pass. On 3/13/2024, the surveyor watched three nurses pass medications to six residents for a combined total of 26 opportunities. Nurses' technique and hand hygiene were appropriate to the task. At 8:26 AM, the surveyor observed LPN #7 prepare morning medications for Resident #66. The resident had a physician order for a Lidoderm external patch 5% apply to posterior neck in the morning for pain. The nurse stated there was no tape on the medication cart, so would return to apply the patch later, after some tape had been found. Later in the day (2PM), LPN #7 informed the surveyor the resident had left the building for an appointment and a hold order was entered for the Lidoderm patch. The surveyor counted the Lidoderm patch as medication omission number one. At 8:35 AM, the surveyor observed LPN #7 prepare morning medications for Resident #11. The resident had…

  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 · D2024-03-14 · tag F0810 — isolated
  Provide special eating equipment and utensils for residents who need them and appropriate assistance.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to provide special eating equipment for 1 of 23 residents in the survey sample, Resident #8. The findings include: For Resident #8 (R8), the facility failed to utilize a two (2) handled cup with lid and straw for fluids on 3/12/24 and 3/13/24. R8's diagnosis list indicated diagnoses, which included, but not limited to muscle wasting and atrophy at multiple sites and cerebrovascular accident (stroke). On the most recent MDS (minimum data set) assessment with an ARD (assessment reference date) of 12/27/23, R8 was coded as 10/15 on the BIMS (brief interview for mental status) indicating moderately impaired cognition for making daily decisions. She was coded as having functional limitations in range of motion to both upper extremities. R8 was also coded as requiring supervision or touching assistance with eating. On 3/12/24 at 1:25 PM, surveyor observed R8 sitting in wheelchair. Both hands were observed to be closed tightly. R8 stated, she has shaky…

  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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-03-14 · 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 interview and clinical record review, the facility staff failed to maintain a complete and accurate clinical record for 2 of 20 current residents, Resident #11 and #8. The findings included: 1. Resident #11's Durable Do Not Resuscitate (DDNR) was incomplete. Section #1 and #2 were left blank. Resident #11's diagnoses included, but were not limited to, hemiplegia and hemiparesis following cerebral infarction, dysphagia, muscle wasting and atrophy, anxiety, and depression. Section C (cognitive patterns) of Resident #11's annual Minimum Data Set (MDS) assessment with an Assessment Reference Date (ARD) of 02/07/24 included a Brief Interview for Mental Status (BIMS) score of 11 out of a possible 15 points. Resident #11's clinical record included a DDNR dated for 02/13/23. Section #1 and #2 were incomplete. Section 1 of the DDNR read in part, I further certify [must check 1 or 2]: 1. The patient is CAPABLE of making an informed decision . 2. The patient is INCAPABLE of making an informed decision . The boxes beside #1 and #2 were blank. Section 2 read If you checked 2…

  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 · F2021-12-09 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interview, and review of the manufacturer's instructions for the sanitizer, the facility failed to maintain the sanitizing solution used to sanitize food preparation counters and work surfaces at a level to effectively sanitize surfaces in accordance with the manufacturer's instructions. This had the potential to affect 112 of the 113 residents of the facility who receive food from the dietary department. The facility identified one resident who received nothing by mouth. Findings include: On 12/06/21 at 11:15 AM observation in the kitchen revealed there was a red container of sanitizing solution with a wiping cloth inside. The solution measured 50 parts per million (ppm) of Oasis 146 Multi-Quat Sanitizer. The Dietary Director verified the sanitizer was too low and stated it should have been between 150 to 400 ppm. On 12/08/21 at 10:45 AM observation of the Assistant Dietary Director obtaining the sanitizing level of the wiping cloth container of sanitizer, and it measured less than 50 ppm. She verified it was not strong enough to sanitize the food…

  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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2021-12-09 · tag F0761 — failed to label and store drugs safely — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interview and facility policy review, the facility failed to ensure medication/drugs were secured to prevent residents from potentially gaining access to them. This had the potential to affect 49 ambulatory residents in the facility with a census of 113. Findings include: On 12/06/21 at 4:00 PM a large (gallon size) white bag with medications marked Omnicare Pharmacy was sitting on the floor behind the nursing station. The top of the bag was sealed shut except for a three-inch portion large enough for the surveyor to get her hand in the bag. The bag remained behind the nursing station with no staff present from 4:00 PM through 4:26 PM. On 12/06/21 at 4:26 PM a pharmacy employee arrived to pick the bag of medications up and three Licensed Practical Nurses (LPNs)1, LPN2, and LPN3 arrived at the nursing station to assist with giving the pharmacy employee the medications. Each of the LPNs verified the medications were behind the nursing station unlocked and with no staff present to supervise them. At 4:28 PM LPN1 and LPN3 stated the medications should have…

  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

“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 14 rows in the source record cover these 7 parties — each is shown once here with every role it holds. Nothing is omitted.

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 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 $812K 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