Heritage Hall Wise

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.

45.7% 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 42 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.27 therapist hours per resident per day in 2026Q1 — more than 39% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 4% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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 97 beds and averages 87.0 residents a day — about 90% occupied, or roughly 10 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 3.58 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.34 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.20 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 2.96 hrs/resident/day on weekends vs 3.83 on weekdays — 23% thinner on weekends — a notable drop. RN hours go from 0.42 to 0.16 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 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 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 · D2024-08-01 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  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 accurately complete Minimum Data Set (MDS) assessments for 2 of 23 residents (Residents #32 and #85). The findings included: 1. For Resident #32, the facility staff coded the MDS assessment to indicate this resident was receiving anticoagulant medications when in fact they were receiving antiplatelet medications. Resident #32's diagnoses included hemiplegia and hemiparesis following cerebral infarction and heart failure. Section C (cognitive patterns) of Resident #32's annual MDS assessment with an assessment reference date (ARD) of 05/01/24 included a brief interview for mental status (BIMS) score of 15 out of a possible 15 points. Per the MDS manual a score of 15=cognitively intact. Section N (medications) was coded to indicate Resident #32 was receiving anticoagulant medication and was not receiving antiplatelet medication. Resident #32's clinical record included provider orders dated 12/01/23 for aspirin 81 mg and Plavix 75 mg every morning. Both medications are classified as antiplatelet's. On…

  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 · D2024-08-01 · 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 staff interview and clinical record review, the facility staff failed to review and revise the comprehensive care plan (CCP) for 2 of 23 residents (Residents #35 and #63). The findings included: 1. For Resident #35, the facility staff failed to review and revise the CCP to capture the current treatment orders to the residents lower legs. Resident #35's diagnoses included type 2 diabetes, edema, and hypertension. Section C (cognitive patterns) of Resident #35's quarterly minimum data set (MDS) assessment with an assessment reference date (ARD) of 07/03/24 included a brief interview for mental status (BIMS) score of 8 out of a possible 15 points. Per the MDS manual a score of 8=moderately impaired. Section M (skin) was coded to indicate Resident #35 was receiving application of nonsurgical dressings (with or without topical medications) other than to feet and applications of ointments/medications other than to feet. Resident #35's current medication summary included a provider order dated 06/19/24 to cleanse bilateral lower extremities with soap and water, then apply Unna…

  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 before2024-08-01 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, clinical record review, and facility document review, the facility staff failed to ensure that 1 of 23 residents were utilizing provider ordered Oxygen (Resident #63). The findings included: The facility staff failed to follow the providers orders for Oxygen administration. Resident #63's diagnoses included acute respiratory failure with hypoxia and hypercapnia, chronic obstructive pulmonary disease, and history of other malignant neoplasm of bronchus and lung. Section C (cognitive patterns) of Resident #63's quarterly minimum data set (MDS) assessment with an assessment reference date (ARD) of 07/03/24 included a brief interview for mental status (BIMS) summary score of 4 out of a possible 15 points. Per the MDS manual a score of 0-7=severe impairment. Section O (special treatments, procedures, programs) was coded to indicate this resident used Oxygen. Resident #63's current medication summary report/physician order summary included a current (active) physician order dated…

  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 before2021-08-16 · 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 interview and clinical record review, the facility staff failed to ensure the residents receive treatment and care in accordance with the comprehensive person-centered care plan for 1 of 21 residents in the survey sample, Resident #67. The findings included: For Resident #67, the facility staff failed to follow the physician's order for the administration of Norvasc, a calcium channel blocker used to treat hypertension and coronary artery disease. Resident #67's diagnosis list indicated diagnoses, which included, but not limited to Essential (Primary) Hypertension, Heart Failure Unspecified, Cerebral Infarction Unspecified, Unspecified Dementia without Behavioral Disturbance, Cerebrovascular Disease Unspecified, and Chronic Obstructive Pulmonary Disease Unspecified. The most recent quarterly MDS (minimum data set) with an ARD (assessment reference date) of 7/23/21 assigned the resident a BIMS (brief interview for mental status) score of 3 out of 15 in section C, Cognitive Patterns. In section I, Active Diagnoses, Resident #67 was coded for the presence of Heart…

  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 · D2021-08-16 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  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 ensure the resident environment remains as free of accident hazards as is possible for 1 of 21 residents in the survey sample, Resident #7. The findings included: For Resident #7, the facility staff failed to dispose of the resident's excess topical medication in a manner to prevent the resident from gaining access. Resident #7's diagnosis list indicated diagnoses, which included, but not limited to Acute Kidney Failure Unspecified, Chronic Kidney Disease Stage 4 (Severe), Chronic Obstructive Pulmonary Disease Unspecified, Heart Failure Unspecified, Unspecified Osteoarthritis Unspecified Site, Pain in Left Knee, Pain in Right Knee, and Essential Hypertension. The most recent quarterly MDS (minimum data set) with an ARD (assessment reference date) of 5/28/21 assigned the resident a BIMS (brief interview for mental status) score of 15 out of 15 in section C, Cognitive Patterns. On 8/14/21 at 2:48 pm during initial rounding in Resident #7's room, surveyor observed five…

  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 · D2021-08-16 · 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 observations, interviews, the review of documents, and during medication pass observations, it was determined the facility staff failed to ensure a medication error rate of less than 5%. There were two (2) errors in 31 opportunities resulting in a medication error rate of 6.45%. The findings include: Medications errors were observed while completing the Medication Administration Task. There were two (2) errors in 31 opportunities resulting in a medication error rate of 6.45%. On 8/15/21 at 8:52 a.m., Employee #21 (a licensed practical nurse) was observed administering medications to Resident #57. The following medications were ordered but not administered: Calcium 600-Vit D3 800 one tablet by mouth every day and Olopatadine eye drops one drop to each eye every day. On 8/15/21 at 9:59 a.m., Employee #21 was asked about the failure to administer Resident #57's Calcium/Vit D tablet and Olopatadine eye drops. Employee #21 confirmed the Calcium/Vit D tablet had not been administered because it was not available; Employee #21 stated they would have to call the medical provider to…

  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 · D2021-08-16 · tag F0761 — failed to label and store drugs safely — isolated
  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 observations, interviews, clinical record review, and the review of documents, it was determined the facility staff failed to ensure medications were correctly stored on 2 of 2 units and in one (1) resident's room (Resident #7). The findings include: 1. The facility staff failed to ensure open vials of Tuberculin Purified Protein Derivative (PPD) injectable solution was correctly labeled and stored on two (2) of two (2) nursing units. Tuberculin PPD solution is an intradermal injection used to assist with diagnosing tuberculosis (TB). The facility staff provided the survey team with a Medication Storage Guidance document which included the following information about the Tuberculin PPD injectable solution: Date when opened and discard unused portion after 30 days. On 8/16/21 at 10:40 a.m., the facility's medication storage refrigerator, on Unit #2, was observed with Employee #22 (a registered nurse (RN)). One (1) open vial of Tuberculin PPD injectable solution was noted to not be dated; and one (1) open vial of Tuberculin PPD injectable solution was noted to be dated…

  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 · D2021-08-16 · tag F0808 — failed to follow doctor-ordered diets — isolated
  Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and the review of documents, it was determined the facility staff failed to provide an ordered therapeutic diet for 1 of 21 sampled resident (Resident #37). The findings include: Facility staff members failed to provide Resident #37 with the medical provider ordered and care planned six (6) small meals a day. Resident #37's minimum data set (MDS) assessment, with an assessment reference date (ARD) of 6/30/21, was signed as completed on 7/1/21. Resident #37 was assessed as rarely or never able to make self understood and as rarely or never able to understand others. Resident #37 was assessed as having short-term and long-term memory problems. Resident #37 was assessed as being totally depended on others for bed mobility, transfers, dressing, eating, personal hygiene, and bathing. Resident #37's diagnoses included, but were not limited to: heart disease, Alzheimer's disease, malnutrition, anxiety, and depression. Resident #37 was documented as receiving hospice care. The following information was found in the facility's Dietary Policy and Procedure Manual under 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2021-08-16 · 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 interviews and the review of documents, it was determined the facility staff failed to maintain complete and accurate clinical record for two (2) of 21 sampled residents (Resident #77 and Resident #82) and one (1) resident (Resident #57) observed during the Medication Administration Task. The findings include: 1. Resident #57's clinical record included documentation that indicated two (2) medications were administered when they had not been administered. On [DATE] at 9:59 a.m., Employee #21 as asked about the documentation that Resident #57 had been administered a Calcium/Vit D tablet and Olopatadine eye drops on the morning of [DATE] when the medications had not been administered. Employee #21 confirmed the Calcium/Vit D tablet had not been administered because it was not available. Employee #21 also confirmed they did not administer eye drops to Resident #57. Review of Resident #57's medication administration records (MARs) included documentation that the Calcium/Vit D tablet and the Olopatadine eye…

  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 · D2021-08-16 · tag F0849 — isolated
  Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and the review of documents, it was determined the facility staff failed to inclued intergrating the hospice plan of care services and clinical documentation into the facility's clinical documentation for 1 of 21 sampled patients (Resident #37). The findings include: Resident #37's clinical documentation, maintained at the facility, failed to include the hospice's plan of care and hospice staff visit notes. Resident #37's minimum data set (MDS) assessment, with an assessment reference date (ARD) of 6/30/21, was signed as completed on 7/1/21. Resident #37 was assessed as rarely or never able to make self understood and as rarely or never able to understand others. Resident #37 was assessed as having short-term and long-term memory problems. Resident #37 was assessed as being totally depended on others for bed mobility, transfers, dressing, eating, personal hygiene, and bathing. Resident #37's diagnoses included, but were not limited to: heart disease, Alzheimer's disease, malnutrition, anxiety, and depression. Resident #37 was documented as receiving hospice care.…

  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 19 rows in the source record cover these 8 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 84% 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 $638K 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