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Heritage Hall Blacksburg

3610 South Main Street, Blacksburg, VA 24060 · Montgomery County · (540) 951-7000

179 certified beds, about 132 residents a day · For profit - Corporation · Medicare and Medicaid since 2001

Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 495356 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on August 29, 2024, inspectors cited 7 health deficiencies (the Virginia average is 14.3, the national average 9.2).

Of 22 health citations since February 2020, 2 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.23 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.39 of those hours.

42.9% of nursing staff left within the year CMS measured (Virginia average 48.1%).

CMS links it to Heritage Hall, an affiliated group of 15 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 22 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
1K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
14D
6E
0F
Potential for minimal harm
0A
0B
0C
February 24, 2026Complaint inspection · 1 citation
  1. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 16, 2026
    Inspectors wroteBased on observation, resident and staff interview, clinical record review, and facility document review, the facility staff failed to ensure electronic cigarettes (vapes) and/or illicit substances were stored in a manner to prevent misuse from other vulnerable residents and/or a fire hazard for four (4) of four (4) sampled residents, Resident #1, Resident #2, Resident #3, and Resident #4.
August 29, 2024Standard inspection · 7 citations
  1. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 15, 2024
    Inspectors wroteBased on staff interview, record review and facility document review, the facility staff failed to notify the physician and/or responsible party of a significant change in the resident's physical, mental, or psychosocial status for one of 30 residents in the survey sample, resident #44.
  2. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 15, 2024
    Inspectors wroteBased on staff interview, clinical record review and facility document review the facility staff failed to ensure an accurate minimum data set assessment for 2 of 3 closed record reviews, Resident #125 and Resident #127.
  3. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 15, 2024
    Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to ensure a medication was available for administration for 1 of 30 sampled residents (Resident #10).
  4. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 15, 2024
    Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to ensure 1 of 30 sampled residents was free of unnecessary medication, Resident #54.
  5. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 15, 2024
    Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to ensure residents are free of significant medication errors for 3 of 30 sampled residents (Resident #5, Resident #93, and Resident #108).
  6. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 15, 2024
    Inspectors wroteBased on staff interviews, clinical record reviews, and facility document review, the facility staff failed to maintain complete and/or accurate clinical documentation for one (1) of 30 sampled residents, resident # 44.
  7. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 15, 2024
    Inspectors wroteBased on observations, resident interviews, staff interviews, and facility document review, the facility staff failed to follow the infection prevention and control program guidelines to provide a sanitary environment for 2 of 30 sampled residents, Resident #38 and Resident #55.
January 19, 2023Standard inspection · 2 citations
  1. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 13, 2023
    Inspectors wroteBased on observation and staff interview, the facility staff failed to prepare, distribute, and serve food in a manner that would prevent foodborne illnesses. The Bistro refrigerator and 2 of 3 pantry refrigerators (Center and Villa) contained out of date milk.
  2. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 13, 2023
    Inspectors wroteBased on observations, staff interviews, and documentation review, the facility staff failed to consistently perform hand hygiene during wound care for one (1) of 26 sampled current residents, Resident #11.
February 10, 2020Standard inspection · 12 citations
  1. K
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
    F700 · Quality of Life and Care · Immediate jeopardy to resident health or safety, pattern · Corrected (the home has a date of correction) July 22, 2020
    Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, the facility staff failed to assess the resident for risk of entrapment from bed rails and failed to review the risks and benefits of bed rails with the resident or resident representative and obtain informed consent prior to use of the bedrails for 54 out of 139 beds, including Resident #135. The scope and severity was originally cited at Immediate Jeopardy, Level IV Widespread and was reduced to a Level II Widespread after the facility was cleared of Immediate Jeopardy. The administrator, assistant administrator, director of nursing, assistant director of nursing, and the regional nurse consultant were notified on 2/07/20 that the extended survey process had begun at 11:50 am, as the survey team had identified Immediate Jeopardy and Substandard Quality of Care in the area of Quality of Care. [...]
  2. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) July 22, 2020
    Inspectors wroteBased on staff interview, clinical record review and facility document review the facility staff failed to ensure an accident free environment for 1 of 31 residents, Resident #135. For Resident #135, the facility staff failed to assess for the safe use of bedrails and risk of entrapment prior to implementing side rails. Following an incident when the resident's arm became trapped in the bed rail, the resident's arm was described as still red and acted as if moving it was tender to touch seven days later. This is harm.
  3. E
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 22, 2020
    Inspectors wroteBased on staff interview, facility document review and employee record reviews the facility staff failed to implement written policies and procedures that prohibit and prevent abuse, neglect, and exploitation of resident and misappropriation of resident property as evidenced by failure to pre-screen 5 of 25 new hire employees.
  4. E
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 22, 2020
    Inspectors wroteBased on staff interview, clinical record review, resident interview and facility document review the facility staff failed to provide notice of bed hold policy for 4 of 31 residents, #101, #74, #29, and #44.
  5. E
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 22, 2020
    Inspectors wroteBased on staff interview, clinical record review, facility document review and in the course of a complaint investigation the facility staff failed to ensure that pain management is provided to residents who require such services for 6 of 31 residents, #120, #236, #34, #101, #66 and #25. This is a complaint deficiency. 1. For Resident #34, facility staff failed to account for all pain medication signed out of the narcotic ledger and documented pain medication administration for doses not signed out of the ledger. Resident #34 was admitted to the facility with diagnoses including unspecified dementia, malignant neoplasm of the mouth, osteoarthritis of the hip and hereditary and idiopathic neuropathy. [...]
  6. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 22, 2020
    Inspectors wroteBased on staff interview, clinical record review, facility document review and in the course of a complaint investigation the facility staff failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each residents for 5 of 31 residents, #236, #34, #120, #101 and #66, and 2 out of 3 medication rooms in the facility. 1. While checking medication storage rooms for medication storage practices on [DATE], the surveyor discovered expired intravenous fluids in the medication storage room for the skilled therapy unit with room numbers in the 100s. One 1 liter Dextrose 5% expired [DATE] and two 1 liter Dextrose 5% expired [DATE]. On [DATE] at 10:12 AM, the surveyor talked with the unit manager about the expired IV fluids. [...]
  7. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 22, 2020
    Inspectors wroteBased on clinical record review, staff interview and facility document review, the facility staff failed to notify the physician and the resident representative of an accident involving the resident which results in an injury and has the potential for requiring physician intervention for 1 of 31 residents, Resident #135.
  8. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 22, 2020
    Inspectors wrote3. For Resident #8, facility staff failed to perform an intermittent catheterization every night at bedtime and document the results as ordered by the physician. Resident #8's diagnosis list indicated diagnoses, which included, but not limited to Paraplegia, Chronic Kidney Disease, Retention of Urine, and Personal History of Urinary Tract Infections. The most recent quarterly MDS (minimum data set) with an ARD (assessment reference date) of 1/30/20 assigned the resident a BIMS (brief interview for mental status) score of 6 out of 15 in section C, Cognitive Patterns. Resident #8 is also coded as frequently incontinent of urine and for the use of intermittent catheterization in section H, Bladder and Bowel. A review of Resident #8's medical record revealed an active physician's order dated 8/16/18 stating Straight cath (catheterization) every night at bedtime and document results. [...]
  9. D
    Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
    F729 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 22, 2020
    Inspectors wroteBased on staff interview, employee record review and facility document review the facility staff failed to obtain registry verification that a CNA (certified nursing assistant) has met competency evaluation requirements as evidenced by failure to obtain state license verification prior to employment for 1 of 8 new hire CNAs.
  10. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 22, 2020
    Inspectors wroteBased on staff interview and clinical record review the facility staff failed to ensure 1 of 31 residents was free of significant medication error, Resident #66.
  11. D
    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.
    F808 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 22, 2020
    Inspectors wroteBased on observation, staff interview, resident interview and clinical record review, the facility staff failed to ensure the appropriate physician prescribed diet was provided for 1 of 31 residents, Resident #387.
  12. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 22, 2020
    Inspectors wroteBased on staff interview and clinical record review the facility staff failed to ensure a complete and accurate clinical record for 1 of 31 residents, Resident #83.

Fire safety inspections

13 fire safety citations on file: 1 on August 29, 2024, 10 on January 19, 2023, 2 on February 10, 2020.

Every fire safety citation13 citations
  1. D
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · August 29, 2024 · Corrected (the home has a date of correction)
  2. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · January 19, 2023 · Corrected (the home has a date of correction)
  3. F
    Install corridor and hallway doors that block smoke.
    K 363 · January 19, 2023 · Corrected (the home has a date of correction)
  4. F
    Have properly installed electrical wiring and gas equipment.
    K 511 · January 19, 2023 · Corrected (the home has a date of correction)
  5. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · January 19, 2023 · Corrected (the home has a date of correction)
  6. E
    Use approved construction type or materials.
    K 161 · January 19, 2023 · Corrected (the home has a date of correction)
  7. E
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · January 19, 2023 · Corrected (the home has a date of correction)
  8. E
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · January 19, 2023 · Corrected (the home has a date of correction)
  9. E
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · January 19, 2023 · Corrected (the home has a date of correction)
  10. E
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · January 19, 2023 · Waiver
  11. D
    Provide properly protected cooking facilities.
    K 324 · January 19, 2023 · Corrected (the home has a date of correction)
  12. E
    Establish emergency prep training and testing.
    E 36 · February 10, 2020 · Corrected (the home has a date of correction)
  13. E
    Establish staff and initial training requirements.
    E 37 · February 10, 2020 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeVirginiaUnited States
All nursing staff (RN, LPN and aides)3.233.763.86
Registered nurses0.390.690.69
All nursing staff on weekends2.703.293.42
Nurse aides1.82
Licensed practical nurses1.02
Nursing staff turnover (share who left in a year)42.9%48.1%45.8%
Registered nurse turnover44.4%48.2%42.9%
Administrators who left0

CMS expects 4.03 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.44 on weekdays and 2.70 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.61 in April to June 2025 to 3.23 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.230.393.442.70 0.0%0 of 90132
Oct to Dec 20253.290.343.482.82 0.0%0 of 92132
Jul to Sep 20253.420.333.632.89 0.0%0 of 92128
Apr to Jun 20253.610.303.862.99 0.0%0 of 91124
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Virginia, Jan to Mar 20263.580.563.763.125.7%0.2% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeVirginiaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
10.914.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.41.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.93.63.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.91.31.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
12.415.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.04.74.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
10.514.215.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
21.222.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
15.211.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.51.51.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.41.51.8

Owners and operators

Legal business name: BLACKSBURG LIFE CARE, LLC. CMS links this home to Heritage Hall, a group of 15 nursing homes averaging 4.1 stars overall.

NameRoleTypeShareSince
East, ThomasCorporate directorIndividual11/20/2012
Hopkins, WilliamCorporate directorIndividual07/23/2010
East, ThomasCorporate officerIndividual11/20/2012
Gallant, CassandraCorporate officerIndividual07/11/2024
American Healthcare LLCOperational/managerial controlOrganization11/22/2010
Dalton, BradOperational/managerial controlIndividual07/11/2024
Hamilton, AlyssaOperational/managerial controlIndividual10/04/2024
Davis, BenjaminAdp of the SNFIndividual03/25/2026
Gallant, CassandraAdp of the SNFIndividual01/07/2025
Hamilton, AlyssaAdp of the SNFIndividual03/25/2026

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on February 24, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on August 29, 2024: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on August 29, 2024: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on August 29, 2024: "Ensure each resident receives an accurate assessment."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.70 hours per resident per day, below the Virginia average of 3.29.

Other nursing homes nearby

Virginia contacts for a concern about a nursing home

These are the official offices in Virginia. NursingHomeClear cannot take or act on complaints.

Common questions

What is Heritage Hall Blacksburg's Medicare star rating?
CMS rates Heritage Hall Blacksburg 4 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Heritage Hall Blacksburg get at its last inspection?
7 health deficiencies at the standard inspection on August 29, 2024. The Virginia average is 14.3.
Has Heritage Hall Blacksburg been fined?
CMS lists no fines in the last three years.
Does Heritage Hall Blacksburg accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Heritage Hall Blacksburg?
CMS lists 10 owners and managers, and links the home to Heritage Hall. Legal business name: BLACKSBURG LIFE CARE, LLC.

Sources

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