900 S Main St., Blackstone, VA 23824 · Nottoway County · (434) 292-5301
180 certified beds, about 133 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2001
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495353 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on May 17, 2023, inspectors cited 8 health deficiencies (the Virginia average is 14.3, the national average 9.2).
None of its 33 health citations since March 2019 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.43 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.41 of those hours.
49.3% 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.
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.
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 33 health citations on file.
Inspectors wroteBased on clinical record review, staff interview and facility document review, it was determined that the facility staff failed to provide notice of Medicare non-coverage for two of three beneficiary protection notification resident reviews, Residents #50 and #62.
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined the facility staff failed to evidence the monthly drug regimen reviews for one of 48 residents, Resident #66.
Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, it was determined the facility staff failed to ensure a medication error rate less than 5% for three of five residents in the medication administration observation, Residents #76, #84 and #132.
Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, it was determined the facility staff failed to assess a resident for self-administration of medications, prior to leaving medication on the over bed table, for one of 48 residents in the survey sample, Resident #76.
Inspectors wroteBased on observation, staff interview, and facility document review, the facility staff failed to implement the care plan for two of 48 residents in the survey sample, Residents #20 and #66.
Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, it was determined the facility staff failed to follow professional standards of practice for the administration of medications, for one of 48 residents in the survey sample, Resident #76.
Inspectors wroteBased on observation, staff interview, and facility document review, the facility staff failed to provide appropriate treatment and services to prevent further decrease in range of motion for bilateral hand contractures for one of 48 residents in the survey sample, Resident #20.
Inspectors wroteBased on observation, resident interview, staff interview, and facility document review, the facility staff failed to implement interventions to prevent an injury from a fall, for one of 48 residents in the survey sample, Resident #342.
Inspectors wroteBased on observation, staff interview and facility document review it was determined the facility staff failed to secure Medications in a safe and secure manner according to professional standards in three of three medication carts, (Wing 100-medication cart-two, Wing 200-medication cart-one and Wing 200-medication cart-two).
Inspectors wroteBased on observation, staff interview and facility document review, it was determined that facility staff failed to store, and prepare food in in accordance with professional standards for food service safety. Facility staff were observed drying clean dishes using a cloth and paper towels and a fan with coated with gray dust and lint on the front and back blade guards was found blowing air over the area where dishes were washed and racked to dry.
Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, it was determined that the facility staff failed to maintain a comfortable, homelike environment for one of 44 residents in the survey sample, Resident #21. The facility staff failed to maintain Resident #21's wheelchair armrests in good repair. The plastic covering on the armrests was torn and cloth was exposed.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to provide written notification of a transfer to the ombudsman for one of 44 residents in the survey sample, Resident #76. The facility failed to notify the ombudsman of Resident #76's transfer to the hospital on 7/27/21.
Inspectors wroteBased on staff interview and clinical record review, it was determined that the facility staff failed to follow professional standards of practice for one of 44 residents in the survey sample, Resident # 106. The facility staff failed to ensure timely transcription of a an order for the use of a negative wound vac [vacuum]. The physician ordered the wound Vac on 11/12/21 and the order was not transcribed until 11/15/21.
Inspectors wroteBased on staff interview and clinical record review, it was determined that the facility staff failed to maintain an accurate clinical record for one of 44 residents in the survey sample, Resident # 106. The facility staff documented on Resident # 106's November 2021 eTAR [electronic treatment administration record] the use of a PICO wound vac [vacuum] [1] that was discontinued on 11/12/2021.
Inspectors wroteBased on observation, staff interview and facility document review, it was determined that the facility staff failed to provide a dignified, homelike dining experience in one of 3 facility dining rooms, the Cottage dining room and failed to promote resident dignity during a meal for one of 51 sampled residents, Resident # 86's. 1. In the Cottage dining room (the memory care unit), the 27 residents present for the lunch meal on 3/5/19, were served their meals cafeteria style, on trays. 2. The facility staff failed to respect Resident # 86's dignity by standing next to her while providing assistance with feeding during the breakfast meal on 3/6/19.
Inspectors wroteBased on staff interview, clinical record review and facility document review, the facility staff failed to evidence all required documentation was provided to the receiving facility at the time of a facility initiated transfer, for seven of 51 sampled residents; ( Residents #95, #141, #137, #45, #153, #92, and #38). 1. The facility staff failed to evidence that the comprehensive care plan goals for Resident #95 were provided to the receiving facility when the resident was transferred to the hospital on 1/11/19. 2. The facility staff failed to evidence that the comprehensive care plan goals for Resident #141 were provided to the receiving facility when the resident was transferred to the hospital on [DATE], 12/23/18, and 1/23/19. 3. [...]
Inspectors wrote5. The faciltiy staff failed to provide written notification to the resident and/or responsible party, of a facility initiated transfer for Resident #38 on 11/9/18. Resident #38 was admitted to the facility on [DATE] with a recent readmission on [DATE], with diagnoses that included but were not limited to: urinary tract infection, diabetes, depression, dementia, kidney stones, and sepsis (destruction of tissue by bacterial toxins, contamination, infection) (1). The most recent MDS (minimum data set) assessment, a quarterly assessment with an assessment reference date of 2/27/19, coded the resident as having both short and long term memory difficulties. The nurse's note dated 11/10/18 at 2:02 a.m. [...]
Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, it was determined the facility staff failed to develop and/or implement the comprehensive care plan for four of 51 residents in the survey sample, Residents #53, #104, #98 and #138. 1. On 3/5/19, Resident #53 was observed on separate occasions without her physician ordered continuous oxygen in place. The clinical record failed to evidence any documentation regarding staff reapplying the oxygen or the resident being noncompliant with wearing her oxygen and notification to the physician per the comprehensive care plan. 2. The facility staff failed to develop a comprehensive care plan to address Resident #104's diabetes and the care required. 3a. On 3/5/19 during separate observations Resident #98 was observed without prevalon boots in place per the physician orders and comprehensive care plan. 3b. [...]
Inspectors wroteBased on observation, staff interview, and facility document review it was determined facility staff failed to store food in a sanitary manner in the facility's kitchen. The facility staff failed to ensure an opened five-pound container of pimento spread available for use had an open date and a use-by-date.
Inspectors wroteBased on observation, staff interview, resident interview and clinical record review, it was determined that the facility staff failed to provide accommodation of resident needs for one of 51 residents in the survey sample, Resident # 89. The facility staff failed to ensure Resident # 89's call bell (a device with a button that can be pushed to alert staff when assistance is needed), was within the resident's reach.
Inspectors wroteBased on staff interview, clinical record review, facility document review, and in the course of an investigation of a Facility Reported Incident (FRI), it was determined that the facility staff failed to implement abuse policies and procedures for reporting allegations of potential abuse for two of 51 residents in the survey sample; Resident #29 and Resident #123. The facility staff failed to implement the abuse policy to ensure timely reporting to the State Agency and other officials of a resident to resident altercation and potential abuse between Resident #29 and Resident #123 that occurred on 4/25/19 at approximately 6:30 p.m. The incident was not reported until 4/26/19 at 11:04 a.m., approximately 16 hours after the incident occurred.
Inspectors wroteBased on staff interview, clinical record review, facility document review, and in the course of an investigation of a Facility Reported Incident (FRI), it was determined that the facility staff failed to implement abuse policies and procedures for reporting allegations of potential abuse for two of 51 residents in the survey sample; Resident #29 and Resident #123. The facility staff failed to ensure timely reporting to the State Agency and other officials in accordance with State law through established procedures for a resident to resident altercation and potential abuse between Resident #29 and Resident #123 that occurred on 4/25/19 at approximately 6:30 p.m. The incident was not reported to the State Agency until 4/26/19 at 11:04 a.m., approximately 16 hours after the incident occurred.
Inspectors wroteBased on resident interview, staff interview, facility document review, and clinical record review, it was determined that facility staff failed to provide a bed hold policy to the resident or the resident's representative upon a transfer to the hospital for two of 51 residents in the survey sample, Residents # 45 and # 92. 1. The facility staff failed to provide Resident # 45 or the resident's representative written notification of the bed hold policy when the resident was transferred to the hospital on [DATE]. 2. The facility staff failed to provide Resident #92 or the resident's representative written notification of the bed hold policy when the resident was discharged to the hospital on [DATE].
Inspectors wroteBased on observation, staff interview, and clinical record review, it was determined that the facility staff failed to review and revise the comprehensive care plan for 1 of 51 residents in the survey sample, Resident 145. The facility staff failed to revise Resident #145's care plan to address and include the 2/11/19 physician ordered nebulizer treatments as needed for shortness of breath.
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined the facility staff failed to follow professional standards of practice for two of 51 residents in the survey sample, Residents #145 and #25. 1. The facility staff failed to clarify Resident #145's physician order for oxygen regarding the flow rate parameters for titration of the oxygen. 2. The facility failed to clarify Resident #25's physician order for oxygen regarding the flow rate parameters for titration of the oxygen.
Inspectors wroteBased on observation, staff interview, facility document review and clinical record review it was determined the facility staff failed to provide the necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing for two of 51 residents in the survey sample, Residents #53 and #98. 1. The facility staff failed to assess, measure, monitor and track Resident #53's sacral pressure sore. 2. The facility staff failed to implement the physician ordered Prevalon boots to off load pressure on Resident #98's feet. On 3/5/19, Resident #98 was observed in bed without the physician ordered Prevalon boots in place.
Inspectors wroteBased on observation, staff interview, and clinical record review, it was determined that the facility staff failed to implement interventions to prevent accidents per the physician order for one of 51 residents in the survey sample, Resident #98 The facility staff failed to implement fall mat(s) on each side of Resident #98's bed for fall prevention per the comprehensive care plan and physician order on 03/05/2019.
Inspectors wroteBased on observation, staff interview and clinical record review, it was determined that facility staff failed to provide care and services for a suprapubic catheter to prevent urinary tract infections for one of 51 residents in the survey sample, Residents # 45. The facility staff failed to ensure Resident # 45's catheter collection bag and tubing were not resting on the floor.
Inspectors wroteBased on observation, staff interview and clinical record review, it was determined the facility staff failed to provide appropriate treatment and services to prevent complications of enteral feeding for one of 51 residents in the survey sample, Residents # 151. The facility staff failed to label Resident # 151's G-tube (1) feeding with Resident # 151's name, rate of feeding, Resident # 151's identification number, and the date and time, the feeding was started.
Inspectors wroteBased on observation, resident interview, staff interview, facility document review and clinical record review, it was determined the facility staff failed to respiratory care and services for five of 51 residents in the survey sample, Residents #53, #119, #145, #117, and #90. 1. The facility staff failed to administer oxygen per the physician order for Resident #53. On 3/5/19, Resident #53 was observed on separate occasions without her physician ordered continuous oxygen in place. The clinical record did not document staff reapplied the residents oxygen or any resident noncompliance with wearing the oxygen and notification to the physician 2. The facility staff failed to store a nebulizer mask in a sanitary manner, Resident #119's nebulizer mask was observed sitting on a chair next to the resident's bed on top of a plastic bag uncovered during multiple observations. 3. [...]
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined the facility staff failed to ensure pain management consistent with professional standards of practice, for one of 51 residents in the survey sample, Resident #148. The facility staff failed to clarify physician's orders for two as needed pain medications to determine which, as needed pain medication should be administered to Resident #148 based on pain parameters.
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined that the facility staff failed to maintain a complete and accurate clinical record for one of 51 residents in the survey sample, Resident #138. The facility staff failed to document non-pharmacological interventions that were provided for Resident #138 in addition to administering as needed Tylenol (1) on multiple dates in February 2019.
Inspectors wroteBased on observation, resident interview, staff interview, facility document review and clinical record review, it was determined the facility staff failed to maintain infection control practices for one of 51 residents in the survey sample, Residents #108. The facility staff failed to wash or sanitize their hands after assisting other residents in the Cottage dining room and returning to feed Resident #108.
14 fire safety citations on file: 6 on May 17, 2023, 8 on November 17, 2021.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Virginia | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.43 | 3.76 | 3.86 |
| Registered nurses | 0.41 | 0.69 | 0.69 |
| All nursing staff on weekends | 2.80 | 3.29 | 3.42 |
| Nurse aides | 2.07 | ||
| Licensed practical nurses | 0.95 | ||
| Nursing staff turnover (share who left in a year) | 49.3% | 48.1% | 45.8% |
| Registered nurse turnover | 52.6% | 48.2% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.74 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.69 on weekdays and 2.80 on weekends, 24% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.56 in April to June 2025 to 3.43 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.43 | 0.41 | 3.69 | 2.80 | 0.7% | 0 of 90 | 133 |
| Oct to Dec 2025 | 3.30 | 0.34 | 3.46 | 2.88 | 0.0% | 0 of 92 | 144 |
| Jul to Sep 2025 | 3.53 | 0.41 | 3.80 | 2.84 | 0.0% | 0 of 92 | 148 |
| Apr to Jun 2025 | 3.56 | 0.36 | 3.83 | 2.90 | 0.0% | 0 of 91 | 149 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Virginia, Jan to Mar 2026 | 3.58 | 0.56 | 3.76 | 3.12 | 5.7% | 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.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Virginia, all employers | |||
| CNAs (nursing assistants) | $20.77 | $17.80 to $22.56 | 40,580 |
| LPNs and LVNs | $31.21 | $28.66 to $35.84 | 15,550 |
| Registered nurses | $45.00 | $38.51 to $49.53 | 77,490 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Virginia | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 25.2 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.1 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.2 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.4 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.4 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 18.2 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.6 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 13.3 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 19.5 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.1 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.5 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Heritage Hall-Blackstone's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (46.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
46.6% this home
No different from the national rate
US median of homes 51.5% · Virginia: 101 better, 22 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 96 eligible stays.
11.3% this home
No different from the national rate
US median of homes 10.7% · Virginia: 1 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 113 eligible stays.
7.0% this home
No different from the national rate
US median of homes 7.1% · Virginia: 2 better, 8 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 71 eligible stays.
56.3% this home
Median of homes: Virginia60.0% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 48 residents counted.
0.0% this home
Median of homes: Virginia0.7% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 75 residents counted.
0.0% this home
Median of homes: Virginia2.1% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 75 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Virginia97.8% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 7 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: BLACKSTONE LIFE CARE, LLC. CMS links this home to Heritage Hall, a group of 15 nursing homes averaging 4.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| American Healthcare LLC | 5% or greater direct ownership interest | Organization | 100% | 01/22/2018 |
| East, Thomas | Corporate director | Individual | 11/20/2012 | |
| Hopkins, William | Corporate director | Individual | 07/23/2010 | |
| Dalton, Brad | Corporate officer | Individual | 04/21/2014 | |
| Dalton, Robert | Corporate officer | Individual | 04/21/2014 | |
| East, Thomas | Corporate officer | Individual | 11/20/2012 | |
| Gallant, Cassandra | Corporate officer | Individual | 07/11/2024 | |
| American Healthcare LLC | Operational/managerial control | Organization | 01/22/2018 | |
| Ashley, Gregory | Operational/managerial control | Individual | 04/01/2024 | |
| Dalton, Brad | Operational/managerial control | Individual | 04/21/2014 | |
| Dalton, Robert | Operational/managerial control | Individual | 04/21/2014 | |
| American Healthcare LLC | Adp of the SNF | Organization | 05/13/2025 | |
| Ashley, Gregory | Adp of the SNF | Individual | 04/01/2024 | |
| Dalton, Robert | Adp of the SNF | Individual | 04/21/2014 | |
| East, Thomas | Adp of the SNF | Individual | 04/21/2014 | |
| Gallant, Cassandra | Adp of the SNF | Individual | 07/11/2024 | |
| Madhoun, Mazen | Adp of the SNF | Individual | 10/02/2018 |
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.
Chosen from this home's own inspection record.
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