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Heritage Hall - Brookneal

633 Cook Avenue, Brookneal, VA 24528 · Campbell County · (434) 376-3717

60 certified beds, about 57 residents a day · For profit - Corporation · Medicare and Medicaid since 1991

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 495242 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 31, 2024, inspectors cited 0 health deficiencies (the Virginia average is 14.3, the national average 9.2).

None of its 13 health citations since January 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 2.98 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.33 of those hours.

40.0% 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 13 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
10D
1E
1F
Potential for minimal harm
0A
0B
1C
July 31, 2024Standard inspection · 0 citations
December 16, 2021Standard inspection · 7 citations
  1. E
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 26, 2022
    Inspectors wroteBased on record review, interview and review of facility policy, the facility failed to ensure residents had the right to formulate an advance directive and/or prominently displayed information in the medical record about whether or not the resident executed an advance directive. This affected five (Residents (R)4, R12, R18, R33 and R43) of five residents reviewed for advance directives. Additionally, R4 did not receive written information regarding advance directives in accordance with facility policy.
  2. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 26, 2022
    Inspectors wroteBased on record review and interview, the facility failed to provide a Form CMS-10055 (Centers for Medicaid and Medicare Services) Skilled Nursing Facility Advance Beneficiary Notice (SNFABN) and Form CMS-10123 (Centers for Medicaid and Medicare Services) Notice of Medicare Non-Coverage (NOMNC) to two of three residents (Resident (R) 207 and R29) reviewed for beneficiary notices. This failure prevented R29 and R207 or their responsible party from making an immediate appeal of the decision to end Medicare coverage of services.
  3. 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) January 26, 2022
    Inspectors wroteBased on record review, staff interview, and review of the Resident Assessment Instrument (RAI) Manual, the facility failed to ensure one resident (Resident (R) 15) out of 26 sampled residents had an accurate Minimum Data Set (MDS) assessment.
  4. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 26, 2022
    Inspectors wroteBased on observation, record review, interviews, and review of facility policy, the facility failed to ensure a resident's Care Plan was revised for one of 25 residents (Resident (R) 15) sampled which accurately reflected the resident's history of Post-Traumatic Stress Disorder (PTSD). The facility also failed to ensure R29's representative was invited to care plan meetings.
  5. 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) January 26, 2022
    Inspectors wroteBased on record review and interviews, the facility failed to assure one resident (R)22 of one reviewed for timely medication administration received ordered pain medication in a timely manner. The facility failed to reorder R22's pain medication in a timely manner.
  6. 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) January 26, 2022
    Inspectors wroteBased on observation, record review, interviews, policy review, review of the disinfectant label, and review of manufacturer's guidelines, the facility failed to ensure that two of four licensed nurses (Licensed Practical Nurse (LPN)1 and LPN2) cleaned and disinfected multi-use glucometers per the device manufacturer's instructions and per the EPA-approved disinfectant's instructions for use when performing fingerstick blood glucose testing (accuchecks) between residents. The failure to ensure the staff cleaned and disinfected multi-use glucometers per the device manufacturer's instructions and per the EPA-approved disinfectant's instructions for use when performing fingerstick blood glucose testing created a potential for the transmission of bacteria, viruses, and/or blood-borne pathogens between residents.
  7. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) January 26, 2022
    Inspectors wroteBased on observation, interview, and facility policy review, the facility failed to post the nursing staffing information at the beginning of each shift in a prominent place readily accessible to residents and visitors. This had the potential to affect all residents and visitors of the facility.
January 24, 2019Standard inspection · 6 citations
  1. F
    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, widespread · Corrected (the home has a date of correction) March 7, 2019
    Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, the facility staff failed to prepare, store, and distribute food under sanitary conditions in the dietary department and for 2 of 18 Residents, Residents #40 and #45.
  2. D
    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
    F622 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 7, 2019
    Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to ensure that a copy of the comprehensive care plan goals were sent upon transfer to the emergency room for 1 of 18 Residents in the survey sample, Resident # 210.
  3. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 7, 2019
    Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to give written notice of reason for transfer and discharge for 1 of 18 Residents in the survey sample, Resident #210.
  4. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 7, 2019
    Inspectors wroteBased on observation, staff interview, and facility document review, the facility staff failed to dispose of an expired medication and failed to store drugs in a sanitary environment in 1 of 1 medication rooms.
  5. D
    Provide special eating equipment and utensils for residents who need them and appropriate assistance.
    F810 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 7, 2019
    Inspectors wroteBased on observation, resident and staff interview and clinical record review it was determined the facility staff failed to provide Resident #19 with physician ordered adaptive eating equipment.
  6. 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 7, 2019
    Inspectors wroteBased on observation, staff interview and clinical record review, it was determined the facility staff failed to perform hand washing appropriately during wound care.

Fire safety inspections

11 fire safety citations on file: 5 on December 16, 2021, 6 on January 24, 2019.

Every fire safety citation11 citations
  1. F
    Have properly installed hallway dispensers for alcohol-based hand rub.
    K 325 · December 16, 2021 · Corrected (the home has a date of correction)
  2. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · December 16, 2021 · Corrected (the home has a date of correction)
  3. E
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · December 16, 2021 · Corrected (the home has a date of correction)
  4. D
    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 · December 16, 2021 · Corrected (the home has a date of correction)
  5. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · December 16, 2021 · Corrected (the home has a date of correction)
  6. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · January 24, 2019 · Corrected (the home has a date of correction)
  7. E
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · January 24, 2019 · Corrected (the home has a date of correction)
  8. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · January 24, 2019 · Corrected (the home has a date of correction)
  9. E
    Ensure proper usage of power strips and extension cords.
    K 920 · January 24, 2019 · Corrected (the home has a date of correction)
  10. C
    Establish policies and procedures for sheltering.
    E 22 · January 24, 2019 · Corrected (the home has a date of correction)
  11. C
    Establish staff and initial training requirements.
    E 37 · January 24, 2019 · 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)2.983.763.86
Registered nurses0.330.690.69
All nursing staff on weekends2.443.293.42
Nurse aides1.75
Licensed practical nurses0.90
Nursing staff turnover (share who left in a year)40.0%48.1%45.8%
Registered nurse turnover50.0%48.2%42.9%
Administrators who left0

CMS expects 3.63 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 3.20 on weekdays and 2.44 on weekends, 24% 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 2.98 in April to June 2025 to 2.98 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20262.980.333.202.44 0.0%0 of 9057
Oct to Dec 20253.270.343.582.49 0.0%0 of 9255
Jul to Sep 20253.020.373.252.44 0.0%0 of 9256
Apr to Jun 20252.980.443.172.51 0.0%0 of 9155
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
41.914.813.9
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
0.51.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.43.63.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.31.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
32.315.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.14.74.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
15.914.215.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
28.322.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
0.011.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.81.51.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.61.51.8

Owners and operators

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

NameRoleTypeShareSince
AHC Acquisitions, LLC5% or greater direct ownership interestOrganization12%07/10/2020
Wcc Third Blind Trust5% or greater direct ownership interestOrganization78%07/10/2020
Cranwell, RobertDirect ownership interestIndividual10/04/2024
Cranwell, C.Indirect ownership interestIndividual10/04/2024
Dalton, RobertCorporate directorIndividual10/04/2024
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
East, ThomasOperational/managerial controlIndividual10/04/2024
Gallant, CassandraOperational/managerial controlIndividual07/11/2024
East, ThomasIndividual is an owner, partner or trustee of any ADP of the SNFIndividual03/31/2026
Barksdale, DianeAdp of the SNFIndividual03/20/2026
Madhoun, MazenAdp of the SNFIndividual03/20/2026

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 residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on December 16, 2021: "Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on December 16, 2021: "Ensure each resident receives an accurate assessment."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on December 16, 2021: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on December 16, 2021: "Provide and implement an infection prevention and control program."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.44 hours per resident per day, below the Virginia average of 3.29.

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Common questions

What is Heritage Hall - Brookneal's Medicare star rating?
CMS rates Heritage Hall - Brookneal 5 out of 5 stars overall, with 5 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Heritage Hall - Brookneal get at its last inspection?
0 health deficiencies at the standard inspection on July 31, 2024. The Virginia average is 14.3.
Has Heritage Hall - Brookneal been fined?
CMS lists no fines in the last three years.
Does Heritage Hall - Brookneal 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 - Brookneal?
CMS lists 15 owners and managers, and links the home to Heritage Hall. Legal business name: BROOKNEAL LIFE CARE CORP.

Sources

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