Heritage Hall Dillwyn
119 Brickyard Drive, Dillwyn, VA 23936 · Buckingham County · (434) 983-2050
60 certified beds, about 56 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1996
Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495317 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 20, 2024, inspectors cited 9 health deficiencies (the Virginia average is 14.3, the national average 9.2).
None of its 25 health citations since March 2021 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 2.95 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.49 of those hours.
55.2% 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.
903/21
707/22
903/24
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 25 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
22D
3E
0F
Potential for minimal harm
0A
0B
0C
March 20, 2024Standard inspection, Complaint inspection · 9 citations
- E Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observations, staff interviews, facility document review, and clinical record review, it was determined the facility staff failed to provide evidence of ADL (activities of daily living) care for one of 28 residents in the survey sample, Resident #46.
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, it was determined that the facility staff failed to maintain the call bell in a position accessible to the resident, for two of 28 residents in the survey sample, Residents #14 and #161. 1. For Resident #14, the facility staff failed to maintain the call light in a position where they could access it. Resident #14 was observed on 3/19/24 at 8:54 AM and 10:18 AM with the call bell clipped to the top of their mattress above their pillow, not in reach of resident. On 3/19/24 at 1:20 PM, Resident #14 was observed in bed with the call bell clipped below the bed on the right side. An interview was conducted on 3/19/24 at 1:20 PM with RN (registered nurse) #1. When asked if the call bell was within reach of the resident, RN #1 stated it was not. [...]
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on resident interview, staff interview, facility document review, and clinical record review, it was determined the facility staff failed to protect one of 28 residents in the survey sample from resident to resident abuse, Residents #31.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on staff interview, clinical record review and facility document review, it was determined that the facility staff failed to provide written notification of a hospital transfer to the Ombudsman and the Resident Representative for one of 28 residents in the survey sample; Resident #23.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observations, resident/staff interviews, facility document review and clinical record review, it was determined the facility staff failed to develop a comprehensive care plan for two of 28 residents in the survey sample, Residents #50 and #1.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteThe facility staff failed to ensure a safe environment by failing to secure smoking materials for two of 28 residents in the survey sample, Residents #50 and #1.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, staff interview, and facility document review, it was determined that the facility staff failed to maintain one of one kitchens in a sanitary manner.
- D Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Inspectors wroteBased on clinical record review, staff interview, resident interview and facility document review, it was determined that the facility staff failed to comply with all the requirements of a binding arbitration agreement for three of 28 residents in the survey sample; Residents #17, #35 and 43.
- D Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Inspectors wroteBased on clinical record review, staff interview, resident interview and facility document review, it was determined that the facility staff failed to ensure the binding arbitration agreements contained explicit language as required by law for the selection of an arbitrator and venue, for 3 of 28 residents in the survey sample; Residents #17, #35 and 43.
July 28, 2022Standard inspection · 7 citations
- E Perform COVID19 testing on residents and staff.
Inspectors wroteBased on clinical record review, staff interview and facility document review, it was determined facility staff failed to maintain resident COVID-19 testing results in the medical record for 3 of 3 residents reviewed during the infection control task, Residents #1, #2 and #14.
- D Give the resident's representative the ability to exercise the resident's rights.
Inspectors wroteBased on staff interview, facility document review, clinical record review, and in the course of a complaint investigation, it was determined the facility staff failed to allow the resident's representative to exercise their rights to make decision for one of 31 residents in the survey sample, Resident #2 (R2).
- D Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.
Inspectors wroteBased on family interview, staff interview, clinical record review and facility document review it was determined that the facility staff failed to allow visitation for one of 31 residents in the survey sample, Resident #28 (R28).
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, it was determined that the facility staff failed to accurately complete the MDS assessment for 2 of 31 residents in the survey sample; Resident #1 and Resident #16.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, it was determined that the facility staff failed to follow the comprehensive care plan for one of 31 residents in the survey sample, Resident #1. The facility staff failed to implement the comprehensive care plan to administer Oxygen as ordered in relation to the administration of oxygen at the physician ordered rate for Resident #1.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, staff interview and facility document review, the facility staff failed to provide respiratory care and services according to professional standards of practices for 2 of 31 residents in the survey sample, Residents # 51 and #1.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and staff interview, it was determined the facility staff failed to maintain one of one kitchen in a sanitary manner.
March 31, 2021Standard inspection · 9 citations
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, it was determined that the facility staff failed to develop and implement the comprehensive care plan for six of 38 residents in the survey sample, (Residents #11, #43, #2, #21, #5 and #34). The facility staff failed to ensure Resident #11's pommel cushion and Resident #43's wheelchair alarm were implemented to prevent falls per the comprehensive care plan and physician orders. The facility staff failed to develop and implement a care plan for devices to address and prevent the worsening of Resident #2's bilateral hand contractures and failed to develop and implement a comprehensive care plan to address urinary tract infections, the prescribed treatment and care required for Resident #21, #5 and #34.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, it was determined the facility staff failed to promote dignity while assisting with dining for two of 38 residents in the survey sample, (Resident #51 and Resident #8). Facility staff were observed standing while feeding Residents #51 and #8.
- D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation, resident interview, facility staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to provide maintenance services necessary to maintain, a safe comfortable homelike environment for one of 38 residents in the survey sample, (Resident #48). The facility staff failed to repair/ ensure, Resident #48's light was functioning when activated by the wall light switch, despite the resident's repeated requests over five weeks.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to review and revise the comprehensive care plan for two of 38 residents in the survey sample, (Residents #29 and #14). The facility failed to revise Resident #29's comprehensive care plan when he developed an infection in a left heel wound and failed to review and revise Resident #14's comprehensive care plan to address the resident's use of oxygen.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to provide ADL (activities of daily living) care to a dependent resident for one of 38 residents in the survey sample, (Resident #2). The facility staff failed to provide nail care and ensure Resident #2's fingernails were trimmed to a safe length. Observation revealed one inch long finger nails on the middle finger of each hand, and half inch long nails on the remaining fingers of both hands.
- D Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to implement interventions to prevent worsening of a resident's contractures for one of 38 residents in the survey sample, (Resident #2). The facility staff failed to implement use of devices in both of Resident #2's hands to prevent a worsening of his hand contractures.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, staff interview and clinical record review, it was determined that the facility staff failed to implement physician ordered assistive devices to prevent falls for two of 38 residents in the survey sample, (Residents #11 and #43). The facility staff failed to implement a physician ordered pommel cushion for Resident #11 and failed to implement a physician ordered wheel chair alarm for Resident #43.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, it was determined that the facility staff failed to provide respiratory care consistent with professional standards of practice, and the comprehensive person-centered care plan, for two of 38 residents in the survey sample, (Resident #14 and Resident #50). The facility staff failed to administer oxygen to Resident #14 at the physician prescribed rate of two LPM (liters per minute) and failed to administer oxygen to Resident #50 at the physician prescribed flow rate of 4 LPM.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to implement infection control practices to prevent the spread of infection for one of 38 residents in the survey sample, (Resident #30). The facility staff failed to sanitize their hands and failed to store the ice scoop in a sanitary manner to prevent the spread of infection. Observation revealed during ice distribution on 3/28/21, the facility staff without sanitizing their hands placed the ice scoop into the cooler in direct contact with the ice and failed to wash/sanitize their hands before picking up the ice scoop and serving ice to Resident #30.
Fire safety inspections
4 fire safety citations on file: 4 on March 31, 2021.
Every fire safety citation4 citations
- E Have approved installation, maintenance and testing program for fire alarm systems.
- E To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D Ensure proper usage of power strips and extension cords.
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.
| Measure | This home | Virginia | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 2.95 | 3.76 | 3.86 |
| Registered nurses | 0.49 | 0.69 | 0.69 |
| All nursing staff on weekends | 2.45 | 3.29 | 3.42 |
| Nurse aides | 1.83 | ||
| Licensed practical nurses | 0.63 | ||
| Nursing staff turnover (share who left in a year) | 55.2% | 48.1% | 45.8% |
| Registered nurse turnover | 75.0% | 48.2% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.91 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 3.15 on weekdays and 2.45 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.90 in April to June 2025 to 2.95 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 | 2.95 | 0.49 | 3.15 | 2.45 | 0.8% | 0 of 90 | 56 |
| Oct to Dec 2025 | 2.98 | 0.51 | 3.13 | 2.57 | 0.6% | 0 of 92 | 57 |
| Jul to Sep 2025 | 2.98 | 0.54 | 3.15 | 2.53 | 0.3% | 0 of 92 | 57 |
| Apr to Jun 2025 | 2.90 | 0.57 | 3.07 | 2.49 | 0.0% | 0 of 91 | 57 |
| 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.
Quality measures
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 | 27.7 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.5 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 9.6 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.3 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 19.9 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.4 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 16.1 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 18.5 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 20.1 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.5 | 1.5 | 1.8 |
Owners and operators
Legal business name: DILLWYN 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 |
| American Healthcare LLC | 5% or greater indirect ownership interest | Organization | 100% | 01/22/2018 |
| East, Thomas | Corporate director | Individual | 11/20/2012 | |
| Hopkins, William | Corporate director | Individual | 07/23/2010 | |
| 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 | |
| Gallant, Cassandra | Operational/managerial control | Individual | 07/11/2024 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 7 problems in this area, most recently on March 20, 2024: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 6 problems in this area, most recently on March 20, 2024: "Reasonably accommodate the needs and preferences of each resident."
- When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on March 20, 2024: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on March 20, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.45 hours per resident per day, below the Virginia average of 3.29.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Holly Manor Rehab and Nursing Farmville, 16.3 mi · 1 of 5 stars · 95 citations
- Farmville Health & Rehab Center Farmville, 17.7 mi · 3 of 5 stars · 44 citations
- Oakhurst Health & Rehabilitation Fork Union, 20.8 mi · 1 of 5 stars · 65 citations
- Appomattox Health & Rehabilitation Center Appomattox, 24 mi · 1 of 5 stars · 39 citations
Virginia contacts for a concern about a nursing home
These are the official offices in Virginia. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Virginia Department of Health, Office of Licensure and Certification, Division of Long-Term Care Services, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Virginia Office of the State Long-Term Care Ombudsman, 800-552-5019. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: VDH Nursing Home and ICF/IID Inspections and Surveys, where Virginia publishes its own records on licensed homes.
Common questions
- What is Heritage Hall Dillwyn's Medicare star rating?
- CMS rates Heritage Hall Dillwyn 3 out of 5 stars overall, with 4 for health inspections, 1 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Heritage Hall Dillwyn get at its last inspection?
- 9 health deficiencies at the standard inspection on March 20, 2024. The Virginia average is 14.3.
- Has Heritage Hall Dillwyn been fined?
- CMS lists no fines in the last three years.
- Does Heritage Hall Dillwyn 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 Dillwyn?
- CMS lists 8 owners and managers, and links the home to Heritage Hall. Legal business name: DILLWYN LIFE CARE, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.