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Heritage Hall Grundy

2966 Slate Creek Road, Grundy, VA 24614 · Buchanan County · (276) 935-8144

120 certified beds, about 115 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
4 of 5
Staffing
2 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 495259 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on February 28, 2023, inspectors cited 3 health deficiencies (the Virginia average is 14.3, the national average 9.2).

None of its 24 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 3.00 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.48 of those hours.

37.4% 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 24 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
15D
7E
0F
Potential for minimal harm
0A
0B
2C
February 28, 2023Standard inspection · 3 citations
  1. E
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 26, 2023
    Inspectors wroteBased on observation, staff interview, resident review, and family interview, the facility staff failed to maintain a clean and homelike environment on 2 of 2 wings.
  2. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 26, 2023
    Inspectors wroteBased on observation, resident interview, staff interview, and clinical record review, the facility staff failed to follow physicians orders regarding oxygen therapy for 1 of 24 residents, Resident #34.
  3. 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) April 26, 2023
    Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to maintain complete and accurate clinical records for 2 of 24 residents, Residents #34 and #118.
March 18, 2021Standard inspection · 6 citations
  1. E
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 26, 2021
    Inspectors wroteBased on staff interview and clinical record review, facility staff failed to ensure that Drug Regimen Review reports were addressed by the physician and that documentation concerning the reviews was placed in the clinical record while reviewing the sample of 24 records.
  2. D
    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, isolated · Corrected (the home has a date of correction) April 26, 2021
    Inspectors wroteBased on staff interview, facility document review and employee record review the facility staff failed to implement facility policy for the screening of new employees for 3 of 25 new employees, #14, #15, and #21.
  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) April 26, 2021
    Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to administer a routine narcotic and failed to follow their system of record keeping for a controlled narcotic in sufficient detail to enable an accurate reconciliation for 2 of 27 Residents, Resident's #85 and #90.
  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) April 26, 2021
    Inspectors wroteBased on staff interview and clinical record review, and facility document review, facility staff failed to monitor by not following up on how pharmacy recommendations were acted up on regarding dose changes for 3 out of 3 unsampled residents (Residents #16, 51, and 91).
  5. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 26, 2021
    Inspectors wroteBased on staff interview clinical record review, and facility document review, facility staff failed to address gradual dose recommendations for 2 of 27 residents in the survey sample (Resident #68 and #96) and for 12 additional current residents not included in the survey sample.
  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) April 26, 2021
    Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to ensure a complete and accurately documented clinical record for 2 of 27 residents in the survey sample, Resident's #34 and #85.
March 21, 2019Standard inspection · 15 citations
  1. E
    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, pattern · Corrected (the home has a date of correction) May 5, 2019
    Inspectors wrote5. The facility staff failed to provide the hospital with the required paper work concerning Resident #110's medical information. Resident #110 was admitted to the facility on [DATE] with the following diagnoses of, but not limited to anemia, heart failure, high blood pressure, pneumonia and dementia. On the MDS (Minimum Data Set) with an ARD (Assessment Reference Date) of [DATE], the resident was coded as having short term and long-term memory problems and being moderately impaired in daily decision-making. Resident #110 was also coded as requiring extensive assistance of 2 staff members for dressing, personal hygiene and bathing. During the closed record review on [DATE], the surveyor noted that Resident #110 had been transferred to the hospital on [DATE]. [...]
  2. E
    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, pattern · Corrected (the home has a date of correction) May 5, 2019
    Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to provide written notice of transfer/discharge to include the effective date of transfer or discharge; the location to which the resident is transferred or discharged ; a statement of the resident's appeal rights, including the name, address (mailing and email), and telephone number of the entity which receives such requests; and information on how to obtain an appeal form and assistance in completing the form and submitting the appeal hearing request; the name, address (mailing and email) and telephone number of the Office of the State Long-Term Care Ombudsman and documentation in the medical record that the notice was sent to the Ombudsman for 4 of 26 residents (Resident #2, Resident #44, Resident #46, and Resident #72).
  3. 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) May 5, 2019
    Inspectors wrote5. The facility staff failed to provide the bed hold policy in writing due to Resident #86 being transferred to emergency room. Resident #86 was originally admitted to the facility on [DATE] but was readmitted on [DATE]. On the admission MDS (Minimum Data Set) with an ARD (Assessment Reference Date) of 3/1/19, coded the resident as having a BIMS (Brief Interview for Mental Status) score of 12 out of a possible score of 15. Resident #86 was also coded as requiring extensive assistance of 2 staff members for dressing, personal hygiene and bathing. The surveyor reviewed Resident #86's clinical record on 3/20/19 and 3/21/19. During this review, the surveyor noted that Resident #86 had been transferred to the hospital, on 3/8/19, to receive a blood transfusion. [...]
  4. E
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 5, 2019
    Inspectors wrote2. For Resident #73 the facility staff failed to ensure respiratory equipment was bagged. Resident #73 was admitted to the facility on [DATE]. Diagnoses included anemia, congestive heart failure, hypertension, diabetes mellitus and chronic obstructive pulmonary disease. The most recent MDS (minimum data set) with an ARD (assessment reference date) of 02/25/19 coded the Resident as 15 of 15 in section C, cognitive patterns. This is a quarterly MDS. Resident #73's clinical record was reviewed on 03/20/19. It contained a signed physician's order summary, which read in part Albuterol 2.5 mg/05 ml solution. Give 1 UD packet via nebulizer q (every) 6 hrs and Ipratropium BR 0.02% solution. Take 1 UD packet via nebulizer q 6 hrs. On 03/20/19 at approximately 1300, surveyor observed Resident #73's nebulizer mouthpiece lying on his nightstand. The mouthpiece was not bagged. [...]
  5. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 5, 2019
    Inspectors wroteBased on observation, clinical record review, staff interview and facility document review the facility staff failed to follow established infection control procedures for 5 of 26 Residents,#63, #259, #310, #81 and #159.
  6. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 5, 2019
    Inspectors wroteBased on resident council interview, staff interview, and facility document review, the facility staff failed to ensure a private location for the resident council to meet. Volunteers and residents interrupted the resident council meeting on three (3) different occasions.
  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) May 5, 2019
    Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to inform the resident representative of a change in condition for 1 of 26 residents (Resident #160).
  8. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 5, 2019
    Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to follow professional standards of practice for the transcription of physician orders involving medications for 1 of 26 residents (Resident #160).
  9. 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) May 5, 2019
    Inspectors wrote2. The facility staff incorrectly filed the results of Resident #160's laboratory test on Resident #46's clinical record. The laboratory test had physician orders for antibiotics for Resident #160. The physician orders were never implemented for Resident #160 because the facility staff filed the laboratory test results with orders in the wrong record. The 1/14/19 urine culture results had been noted by licensed practical nurse #1 (L.P.N. #1). L.P.N. #1 failed to write a telephone order for Resident #160's antibiotic-Cipro 500 mg (milligrams) q (every) 12 hours x 5 days. Resident #160 did not receive Cipro for a urinary tract infection. The clinical record of Resident #160 was reviewed 3/21/19. [...]
  10. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 5, 2019
    Inspectors wroteBased on staff interview, clinical record review, and during a medication pass and pour observation, the facility staff failed to ensure a medication error rate of less than 5%. There were 2 errors in 25 opportunities for a medication error rate of 8%. These medication errors effected Resident #29 and #46.
  11. 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) May 5, 2019
    Inspectors wroteBased on observation, staff interview, and facility document review, the facility staff failed to ensure that medications were properly stored on 1 of 2 units, unit C.
  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) May 5, 2019
    Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to ensure a complete and accurate clinical record for 2 of 26 residents (Resident #46 and Resident #94).
  13. D
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 5, 2019
    Inspectors wroteBased on observation, Resident interview, and staff interview, the facility staff failed to maintain a safe and hazard free environment.
  14. C
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    F565 · Resident Rights · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) May 5, 2019
    Inspectors wroteBased on resident council interview, staff interview, and facility document review, the facility staff failed to act upon grievances/concerns from the December 2018 resident council meeting.
  15. C
    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.
    F584 · Resident Rights · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) May 5, 2019
    Inspectors wroteBased on observation, resident council interview, staff interview, and facility document review, the facility staff failed to ensure a comfortable sound level in the building.

Fire safety inspections

9 fire safety citations on file: 4 on February 28, 2023, 5 on March 18, 2021.

Every fire safety citation9 citations
  1. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 28, 2023 · Waiver
  2. E
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · February 28, 2023 · Corrected (the home has a date of correction)
  3. D
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · February 28, 2023 · Corrected (the home has a date of correction)
  4. D
    Provide properly protected cooking facilities.
    K 324 · February 28, 2023 · Corrected (the home has a date of correction)
  5. 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 · March 18, 2021 · Corrected (the home has a date of correction)
  6. E
    Have properly located and lighted "Exit" signs.
    K 293 · March 18, 2021 · Corrected (the home has a date of correction)
  7. E
    Install corridor and hallway doors that block smoke.
    K 363 · March 18, 2021 · Corrected (the home has a date of correction)
  8. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · March 18, 2021 · Corrected (the home has a date of correction)
  9. E
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · March 18, 2021 · 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)3.003.763.86
Registered nurses0.480.690.69
All nursing staff on weekends2.503.293.42
Nurse aides1.86
Licensed practical nurses0.66
Nursing staff turnover (share who left in a year)37.4%48.1%45.8%
Registered nurse turnover33.3%48.2%42.9%
Administrators who left0

CMS expects 3.77 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 2.50 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 3.25 in April to June 2025 to 3.00 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.000.483.202.50 0.0%0 of 90115
Oct to Dec 20253.160.523.372.61 0.0%0 of 92112
Jul to Sep 20253.060.553.232.63 0.0%0 of 92113
Apr to Jun 20253.250.553.482.67 0.0%0 of 91112
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.

Staff pay reports

Staff pay at this home

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.

Official wage estimates for Virginia

JobMedianMiddle halfEmployed
Virginia, all employers
CNAs (nursing assistants)$20.77$17.80 to $22.5640,580
LPNs and LVNs$31.21$28.66 to $35.8415,550
Registered nurses$45.00$38.51 to $49.5377,490
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

How staff pay reports work · CNA pay by state

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
9.614.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.20.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.01.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
6.33.63.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.71.31.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
9.915.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.74.74.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
10.714.215.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
12.122.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
10.111.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.11.51.9
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: GRUNDY 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 interestOrganization16%07/10/2020
Wcc Third Blind Trust5% or greater direct ownership interestOrganization55%07/10/2020
East, ThomasCorporate directorIndividual11/20/2012
Hopkins, WilliamCorporate directorIndividual04/21/2014
East, ThomasCorporate officerIndividual11/20/2012
American Healthcare LLCOperational/managerial controlOrganization11/22/2010
Dalton, BradOperational/managerial controlIndividual07/11/2024
Gallant, CassandraOperational/managerial controlIndividual07/11/2024
Keene, DerekOperational/managerial controlIndividual10/02/2024
Dalton, BradAdp of the SNFIndividual07/11/2024
Gallant, CassandraAdp of the SNFIndividual07/11/2024
Keene, DerekAdp of the SNFIndividual10/02/2024
Quinn, DonaldAdp of the SNFIndividual10/02/2024

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.

  1. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 7 problems in this area, most recently on March 21, 2019: "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."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 6 problems in this area, most recently on March 18, 2021: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on February 28, 2023: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
  4. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on February 28, 2023: "Provide safe and appropriate respiratory care for a resident when needed."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.50 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 Grundy's Medicare star rating?
CMS rates Heritage Hall Grundy 5 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Heritage Hall Grundy get at its last inspection?
3 health deficiencies at the standard inspection on February 28, 2023. The Virginia average is 14.3.
Has Heritage Hall Grundy been fined?
CMS lists no fines in the last three years.
Does Heritage Hall Grundy 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 Grundy?
CMS lists 13 owners and managers, and links the home to Heritage Hall. Legal business name: GRUNDY LIFE CARE CORP.

Sources

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