Heritage Hall King George
10051 Foxes Way, King George, VA 22485 · King George County · (540) 775-4000
130 certified beds, about 97 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1995
Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495300 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 1, 2022, inspectors cited 8 health deficiencies (the Virginia average is 14.3, the national average 9.2).
Of 53 health citations since December 2017, 3 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 4 fines totaling $63,359 in the last three years; the largest was $34,040, and the latest is dated March 26, 2026.
Nurses and nurse aides worked 3.21 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.33 of those hours.
30.6% 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.
1012/17
2704/19
809/22
210/23
304/24
305/24
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 53 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
43D
6E
1F
Potential for minimal harm
0A
0B
0C
May 23, 2024Complaint inspection · 3 citations
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview clinical record review and facility documentation the facility staff failed to ensure that Residents receive adequate supervision and assistance to prevent accidents for 1 Resident (#1) in a survey sample of 5 Residents. Immediate Jeopardy (IJ) was identified on 5/22/24 at 12:55 PM, at which time the facility Administrator and Director of Nursing were made aware. Following verification of the implementation of the facility's immediacy removal plan, it was determined the IJ was removed on 5/23/24 at 11:15 AM. The scope and severity were lowered to level 3, isolated.
- 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 interview clinical record review and facility documentation the facility staff failed to develop and implement a comprehensive care plan that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs for 1 Resident (#1) in a survey sample of three (3) residents.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on interview, clinical record review and facility documentation the facility staff failed to ensure that residents are free from significant medication errors for 1 Resident (#10) in a survey sample of 5 Residents.
April 10, 2024Complaint inspection · 3 citations
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on interview, clinical record review and facility documentation the facility staff failed to ensure Residents receive services in the facility with reasonable accommodation of resident needs for 1 Resident in a survey sample of 4 Residents.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, interview, clinical record review the facility staff failed to provide care and services that meet professional standards of quality for 2 Residents (# 1 and #2) in a survey sample of 4 Residents.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on interview, clinical record review and facility documentation, the facility staff failed to ensure that Residents were free from unnecessary medications to include duplicate drug therapy for 1 Resident (#1) in a survey sample of 4 Residents.
October 31, 2023Complaint inspection · 2 citations
- G Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on staff interview, facility documentation review and clinical record review, the facility staff failed to meet professional standards of quality for one Resident (Resident #2) which resulted in harm for one Resident (Resident #1) in a survey sample of three Residents.
- G Ensure that residents are free from significant medication errors.
Inspectors wroteBased on staff interview, facility documentation review and clinical record review, the facility staff failed to ensure one resident (Resident # 1) of 3 residents in the survey sample was free of significant medication errors. For Resident #1, the facility staff failed to ensure the roommate's medications including psychiatric medications were not left unattended and available for incidental consumption by Resident # 1, resulting in hospitalization for 4 days. This constitutes harm.
September 1, 2022Standard inspection · 8 citations
- F Post nurse staffing information every day.
Inspectors wroteBased on observation, staff interview, and facility documentation review, the facility staff failed to post daily staffing information for Residents, staff, and visitors to see, which has the potential to affect all Residents.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interview, and facility documentation review, the facility staff failed to distribute food in accordance with professional standards for food service safety. Specifically, the facility staff failed to ensure a safe holding temperatures for 2 out of 2 milk containers on 08/31/2022 for the lunch tray line.
- E Perform COVID19 testing on residents and staff.
Inspectors wroteBased on staff interview and facility documentation review, the facility staff failed to test Residents for COVID-19 in on one (A-unit) of two units accordance with The Centers for Disease Control and Prevention guidance.
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on observation, Resident interview, staff interview, clinical record review, and facility documentation review, the facility staff failed to facilitate Resident self-determination through support of Resident choice for one Resident (Resident #43) in a sample size of 38 Residents. For Resident #43, the facility staff failed to assist Resident #43 spend time outside in August 2022 as was her personal preference.
- 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, Resident interview, staff interview, clinical record review, and facility documentation review, the facility staff failed to revise the care plan for two Residents (Resident #43, Resident #59) in a sample size of 38 Residents. 1) For Resident #43, the facility staff failed to revise the care plan regarding Resident #43's personal preference to spend time outside. 2) For Resident #59, the facility staff failed to review and revise the care plan based on changing goals, preferences and needs of the resident and in response to current interventions.
- D Provide activities to meet all resident's needs.
Inspectors wroteBased on observation, Resident interview, staff interview, clinical record review, and facility documentation review, the facility staff failed to provide an ongoing program to support residents in their choice of activities for one Resident (Resident #43) in a sample size of 38 Residents. For Resident #43, the facility staff failed to assist Resident #43 spend time outside in August 2022 as was her personal preference.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, Resident interview, staff interview, clinical record review, and facility documentation review, the facility staff failed to provide care according to professional standards for one Resident (Resident #38) in a sample size of 38 Residents. For Resident #38, the facility staff failed to re-valuate for leg prosthetics after a fitting for shrinkers socks was completed.
- D Ensure staff are vaccinated for COVID-19
Inspectors wroteBased on staff interview and facility documentation review, the facility staff failed to have an accurate system to track the immunization status of all facility employees affecting one employee (Staff #5) in a sample of 11 employees reviewed, and the facility staff permitted one staff member (Staff #5) who was not fully immunized to continue to work; the facility staff's vaccination rate was 99.5%
April 5, 2019Standard inspection · 27 citations
- E Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on staff interview, facility documentation review and in the course of a complaint investigation, the facility staff failed to implement their abuse and neglect policy for 5 of 25 employees. (Employee D, Employee E, LPN C, CNA E and CNA F) The facility staff failed to implement their abuse and neglect policy by failing to pre-screen employees prior to hire by failing to obtain reference checks and verifying licenses/certification.
- E PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on staff interview, facility documentation and clinical record review the facility failed ensure Residents had (Pre admission Screening And Resident Review) PASARR screening prior to admission for five residents, Residents (#7, #28, #97, #49, and #68) in a survey sample of 30 residents. 1. For Resident # 7 the facility staff failed to obtain a PASARR prior to admission to the facility. 2. For Resident # 28 the facility staff failed to obtain a PASARR prior to admission to the facility. 3. For Resident # 97 the facility staff failed to obtain a PASARR prior to admission to the facility. 4. For Resident # 49, the facility staff failed to obtain a PASARR screening prior to admission to the facility. 5. For Resident # 68, the facility staff failed to obtain a PASARR screening prior to admission to the facility.
- E 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.
Inspectors wroteBased on staff interview, clinical record review and facility documentation the facility staff failed to ensure freedom from unnecessary psychotropic medications for 4 Residents (Resident #24, Resident # 86, #69, and #39) in a survey sample of 30 Residents. 1. For Resident #24 the facility doctor gave orders for Ativan 0.5 (Milligrams) MG every 6 hours (as needed) PRN for 90 days at a time. 2. For Resident #86 the facility staff gave anti-psychotic medication to a Dementia Resident without a proper diagnosis for use. 3. For Resident #69, the facility staff failed to ensure he was free from Seroquel (an antipsychotic) which is not indicated for use in residents with dementia. 4. For Resident #39, the facility staff failed to ensure she was free from Seroquel, an antipsychotic which is not indicated for use in residents with dementia.
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observations, staff interviews, resident interviews and clinical record review, the facility staff failed to ensure reasonable accommodation of resident needs and preferences for two Residents (Resident # 49 and # 68) in a survey sample of 30 residents. 1. For Resident # 49, the facility staff failed to make sure the clock in his room was correct. 2. For Resident # 68, the facility staff failed to make sure the clock in her room was correct.
- D 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.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility documentation, the facility staff failed to accurately convey Advanced Directives preferences to the staff responsible for resident's care for one resident (Resident #63) in a sample size of 30 residents.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on staff interview and facility documentation review, the facility staff failed to notify resident/responsible party of termination of Medicare Part A benefits for one resident (Resident #77) in a sample of 3 residents.
- 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, staff interview, and facility record review the facility staff failed to ensure one hospital bed was in good repair for one resident (Resident #71) in a survey sample of 30 residents. The facility staff failed to maintain a hospital bed in good repair for Resident #71.
- 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, facility documentation review, and clinical record review, the facility staff failed to notify the Ombudsman of a transfer to the hospital on 2 separate occasions for 1 resident (Resident #41) in a sample size of 30 residents. For Resident #41, the facility staff failed to notify the Ombudsman upon transfer to the hospital on [DATE] and 02/25/2019.
- D 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.
Inspectors wroteBased on staff interview, facility documentation review, and clinical record review, the facility staff failed to provide notice of the facility Bed Hold Policy on 2 separate occasions for 1 resident (Resident #41) in a sample size of 30 residents. For Resident #41, the facility staff failed to provide notice of the facility Bed Hold Policy upon transfer to the hospital on [DATE] and 02/25/2019.
- D Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility documentation review, the facility staff failed to conduct accurate assessment of resident's functional capacity for one resident (Resident #35) in a sample size of 30 residents. For Resident #35, the facility staff failed to accurately assess her visual functional capacity
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on resident interview, staff interview, facility documentation review and clinical record review, the facility staff failed to ensure the assessment of the resident accurately reflected the resident's status for one resident (Resident #55) in a survey sample of 30 residents. For Resident #55, the facility staff failed to accurately code the MDS (Minimum Data Set) (an assessment tool).
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on observation, resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to complete a baseline care plan to provide behavioral health services for 1 resident (Resident #6) of the 30 residents in the survey sample. For Resident 6, the facility staff failed to develop a base line care plan for behavioral health services.
- 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 staff interview and clinical record review, the facility staff failed to develop a comprehensive resident-centered care plan for 3 residents (Resident #63, #35, #6) in a sample size of 30 residents.
- 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 interviews, clinical record reviews, and facility documentation, the facility staff failed to revise resident-centered care plans for 3 residents (Resident #63, Resident #49, Resident #68) in a sample size of 30 residents. 1. For Resident #63, the facility staff failed to revise the care plan to reflect current code status from Full Code to DNR 2. For Resident # 49, the facility staff failed to document the dates of problems and interventions listed on the careplan when revised. 3. For Resident # 68, the facility staff failed to document the dates of problems and interventions listed on the careplan when revised.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, staff interview and clinical record review the facility staff failed to maintain professional standards when administering medications for 1 Resident (#97) in a survey sample of 30 Residents. For Resident #97 the facility staff failed to administer Heparin (an anti-coagulant) ,Daily, as ordered by the Physician.
- D Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Inspectors wroteBased on facility documentation review and clinical record review, the facility failed to complete a discharge summary that included a recapitulation of the resident's stay. For Resident #104, the facility staff failed to complete a discharge summary that accurately described the clinical status of the resident and a recapitulation of the resident's stay.
- D Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Inspectors wroteBased on resident interview and clinical record review, the facility staff failed to provide necessary care and services to ensure that a resident's abilities in activities of daily living do not diminish for one resident (Resident #55) in a survey sample of 30 residents. The facility staff failed to provide care and assistance in ADL's (Activities of daily living) to maintain a resident's continence for Resident #55.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, resident interview, staff interview, clinical record review, and facility documentation review, and in the course of a complaint investigation, the facility staff failed to provide needed care and services for one resident (Resident #45) in a sample size of 30 residents. 1. For Resident #45, the facility failed to identify, assess, and notify provider for a potential change in condition. It was documented in the clinical record Resident #45 weighed 226.4 pounds on 03/25/2019 and 199.6 pounds on 04/01/2019 (11.84% weight loss in 6 days).
- D Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on observation, Resident interview, staff interview, and clinical record review the facility staff failed to provide proper treatment and hearing assistive devices for 2 residents (Resident #57 and #35) in a sample size of 30 residents. 1. For Resident #57, the facility staff failed to provide proper treatment and assistive devices to maintain and/or enhance his hearing ability. 2. For Resident #35, the facility staff failed to assist with procurement of eye glasses as prescribed by optometrist.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on staff interview, facility documentation review and clinical record review, the facility staff failed to provide adequate supervision to prevent accidents for one resident (Resident #55) in a survey sample of 30 residents . For Resident #55 the facility staff failed to implement interventions and provide supervision to reduce fall risks and hazards following falls on 2/6/19 and 3/28/19.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on resident interview, staff interview,facility record review, and clinical record review, the facility staff failed to provide necessary care and services to ensure that a resident who was continent of bowel on admission receives services to maintain continence for one resident (Resident #55) in a survey sample of 30 residents. The facility staff were not assisting Resident #55 to have bowel movements in the toilet.
- D Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on staff interview and facility documentation review the facility failed to ensure certified nurse aides (CNA's) receive regular in-service education for 2 of 5 employees. (CNA F and CNA H) The facility staff failed to ensure CNA's receive 12 hours of in-service training annually for CNA F and CNA H.
- D Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Inspectors wroteBased on observation, resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to provide behavioral health services for 1 resident (Resident #6) of the 30 residents in the survey sample. Resident 6's clinical record documented that the Resident had anxiety and depression on admission. Continued behavioral health services assessment, care planning, physician evaluation, and non-pharmacologic nursing interventions, were not performed by facility staff.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on staff interview, clinical record review and facility documentation the facility failed to provide 2 doses of medication ordered daily for 1 Resident (Resident #7) in a survey sample of 30 Residents.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on clinical record review and facility documentation the facility failed to ensure Resident is free from unnecessary meds for 1 Resident (#97) in a survey sample of 30 Residents. For Resident #97 the facility staff failed to follow Physicians Order for Heparin (an anti-coagulant) Flush to be administered daily, but instead, administered the Heparin Flush three times per day thus administering unnecessary amount of Heparin.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on staff interview and observation, the facility staff failed to serve food in accordance with professional standards for food service safety, for two residents (Resident #63, Resident #98) in a survey sample of 30 residents. 1. For Resident #63, the facility staff failed to serve food in a sanitary manner. 2. For Resident #98, the facility staff failed to serve food in a sanitary manner.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility documentation, the facility staff failed to maintain an accurate clinical record for one resident (Resident #63) in a sample size of 30 residents. The Resident #63's DNR status was inaccurate.
December 7, 2017Standard inspection · 10 citations
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, and facility documentation review, the facility staff failed to implement an effective infection control program. 1. The facility staff failed to assure that fingernails were cut to a short length on five direct care staff.
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, staff interview, Resident interview, clinical record review, and facility documentation review, the facility staff failed to accommodate the needs of 2 Residents, (Resident #487, and #26) of the 22 Residents in the survey sample. 1. For Resident #487, the facility staff failed to have a call system in place. 2. For Resident #26, the facility staff failed to accommodate her preference to attend worship activity within the facility.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to ensure an accurate and complete MDS (minimum data set) for one Resident (Resident #58) of 22 Residents in the survey sample. For Resident #58, the facility staff inaccurately coded the special treatments status at Section O for the MDS assessment with Transfusions were received while a Resident.
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on staff interview and clinical record review, the facility failed for one Resident, Resident 86, in a survey sample of 22 residents, to ensure a baseline care plan was initiated within 48 hours. Resident #86's initial care plan was initiated 8 days after his admission.
- 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, and clinical record review the facility staff failed for 1 resident (Resident #52) of 22 residents in the survey sample to review and revise the care plan. For Resident #52, the care plan did not include interventions to prevent the development of the pressure ulcer to the right heel.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, staff interview, and clinical record review the facility staff failed for 1 resident (Resident #52) of 22 residents in the survey sample to prevent and assess a pressure ulcer to the right heel. For Resident #52, no interventions were in place to prevent the development of the pressure ulcer. Once the ulcer was identified, it was not correctly assessed by facility staff.
- 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 resident interview, staff interview, and clinical record review, the facility staff failed, for 1 resident (Resident #38) in the survey sample of 22 residents, to provide a safe form of transport within the facility. The facility staff failed to provide Resident #38 a safe form of transport, after her ankle was fractured in 2 places while being transported by staff in a standard wheelchair without leg rests/food petals.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, staff interview, facility documentation review and clinical record review, the facility staff failed to ensure that a urinary catheter drainage bag was maintained in a manner to prevent the spread of infection for one resident (Resident # 29) in a survey sample of 22 residents. For Resident # 29, the facility staff failed to ensure the urinary catheter bag was not resting the floor. Resident # 29 was observed to be sitting in a wheelchair in the dining room with his urinary drainage bag touching the floor.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, staff interview, resident interview, and clinical record review, the facility staff failed to ensure a correct oxygen infusion rate for 2 Residents (Resident #487, and #41 ) of 22 residents in the survey sample. 1. Resident #487 failed to have 2 liters of oxygen infusing, and instead, had 4 liters of oxygen infusing. 2. For Resident # 41, the facility staff failed to ensure the oxygen tank was not empty on 12/5/2017.
- D Provide or get specialized rehabilitative services as required for a resident.
Inspectors wroteBased on resident interview, staff interview, and clinical record review, the facility staff failed, for 1 resident (Resident #38) in the survey sample of 22 residents, to provide appropriate equipment to maintain or improve mobility. The facility staff failed to provide Resident #38 with appropriate equipment to maintain or improve mobility, after her ankle was fractured in 2 places while being transported by staff in a standard wheelchair without leg rests/food petals. Prior to the fracture, Resident #38 was able to use her feet to ambulate independently with a wheelchair.
Fire safety inspections
6 fire safety citations on file: 4 on April 5, 2019, 2 on December 7, 2017.
Every fire safety citation6 citations
- D Provide at least two remote exits on each floor or fire section of the building.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
- D Have properly sized and located compartments to protect residents from smoke.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| March 26, 2026 | Fine | $34,040 |
| April 10, 2024 | Fine | $14,433 |
| October 31, 2023 | Fine | $7,443 |
| October 31, 2023 | Fine | $7,443 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.21 | 3.76 | 3.86 |
| Registered nurses | 0.33 | 0.69 | 0.69 |
| All nursing staff on weekends | 2.63 | 3.29 | 3.42 |
| Nurse aides | 1.82 | ||
| Licensed practical nurses | 1.06 | ||
| Nursing staff turnover (share who left in a year) | 30.6% | 48.1% | 45.8% |
| Registered nurse turnover | 50.0% | 48.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.39 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.44 on weekdays and 2.63 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 2.93 in April to June 2025 to 3.21 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 | 3.21 | 0.33 | 3.44 | 2.63 | 0.0% | 0 of 90 | 97 |
| Oct to Dec 2025 | 3.21 | 0.30 | 3.42 | 2.70 | 0.0% | 0 of 92 | 95 |
| Jul to Sep 2025 | 2.92 | 0.28 | 3.14 | 2.37 | 0.0% | 1 of 92 | 102 |
| Apr to Jun 2025 | 2.93 | 0.35 | 3.13 | 2.43 | 0.0% | 0 of 91 | 100 |
| 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 | 10.8 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.2 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.4 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.9 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 18.6 | 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 | 13.8 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.7 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.1 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.5 | 1.8 |
Owners and operators
Legal business name: KING GEORGE 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 | 01/22/2018 | |
| Hopkins, William | Corporate director | Individual | 01/22/2018 | |
| Dalton, Robert | Corporate officer | Individual | 01/22/2018 | |
| East, Thomas | Corporate officer | Individual | 01/22/2018 | |
| Gallant, Cassandra | Corporate officer | Individual | 07/11/2024 | |
| American Healthcare LLC | Operational/managerial control | Organization | 01/22/2018 | |
| Ayele, Petros | Operational/managerial control | Individual | 10/02/2024 | |
| Baylor, Shiffon | Operational/managerial control | Individual | 10/02/2024 | |
| Dalton, Brad | Operational/managerial control | Individual | 07/11/2024 | |
| Dalton, Robert | Operational/managerial control | Individual | 07/11/2024 | |
| East, Thomas | Operational/managerial control | Individual | 04/21/2014 | |
| Gallant, Cassandra | Operational/managerial control | Individual | 07/11/2024 | |
| American Healthcare LLC | Adp of the SNF | Organization | 01/22/2018 | |
| Ayele, Petros | Adp of the SNF | Individual | 10/02/2024 | |
| Baylor, Shiffon | Adp of the SNF | Individual | 10/02/2024 | |
| Dalton, Brad | Adp of the SNF | Individual | 07/11/2024 | |
| Dalton, Robert | Adp of the SNF | Individual | 07/11/2024 | |
| East, Thomas | Adp of the SNF | Individual | 04/21/2014 | |
| Gallant, Cassandra | Adp of the SNF | 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.
- When is the care plan meeting, and can family attend it?Inspectors cited 16 problems in this area, most recently on May 23, 2024: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 14 problems in this area, most recently on May 23, 2024: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 9 problems in this area, most recently on April 10, 2024: "Reasonably accommodate the needs and preferences of each resident."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 6 problems in this area, most recently on May 23, 2024: "Ensure that residents are free from significant medication errors."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.63 hours per resident per day, below the Virginia average of 3.29.
Other nursing homes nearby
- Westmoreland Rehabilitation & Healthcare Center Colonial Beach, 11.6 mi · 3 of 5 stars · 53 citations
- Woodmont Center Fredericksburg, 13.9 mi · 1 of 5 stars · 74 citations
- Fredericksburg Health and Rehab Fredericksburg, 18 mi · 2 of 5 stars · 46 citations
- Bowling Green Health & Rehabilitation Center Bowling Green, 18 mi · 3 of 5 stars · 53 citations
- Falls Run Nursing and Rehabilitation Fredericksburg, 18.2 mi · 4 of 5 stars · 28 citations
- Berea Health & Rehab Center Fredericksburg, 18.2 mi · 2 of 5 stars · 33 citations
- Carriage Hill Health & Rehab Center Fredericksburg, 19.1 mi · 3 of 5 stars · 42 citations
- Complete Care at Laplata LLC Laplata, 21.2 mi · 1 of 5 stars · 68 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 King George's Medicare star rating?
- CMS rates Heritage Hall King George 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Heritage Hall King George get at its last inspection?
- 8 health deficiencies at the standard inspection on September 1, 2022. The Virginia average is 14.3.
- Has Heritage Hall King George been fined?
- Yes. CMS lists 4 fines totaling $63,359 in the last three years.
- Does Heritage Hall King George 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 King George?
- CMS lists 20 owners and managers, and links the home to Heritage Hall. Legal business name: KING GEORGE 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.