Heritage Hall - Laurel Meadows
16600 Danville Pike, Laurel Fork, VA 24352 · Carroll County · (276) 398-2117
60 certified beds, about 56 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1997
Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495323 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 21, 2023, inspectors cited 4 health deficiencies (the Virginia average is 14.3, the national average 9.2).
None of its 13 health citations since April 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 3.34 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.47 of those hours.
19.6% 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.
704/19
106/21
412/23
106/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 13 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
11D
2E
0F
Potential for minimal harm
0A
0B
0C
June 30, 2026Complaint inspection · 1 citation
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on staff interview, clinical record review, and facility document review the facility staff failed to notify a Responsible Party (RP) of a change in condition for (1) one of (6) six closed record reviews, Resident #63.
December 21, 2023Standard inspection · 4 citations
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to complete a discharge minimum data set (MDS) assessment for 1 of 3 closed records, Resident #30.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to complete a level II Preadmission Screening and Resident Review (PASARR) for 1 of 15 current residents, Resident #47.
- 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 staff interview and clinical record review, the facility staff failed to review and revise the comprehensive care plan (CCP) for 1 of 15 current resident reviews, Resident #27.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on staff interview, clinical record review, facility document review, and during a medication pass and pour observation, the facility staff failed to follow the provider orders regarding medication administration for 1 of 4 residents reviewed during the medication pass, Resident #12.
June 3, 2021Standard inspection · 1 citation
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, and facility document review, the facility staff failed to follow established infection control procedures during a wound care observation for 1 of 17 residents, Resident #44.
April 25, 2019Standard inspection · 7 citations
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, the facility staff failed to follow physician orders for 2 of 18 residents (Resident #54 and Resident #25).
- 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, facility document review and staff interview, the facility staff failed to date spices when opened and failed to discard expired spices.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to notify the physician when medications were refused by the resident or not administered by the nurse for 2 of 18 residents (Resident #53 and Resident #25).
- 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 document review, and clinical record review, the facility staff failed to follow the physician's orders for the size of an indwelling Foley catheter balloon for 1 of 18 residents (Resident #54).
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on staff interview, clinical record review and facility document review, the contracted pharmacist failed to document whether or not there was any change for psychotropic medications ordered for prn (as needed) use for 14 days for 1 of 18 residents (Resident #33).
- 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.
Inspectors wroteBased on facility document review, staff interview and clinical record review, the facility staff failed to ensure that 1 of 18 residents in the survey sample was free from receiving prn/as-needed psychotropic medications for longer than 14 days (Resident #33).
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to ensure a complete and accurate clinical record for 1 of 18 residents (Resident #25).
Fire safety inspections
7 fire safety citations on file: 2 on December 21, 2023, 5 on June 3, 2021.
Every fire safety citation7 citations
- D Install emergency lighting that can last at least 1 1/2 hours.
- D Ensure that testing and maintenance of electrical equipment is performed.
- F Install corridor and hallway doors that block smoke.
- E Have properly installed electrical wiring and gas equipment.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Inspect, test, and maintain automatic sprinkler systems.
- D To conduct inspection, testing and maintenance of fire doors by qualified individuals.
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) | 3.34 | 3.76 | 3.86 |
| Registered nurses | 0.47 | 0.69 | 0.69 |
| All nursing staff on weekends | 2.87 | 3.29 | 3.42 |
| Nurse aides | 2.19 | ||
| Licensed practical nurses | 0.67 | ||
| Nursing staff turnover (share who left in a year) | 19.6% | 48.1% | 45.8% |
| Registered nurse turnover | 20.0% | 48.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.55 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 3.52 on weekdays and 2.87 on weekends, 18% 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 3.03 in April to June 2025 to 3.34 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 | 3.34 | 0.47 | 3.52 | 2.87 | 0.0% | 0 of 90 | 56 |
| Oct to Dec 2025 | 2.99 | 0.44 | 3.16 | 2.58 | 0.0% | 0 of 92 | 58 |
| Jul to Sep 2025 | 3.11 | 0.48 | 3.29 | 2.66 | 0.0% | 0 of 92 | 57 |
| Apr to Jun 2025 | 3.03 | 0.39 | 3.23 | 2.55 | 0.0% | 0 of 91 | 58 |
| 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 | 25.3 | 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 | 1.5 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 9.0 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.4 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 27.5 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.2 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 12.1 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.7 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.8 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.6 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 1.5 | 1.8 |
Owners and operators
Legal business name: LAUREL MEADOWS LIFE CARE L C. CMS links this home to Heritage Hall, a group of 15 nursing homes averaging 4.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| AHC Acquisitions, LLC | 5% or greater direct ownership interest | Organization | 17% | 07/10/2020 |
| Wcc Third Blind Trust | 5% or greater direct ownership interest | Organization | 51% | 07/10/2020 |
| Cranwell, C. | Direct ownership interest | Individual | 10/04/2024 | |
| East, Thomas | Corporate director | Individual | 11/20/2012 | |
| Hopkins, William | Corporate director | Individual | 07/28/2010 | |
| Dalton, Robert | Corporate officer | Individual | 04/21/2014 | |
| East, Thomas | Corporate officer | Individual | 11/20/2012 | |
| Gallant, Cassandra | Corporate officer | Individual | 07/11/2024 | |
| American Healthcare LLC | Operational/managerial control | Organization | 04/21/2014 | |
| Dalton, Robert | Operational/managerial control | Individual | 04/21/2014 | |
| Nester, Marc | Operational/managerial control | Individual | 06/06/2025 | |
| American Healthcare LLC | Adp of the SNF | Organization | 05/13/2025 | |
| Dalton, Robert | Adp of the SNF | Individual | 04/21/2014 | |
| East, Thomas | Adp of the SNF | Individual | 04/21/2014 | |
| Nester, Marc | Adp of the SNF | Individual | 06/06/2025 | |
| Sturgill Fant, Vanessa | Adp of the SNF | Individual | 06/06/2025 |
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 4 problems in this area, most recently on December 21, 2023: "Ensure each resident receives an accurate assessment."
- 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 December 21, 2023: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on June 30, 2026: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on April 25, 2019: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.87 hours per resident per day, below the Virginia average of 3.29.
Other nursing homes nearby
- Blue Ridge Therapy Connection Stuart, 13.2 mi · 4 of 5 stars · 12 citations
- Hillsville Health & Rehab Center Hillsville, 14.3 mi · 5 of 5 stars · 5 citations
- Surry Community Health Center by Harborview Mount Airy, 15.7 mi · 1 of 5 stars · 33 citations
- Skyline Nursing & Rehabilitation Floyd, 16.1 mi · 3 of 5 stars · 20 citations
- Northern Regional Hospital Mount Airy, 17.6 mi · 5 of 5 stars · 1 citation
- Central Continuing Care Mount Airy, 17.9 mi · 3 of 5 stars · 9 citations
- Galax Health and Rehab Galax, 24.2 mi · 2 of 5 stars · 40 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 - Laurel Meadows's Medicare star rating?
- CMS rates Heritage Hall - Laurel Meadows 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Heritage Hall - Laurel Meadows get at its last inspection?
- 4 health deficiencies at the standard inspection on December 21, 2023. The Virginia average is 14.3.
- Has Heritage Hall - Laurel Meadows been fined?
- CMS lists no fines in the last three years.
- Does Heritage Hall - Laurel Meadows 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 - Laurel Meadows?
- CMS lists 16 owners and managers, and links the home to Heritage Hall. Legal business name: LAUREL MEADOWS LIFE CARE L C.
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.