Heritage Hall Tazewell
282 Ben Bolt Avenue, Tazewell, VA 24651 · Tazewell County · (276) 988-2515
180 certified beds, about 157 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1984
Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495152 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 8, 2024, inspectors cited 10 health deficiencies (the Virginia average is 14.3, the national average 9.2).
Of 21 health citations since September 2019, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $78,553 in the last three years; the largest was $78,553, and the latest is dated June 12, 2025.
Nurses and nurse aides worked 2.92 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.28 of those hours.
39.1% of nursing staff left within the year CMS measured (Virginia average 48.1%).
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.
209/19
205/22
302/24
1003/24
406/25
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 21 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
1K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
18D
1E
0F
Potential for minimal harm
0A
1B
0C
June 12, 2025Complaint inspection · 4 citations
- K Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to: (a) ensure a resident identified as a smoker was assessed for capability and safety needs regarding smoking, (b) provide adequate monitoring and supervision of residents who smoke, ensure lighters, cigarettes, and/or electronic cigarettes (vapes) were stored in a manner to prevent misuse from other vulnerable residents and/or a fire hazard, and/or (c) ensure smoking safety precautions were in place for the resident's individual safety, as well as the safety of others for five (5) of 19 sampled residents (Resident #3, Resident #7, Resident #8, Resident #9, and Resident #10). The survey team informed the facility on 6/12/25 at 11:26 AM of the Immediate Jeopardy situation for Resident #3, Resident #7, Resident #8, and Resident #9. [...]
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to ensure residents receive treatment and care according to the medical provider orders for 2 of 19 sampled residents (Resident #3 and Resident #1).
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on resident and staff interview and clinical record review the facility staff failed to provide wound care as ordered to one of 19 residents in the survey sample, resident #1 (R1).
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to ensure medical provider ordered medication was available for administration for 1 of 19 sampled residents (Resident #2).
March 8, 2024Standard inspection, Complaint inspection · 10 citations
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observations, staff interviews, and facility document review, the facility staff failed to ensure personal privacy related to written communications for one (1) of 35 sampled residents (Resident #132).
- D Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to complete an annual (comprehensive) Minimum Data Set (MDS) assessment within 12 months or 366 days of the previous annual assessment for 1 of 32 residents, Resident #51.
- D Assure that each resident’s assessment is updated at least once every 3 months.
Inspectors wroteBased on staff interview and clinical record review the facility staff failed to complete a quarterly Minimum Data Set (MDS) assessment within 3 months or 92 days of the previous quarterly MDS assessment for 1 of 32 Residents, Resident #18.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on staff interviews, facility document review, and clinical record review, the facility staff failed to accurately document the completion dates of resident interview sections of Minimum Data Set (MDS) assessments for two (2) of 35 residents (Resident #120 and Resident #132).
- 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 clinical record review and facility document review, the facility staff failed to ensure the baseline care plan included dietary orders for 1 of 32 residents in the survey sample, Resident #152. This was a closed record review.
- 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 interviews, clinical record review, and facility document review, the facility staff failed to include the resident in their care plan meeting for one (1) of 35 sampled residents (Resident #132).
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wrote2. For Resident #152, the facility staff failed to complete a nursing assessment, address code status, or obtain a weight following admission to the facility. Facility staff also documented the administration of medications on [DATE] and [DATE] on 19 separate occasions after the resident was discharged to the hospital. This was a closed record review. Resident #152's diagnosis list indicated diagnoses, which included, but not limited to Metabolic Encephalopathy, Pneumonia, Non-ST Elevation Myocardial Infarction, Persistent Atrial Fibrillation, Heart Failure, Type 2 Diabetes Mellitus, Chronic Kidney Disease, and Adult Failure to Thrive. A minimum data set (MDS) with an assessment reference date (ARD) of [DATE] coded the resident as being severely impaired in cognitive skills for daily decision making with short-term and long-term memory problems. [...]
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wrote3. For Resident #96, the facility nursing staff failed to administer the medication Gabapentin per the providers order. Resident #96's diagnoses included, but were not limited to, diabetes and chronic pain. Section C (cognitive patterns) of Resident #96's quarterly Minimum Data Set (MDS) assessment with an Assessment Reference Date (ARD) of 12/26/23 included a Brief Interview for Mental Status (BIMS) score of 15 out of a possible 15 points. Resident #96's clinical record included a provider order for Gabapentin 800 mg four times a day for neuropathy. The order date was documented as 09/11/23. A review of the Medication Administration Records (MARs) for 02/24 revealed that on 02/14/24 at 9:00 a.m. Registered Nurse (RN) #5 documented a 9 for this medication. Per the MAR a 9=other see progress note. [...]
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on clinical record review and facility document review, the facility staff failed to ensure residents were free of significant medication errors for 1 of 35 residents in the survey sample, Resident #152. This was a closed record review.
- B Post nurse staffing information every day.
Inspectors wroteBased on staff interview and facility document review, the facility staff failed to ensure the daily nurse staffing postings included the required resident census information for 11 of 36 days reviewed.
February 6, 2024Complaint inspection · 3 citations
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on resident interview, staff interview, clinical record review and facility document review the facility staff failed to ensure medications were available for administration for 1 of 5 residents, Resident #4.
- D Provide timely, quality laboratory services/tests to meet the needs of residents.
Inspectors wroteBased on staff interview and clinical record review the facility staff failed to obtain a physician order laboratory test for 1 of 5 residents, Resident #4.
- 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, clinical record review and facility document review the facility staff failed to ensure a complete and accurate clinical record for 2 of 5 residents, Resident #4 and Resident #1.
May 26, 2022Standard inspection · 2 citations
- E 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.
Inspectors wroteBased on observation and staff interview, the facility staff failed to dispose of expired medications stored in 2 of 4 medication storage rooms and 1 of 6 medication carts. The facility staff failed to dispose of expired medications including Loratadine, Cranberry supplements, Omeprazole, Vitamin D-3, Vitamin B-6, Bisacodyl suppositories, Vitamin C, Atenolol and a bottle of Hydrogen Peroxide.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to provide activities of daily living care (ADL) for 1 of 27 residents, Resident #138. Resident #138's fingernails were observed to be long with debris present and their toenails were observed to be long and thick.
September 12, 2019Standard inspection · 2 citations
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on staff interview, clinical record review, and during a medication pass and pour observation, the facility staff failed to ensure that a resident received treatment and care by following physician orders for 1 of 30 Residents, Resident #98.
- 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.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, the facility staff failed to ensure a medication was labeled per their policy and procedure on 1 of 4 station's, station #1.
Fire safety inspections
5 fire safety citations on file: 1 on March 8, 2024, 4 on May 26, 2022.
Every fire safety citation5 citations
- D Meet other general requirements.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Install corridor and hallway doors that block smoke.
- D Have restrictions on the use of highly flammable decorations.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| June 12, 2025 | Fine | $78,553 |
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) | 2.92 | 3.76 | 3.86 |
| Registered nurses | 0.28 | 0.69 | 0.69 |
| All nursing staff on weekends | 2.62 | 3.29 | 3.42 |
| Nurse aides | 1.89 | ||
| Licensed practical nurses | 0.76 | ||
| Nursing staff turnover (share who left in a year) | 39.1% | 48.1% | 45.8% |
| Registered nurse turnover | 42.9% | 48.2% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.85 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 3.04 on weekdays and 2.62 on weekends, 14% 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 3.12 in April to June 2025 to 2.92 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 | 2.92 | 0.28 | 3.04 | 2.62 | 0.0% | 0 of 90 | 157 |
| Oct to Dec 2025 | 2.89 | 0.29 | 3.01 | 2.57 | 0.0% | 1 of 92 | 157 |
| Jul to Sep 2025 | 3.07 | 0.29 | 3.18 | 2.80 | 0.0% | 0 of 92 | 155 |
| Apr to Jun 2025 | 3.12 | 0.30 | 3.25 | 2.81 | 0.0% | 0 of 91 | 158 |
| 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 | 21.9 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.0 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.3 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.3 | 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 | 24.8 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.7 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 16.3 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 25.4 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 26.1 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.4 | 1.5 | 1.8 |
Owners and operators
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
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 7 problems in this area, most recently on March 8, 2024: "Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on June 12, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on June 12, 2025: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on March 8, 2024: "Keep residents' personal and medical records private and confidential."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.62 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
- Westwood Center Bluefield, 15.8 mi · 1 of 5 stars · 46 citations
- Mercer Healthcare Center Bluefield, 16.4 mi · 2 of 5 stars · 82 citations
- McDowell Healthcare Center Gary, 16.5 mi · 5 of 5 stars · 25 citations
- Bluestone Health and Rehabilitation Bluefield, 17.5 mi · 1 of 5 stars · 73 citations
- Clinch Valley Medical Center Richlands, 17.6 mi · 5 of 5 stars · 7 citations
- Francis Marion Manor Health & Rehabilitation Marion, 18.9 mi · 5 of 5 stars · 9 citations
- Bland County Nursing & Rehab Center Bastian, 19.3 mi · 4 of 5 stars · 10 citations
- Mountain Laurel Rehabilitation and Nursing Rural Retreat, 19.6 mi · 1 of 5 stars · 87 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 Tazewell's Medicare star rating?
- CMS rates Heritage Hall Tazewell 2 out of 5 stars overall, with 3 for health inspections, 1 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Heritage Hall Tazewell get at its last inspection?
- 10 health deficiencies at the standard inspection on March 8, 2024. The Virginia average is 14.3.
- Has Heritage Hall Tazewell been fined?
- Yes. CMS lists 1 fine totaling $78,553 in the last three years.
- Does Heritage Hall Tazewell 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 Tazewell?
- CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.
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.