What is Heritage Hall Wise's Medicare star rating?

CMS rates Heritage Hall Wise 4 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 2 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Heritage Hall Wise get at its last inspection?

3 health deficiencies at the standard inspection on August 1, 2024. The Virginia average is 14.3.

Has Heritage Hall Wise been fined?

CMS lists no fines in the last three years.

Does Heritage Hall Wise 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 Wise?

CMS lists 19 owners and managers, and links the home to Heritage Hall. Legal business name: WISE LIFE CARE, LLC.

Heritage Hall Wise: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on August 1, 2024, inspectors cited 3 health deficiencies (the Virginia average is 14.3, the national average 9.2).

None of its 20 health citations since September 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 3.58 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.34 of those hours.

37.9% 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.

909/19

808/21

308/24

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 20 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

20D

Potential for minimal harm

August 1, 2024Standard inspection · 3 citations

D

Ensure each resident receives an accurate assessment.

F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 30, 2024

Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to accurately complete Minimum Data Set (MDS) assessments for 2 of 23 residents (Residents #32 and #85).
D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 30, 2024

Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to review and revise the comprehensive care plan (CCP) for 2 of 23 residents (Residents #35 and #63).
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) September 30, 2024

Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, the facility staff failed to ensure that 1 of 23 residents were utilizing provider ordered Oxygen (Resident #63).

August 16, 2021Standard inspection · 8 citations

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) September 30, 2021

Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to ensure the residents receive treatment and care in accordance with the comprehensive person-centered care plan for 1 of 21 residents in the survey sample, Resident #67.
D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 30, 2021

Inspectors wroteBased on observation, resident interview, staff interview, and clinical record review, the facility staff failed to ensure the resident environment remains as free of accident hazards as is possible for 1 of 21 residents in the survey sample, Resident #7.
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) September 30, 2021

Inspectors wroteBased on observations, interviews, the review of documents, and during medication pass observations, it was determined the facility staff failed to ensure a medication error rate of less than 5%. There were two (2) errors in 31 opportunities resulting in a medication error rate of 6.45%.
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) September 30, 2021

Inspectors wroteBased on observations, interviews, clinical record review, and the review of documents, it was determined the facility staff failed to ensure medications were correctly stored on 2 of 2 units and in one (1) resident's room (Resident #7).
D

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

F808 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 30, 2021

Inspectors wroteBased on interviews and the review of documents, it was determined the facility staff failed to provide an ordered therapeutic diet for 1 of 21 sampled resident (Resident #37).
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) September 30, 2021

Inspectors wroteBased on interviews and the review of documents, it was determined the facility staff failed to maintain complete and accurate clinical record for two (2) of 21 sampled residents (Resident #77 and Resident #82) and one (1) resident (Resident #57) observed during the Medication Administration Task.
D

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

F849 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 30, 2021

Inspectors wroteBased on interviews and the review of documents, it was determined the facility staff failed to inclued intergrating the hospice plan of care services and clinical documentation into the facility's clinical documentation for 1 of 21 sampled patients (Resident #37).
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 30, 2021

Inspectors wroteBased on observations, interviews, and the review of documents, it was determined the facility staff failed to follow handwashing procedures during Medication Administration Task observations.

September 26, 2019Standard inspection · 9 citations

D

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

F563 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 10, 2019

Inspectors wroteBased on clinical record review, Resident interview, staff interview, family interview, facility document review, and during the course of a complaint investigation, it was determined that the facility staff failed to allow 1 of 26 Residents in the survey sample to receive visitors of choice, Resident # 20.
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) November 10, 2019

Inspectors wroteBased on resident interview, staff interview, and clinical record review, the facility staff failed to notify the physician of a change in the status concerning pain management for 1 of 23 residents in the survey sample (Resident #85).
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) November 10, 2019

Inspectors wroteBased on clinical record review, staff interview, and facility document review, the facility staff failed to provide services maintaining professional standards of practice for one of 26 Residents in the survey sample, Resident # 28.
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) November 10, 2019

Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, the facility staff failed to administer oxygen as ordered by the physician for 1 of 23 residents in the survey sample (Resident #84).
D

Provide safe, appropriate pain management for a resident who requires such services.

F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 10, 2019

Inspectors wroteBased on staff interview, resident interview and clinical record review, the facility staff failed to ensure that pain management is provided to a resident by assessing and managing the pain for 1 of 23 residents in the survey sample (Resident #85).
D

Provide safe, appropriate dialysis care/services for a resident who requires such services.

F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 10, 2019

Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to ensure that a resident who require dialysis receive such services through collaborating with the dialysis care for 1 of 23 residents in the survey sample (Resident #87).
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) November 10, 2019

Inspectors wroteBased on clinical record review, staff interview, and facility document review, the facility staff failed to provide routine drugs by ensuring medications were available in the facility for administration for two of 26 Residents in the survey sample, Resident # 28, # 193.
D

Ensure that residents are free from significant medication errors.

F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 10, 2019

Inspectors wroteBased on clinical record review, staff interview, and facility document review, the facility staff failed to ensure that one of 26 Residents were free of significant medication errors, Resident # 28.
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) November 10, 2019

Inspectors wroteBased on observation, staff interview and clinical record review the facility failed to ensure a complete and accurate clinical record for 1 of 23 Residents, Resident #21.

Fire safety inspections

4 fire safety citations on file: 4 on August 16, 2021.

Every fire safety citation4 citations

F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

K 521 · August 16, 2021 · Corrected (the home has a date of correction)
E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.

K 761 · August 16, 2021 · Waiver
D
Have properly installed electrical wiring and gas equipment.

K 511 · August 16, 2021 · Corrected (the home has a date of correction)
D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

K 741 · August 16, 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.

Measure	This home	Virginia	United States
All nursing staff (RN, LPN and aides)	3.58	3.76	3.86
Registered nurses	0.34	0.69	0.69
All nursing staff on weekends	2.96	3.29	3.42
Nurse aides	2.20
Licensed practical nurses	1.03
Nursing staff turnover (share who left in a year)	37.9%	48.1%	45.8%
Registered nurse turnover	40.0%	48.2%	42.9%
Administrators who left	0

CMS expects 4.03 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 3.83 on weekdays and 2.96 on weekends, 23% 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 3.80 in April to June 2025 to 3.58 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	3.58	0.34	3.83	2.96	0.0%	0 of 90	87
Oct to Dec 2025	3.39	0.36	3.63	2.79	0.0%	0 of 92	90
Jul to Sep 2025	3.59	0.42	3.83	2.98	0.0%	0 of 92	89
Apr to Jun 2025	3.80	0.45	4.13	2.96	0.0%	0 of 91	88
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.

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. If you work here, your report helps start one.

Official wage estimates for Virginia

Job	Median	Middle half	Employed
Virginia, all employers
CNAs (nursing assistants)	$20.77	$17.80 to $22.56	40,580
LPNs and LVNs	$31.21	$28.66 to $35.84	15,550
Registered nurses	$45.00	$38.51 to $49.53	77,490
United States, nursing care facilities
CNAs (nursing assistants)	$20.67	$17.91 to $22.55	534,270
LPNs and LVNs	$33.86	$30.05 to $37.40	188,210
Registered nurses	$41.11	$37.85 to $47.68	142,270

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.

Measure	This home	Virginia	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	13.2	14.8	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	1.2	0.4	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	1.3	1.6	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	9.2	3.6	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	1.3	1.3	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	16.9	15.6	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	3.5	4.7	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	15.8	14.2	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	29.6	22.3	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	14.1	11.5	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	2.8	1.5	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	2.7	1.5	1.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Heritage Hall Wise's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (45.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

45.7% this home

No different from the national rate

US median of homes 51.5% · Virginia: 101 better, 22 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 42 eligible stays.

Potentially preventable readmissions

11.1% this home

No different from the national rate

US median of homes 10.7% · Virginia: 1 better, 9 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 54 eligible stays.

Infections that led to a hospital stay

7.1% this home

No different from the national rate

US median of homes 7.1% · Virginia: 2 better, 8 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 41 eligible stays.

Self-care and mobility at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Virginia60.0% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 19 residents counted.

Falls with major injury

0.0% this home

Median of homes: Virginia0.7% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 35 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Virginia2.1% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 35 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Virginia97.8% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 8 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: WISE LIFE CARE, LLC. CMS links this home to Heritage Hall, a group of 15 nursing homes averaging 4.1 stars overall.

Name	Role	Type	Since
American Healthcare LLC	5% or greater direct ownership interest	Organization	01/22/2018
East, Thomas	Corporate director	Individual	01/22/2018
Hopkins, William	Corporate director	Individual	01/22/2018
Dalton, Brad	Corporate officer	Individual	07/11/2024
Dalton, Robert	Corporate officer	Individual	01/22/2018
East, Thomas	Corporate officer	Individual	01/22/2018
American Healthcare LLC	Operational/managerial control	Organization	01/22/2018
Dalton, Brad	Operational/managerial control	Individual	07/11/2024
Dalton, Robert	Operational/managerial control	Individual	04/21/2014
East, Thomas	Operational/managerial control	Individual	04/21/2014
Gallant, Cassandra	Operational/managerial control	Individual	07/11/2024
Jackson, Dustin	Operational/managerial control	Individual	10/02/2024
Kumar, Vijay	Operational/managerial control	Individual	10/02/2024
American Healthcare LLC	Adp of the SNF	Organization	01/22/2018
Dalton, Brad	Adp of the SNF	Individual	07/11/2024
Dalton, Robert	Adp of the SNF	Individual	04/21/2014
East, Thomas	Adp of the SNF	Individual	04/21/2014
Jackson, Dustin	Adp of the SNF	Individual	10/02/2024
Kumar, Vijay	Adp of the SNF	Individual	10/02/2024

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.

How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 7 problems in this area, most recently on August 1, 2024: "Provide safe and appropriate respiratory care for a resident when needed."
When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on August 1, 2024: "Ensure each resident receives an accurate assessment."
How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on August 16, 2021: "Ensure medication error rates are not 5 percent or greater."
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 September 26, 2019: "Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.96 hours per resident per day, below the Virginia average of 3.29.

Other nursing homes nearby

Norton Community Hospital SNF Unit
Norton, 5.4 mi · 5 of 5 stars · 21 citations
Heritage Hall Big Stone Gap
Big Stone Gap, 12.6 mi · 4 of 5 stars · 40 citations
Heritage Hall Clintwood
Clintwood, 13.8 mi · 4 of 5 stars · 18 citations
Letcher Manor
Whitesburg, 17 mi · 2 of 5 stars · 12 citations
Ridgecrest Manor Nursing & Rehabilitation
Duffield, 22.5 mi · 4 of 5 stars · 29 citations
Nova Health and Rehab
Weber City, 24.4 mi · 5 of 5 stars · 13 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 Wise's Medicare star rating?: CMS rates Heritage Hall Wise 4 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Heritage Hall Wise get at its last inspection?: 3 health deficiencies at the standard inspection on August 1, 2024. The Virginia average is 14.3.
Has Heritage Hall Wise been fined?: CMS lists no fines in the last three years.
Does Heritage Hall Wise 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 Wise?: CMS lists 19 owners and managers, and links the home to Heritage Hall. Legal business name: WISE 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.