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Heritage Hall Big Stone Gap

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⌖ Big Stone Gap, VA · Wise County
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Medicare overall rating 4 of 5 stars
Certified beds180
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (corporation)

About Heritage Hall Big Stone Gap

Heritage Hall Big Stone Gap is a 180-bed for-profit nursing home in Big Stone Gap, VA. Medicare rates it 4 out of 5 stars overall (above average); the average in Virginia is 3.0. At its last full inspection (Feb 2023), inspectors found 5 problems, fewer than the Virginia average of 14.3. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 3 hr 06 min a day with each resident, less than the Virginia average of 3 hr 46 min. About 27% of its nursing staff left in the past year. Medicare fined it $40,517 in the last three years. Its quality ratings are similar for short-term rehab (5 of 5) and long-term care (5 of 5).

Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology

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Key details

Facility nameHeritage Hall Big Stone Gap
LocationWise County, Virginia
Address2045 Valley View Drive, Big Stone Gap, VA 24219 · Wise County
CMS provider number495135
Ownership typeFor-profit (corporation)
Operating companyHeritage Hall · 15 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceFebruary 10, 1983 (43 years)
✓ Medicare✓ Medicaid

Certified for Medicaid; ask whether a Medicaid bed is available.

Quality & inspections

Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.

Overall rating4 of 5Above average
Health inspections3 of 5Average
Quality measures5 of 5Much above average
Staffing2 of 5Below average

Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.

What Medicare found

3 strengths and 3 things to ask about in Medicare's inspection, fine and staffing records for this home. 2 care-quality measures are worse than the state average in the rehab and long-term care section below.

Strengths

  • Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Feb 2023.
    Strength
  • Health citations at last inspection5 (Feb 2023)Virginia average: 14.3. Most citations are minor and corrected within weeks.
    Strength
  • Nursing staff turnover27% a yearVirginia average: 48%
    Strength

Things to ask about

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  • Fines and penalties1 fine totaling $40,517Federal penalties from the last three years, most recently in Nov 2024 (about 1 year ago). The national average is $30,972 per home.
    Ask about this
  • Nurse staffing per resident3 hr 06 min a dayVirginia average: 3 hr 46 min
    Worse than state average
  • Registered nurse time per resident24 min a dayVirginia average: 41 min
    Worse than state average

Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Virginia average. Problems may have been corrected since; ask the home about anything listed here. How we choose these

Short-term rehab or long-term care?

Medicare rates these separately, and many homes are better at one than the other.

Short-term rehab

For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.

Medicare quality rating: 5 of 5 (much above average)

  • Sent back to the hospital4.9%State average: 22.3%
    Better than average
  • Needed an emergency room visit4.6%State average: 11.5%
    Better than average
  • Newly given antipsychotic drugs2.4%State average: 1.3%
    Worse than average

Physical therapist time: about 1 minute per resident a day. That is less than the state average of 5 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.

Long-term care

For residents who live at the home for months or years.

Medicare quality rating: 5 of 5 (much above average)

  • Falls with a major injury2.4%State average: 3.6%
    Better than average
  • Pressure sores (bedsores)1.5%State average: 4.7%
    Better than average
  • Given antipsychotic drugs29.2%State average: 14.2%
    Worse than average
  • Hospital stays per 1,000 resident days1.0State average: 1.5
    Better than average

Source: Medicare (CMS) quality measures, compared with the Virginia average. Lower is better for every rate shown.

Who pays, and how full it is

Most residents here have their care paid by Medicaid. In Virginia, Medicaid pays for 63% of resident days at a typical home.

  • 79% Medicaid
  • 4% Medicare
  • 17% Private pay, insurance and other
Beds in use, on average91%Virginia typical: 90%
Cost of care per resident day$234Virginia typical: $336

Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.

Ratings over time

Its overall Medicare rating is 4 stars now, up from 3 stars in January 2019. It has ranged from 1 to 4 stars and changed 14 times.

Overall rating4★
Health inspections3★
Staffing2★
Quality of care5★
Nurse hours per resident per day3.1
20192020202120222023202420252026
Show the values by year
MonthOverallInspectionsStaffingQualityNurse hours
Jan 201934132.8
Jan 202012113.2
Jan 202122223.0
Jan 202212213.3
Jan 202312122.9
Jan 202412123.5
Feb 202533223.1
Feb 202633343.4
Sep 202643253.1

Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology

See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home

From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.

Inspection summary

How this facility compares to state and national averages on CMS-reported problems.

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Three-survey history

Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.

Other nursing homes near Big Stone Gap

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Explore the area

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Family reviews

No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.