Heritage Hall Front Royal
400 West Strasburg Road, Front Royal, VA 22630 · Warren County · 60 certified beds · avg 55 residents/day · certified since Jun 1, 1995
Part of chain: HERITAGE HALL (15 facilities, chain avg rating 4.1★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (6)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 15, 2024 | D · Potential for harm, one-off | The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. |
| May 15, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| May 15, 2024 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Sep 8, 2022 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Sep 8, 2022 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| May 26, 2021 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 1 | 0 | D |
| 2022 | 2 | 0 | D |
| 2024 | 3 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Virginia avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.56 | 3.67 | 3.95 | top 36% in Virginia; bottom 39% in the U.S. |
| Registered Nurse hours | 0.45 | 0.66 | 0.69 | bottom 35% in Virginia; bottom 29% in the U.S. |
| Weekend total nurse staffing | 3.12 | 3.21 | 3.50 | top 36% in Virginia; bottom 37% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.28 | 0.46 | 0.48 | bottom 37% in Virginia; bottom 28% in the U.S. |
| Total nursing staff turnover (%) | 47.4 | 48.1 | 45.8 | top 47% in Virginia; bottom 43% in the U.S. |
| RN turnover (%) | 66.7 | 48.2 | 42.9 | bottom 19% in Virginia; bottom 15% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.69, RN 0.46, weekend 3.24. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ahc Acquisitions, LLC | Organization | 5% or Greater Direct Ownership Interest | 16% | 07/10/2020 |
| CRC Blind Trust | Organization | 5% or Greater Direct Ownership Interest | 7% | 07/10/2020 |
| WCC Third Blind Trust | Organization | 5% or Greater Direct Ownership Interest | 55% | 07/10/2020 |
| American Healthcare LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/22/2018 |
| American Healthcare LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/22/2018 |
| Cranwell, Robert | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/04/2024 |
| Dalton, Brad | Individual | Corporate Officer | NOT APPLICABLE | 07/11/2024 |
| Dalton, Brad | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/11/2024 |
| Dalton, Brad | Individual | ADP of the SNF | NOT APPLICABLE | 07/11/2024 |
| Dalton, Robert | Individual | Corporate Officer | NOT APPLICABLE | 10/04/2024 |
| Dalton, Robert | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/21/2014 |
| Dalton, Robert | Individual | ADP of the SNF | NOT APPLICABLE | 04/21/2014 |
| East, Thomas | Individual | Corporate Director | NOT APPLICABLE | 11/20/2012 |
| East, Thomas | Individual | Corporate Officer | NOT APPLICABLE | 11/20/2012 |
| East, Thomas | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/21/2014 |
| East, Thomas | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 01/29/2026 |
| East, Thomas | Individual | ADP of the SNF | NOT APPLICABLE | 04/21/2014 |
| Gallant, Cassandra | Individual | Corporate Officer | NOT APPLICABLE | 07/11/2024 |
| Gallant, Cassandra | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/11/2024 |
| Gallant, Cassandra | Individual | ADP of the SNF | NOT APPLICABLE | 10/04/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Under what circumstances would you discharge or transfer a resident, and what notice and appeal rights would we have?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How do you coordinate and monitor care for residents who receive dialysis?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Lynn Care Center | 1.3 mi | Front Royal, VA | ★★☆☆☆ | 1/5 | abuse |
| Evergreen Health and Rehabilitation Center | 15.6 mi | Winchester, VA | ★★☆☆☆ | 2/5 | |
| Woodstock Valley Health and Rehabilitation | 17.1 mi | Woodstock, VA | ★☆☆☆☆ | 1/5 | abuseSFF |
| The Village at Orchard Ridge | 17.5 mi | Winchester, VA | ★★★★★ | 4/5 | |
| Skyline Terrace Conv Home | 17.6 mi | Woodstock, VA | ★★★★★ | 5/5 | |
| Shenandoah Valley Westminster Canterbury | 17.8 mi | Winchester, VA | ★★★★☆ | 3/5 | |
| Winchester Health & Rehabilitation | 18.0 mi | Winchester, VA | ★☆☆☆☆ | 1/5 | |
| Rose Hill Health and Rehab | 18.6 mi | Berryville, VA | ★☆☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 495301.