Heritage Hall Grundy

2966 Slate Creek Road, Grundy, VA 24614 (opens Google Maps) · Buchanan County · (276) 935-8144· 120 certified beds · avg 115 residents/day · certified since Dec 11, 1991 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: HERITAGE HALL (15 facilities, chain avg rating 4.1★)

4/5

Health inspection rating (on-site)

inspected Feb 28, 2023

Serious findings on record

Fines, last 3 years

3.05

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5 · how star ratings work →

⚠ 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 quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 24 inspection findings. Open the full record below to read every finding.

Feb 28, 2023E · Potential for more than minimal harm, pattern
The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. F-0921
Feb 28, 2023D · Potential for more than minimal harm, isolated
The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. F-0695
Feb 28, 2023D · Potential for more than minimal harm, isolated
The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. F-0842

View all 24 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

Date	Severity	What the facility was cited for
Feb 28, 2023	E · Potential for more than minimal harm, pattern	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921
Feb 28, 2023	D · Potential for more than minimal harm, isolated	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695
Feb 28, 2023	D · Potential for more than minimal harm, isolated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Mar 18, 2021	E · Potential for more than minimal harm, pattern	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · F-0756
Mar 18, 2021	D · Potential for more than minimal harm, isolated	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · F-0607
Mar 18, 2021	D · Potential for more than minimal harm, isolated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Mar 18, 2021	D · Potential for more than minimal harm, isolated	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. · F-0757
Mar 18, 2021	D · Potential for more than minimal harm, isolated	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758
Mar 18, 2021	D · Potential for more than minimal harm, isolated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Mar 21, 2019	E · Potential for more than minimal harm, pattern	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. · F-0622
Mar 21, 2019	E · Potential for more than minimal harm, pattern	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · F-0623
Mar 21, 2019	E · Potential for more than minimal harm, pattern	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · F-0625
Mar 21, 2019	E · Potential for more than minimal harm, pattern	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695
Mar 21, 2019	E · Potential for more than minimal harm, pattern	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Mar 21, 2019	D · Potential for more than minimal harm, isolated	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. · F-0550
Mar 21, 2019	D · Potential for more than minimal harm, isolated	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · F-0580
Mar 21, 2019	D · Potential for more than minimal harm, isolated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
Mar 21, 2019	D · Potential for more than minimal harm, isolated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Mar 21, 2019	D · Potential for more than minimal harm, isolated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759
Mar 21, 2019	D · Potential for more than minimal harm, isolated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761
Mar 21, 2019	D · Potential for more than minimal harm, isolated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Mar 21, 2019	D · Potential for more than minimal harm, isolated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921
Mar 21, 2019	C · Potential for minimal harm, widespread	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. · F-0565
Mar 21, 2019	C · Potential for minimal harm, widespread	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (6 → 3).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2019

2021

2023

All bars start at zero. Exact values and supporting details remain below.

Year	Citations	Worst severity that year
2019	15	E
2021	6	E
2023	3	E

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)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01

This facilityVirginia averageU.S. average

Total nurse staffing (hours per resident per day)

3.05

3.67

3.95

Registered Nurse hours

0.49

0.66

0.69

Weekend total nurse staffing

2.54

3.21

3.50

All bars start at zero. Exact values and supporting details remain below.

Measure	This facility	Virginia avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.05	3.67	3.95	bottom 26% in Virginia; bottom 15% in the U.S.
Registered Nurse hours	0.49	0.66	0.69	bottom 45% in Virginia; bottom 36% in the U.S.
Weekend total nurse staffing	2.54	3.21	3.50	bottom 21% in Virginia; bottom 11% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.28	0.46	0.48	bottom 38% in Virginia; bottom 28% in the U.S.
Total nursing staff turnover (%)	37.4	48.1	45.8	top 25% in Virginia; top 30% in the U.S.
RN turnover (%)	33.3	48.2	42.9	top 22% in Virginia; top 33% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 3.00, RN 0.48, weekend 2.50.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.00 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Heritage Hall Grundy. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Ahc Acquisitions, LLC	Organization	5% or Greater Direct Ownership Interest	16%	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	11/22/2010
Dalton, Brad	Individual	Operational/Managerial Control	NOT APPLICABLE	07/11/2024
Dalton, Brad	Individual	ADP of the SNF	NOT APPLICABLE	07/11/2024
East, Thomas	Individual	Corporate Director	NOT APPLICABLE	11/20/2012
East, Thomas	Individual	Corporate Officer	NOT APPLICABLE	11/20/2012
Gallant, Cassandra	Individual	Operational/Managerial Control	NOT APPLICABLE	07/11/2024
Gallant, Cassandra	Individual	ADP of the SNF	NOT APPLICABLE	07/11/2024
Hopkins, William	Individual	Corporate Director	NOT APPLICABLE	04/21/2014
Keene, Derek	Individual	Operational/Managerial Control	NOT APPLICABLE	10/02/2024
Keene, Derek	Individual	ADP of the SNF	NOT APPLICABLE	10/02/2024
Quinn, Donald	Individual	ADP of the SNF	NOT APPLICABLE	10/02/2024

All 13 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Heritage Hall — 15 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Heritage Hall King George — King George, VA · overall 2/5
Heritage Hall Lexington — East Lexington, VA · overall 4/5
Heritage Hall Wise — Wise, VA · overall 4/5
Heritage Hall-Blackstone — Blackstone, VA · overall 4/5
Heritage Hall-Leesburg — Leesburg, VA · overall 5/5
Heritage Hall-Rich Creek — Rich Creek, VA · overall 4/5
South Roanoke Nursing and Rehabilitation — Roanoke, VA · overall 3/5
Heritage Hall - Brookneal — Brookneal, VA · overall 5/5

Listed by state, then facility name — not a ranking. Showing 8 of the 14 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"How do you keep residents' medical records accurate, complete, and secure?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"

Also worth asking anywhere

"Your weekend nurse staffing is reported below the Virginia midpoint — how does the weekend schedule differ from a weekday?"
"Can I see the plan of correction for the findings in your most recent state inspection?"
"CMS reports 37% total nursing staff turnover here — who on the care team has been with you longest?"
"The ownership record on file lists 13 owning or managing parties — who makes the decisions about staffing levels?"
"Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Good Shepherd Health and Rehabilitation	14.4 mi	Phelps, KY	★☆☆☆☆	1/5
Elkhorn Health & Rehabilitation	16.6 mi	Elkhorn City, KY	★★★★★	5/5
Clinch Valley Medical Center	19.7 mi	Richlands, VA	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Grundy →

Facility data as of CMS processing date 2026-08-01. CCN 495259.

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

The Care File

Visit checklist — Heritage Hall Grundy

2966 Slate Creek Road, Grundy, VA 24614 · (276) 935-8144

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
☐ "Your weekend nurse staffing is reported below the Virginia midpoint — how does the weekend schedule differ from a weekday?"
☐ "Can I see the plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 37% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "The ownership record on file lists 13 owning or managing parties — who makes the decisions about staffing levels?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 495259 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)