Heritage Hall - Laurel Meadows
16600 Danville Pike, Laurel Fork, VA 24352 · Carroll County · 60 certified beds · avg 56 residents/day · certified since Sep 1, 1997
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 (13)
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 |
|---|---|---|
| Jun 30, 2026 | D · Potential for harm, one-off | 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. · from a complaint |
| Dec 21, 2023 | 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. |
| Dec 21, 2023 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Dec 21, 2023 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Dec 21, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jun 3, 2021 | D · Potential for harm, one-off | 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. |
| Apr 25, 2019 | E · Potential for harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Apr 25, 2019 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Apr 25, 2019 | D · Potential for harm, one-off | 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. |
| Apr 25, 2019 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Apr 25, 2019 | D · Potential for harm, one-off | 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. |
| Apr 25, 2019 | D · Potential for harm, one-off | 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. |
| Apr 25, 2019 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 7 | 0 | E |
| 2021 | 1 | 0 | D |
| 2023 | 4 | 0 | D |
| 2026 | 1 | 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) | 3.60 | 3.67 | 3.95 | top 34% in Virginia; bottom 42% in the U.S. |
| Registered Nurse hours | 0.51 | 0.66 | 0.69 | bottom 49% in Virginia; bottom 39% in the U.S. |
| Weekend total nurse staffing | 3.10 | 3.21 | 3.50 | top 37% in Virginia; bottom 36% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.35 | 0.46 | 0.48 | top 45% in Virginia; bottom 43% in the U.S. |
| Total nursing staff turnover (%) | 19.6 | 48.1 | 45.8 | top 3% in Virginia; top 3% in the U.S. |
| RN turnover (%) | 20.0 | 48.2 | 42.9 | top 7% in Virginia; top 13% 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 3.34, RN 0.47, weekend 2.87. Staffing rating: 3/5.
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: 3/5 · long-stay residents: 3/5 · short-stay residents: 4/5
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 | 17% | 07/10/2020 |
| Cranwell, C. | Individual | Direct Ownership Interest | NOT APPLICABLE | 10/04/2024 |
| WCC Third Blind Trust | Organization | 5% or Greater Direct Ownership Interest | 51% | 07/10/2020 |
| American Healthcare LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/21/2014 |
| American Healthcare LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/13/2025 |
| Dalton, Robert | Individual | Corporate Officer | NOT APPLICABLE | 04/21/2014 |
| 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 | ADP of the SNF | NOT APPLICABLE | 04/21/2014 |
| Gallant, Cassandra | Individual | Corporate Officer | NOT APPLICABLE | 07/11/2024 |
| Hopkins, William | Individual | Corporate Director | NOT APPLICABLE | 07/28/2010 |
| Nester, Marc | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/06/2025 |
| Nester, Marc | Individual | ADP of the SNF | NOT APPLICABLE | 06/06/2025 |
| Sturgill Fant, Vanessa | Individual | ADP of the SNF | NOT APPLICABLE | 06/06/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "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 |
|---|---|---|---|---|---|
| Blue Ridge Therapy Connection | 13.2 mi | Stuart, VA | ★★★★☆ | 4/5 | |
| Hillsville Health & Rehab Center | 14.3 mi | Hillsville, VA | ★★★★★ | 5/5 | |
| Surry Community Health Center by Harborview | 15.7 mi | Mount Airy, NC | ★☆☆☆☆ | 1/5 | SFF |
| Skyline Nursing & Rehabilitation | 16.1 mi | Floyd, VA | ★★★☆☆ | 3/5 | |
| Northern Regional Hospital | 17.6 mi | Mount Airy, NC | ★★★★★ | 5/5 | |
| Central Continuing Care | 17.9 mi | Mount Airy, NC | ★★★☆☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 495323.