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Heritage Hall-Rich Creek
120 Old Virginia Avenue, Rich Creek, VA 24147 (opens Google Maps) · Giles County · (540) 726-2328· 120 certified beds · avg 102 residents/day · certified since Dec 1, 2003 · 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 Mar 14, 2024
0
Serious findings on record
$0
Fines, last 3 years
3.35
Nurse hours/resident/day (adjusted)
Every record stays on this page.
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: 4/5 · 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 20 inspection findings. Open the full record below to read every finding.
The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint F-0725
The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. F-0641
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
View all 20 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 |
|---|---|---|
| Mar 14, 2024 | E · Potential for more than minimal harm, pattern | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint · F-0725 |
| Mar 14, 2024 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Mar 14, 2024 | 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 14, 2024 | 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 14, 2024 | D · Potential for more than minimal harm, isolated | 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 14, 2024 | 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 14, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals. · F-0810 |
| Mar 14, 2024 | 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 14, 2024 | C · Potential for minimal harm, widespread | The facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign. · F-0847 |
| Mar 14, 2024 | C · Potential for minimal harm, widespread | The facility did not provide a neutral and fair arbitration process. Arbitration is a way of settling disputes outside of court, and if it's used, the facility must agree with the resident on a neutral arbitrator and a convenient location. · F-0848 |
| Dec 9, 2021 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Dec 9, 2021 | E · Potential for more than minimal harm, pattern | 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 |
| Jan 28, 2019 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Jan 28, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0690 |
| Jan 28, 2019 | 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 |
| Jan 28, 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 |
| Jan 28, 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 |
| Jan 28, 2019 | C · Potential for minimal harm, widespread | 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 |
| Jan 28, 2019 | C · Potential for minimal harm, widespread | 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 |
| Jan 28, 2019 | C · Potential for minimal harm, widespread | 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 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 10).
All citationsSerious citations (G–L)
2019
All citations: 8
Serious citations (G–L): 0
2021
All citations: 2
Serious citations (G–L): 0
2024
All citations: 10
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 8 | 0 | D |
| 2021 | 2 | 0 | F |
| 2024 | 10 | 0 | 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityVirginia averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.35
Virginia average: 3.67
U.S. average: 3.95
Registered Nurse hours
This facility: 0.38
Virginia average: 0.66
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.75
Virginia average: 3.21
U.S. average: 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) | 3.35 | 3.67 | 3.95 | bottom 49% in Virginia; bottom 29% in the U.S. |
| Registered Nurse hours | 0.38 | 0.66 | 0.69 | bottom 21% in Virginia; bottom 19% in the U.S. |
| Weekend total nurse staffing | 2.75 | 3.21 | 3.50 | bottom 35% in Virginia; bottom 18% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.22 | 0.46 | 0.48 | bottom 23% in Virginia; bottom 16% in the U.S. |
| Total nursing staff turnover (%) | 38.4 | 48.1 | 45.8 | top 26% in Virginia; top 32% in the U.S. |
| RN turnover (%) | 45.5 | 48.2 | 42.9 | top 45% in Virginia; bottom 43% 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 3.58, RN 0.40, weekend 2.94.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.58 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: 3/5 · long-stay residents: 3/5 · short-stay residents: 3/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Heritage Hall-Rich Creek. 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 - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| American Healthcare LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 06/17/2022 |
| American Healthcare LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/03/2024 |
| American Healthcare LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/05/2024 |
| Dalton, Robert | Individual | Corporate Officer | NOT APPLICABLE | 12/30/2013 |
| Dalton, Robert | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/30/2013 |
| Dalton, Robert | Individual | ADP of the SNF | NOT APPLICABLE | 12/30/2013 |
| East, Thomas | Individual | Corporate Officer | NOT APPLICABLE | 12/30/2013 |
| 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 | ADP of the SNF | NOT APPLICABLE | 07/11/2024 |
| Hopkins, William | Individual | Corporate Director | NOT APPLICABLE | 12/30/2013 |
| Lambert-Mcdaniel, Sharon | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/06/2025 |
| Lambert-Mcdaniel, Sharon | Individual | ADP of the SNF | NOT APPLICABLE | 06/06/2025 |
| Madhoun, Mazen | Individual | ADP of the SNF | NOT APPLICABLE | 06/06/2025 |
All 14 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.
- South Roanoke Nursing and Rehabilitation — Roanoke, VA · overall 3/5
- Heritage Hall - Brookneal — Brookneal, VA · overall 5/5
- Heritage Hall - Laurel Meadows — Laurel Fork, VA · overall 5/5
- Heritage Hall Big Stone Gap — Big Stone Gap, VA · overall 4/5
- Heritage Hall Blacksburg — Blacksburg, VA · overall 4/5
- Heritage Hall Clintwood — Clintwood, VA · overall 4/5
- Heritage Hall Dillwyn — Dillwyn, VA · overall 3/5
- Heritage Hall Front Royal — Front Royal, 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
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "What adaptive eating equipment do you provide, and how do you decide who needs help at meals?"
- "How do you keep residents' medical records accurate, complete, and secure?"
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 38% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 14 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 | Flags |
|---|---|---|---|---|---|
| Lindside Healthcare Center | 11.2 mi | Lindside, WV | ★★★☆☆ | 3/5 | |
| Princeton Health Care Center | 16.2 mi | Princeton, WV | ★★★☆☆ | 4/5 | |
| Summers Healthcare Center | 17.8 mi | Hinton, WV | ★☆☆☆☆ | 1/5 | SFF |
| Glenwood Healthcare Center | 18.3 mi | Princeton, WV | ★★★★☆ | 4/5 | |
| Main Street Care | 19.6 mi | Hinton, WV | ★★★☆☆ | 4/5 |
Facility data as of CMS processing date 2026-08-01. CCN 495371.