Heritage Hall-Rich Creek

Name: Heritage Hall-Rich Creek
Address: 120 OLD VIRGINIA AVENUE, Rich Creek, VA, 24147, US
Telephone: 5407262328

120 Old Virginia Avenue, Rich Creek, VA 24147 · Giles County · 120 certified beds · avg 102 residents/day · certified since Dec 1, 2003

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

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.35

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

⚠ 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 (20)

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
Mar 14, 2024	E · Potential for harm, repeated	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
Mar 14, 2024	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.
Mar 14, 2024	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.
Mar 14, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Mar 14, 2024	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.
Mar 14, 2024	D · Potential for harm, one-off	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.
Mar 14, 2024	D · Potential for harm, one-off	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.
Mar 14, 2024	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.
Mar 14, 2024	C · Minimal risk, facility-wide	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.
Mar 14, 2024	C · Minimal risk, facility-wide	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.
Dec 9, 2021	F · Potential for harm, facility-wide	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.
Dec 9, 2021	E · Potential for harm, repeated	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.
Jan 28, 2019	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jan 28, 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.
Jan 28, 2019	D · Potential for harm, one-off	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.
Jan 28, 2019	D · Potential for harm, one-off	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.
Jan 28, 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.
Jan 28, 2019	C · Minimal risk, facility-wide	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.
Jan 28, 2019	C · Minimal risk, facility-wide	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.
Jan 28, 2019	C · Minimal risk, facility-wide	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 10).

Year	Citations	Worst severity that year
2019	8	D
2021	2	F
2024	10	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)

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)	3.35	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, 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. 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: 3/5 · long-stay residents: 3/5 · short-stay residents: 3/5

Who owns this facility

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

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?"
"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
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

Compare this facility with the 3 closest →

All facilities in Rich Creek →

Facility data as of CMS processing date 2026-08-01. CCN 495371.

The Care File

Visit checklist — Heritage Hall-Rich Creek

120 Old Virginia Avenue, Rich Creek, VA 24147 · 5407262328

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

Questions for the administrator:

☐ "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?"
☐ "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?"

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 495371 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)