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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D39 | E7 | F13 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Apr 24, 2025 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Apr 24, 2025 | Health | Health Standard | 11 | Potential harm | — | Open → |
| Mar 24, 2022 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Mar 24, 2022 | Health | Health Standard | 14 | Potential harm | — | Open → |
| Jul 9, 2019 | Fire safety | Fire Safety Standard | 13 | Potential harm | — | Open → |
| Jul 9, 2019 | Health | Health Standard | 14 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D39 | E7 | F13 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Apr 24, 2025 | E-0007 | Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Emergency preparedness | E · Potential harm Pattern | Corrected Jun 3, 2025 | |
| Apr 24, 2025 | E-0015 | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jun 3, 2025 | |
| Apr 24, 2025 | E-0031 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
15 facilities in 1 states. CMS chain ID 265.
Chain average overall rating (CMS): 4
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| American Healthcare LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jun 1, 2019 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| American Healthcare LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jun 1, 2019 |
| American Healthcare LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 22, 2018 |
| Christian Champney | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 2, 2024 |
| Brad Dalton | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Heritage Hall Big Stone Gap 2045 Valley View Drive, Big Stone Gap, VA 24219 CCN 495135 | 180 | Nov 19, 2024 | 525 harm | $41k | |
| Heritage Hall - Brookneal 633 Cook Avenue, Brookneal, VA 24528 CCN 495242 | 60 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Pheasant Ridge Nursing and Rehabilitation 4355 Pheasant Ridge Road, Roanoke, VA 24014 CCN 495325Abuse icon | 1.4 km | 101 | Jul 28, 2026 | 594 IJ6 harm18 open | $192k | |
| Raleigh Court Health and Rehabilitation Center 1527 Grandin Road Southwest, Roanoke, VA 24015 CCN 495209 | 3.3 km | 120 | Aug 15, 2024 | 481 harm | — | |
| Friendship Health and Rehab Center - South 5647 Starkey Road, Roanoke, VA 24018 CCN 495421 | 3.5 km | 120 | Jun 18, 2025 | 361 IJ | $8,281 | |
| Old Southwest Health and Rehabilitation 324 King George Ave SW, Roanoke, VA 24016 CCN 495156 | 3.6 km | 130 | Jul 16, 2024 | 1533 harm | $136k | |
| Brandon Oaks Nursing and Rehabilitation Center 3837 Brandon Avenue SW, Roanoke, VA 24018 CCN 495373 | 5 km | 62 | Aug 13, 2026 | 341 open | — | |
| Our Lady of the Valley 650 North Jefferson Street, Roanoke, VA 24016 CCN 495357 | 5.7 km | 70 | Aug 25, 2023 | 35 | $16k | |
| Davis and Mcdaniel Veterans Care Center 4550 Shenandoah Ave N W, Roanoke, VA 24017 CCN 495274 | 6.3 km | 180 | Jan 8, 2026 | 20 | — | |
| Salem Health & Rehabilitation 1945 Roanoke Blvd, Salem, VA 24153 CCN 495087 | 6.5 km | 240 | May 6, 2026 | 57 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 495002 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 495002 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Emergency preparedness |
| E · Potential harm Pattern |
| Corrected Jun 3, 2025 |
| Apr 24, 2025 | E-0036 | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jun 3, 2025 |
| Apr 24, 2025 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jun 3, 2025 |
| Apr 24, 2025 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 3, 2025 |
| Apr 24, 2025 | F-0637 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 3, 2025 |
| Apr 24, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 3, 2025 |
| Apr 24, 2025 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 3, 2025 |
| Apr 24, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 3, 2025 |
| Apr 24, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 3, 2025 |
| Apr 24, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 3, 2025 |
| Apr 24, 2025 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 3, 2025 |
| Apr 24, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jun 3, 2025 |
| Apr 24, 2025 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 3, 2025 |
| Apr 24, 2025 | F-0922 | Have enough backup water supply for essential areas of the nursing home. Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 3, 2025 |
| Mar 24, 2022 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 31, 2022 |
| Mar 24, 2022 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 31, 2022 |
| Mar 24, 2022 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 8, 2022 |
| Mar 24, 2022 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 8, 2022 |
| Mar 24, 2022 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 8, 2022 |
| Mar 24, 2022 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 8, 2022 |
| Mar 24, 2022 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 8, 2022 |
| Mar 24, 2022 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected May 8, 2022 |
| Mar 24, 2022 | F-0865 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected May 8, 2022 |
| Mar 24, 2022 | F-0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected May 8, 2022 |
| Mar 24, 2022 | F-0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected May 8, 2022 |
| Mar 24, 2022 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 8, 2022 |
| Mar 24, 2022 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 8, 2022 |
| Mar 24, 2022 | F-0886 | Perform COVID19 testing on residents and staff. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 8, 2022 |
| Mar 24, 2022 | F-0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 8, 2022 |
| Mar 24, 2022 | F-0888 | Ensure staff are vaccinated for COVID-19 Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 8, 2022 |
| Jul 9, 2019 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Aug 23, 2019 |
| Jul 9, 2019 | E-0007 | Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Aug 23, 2019 |
| Jul 9, 2019 | E-0013 | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Aug 23, 2019 |
| Jul 9, 2019 | E-0015 | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Aug 23, 2019 |
| Jul 9, 2019 | E-0018 | Establish procedures for tracking staff and patients during an emergency. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Aug 23, 2019 |
| Jul 9, 2019 | E-0022 | Establish policies and procedures for sheltering. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Aug 23, 2019 |
| Jul 9, 2019 | E-0023 | Establish policies and procedures for medical documentation. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Aug 23, 2019 |
| Jul 9, 2019 | E-0024 | Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Aug 23, 2019 |
| Jul 9, 2019 | E-0026 | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Aug 23, 2019 |
| Jul 9, 2019 | E-0033 | Establish methods for sharing information. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Aug 23, 2019 |
| Jul 9, 2019 | E-0035 | Provide family notifications of emergency plan. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Aug 23, 2019 |
| Jul 9, 2019 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 7, 2019 |
| Jul 9, 2019 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 7, 2019 |
| Jul 9, 2019 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Aug 23, 2019 |
| Jul 9, 2019 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 23, 2019 |
| Jul 9, 2019 | F-0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 23, 2019 |
| Jul 9, 2019 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 23, 2019 |
| Jul 9, 2019 | F-0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 23, 2019 |
| Jul 9, 2019 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 23, 2019 |
| Jul 9, 2019 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 23, 2019 |
| Jul 9, 2019 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 23, 2019 |
| Jul 9, 2019 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 23, 2019 |
| Jul 9, 2019 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Aug 23, 2019 |
| Jul 9, 2019 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 23, 2019 |
| Jul 9, 2019 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Aug 23, 2019 |
| Jul 9, 2019 | F-0926 | Have policies on smoking. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 23, 2019 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.36 (case-mix index 1.27).
| Jul 11, 2024 |
| Robert Dalton | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 21, 2014 |
| Cassandra Gallant | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 11, 2024 |
| William Hopkins | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 1, 2019 |
| Brad Dalton | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 11, 2024 |
| Robert Dalton | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 1, 2019 |
| Thomas East | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 1, 2019 |
| American Healthcare LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 22, 2018 |
| Christian Champney | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 2, 2024 |
| Brad Dalton | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 11, 2024 |
| Robert Dalton | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 21, 2014 |
| Cassandra Gallant | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 11, 2024 |
| William Mitchell | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 2, 2024 |
| Jul 31, 2024 |
24 |
| — |
| Heritage Hall Grundy 2966 Slate Creek Road, Grundy, VA 24614 CCN 495259 | 120 | Feb 28, 2023 | 33 | — |
| Heritage Hall-Leesburg 122 Morven Park Road NW, Leesburg, VA 20176 CCN 495261 | 164 | Jan 29, 2025 | 13 | — |
| Heritage Hall King George 10051 Foxes Way, King George, VA 22485 CCN 495300 | 130 | Mar 26, 2026 | 512 IJ2 harm | $51k |
| Heritage Hall Front Royal 400 West Strasburg Road, Front Royal, VA 22630 CCN 495301 | 60 | May 15, 2024 | 6 | — |
| Heritage Hall Dillwyn 119 Brickyard Drive, Dillwyn, VA 23936 CCN 495317 | 60 | Mar 20, 2024 | 29 | — |
| Heritage Hall Clintwood 1225 Clintwood Main Street, Route 607, Clintwood, VA 24228 CCN 495320 | 100 | Jun 27, 2024 | 24 | — |