| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D41 | E5 | F1 |
| 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 | |
|---|---|---|---|---|---|---|
| Mar 26, 2026 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Mar 26, 2026 | Health | Health Standard | 3 | Immediate jeopardy | — | Open → |
| May 23, 2024 | Health | Health Complaint | 3 | Immediate jeopardy | — | Open → |
| Apr 10, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Oct 31, 2023 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Sep 1, 2022 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Sep 1, 2022 | Health | Health Standard | 8 | Potential harm | — | Open → |
| Apr 5, 2019 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Apr 5, 2019 | Health | Health Standard | 27 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Mar 26, 2026 | Civil money penalty (fine) | $22,127 | — | 495300|Fine|139728 |
| Apr 10, 2024 | Civil money penalty (fine) | $14,433 | — | 495300|Fine|8236 |
| Oct 31, 2023 | Civil money penalty (fine) | $7,443 | — | 495300|Fine|8199 |
| Oct 31, 2023 | Civil money penalty (fine) | $7,443 | — | 495300|Fine|8200 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D41 | E5 | F1 |
| Minimal | A· | B· | C· |
“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.
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.40 (case-mix index 1.25).
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% | Jan 22, 2018 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| American Healthcare LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jan 22, 2018 |
| American Healthcare LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 22, 2018 |
| Petros Ayele | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 2, 2024 |
| Shiffon Baylor | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 2, 2024 |
| Brad Dalton | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 11, 2024 |
| Robert Dalton | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 11, 2024 |
| Thomas East | 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 |
| Thomas East | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 22, 2018 |
| William Hopkins | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 22, 2018 |
| Robert Dalton | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 22, 2018 |
| Thomas East | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 22, 2018 |
| Cassandra Gallant | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 11, 2024 |
| American Healthcare LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 22, 2018 |
| Petros Ayele | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 2, 2024 |
| Shiffon Baylor | 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 | Jul 11, 2024 |
| Thomas East | 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 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| South Roanoke Nursing and Rehabilitation 3823 Franklin Rd, SW, Roanoke, VA 24014 CCN 495002 | 98 | Apr 24, 2025 | 59 | — | |
| 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 | 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 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 | — |
Coordinates as published by CMS.
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 495300 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 495300 | 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