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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D24 | E17 | F6 |
| 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 | |
|---|---|---|---|---|---|---|
| May 17, 2023 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| May 17, 2023 | Health | Health Standard | 8 | Potential harm | — | Open → |
| Nov 17, 2021 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Nov 17, 2021 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Mar 6, 2019 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Mar 6, 2019 | Health | Health Standard | 19 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D24 | E17 | F6 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 17, 2023 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 10, 2023 | |
| May 17, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 10, 2023 | |
| May 17, 2023 | K-0363 |
“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% | 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 |
| Gregory Ashley | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2024 |
| Brad Dalton | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 21, 2014 |
| 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 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Wayland Nursing and Rehabilitation Center 730 Lunenburg Highw, Keysville, VA 23947 CCN 495226 | 21.5 km | 90 | Apr 16, 2025 | 561 harm | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 495353 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 495353 | 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
| Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety |
| E · Potential harm Pattern |
| Corrected Jul 10, 2023 |
| May 17, 2023 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 10, 2023 |
| May 17, 2023 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 10, 2023 |
| May 17, 2023 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 10, 2023 |
| May 17, 2023 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 27, 2023 |
| May 17, 2023 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Past non-compliance Apr 14, 2023 |
| May 17, 2023 | 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 | D · Potential harm Isolated | Corrected Jun 27, 2023 |
| May 17, 2023 | 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 27, 2023 |
| May 17, 2023 | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 27, 2023 |
| May 17, 2023 | 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 27, 2023 |
| May 17, 2023 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jun 27, 2023 |
| May 17, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jun 27, 2023 |
| Nov 17, 2021 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 14, 2022 |
| Nov 17, 2021 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 14, 2022 |
| Nov 17, 2021 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted May 27, 2022 |
| Nov 17, 2021 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 27, 2022 |
| Nov 17, 2021 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 14, 2022 |
| Nov 17, 2021 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 14, 2022 |
| Nov 17, 2021 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted May 27, 2022 |
| Nov 17, 2021 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 14, 2022 |
| Nov 17, 2021 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 27, 2021 |
| Nov 17, 2021 | 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 Dec 27, 2021 |
| Nov 17, 2021 | 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 Dec 27, 2021 |
| Nov 17, 2021 | 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 | E · Potential harm Pattern | Corrected Dec 27, 2021 |
| Nov 17, 2021 | 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 | E · Potential harm Pattern | Corrected Dec 27, 2021 |
| Nov 17, 2021 | 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 Dec 27, 2021 |
| Mar 6, 2019 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 17, 2019 |
| Mar 6, 2019 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 17, 2019 |
| Mar 6, 2019 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 17, 2019 |
| Mar 6, 2019 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 17, 2019 |
| Mar 6, 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 | E · Potential harm Pattern | Corrected Apr 17, 2019 |
| Mar 6, 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 | E · Potential harm Pattern | Corrected Apr 17, 2019 |
| Mar 6, 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 Apr 17, 2019 |
| Mar 6, 2019 | 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 Apr 17, 2019 |
| Mar 6, 2019 | 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 Apr 17, 2019 |
| Mar 6, 2019 | 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 Apr 17, 2019 |
| Mar 6, 2019 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 17, 2019 |
| Mar 6, 2019 | 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 Apr 17, 2019 |
| Mar 6, 2019 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 17, 2019 |
| Mar 6, 2019 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 17, 2019 |
| Mar 6, 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 Apr 17, 2019 |
| Mar 6, 2019 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 17, 2019 |
| Mar 6, 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 | E · Potential harm Pattern | Corrected Apr 17, 2019 |
| Mar 6, 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 Apr 17, 2019 |
| Mar 6, 2019 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 17, 2019 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.79 (case-mix index 1.29).
| Robert Dalton | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 21, 2014 |
| Thomas East | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Nov 20, 2012 |
| William Hopkins | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 23, 2010 |
| Brad Dalton | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Apr 21, 2014 |
| Robert Dalton | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Apr 21, 2014 |
| Thomas East | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Nov 20, 2012 |
| 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 | May 13, 2025 |
| Gregory Ashley | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2024 |
| Robert Dalton | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 21, 2014 |
| 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 |
| Mazen Madhoun | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 2, 2018 |
| 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 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 | — |