Blacksburg, VA

Heritage Hall Blacksburg

4-star overall rating with 4-star inspections with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

3610 South Main Street, Blacksburg, VA

(540) 951-7000

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

179

Certified beds

Average residents

128

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Heritage Hall

Operator or chain grouping

Approved since

2001-10-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

16 facilities

Chain averages 4 overall / 4 health / 2 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.33

Registered nurse staffing · state 0.69 · national 0.68

LPN hours / resident day

1.04

Licensed practical nurse staffing · state 1.00 · national 0.87

Aide hours / resident day

2.05

Nurse aide staffing · state 2.12 · national 2.35

Total nurse hours

3.42

All reported nurse hours · state 3.81 · national 3.89

Licensed hours

1.36

RN + LPN hours · state 1.68 · national 1.54

Weekend hours

2.89

Weekend nurse staffing · state 3.31 · national 3.43

Weekend RN hours

0.17

Weekend registered nurse coverage · state 0.46 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

0.31

CMS adjusted RN staffing hours

Adjusted total hours

3.28

CMS adjusted total nurse staffing hours

Case-mix index

1.42

Higher values indicate more complex resident acuity

RN turnover

38%

Annual RN turnover · state 49% · national 45%

Total nurse turnover

36%

Annual nurse turnover · state 48% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,463

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

20.29

Composite VBP score used to determine payment impact.

Payment multiplier

0.9823

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 21.23% · Performance 22.15% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

1.11

Baseline 7.38% · Performance 7.50% · Measure score 1.11 · Achievement 1.11 · Improvement 0

Total nurse turnover

6.15

Baseline 42.61% · Performance 38.52% · Measure score 6.15 · Achievement 6.15 · Improvement 1.8

Adjusted total nurse staffing

0.85

Baseline 2.73 hours · Performance 3.14 hours · Measure score 0.85 · Achievement 0 · Improvement 0.85

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.3%	10.72% 0.4 pts better	No Different than the National Rate · Eligible stays 232 · Observed rate 9.48% · Lower 95% interval 7.84%
Discharge to community	53.03%	50.57% 2.5 pts better	No Different than the National Rate · Eligible stays 223 · Observed rate 49.33% · Lower 95% interval 46.54%
Medicare spending per beneficiary	1.03	1.02 About the same
Drug regimen review with follow-up	91.77%	95.27% 3.5 pts worse	Numerator 145 · Denominator 158
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 158
Discharge self-care score	50.43%	53.69% 3.3 pts worse	Numerator 59 · Denominator 117
Discharge mobility score	52.14%	50.94% 1.2 pts better	Numerator 61 · Denominator 117
Pressure ulcers or injuries, new or worsened	3.16%	2.29% 0.9 pts worse	Numerator 5 · Denominator 158 · Adjusted rate 4.31%
Healthcare-associated infections requiring hospitalization	7.5%	7.12% 0.4 pts worse	No Different than the National Rate · Eligible stays 147 · Observed rate 7.48% · Lower 95% interval 4.9%
Staff COVID-19 vaccination coverage	10.45%	8.2% 2.2 pts better	Numerator 14 · Denominator 134
Staff flu vaccination coverage	20%	42% 22 pts worse	Numerator 62 · Denominator 310
Discharge function score	41.03%	56.45% 15.4 pts worse	Numerator 48 · Denominator 117
Transfer of health information to provider	96.77%	95.95% 0.8 pts better	Numerator 30 · Denominator 31
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 103 · Denominator 103
Resident COVID-19 vaccinations up to date	35%	25.2% 9.8 pts better	Numerator 28 · Denominator 80

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.7	1.5 0.2 pts worse	1.9 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.3 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.2	1.4 0.2 pts better	1.8 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 0.9 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	96.1%	91.2% 4.9 pts better	93.4% 2.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 92.5% · Q2 93.3% · Q3 99.0% · Q4 100.0% · 4Q avg 96.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	96.5%	94.0% 2.5 pts better	95.5% 1 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 96.5%
Percentage of long-stay residents experiencing one or more falls with major injury	3.7%	3.6% 0.1 pts worse	3.3% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 3.8% · Q3 2.9% · Q4 4.2% · 4Q avg 3.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	7.5%	15.7% 8.2 pts better	11.4% 3.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 5.2% · Q3 6.4% · Q4 16.1% · 4Q avg 7.5%
Percentage of long-stay residents who lose too much weight	4.6%	5.7% 1.1 pts better	5.4% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 4.3% · Q3 4.3% · Q4 5.6% · 4Q avg 4.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	21.0%	20.2% 0.8 pts worse	19.6% 1.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.8% · Q2 21.5% · Q3 21.5% · Q4 20.0% · 4Q avg 21.0%
Percentage of long-stay residents who received an antipsychotic medication	8.7%	15.0% 6.3 pts better	16.7% 8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 8.8% · Q3 8.6% · Q4 10.1% · 4Q avg 8.7% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	19.7%	17.5% 2.2 pts worse	16.3% 3.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.5% · Q2 35.9% · Q3 6.7% · Q4 19.5% · 4Q avg 19.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	18.8%	15.7% 3.1 pts worse	14.9% 3.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.7% · Q2 22.7% · Q3 13.4% · Q4 15.2% · 4Q avg 18.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.5% 0.5 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.5%	1.6% 0.1 pts better	1.7% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 1.9% · Q3 1.0% · Q4 1.0% · 4Q avg 1.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	15.7%	22.2% 6.5 pts better	19.8% 4.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 16.8% · Q3 9.3% · Q4 18.6% · 4Q avg 15.7%
Percentage of long-stay residents with pressure ulcers	3.1%	5.2% 2.1 pts better	5.1% 2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 2.0% · Q3 3.2% · Q4 4.2% · 4Q avg 3.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	71.2%	74.6% 3.4 pts worse	81.7% 10.5 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 70.5% · Q2 67.9% · Q3 68.0% · Q4 77.0% · 4Q avg 71.2%
Percentage of short-stay residents who had an outpatient emergency department visit	11.1%	11.7% 0.6 pts better	12.0% 0.9 pts better	Short Stay · 20240701-20250630 · Adjusted 11.1% · Observed 10.6% · Expected 10.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.8%	1.2% 0.6 pts worse	1.6% 0.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 0.0% · Q3 2.2% · Q4 2.8% · 4Q avg 1.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	76.3%	73.6% 2.7 pts better	79.7% 3.4 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 76.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	21.4%	22.0% 0.6 pts better	23.9% 2.5 pts better	Short Stay · 20240701-20250630 · Adjusted 21.4% · Observed 20.0% · Expected 22.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-08-29 · Fire 2024-08-29

7 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2023-01-19 · Fire 2023-01-19

2 health deficiencies

Top issue: Infection Control (1 deficiency)

10 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2020-02-10 · Fire 2020-02-10

12 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

2 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2024-08-29

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-02-20

F · Potential for more than minimal harm 2023-01-19

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-04-10

F · Potential for more than minimal harm 2023-01-19

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-04-10

F · Potential for more than minimal harm 2023-01-19

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-10-24

F · Potential for more than minimal harm 2023-01-19

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-10-24

E · Potential for more than minimal harm 2023-01-19

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2023-04-10

E · Potential for more than minimal harm 2023-01-19

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2023-04-10

E · Potential for more than minimal harm 2023-01-19

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-04-10

E · Potential for more than minimal harm 2023-01-19

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-04-10

E · Potential for more than minimal harm 2023-01-19

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-10-24

D · Potential for more than minimal harm 2023-01-19

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-04-10

E · Potential for more than minimal harm 2020-02-10

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2020-07-22

E · Potential for more than minimal harm 2020-02-10

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2020-07-22

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-08-29

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-10-15

D · Potential for more than minimal harm 2024-08-29

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-10-15

D · Potential for more than minimal harm 2024-08-29

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-10-15

D · Potential for more than minimal harm 2024-08-29

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2024-10-15

D · Potential for more than minimal harm 2024-08-29

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-10-15

D · Potential for more than minimal harm 2024-08-29

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-10-15

D · Potential for more than minimal harm 2024-08-29

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-15

E · Potential for more than minimal harm 2023-01-19

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-03-13

D · Potential for more than minimal harm 2023-01-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-03-13

K · Immediate jeopardy 2020-02-10

F700 · Quality of Life and Care Deficiencies

Health

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2020-07-22

G · Actual harm 2020-02-10

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2020-07-22

E · Potential for more than minimal harm 2020-02-10

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2020-07-22

E · Potential for more than minimal harm 2020-02-10

F625 · Resident Rights Deficiencies

Health

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.

Corrected 2020-07-22

E · Potential for more than minimal harm 2020-02-10

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2020-07-22

E · Potential for more than minimal harm 2020-02-10

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2020-07-22

D · Potential for more than minimal harm 2020-02-10

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2020-07-22

D · Potential for more than minimal harm 2020-02-10

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2020-07-22

D · Potential for more than minimal harm 2020-02-10

F729 · Nursing and Physician Services Deficiencies

Health

Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

Corrected 2020-07-22

D · Potential for more than minimal harm 2020-02-10

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2020-07-22

D · Potential for more than minimal harm 2020-02-10

F808 · Nutrition and Dietary Deficiencies

Health

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Corrected 2020-07-22

D · Potential for more than minimal harm 2020-02-10

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2020-07-22

Penalties and ownership