Federal inspection record · CMS data as of October 1, 2026
Heritage Hall-Blackstone
900 S Main St, Blackstone, VA · (434) 292-5301
- Certified beds
- 180
- Residents per day
- 134
- Ownership
- For-Profit
- Chain
- Heritage Hall
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 1, 2001
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Virginia.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Virginia homes
Heritage Hall-Blackstone carries 41 inspection points. That is fewer than 68% of Virginia's 287 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Virginia: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–16 pts
- 4★ 16–45 pts
- 3★ 45–76.5 pts
- 2★ 76.5–168.75 pts
- 1★ over 168.75 pts
Bars show every rated home in Virginia by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
33 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Rights9E
- E
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
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.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
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.
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
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 Assessment and Care Planning8E
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Quality of Life and Care8D
- D
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.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
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.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate pain management for a resident who requires such services.
Pharmacy Service3E
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
Ensure medication error rates are not 5 percent or greater.
- E
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.
Nutrition and Dietary2E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2023-05-17
8 health deficiencies · 6 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2021-11-17
6 health deficiencies · 8 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2019-03-06
19 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 30 min of nursing staff time a day, 28 min of it from a registered nurse.
This home
3 h 30 min
Virginia average
3 h 53 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 50% of nursing staff and 65% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts better | 0.7 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts better | 0.9 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.4 pts better | 97.6% | 91.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.5 pts better | 97.8% | 93.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.6 pts worse | 5.1% | 3.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms17.5 pts better | 3.0% | 20.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.1 pts better | 4.2% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.4 pts better | 18.3% | 20.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.3 pts better | 12.9% | 14.2% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.1 pts better | 14.1% | 14.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.1 pts worse | 21.6% | 14.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.1% | 0.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.2 pts better | 0.4% | 1.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.2 pts worse | 22.5% | 21.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.8 pts better | 2.6% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.2 pts better | 76.4% | 74.2% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6.1 pts better | 5.4% | 11.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts worse | 1.4% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine8.1 pts better | 81.4% | 73.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.3 pts better | 20.7% | 22.0% | 23.4% |
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Who owns and runs it
17 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| American Healthcare LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 14 facilities |
| American Healthcare LLC | Operational/Managerial Control · Organization | 0% | 14 facilities |
| American Healthcare LLC | Adp Of The SNF · Organization | 0% | 14 facilities |
| Ashley, Gregory | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Ashley, Gregory | Adp Of The SNF · Individual | 0% | 1 facilities |
| Dalton, Brad | Corporate Officer · Individual | 0% | 12 facilities |
| Dalton, Brad | Operational/Managerial Control · Individual | 0% | 12 facilities |
| Dalton, Robert | Corporate Officer · Individual | 0% | 13 facilities |
| Dalton, Robert | Operational/Managerial Control · Individual | 0% | 13 facilities |
| Dalton, Robert | Adp Of The SNF · Individual | 0% | 13 facilities |
| East, Thomas | Corporate Director · Individual | 0% | 14 facilities |
| East, Thomas | Corporate Officer · Individual | 0% | 14 facilities |
| East, Thomas | Adp Of The SNF · Individual | 0% | 14 facilities |
| Gallant, Cassandra | Corporate Officer · Individual | 0% | 15 facilities |
| Gallant, Cassandra | Adp Of The SNF · Individual | 0% | 15 facilities |
| Hopkins, William | Corporate Director · Individual | 0% | 17 facilities |
| Madhoun, Mazen | Adp Of The SNF · Individual | 0% | 4 facilities |
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Fire safety
14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
Egress3F
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Have properly located and lighted "Exit" signs.
- E
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.
Services3E
- E
Have properly installed electrical wiring and gas equipment.
- E
Have properly installed electrical wiring and gas equipment.
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous2F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems2E
- E
Ensure proper usage of power strips and extension cords.
- D
Have proper medical gas storage and administration areas.
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Other homes nearby
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Wayland Nursing And Rehabilitation Center
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★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 2 h 54 min
- Fines
- $0
-
Amelia Rehabilitation And Healthcare Center
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- J
- Nursing / resident / day
- 2 h 54 min
- Fines
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-
Lawrenceville Health & Rehabilitation
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★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 2 h 22 min
- Fines
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