Cycle 1
Health 2024-05-15 · Fire 2024-05-15
3 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Front Royal, VA
Heritage Hall Front Royal
5-star overall rating with 5-star inspections with 3 recent health deficiencies
400 West Strasburg Road, Front Royal, VA
(540) 636-3700
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
60
Certified beds
Average residents
55
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Heritage Hall
Operator or chain grouping
Approved since
1995-06-01
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
No
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
1.00
Licensed practical nurse staffing · state 1.00 · national 0.87
Aide hours / resident day
2.30
Nurse aide staffing · state 2.12 · national 2.35
Total nurse hours
3.63
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.33
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
3.34
Weekend nurse staffing · state 3.31 · national 3.43
Weekend RN hours
0.19
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.30
CMS adjusted RN staffing hours
Adjusted total hours
3.36
CMS adjusted total nurse staffing hours
Case-mix index
1.48
Higher values indicate more complex resident acuity
RN turnover
100%
Annual RN turnover · state 49% · national 45%
Total nurse turnover
52%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
7,352
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
29.98
Composite VBP score used to determine payment impact.
Payment multiplier
0.9857
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0.59
Baseline 20.98% · Performance 21.16% · Measure score 0.59 · Achievement 0.59 · Improvement 0
Healthcare-associated infections
4.75
Baseline 9.78% · Performance 7.27% · Measure score 4.75 · Achievement 1.90 · Improvement 4.75
Total nurse turnover
5.88
Baseline 50.00% · Performance 39.66% · Measure score 5.88 · Achievement 5.88 · Improvement 3.61
Adjusted total nurse staffing
0.77
Baseline 3.24 hours · Performance 3.30 hours · Measure score 0.77 · Achievement 0.77 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.2% |
10.72%
0.5 pts better
|
No Different than the National Rate · Eligible stays 249 · Observed rate 8.84% · Lower 95% interval 7.6% |
| Discharge to community | 56% |
50.57%
5.4 pts better
|
Better than the National Rate · Eligible stays 260 · Observed rate 51.54% · Lower 95% interval 51.23% |
| Medicare spending per beneficiary | 1.11 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 186 · Denominator 186 |
| Falls with major injury | 1.61% |
0.77%
0.8 pts worse
|
Numerator 3 · Denominator 186 |
| Discharge self-care score | 75% |
53.69%
21.3 pts better
|
Numerator 96 · Denominator 128 |
| Discharge mobility score | 76.56% |
50.94%
25.6 pts better
|
Numerator 98 · Denominator 128 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 186 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.27% |
7.12%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 173 · Observed rate 6.36% · Lower 95% interval 4.94% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 126 |
| Staff flu vaccination coverage | 15.97% |
42%
26 pts worse
|
Numerator 23 · Denominator 144 |
| Discharge function score | 84.38% |
56.45%
27.9 pts better
|
Numerator 108 · Denominator 128 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 48 · Denominator 48 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 115 · Denominator 115 |
| Resident COVID-19 vaccinations up to date | 30.93% |
25.2%
5.7 pts better
|
Numerator 30 · Denominator 97 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
1.5
0.3 pts better
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.3 · Expected 2.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.3 |
1.4
0.1 pts better
|
1.8
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.3 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
91.2%
8.8 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
94.0%
6 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.1% |
3.6%
1.5 pts worse
|
3.3%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 7.3% · Q3 5.3% · Q4 2.6% · 4Q avg 5.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
15.7%
15.7 pts better
|
11.4%
11.4 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 who lose too much weight | 0.7% |
5.7%
5 pts better
|
5.4%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.6% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.2% |
20.2%
1 pts better
|
19.6%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 15.0% · Q3 21.6% · Q4 25.7% · 4Q avg 19.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.8% |
15.0%
6.2 pts better
|
16.7%
7.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 8.6% · Q3 9.4% · Q4 10.0% · 4Q avg 8.8% · 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 | 6.1% |
17.5%
11.4 pts better
|
16.3%
10.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 6.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.3% |
15.7%
6.4 pts better
|
14.9%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 10.8% · Q3 8.8% · Q4 6.1% · 4Q avg 9.3% · 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 | 1.3% |
1.6%
0.3 pts better
|
1.7%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.5% · Q3 0.0% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 2.6% |
22.2%
19.6 pts better
|
19.8%
17.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 2.6% |
| Percentage of long-stay residents with pressure ulcers | 3.3% |
5.2%
1.9 pts better
|
5.1%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 4.5% · Q3 4.7% · Q4 0.0% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.5% |
74.6%
24.9 pts better
|
81.7%
17.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 97.6% · 4Q avg 99.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.5% |
11.7%
4.8 pts worse
|
12.0%
4.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.5% · Observed 16.3% · Expected 11.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.2%
1.2 pts better
|
1.6%
1.6 pts better
|
Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
73.6%
26.4 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.8% |
22.0%
0.8 pts worse
|
23.9%
1.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.8% · Observed 20.9% · Expected 21.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-09-08 · Fire 2022-09-08
2 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2021-05-26 · Fire 2021-05-26
1 health deficiencies
Top issue: Resident Rights (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-05-15
F622 · Resident Rights Deficiencies
Health
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.
Corrected 2024-07-26
D · Potential for more than minimal harm
2024-05-15
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-07-26
D · Potential for more than minimal harm
2024-05-15
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-07-26
D · Potential for more than minimal harm
2022-09-08
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-10-20
D · Potential for more than minimal harm
2022-09-08
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2022-10-20
D · Potential for more than minimal harm
2021-05-26
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2021-07-09
Penalties and ownership
What sits behind the stars
Ownership
Ahc Acquisitions, LLC
5% Or Greater Direct Ownership Interest · Organization
American Healthcare LLC
Operational/Managerial Control · Organization
Cranwell, C.
5% Or Greater Direct Ownership Interest · Individual
Cranwell, Robert
5% Or Greater Direct Ownership Interest · Individual
Cranwell, Robert
Operational/Managerial Control · Individual
Crc Blind Trust
5% Or Greater Direct Ownership Interest · Organization
Dalton, Brad
Operational/Managerial Control · Individual
Dalton, Brad
Corporate Officer · Individual
Dalton, Robert
Operational/Managerial Control · Individual
Dalton, Robert
Corporate Officer · Individual
East, Thomas
Operational/Managerial Control · Individual
East, Thomas
Corporate Director · Individual
East, Thomas
Corporate Officer · Individual
Gallant, Cassandra
Operational/Managerial Control · Individual
Gallant, Cassandra
Corporate Officer · Individual
Hopkins, William
Operational/Managerial Control · Individual
Hopkins, William
Corporate Director · Individual
Wcc Third Blind Trust
5% Or Greater Direct Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Lynn Care Center
Front Royal, VA
2-star overall rating with 1-star inspections with abuse icon flag with $34,230 in total fines with 23 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#2
Evergreen Health And Rehabilitation Center
Winchester, VA
2-star overall rating with 2-star inspections with $8,190 in total fines with 22 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Woodstock Valley Health and Rehabilitation
Woodstock, VA
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $97,714 in total fines with 70 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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