Federal inspection record · CMS data as of October 1, 2026
Heritage Hall-Rich Creek
120 Old Virginia Avenue, Rich Creek, VA · (540) 726-2328
- Certified beds
- 120
- Residents per day
- 104
- Ownership
- For-Profit
- Chain
- Heritage Hall
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 1, 2003
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
★★★★★no change
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-Rich Creek carries 33 inspection points. That is fewer than 74% 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
20 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
Pharmacy Service5E
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
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.
- D
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.
Quality of Life and Care4D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 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
Provide safe and appropriate respiratory care for a resident when needed.
Resident Assessment and Care Planning3D
- D
Ensure each resident receives an accurate assessment.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Rights3C
- C
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.
- C
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- C
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.
Nutrition and Dietary2F
- D
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration2C
- C
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
- C
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Nursing and Physician Services1E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspection history
2024-03-14
10 health deficiencies · 0 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
2021-12-09
2 health deficiencies · 4 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2019-01-28
8 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 37 min of nursing staff time a day, 21 min of it from a registered nurse.
This home
3 h 37 min
Virginia average
3 h 53 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 40% of nursing staff and 46% of registered nurses left in the past year.
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 daysAbout the same | 1.4 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts worse | 2.2 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine8.8 pts better | 100.0% | 91.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.7 pts better | 100.0% | 93.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.3 pts better | 3.2% | 3.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms10.4 pts better | 10.1% | 20.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight1 pts better | 4.3% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7 pts worse | 27.7% | 20.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication15.6 pts worse | 29.8% | 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 worsened3.2 pts worse | 17.4% | 14.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.7 pts worse | 16.2% | 14.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better | 0.2% | 0.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts worse | 2.4% | 1.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.9 pts better | 20.4% | 21.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2 pts better | 2.4% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine25.8 pts better | 100.0% | 74.2% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.8 pts better | 10.7% | 11.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.3 pts worse | 3.6% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine26.7 pts better | 100.0% | 73.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.1 pts worse | 22.1% | 22.0% | 23.4% |
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Who owns and runs it
14 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 |
| 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 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 |
| Lambert-Mcdaniel, Sharon | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Lambert-Mcdaniel, Sharon | Adp Of The SNF · Individual | 0% | 1 facilities |
| Madhoun, Mazen | Adp Of The SNF · Individual | 0% | 4 facilities |
·
Fire safety
4 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress1E
- E
Have properly located and lighted "Exit" signs.
Smoke1E
- E
Install corridor and hallway doors that block smoke.
Services1E
- E
Have properly installed electrical wiring and gas equipment.
Miscellaneous1E
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
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Other homes nearby
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Lindside Healthcare Center
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- F
- Nursing / resident / day
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Princeton Health Care Center
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-
Summers Healthcare Center
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★★★★★- Worst citation, 3 yrs
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- 3 h 11 min
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