Cycle 1
Health 2024-03-08 · Fire 2024-03-08
14 health deficiencies
Top issue: Resident Assessment and Care Planning (6 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Tazewell, VA
Heritage Hall Tazewell
2-star overall rating with 2-star inspections with $78,553 in total fines with 14 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
282 Ben Bolt Avenue, Tazewell, VA
(276) 988-2515
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
180
Certified beds
Average residents
155
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Heritage Hall
Operator or chain grouping
Approved since
1984-12-01
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
0.29
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.78
Licensed practical nurse staffing · state 1.00 · national 0.87
Aide hours / resident day
2.00
Nurse aide staffing · state 2.12 · national 2.35
Total nurse hours
3.07
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.07
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
2.80
Weekend nurse staffing · state 3.31 · national 3.43
Weekend RN hours
0.18
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.30
CMS adjusted RN staffing hours
Adjusted total hours
3.10
CMS adjusted total nurse staffing hours
Case-mix index
1.36
Higher values indicate more complex resident acuity
RN turnover
60%
Annual RN turnover · state 49% · national 45%
Total nurse turnover
38%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
11,349
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
17.13
Composite VBP score used to determine payment impact.
Payment multiplier
0.9817
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 23.11% · Performance 23.80% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 6.20% · Performance 8.38% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
6.16
Baseline 48.82% · Performance 38.52% · Measure score 6.16 · Achievement 6.16 · Improvement 3.80
Adjusted total nurse staffing
0.70
Baseline 3.10 hours · Performance 3.28 hours · Measure score 0.70 · Achievement 0.70 · Improvement 0.15
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.84% |
10.72%
2.1 pts worse
|
No Different than the National Rate · Eligible stays 140 · Observed rate 16.43% · Lower 95% interval 9.2% |
| Discharge to community | 37.18% |
50.57%
13.4 pts worse
|
Worse than the National Rate · Eligible stays 116 · Observed rate 31.03% · Lower 95% interval 28% |
| Medicare spending per beneficiary | 1 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 89.13% |
95.27%
6.1 pts worse
|
Numerator 82 · Denominator 92 |
| Falls with major injury | 4.35% |
0.77%
3.6 pts worse
|
Numerator 4 · Denominator 92 |
| Discharge self-care score | 55.36% |
53.69%
1.7 pts better
|
Numerator 31 · Denominator 56 |
| Discharge mobility score | 41.07% |
50.94%
9.9 pts worse
|
Numerator 23 · Denominator 56 |
| Pressure ulcers or injuries, new or worsened | 1.09% |
2.29%
1.2 pts better
|
Numerator 1 · Denominator 92 · Adjusted rate 0.79% |
| Healthcare-associated infections requiring hospitalization | 8.38% |
7.12%
1.3 pts worse
|
No Different than the National Rate · Eligible stays 90 · Observed rate 10% · Lower 95% interval 4.99% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 201 |
| Staff flu vaccination coverage | 15.18% |
42%
26.8 pts worse
|
Numerator 34 · Denominator 224 |
| Discharge function score | 55.36% |
56.45%
1.1 pts worse
|
Numerator 31 · Denominator 56 |
| Transfer of health information to provider | 94.29% |
95.95%
1.7 pts worse
|
Numerator 33 · Denominator 35 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 26 · Denominator 26 |
| Resident COVID-19 vaccinations up to date | 5.13% |
25.2%
20.1 pts worse
|
Numerator 2 · Denominator 39 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.5
About the same
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.3 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.0 |
1.4
1.6 pts worse
|
1.8
1.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 2.6 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 79.0% |
91.2%
12.2 pts worse
|
93.4%
14.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 94.6% · Q2 80.0% · Q3 72.1% · Q4 68.5% · 4Q avg 79.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.2% |
94.0%
2.8 pts worse
|
95.5%
4.3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 91.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.0% |
3.6%
0.4 pts worse
|
3.3%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 4.0% · Q3 5.0% · Q4 4.9% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.4% |
15.7%
13.3 pts better
|
11.4%
9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 3.8% · Q3 2.6% · Q4 1.5% · 4Q avg 2.4% |
| Percentage of long-stay residents who lose too much weight | 3.6% |
5.7%
2.1 pts better
|
5.4%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 8.3% · Q3 5.6% · Q4 0.8% · 4Q avg 3.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.8% |
20.2%
0.6 pts worse
|
19.6%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.7% · Q2 18.7% · Q3 29.2% · Q4 17.0% · 4Q avg 20.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.6% |
15.0%
3.6 pts worse
|
16.7%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.2% · Q2 16.2% · Q3 16.3% · Q4 22.5% · 4Q avg 18.6% · 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 | 28.9% |
17.5%
11.4 pts worse
|
16.3%
12.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 48.9% · Q2 15.4% · Q3 21.0% · Q4 29.0% · 4Q avg 28.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 26.0% |
15.7%
10.3 pts worse
|
14.9%
11.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.3% · Q2 23.0% · Q3 23.5% · Q4 24.8% · 4Q avg 26.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% |
0.5%
0.7 pts worse
|
1.0%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.7% · Q3 2.0% · Q4 1.6% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.0% |
1.6%
1.4 pts worse
|
1.7%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 4.9% · Q3 3.7% · Q4 0.7% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.6% |
22.2%
2.6 pts better
|
19.8%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 23.2% · Q2 19.9% · Q3 16.0% · Q4 19.2% · 4Q avg 19.6% |
| Percentage of long-stay residents with pressure ulcers | 5.1% |
5.2%
0.1 pts better
|
5.1%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 4.6% · Q3 5.8% · Q4 5.1% · 4Q avg 5.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 31.4% |
74.6%
43.2 pts worse
|
81.7%
50.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 70.2% · Q2 29.0% · Q3 13.5% · Q4 7.0% · 4Q avg 31.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 23.5% |
11.7%
11.8 pts worse
|
12.0%
11.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 23.5% · Observed 23.9% · Expected 11.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
1.2%
0.3 pts better
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 28.6% |
73.6%
45 pts worse
|
79.7%
51.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 28.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.4% |
22.0%
3.6 pts better
|
23.9%
5.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.4% · Observed 18.3% · Expected 23.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-05-26 · Fire 2022-05-26
2 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
4 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Cycle 3
Health 2019-09-12 · Fire 2019-09-12
5 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2024-03-08
K932 · Smoke Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2024-12-12
F · Potential for more than minimal harm
2022-05-26
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-11-15
E · Potential for more than minimal harm
2022-05-26
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2022-11-15
D · Potential for more than minimal harm
2022-05-26
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-08-12
D · Potential for more than minimal harm
2022-05-26
K753 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2022-08-12
Inspection history
Recent health citations
K · Immediate jeopardy
2025-06-12
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 2025-07-15
D · Potential for more than minimal harm
2025-06-12
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-15
D · Potential for more than minimal harm
2025-06-12
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-07-15
D · Potential for more than minimal harm
2025-06-12
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 2025-07-15
D · Potential for more than minimal harm
2024-03-08
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-04-30
D · Potential for more than minimal harm
2024-03-08
F636 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-04-30
D · Potential for more than minimal harm
2024-03-08
F638 · Resident Assessment and Care Planning Deficiencies
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2024-04-30
D · Potential for more than minimal harm
2024-03-08
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-04-30
D · Potential for more than minimal harm
2024-03-08
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-04-30
D · Potential for more than minimal harm
2024-03-08
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-04-30
D · Potential for more than minimal harm
2024-03-08
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-04-30
D · Potential for more than minimal harm
2024-03-08
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-30
D · Potential for more than minimal harm
2024-03-08
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-04-30
B · Minimal harm
2024-03-08
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2024-04-30
D · Potential for more than minimal harm
2024-02-06
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 2024-03-29
D · Potential for more than minimal harm
2024-02-06
F770 · Administration Deficiencies
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2024-03-29
D · Potential for more than minimal harm
2024-02-06
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 2024-03-29
E · Potential for more than minimal harm
2022-05-26
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2022-08-02
D · Potential for more than minimal harm
2022-05-26
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-08-02
D · Potential for more than minimal harm
2019-09-12
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-10-25
D · Potential for more than minimal harm
2019-09-12
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2019-10-25
Penalties and ownership
What sits behind the stars
$78,553
2025-06-12
Fine
Fine · fine $78,553
Fine
Ownership
American Healthcare LLC
Operational/Managerial Control · Organization
Dalton, Brad
Operational/Managerial Control · Individual
Dalton, Robert
Corporate Officer · Individual
East, Thomas
Corporate Director · Individual
East, Thomas
Corporate Officer · Individual
Gallant, Cassandra
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Westwood Center
Bluefield, VA
1-star overall rating with 1-star inspections with $247,727 in total fines with 18 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Mercer Healthcare Center
Bluefield, WV
2-star overall rating with 2-star inspections with $28,060 in total fines with 22 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Mcdowell Healthcare Center
Gary, WV
4-star overall rating with 4-star inspections with $7,443 in total fines with 9 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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