Federal inspection record · CMS data as of October 1, 2026
Heritage Hall Wise
9434 Coeburn Mountain Road, Wise, VA · (276) 328-2721
- Certified beds
- 97
- Residents per day
- 90
- Ownership
- For-Profit
- Chain
- Heritage Hall
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Virginia.
-
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.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Virginia homes
Heritage Hall Wise carries 17 inspection points. That is fewer than 89% 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
Quality of Life and Care7D
- D
Provide safe and appropriate respiratory care for a resident when needed.
- 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 treatment and care according to orders, resident’s preferences and goals.
- 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.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Resident Assessment and Care Planning4D
- D
Ensure each resident receives an accurate assessment.
- 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
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.
Pharmacy Service4D
- D
Ensure medication error rates are not 5 percent or greater.
- 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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure that residents are free from significant medication errors.
Resident Rights2D
- D
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Nutrition and Dietary1D
- D
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.
Administration1D
- D
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2024-08-01
3 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2021-08-16
8 health deficiencies · 4 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2019-09-26
9 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 32 min of nursing staff time a day, 20 min of it from a registered nurse.
This home
3 h 32 min
Virginia average
3 h 53 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 34% of nursing staff and 56% 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 days1.3 pts worse | 2.7 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.8 pts worse | 3.2 | 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 injury5.1 pts worse | 8.6% | 3.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms20.1 pts better | 0.4% | 20.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.2 pts worse | 8.5% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.5 pts better | 14.2% | 20.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.8 pts worse | 17.0% | 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 worsened2.6 pts worse | 16.8% | 14.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.3 pts better | 11.2% | 14.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts worse | 0.8% | 0.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infectionAbout the same | 1.6% | 1.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.1 pts better | 12.2% | 21.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.5 pts better | 3.9% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine20.1 pts better | 94.3% | 74.2% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.6 pts better | 9.9% | 11.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts better | 1.2% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine23 pts better | 96.3% | 73.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.4 pts better | 21.6% | 22.0% | 23.4% |
·
Who owns and runs it
19 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 | 0% | 14 facilities |
| American Healthcare LLC | Operational/Managerial Control · Organization | 0% | 14 facilities |
| American Healthcare LLC | Adp Of The SNF · Organization | 0% | 14 facilities |
| Dalton, Brad | Corporate Officer · Individual | 0% | 12 facilities |
| Dalton, Brad | Operational/Managerial Control · Individual | 0% | 12 facilities |
| Dalton, Brad | Adp Of The SNF · 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 | Operational/Managerial Control · Individual | 0% | 14 facilities |
| East, Thomas | Adp Of The SNF · Individual | 0% | 14 facilities |
| Gallant, Cassandra | Operational/Managerial Control · Individual | 0% | 15 facilities |
| Hopkins, William | Corporate Director · Individual | 0% | 17 facilities |
| Jackson, Dustin | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Jackson, Dustin | Adp Of The SNF · Individual | 0% | 1 facilities |
| Kumar, Vijay | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Kumar, Vijay | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
4 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Services2F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Have properly installed electrical wiring and gas equipment.
Miscellaneous2E
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
·
Other homes nearby
-
Norton Community Hospital SNF Unit
Norton, VA
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 5 h 59 min
- Fines
- $6,760
-
Heritage Hall Big Stone Gap
Big Stone Gap, VA · Heritage Hall
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 5 min
- Fines
- $40,517
-
Heritage Hall Clintwood
Clintwood, VA · Heritage Hall
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 42 min
- Fines
- $0