Heritage Hall Grundy

2966 Slate Creek Road · Grundy, VA · 24614 · 2769358144

120 certified beds For profit - Corporation Chain: Heritage Hall

  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

No standard inspection in over 2 years

The inspection record here is older than usual — conditions may have changed since.

Score breakdown

Inspection record 30% of score 74
Serious harm & abuse 20% 100
Staffing 20% 60
Federal penalties 15% 100
Trend 10% 75
Context 5% 85

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 5 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.163.48 min · 4.1 strong
RN hours / resident-day0.520.55–0.75
Weekend hours / resident-day2.61≈ weekday level
Nursing turnover / year33%median 45%
Fines (3-yr window)none

Inspection citations (24 in the current record)

  • Potential for harm · D February 28, 2023

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected April 26, 2023 · Quality of Life and Care

  • Potential for harm · D February 28, 2023

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected April 26, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E February 28, 2023

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected April 26, 2023 · Environmental

  • Potential for harm · D March 18, 2021

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected April 26, 2021 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 18, 2021

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected April 26, 2021 · Pharmacy Service

  • Potential for harm · E March 18, 2021

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected April 26, 2021 · Pharmacy Service

  • Potential for harm · D March 18, 2021

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected April 26, 2021 · Pharmacy Service

  • Potential for harm · D March 18, 2021

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected April 26, 2021 · Pharmacy Service

  • Potential for harm · D March 18, 2021

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected April 26, 2021 · Resident Assessment and Care Planning

  • Potential for harm · D March 21, 2019

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected May 5, 2019 · Resident Rights

  • Potential for harm · D March 21, 2019

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected May 5, 2019 · Resident Rights

  • Potential for harm · E March 21, 2019

    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 May 5, 2019 · Resident Rights

  • Potential for harm · E March 21, 2019

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected May 5, 2019 · Resident Rights

  • Potential for harm · E March 21, 2019

    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.

    Corrected May 5, 2019 · Resident Rights

  • Potential for harm · D March 21, 2019

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected May 5, 2019 · Resident Assessment and Care Planning

  • Potential for harm · D March 21, 2019

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected May 5, 2019 · Quality of Life and Care

  • Potential for harm · E March 21, 2019

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected May 5, 2019 · Quality of Life and Care

  • Potential for harm · D March 21, 2019

    Ensure medication error rates are not 5 percent or greater.

    Corrected May 5, 2019 · Pharmacy Service

  • Potential for harm · D March 21, 2019

    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 May 5, 2019 · Pharmacy Service

  • Potential for harm · D March 21, 2019

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected May 5, 2019 · Resident Assessment and Care Planning

  • Potential for harm · E March 21, 2019

    Provide and implement an infection prevention and control program.

    Corrected May 5, 2019 · Infection Control

  • Potential for harm · D March 21, 2019

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected May 5, 2019 · Environmental

  • No harm found · C March 21, 2019

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Corrected May 5, 2019 · Resident Rights

  • No harm found · C March 21, 2019

    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.

    Corrected May 5, 2019 · Resident Rights

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495259 · certified since December 11, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.