Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 495135

Heritage Hall Big Stone Gap

41 federal citations on record , and 2 federal enforcement actions totaling $71,620.

Record summary

Federal record · Q1 2026
41
Total citations
5
Last 3 years
6
Actual harm+
2
Federal penalties
$71,620
Total fines
3
Overall ★ rating

Most common violation categories here

Quality of Care13 Care Planning8 Medication & Pharmacy6 Resident Rights5 Abuse & Neglect4

Most common F-tags at this facility

F6843 F6572 F6922 F6982 F7602

Citation history

41 on record
SurveyF-TagViolationSeveritySource
Nov 19, 2024F880Provide and implement an infection prevention and control program.DComplaint
Nov 19, 2024F760Ensure that residents are free from significant medication errors.GComplaint
Nov 19, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Nov 19, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Aug 15, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Feb 1, 2023F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Feb 1, 2023F692Provide enough food/fluids to maintain a resident's health.DStandard
Feb 1, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Feb 1, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Feb 1, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
May 12, 2021F886Perform COVID19 testing on residents and staff.EStandard
May 12, 2021F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
May 12, 2021F761Ensure 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.DStandard
May 12, 2021F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
May 12, 2021F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.GStandard
May 12, 2021F728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.DStandard
May 12, 2021F692Provide enough food/fluids to maintain a resident's health.DStandard
May 12, 2021F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard
May 12, 2021F646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.DStandard
May 12, 2021F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
May 12, 2021F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EStandard
May 12, 2021F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
May 12, 2021F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard
Jun 27, 2019F880Provide and implement an infection prevention and control program.DStandard
Jun 27, 2019F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFStandard
Jun 27, 2019F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Jun 27, 2019F761Ensure 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.DStandard
Jun 27, 2019F760Ensure that residents are free from significant medication errors.DStandard
Jun 27, 2019F758Implement 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.DStandard
Jun 27, 2019F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Jun 27, 2019F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jun 27, 2019F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard
Jun 27, 2019F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Jun 27, 2019F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Jun 27, 2019F660Plan the resident's discharge to meet the resident's goals and needs.DStandard
Jun 27, 2019F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Jun 27, 2019F641Ensure each resident receives an accurate assessment.DStandard
Jun 27, 2019F625Notify 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.EStandard
Jun 27, 2019F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard
Jun 27, 2019F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard
Jun 27, 2019F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $71,620 .

DateTypeFinePayment denial
Nov 19, 2024Fine$40,517—
Aug 15, 2023Fine$31,103—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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