Norton, VA · Wise County
★★★★★CMS 5/544 bedsNon-profitMedicaid
- Nurse hours
- 7.23 /day
- Staff turnover
- 12%
- Serious cites
- 0
Norton Community Hospital's skilled nursing unit runs on unusually heavy staffing: 7.23 nurse hours per resident day, roughly double the national figure. Turnover sits at 11.8 percent against a national average near 46 percent, so the people caring for residents tend to stay. The trade-off is a longer deficiency record, 21 findings, one serious enough to involve harm, though nothing abuse-related, and the last inspection was recent. A single $10,400 fine is modest by industry standards. Weekend coverage dips about 12 percent below weekday levels, worth asking about if your family visits on Saturdays or Sundays. For a 44-bed nonprofit unit, the numbers point to consistent hands-on care with some paperwork problems behind it.
Big Stone Gap, VA · Wise County
★★★★☆CMS 4/5180 bedsFor-profitMedicaid
- Nurse hours
- 3.11 /day
- Staff turnover
- 27%
- Serious cites
- 0
Heritage Hall Big Stone Gap runs about 180 beds under corporate ownership, and the staffing numbers are the first thing to notice: 3.11 nurse hours per resident day against a national average of 3.86, with weekends roughly 18% thinner than weekdays. That shortfall sits behind a 2-out-of-5 staffing rating, even as the home's quality measure score comes in at 5. Staff turnover is genuinely better than most, 26.6% against a national 45.8%, but the inspection record is heavy: 41 deficiencies, six at harm or jeopardy level, four tied to abuse, and $71,620 in fines. The last full inspection was February 2023, so that record is aging.
Wise, VA · Wise County
★★★★☆CMS 4/597 bedsFor-profitMedicaid
- Nurse hours
- 3.58 /day
- Staff turnover
- 38%
- Serious cites
- 0
Heritage Hall Wise runs 3.58 nurse hours per resident day, about 7% under the national average of 3.86, and weekend staffing drops roughly 17% below its own weekday level. Turnover is 37.9%, better than the national 45.8%, so the concern here isn't churn, it's raw coverage. Inspections are a relative strength: 4 of 5 stars, 20 deficiencies on record with none at harm level and none abuse-related, last surveyed August 2024. Quality measures and staffing each earned 2 of 5 stars, and that split tells the story, a home that inspects clean but runs thin, especially on weekends. If your family member needs frequent hands-on help, ask how weekend shifts are actually covered.