HERITAGE HALL

Nurse hours

3.37 /day

Staff turnover

30%

Serious cites

0

Heritage Hall-Leesburg runs lean on nursing hours, 3.37 per resident day against a national average of 3.86, and weekends get thinner still, about 13 percent below its own weekday coverage. What offsets that is consistency in who shows up: turnover of 29.9 percent is well under the national 45.8 percent, meaning families see familiar faces even if there are fewer of them per shift. The inspection record is clean where it counts, with 11 deficiencies on file and none involving harm, jeopardy, or abuse, and a January 2025 survey keeps that picture current. Quality measures score at the top of CMS's scale, though the staffing rating sits mid-range, which is the tension running through this 164-bed for-profit home.

Nurse hours

3.23 /day

Staff turnover

38%

Serious cites

0

South Roanoke Nursing and Rehabilitation runs on thinner nurse staffing than most homes, 3.23 hours per resident day, roughly 16 percent under the national average, and weekends drop about 13 percent below its own weekday coverage. Turnover sits at 38.2 percent, better than the 45.8 percent national figure, so the crew that is there tends to stay. Inspections are current, with a visit in April 2025, and the 39 deficiencies on record include none tied to harm or abuse. The quality measures look strong on paper, but a two-star inspection history suggests rule-following has been uneven, and the staffing gap is the number a family should weigh hardest.

Nurse hours

3.05 /day

Staff turnover

44%

Serious cites

0

Heritage Hall Lexington runs 60 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.05 hours per resident day, roughly 21% under the national average of 3.86. Weekend coverage drops about 11% below what the home staffs on weekdays. Annual turnover lands at 44.2%, just under the national figure of 45.8%, so retention here isn't the problem. The inspection record is where you'll want to focus: 19 deficiencies on file, including 2 at the harm or jeopardy level and 1 abuse-related, though the most recent inspection came recently, in August 2025. Quality measure scores look strong, but those come largely from resident assessment data the home reports itself, worth weighing against what surveyors actually found.

Nurse hours

3.69 /day

Staff turnover

47%

Serious cites

0

Heritage Hall Front Royal sits in Warren County with 60 certified beds under for-profit LLC ownership, and its inspection record is genuinely strong, six deficiencies on file, none at the harm level, none abuse-related, and the most recent inspection was May 2024. The quality measures also score well. Where it slips is staffing: 3.69 nurse hours per resident day falls about 4% under the national average, weekends run roughly 12% thinner than weekdays, and turnover hits 47.4%. That combination, careful care on paper, thinner coverage on the floor, is what pulls an otherwise solid record down to a B.

Nurse hours

3.34 /day

Staff turnover

20%

Serious cites

0

Heritage Hall in Laurel Fork runs 3.34 nurse hours per resident per day, about 14% under the national average, and weekends dip roughly 14% below its own weekday staffing. Turnover is the bright spot: 19.6% against a national average of 45.8%, so the aides and nurses you meet are more likely to still be there next year. Inspectors gave the place a perfect health inspection record, with 12 deficiencies on file but none involving harm or abuse, and the most recent visit was December 2023. The trade-off is real, though: thinner daily coverage than most homes, especially on Saturdays and Sundays, even as the care itself has held up under scrutiny.

Nurse hours

3.43 /day

Staff turnover

49%

Serious cites

0

Heritage Hall-Blackstone runs 180 certified beds under for-profit LLC ownership, and the staffing numbers are the part I'd pay closest attention to. At 3.43 nurse hours per resident day, it sits roughly 11% under the national average of 3.86, and weekends drop about 18% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover of 49.3% tops the national 45.8%, meaning the people caring for your relative are likely to change. Its current record shows 33 deficiencies, none at harm or jeopardy level but two tied to abuse. The last inspection was May 2023, so that picture is getting old.

Nurse hours

3.00 /day

Staff turnover

37%

Serious cites

0

Heritage Hall Grundy runs lean on nurses. At 3.00 hours per resident day, staffing sits roughly 22 percent under the national average of 3.86, and weekends drop about 17 percent below what the home itself staffs on weekdays, so the thinnest coverage lands when families tend to visit. Turnover, though, is a genuine bright spot: 37.4 percent against a national 45.8 percent, meaning aides and nurses here stick around longer than at the typical home. The inspection record is mixed. Twenty-four deficiencies with none at the harm level, one tied to abuse, and the last full look was February 2023, a stretch of time without a fresh survey. Strong marks on quality measures don't cancel out a staffing number this far below average.

Nurse hours

3.21 /day

Staff turnover

31%

Serious cites

0

Heritage Hall King George runs on 3.21 nurse hours per resident day, roughly 17 percent under the national average of 3.86, and weekend coverage drops about 18 percent below its own weekday levels, so the thinnest shifts land when families tend to visit. The inspection record is where the real concern sits: 53 deficiencies, three of them at harm or jeopardy level and one abuse-related, with four fines totaling $63,359 and no health inspection since September 2022. Staff turnover at 30.6 percent actually beats the national 45.8 percent, which suggests the problem isn't retention. A 4/5 on quality measures means the care processes look good on paper, but a for-profit LLC with that deficiency history and a two-year inspection gap is worth asking hard questions about.

Nurse hours

3.58 /day

Staff turnover

38%

Serious cites

0

Heritage Hall-Rich Creek runs 120 certified beds in Giles County under for-profit LLC ownership, and its staffing sits at 3.58 nurse hours per resident day, roughly 7% under the national average of 3.86. Weekends drop about 18% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 38.4%, which is actually better than the 45.8% national figure. The current record shows 20 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in March 2024. State inspectors rated it 4 out of 5; the federal staffing measure came in at 2.

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.

Nurse hours

2.98 /day

Staff turnover

40%

Serious cites

0

Heritage Hall - Brookneal runs 60 beds under corporate ownership, and its inspection record is the strongest thing about it: a five-star health inspection rating in mid-2024, with 13 deficiencies on file and none of them involving actual harm or abuse. The staffing numbers tell a different story. At 2.98 nurse hours per resident day, it sits roughly 23 percent under the national average, and weekends run about 18 percent thinner than weekdays, so the coverage your family member gets on a Saturday is lighter than on a Tuesday. Turnover at 40 percent is slightly better than the 45.8 percent national figure, which helps, but it doesn't close the hours gap.

Nurse hours

3.23 /day

Staff turnover

43%

Serious cites

0

Heritage Hall Blacksburg runs a 179-bed for-profit operation where the inspection record is the strong part, a 4-out-of-5 health inspection rating, with the most recent survey in August 2024 and 22 deficiencies on file, two of them serious enough to involve harm or jeopardy and one abuse-related. Staffing is where the numbers get thin: 3.23 nurse hours per resident day sits roughly 16 percent under the national average of 3.86, and weekends drop another 16 percent below the home's own weekday coverage. Turnover at 42.9 percent is slightly better than the 45.8 percent national figure, so the issue isn't so much retention as how many hands are scheduled at once.

Nurse hours

3.67 /day

Staff turnover

41%

Serious cites

0

Heritage Hall Clintwood runs a fairly tight ship on the things inspectors can see. Its last health inspection was in June 2024, and the 18 deficiencies on record include none at the harm or jeopardy level and nothing abuse-related, that's an inspection record that earns a 4-star rating from CMS. The staffing picture is thinner than it looks: 3.67 nurse hours per resident day sits about 5% under the national average, and weekends drop roughly 19% below the home's own weekday coverage. Turnover at 40.9% is actually better than the 45.8% national figure, so leadership isn't the problem. The softer spot is the 2-star quality measure rating, which tracks how residents are actually doing day to day.

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.

Nurse hours

2.95 /day

Staff turnover

55%

Serious cites

0

Heritage Hall Dillwyn runs on thin staffing. At 2.95 nurse hours per resident per day, it sits about 24 percent under the national average of 3.86, and weekends dip roughly 17 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 55.2 percent outpaces the national 45.8 percent, meaning aides and nurses cycle through often. The current record shows 25 deficiencies, none at harm or jeopardy level, though one is abuse-related, and the last inspection was March 2024. A four-star inspection rating and a two-star quality measure score sit alongside that one-star staffing picture; the state surveyors have generally been satisfied, but the day-to-day floor coverage is where the concern lives.