Heritage Hall Big Stone Gap
2045 VALLEY VIEW DRIVE, Big Stone Gap, VA 24219
Big Stone Gap, Virginia · CMS verdict
Heritage Hall Big Stone Gap's CMS overall star rating runs in line with the Virginia state average (3.0) and reflects average quality by the federal five-star measure.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Heritage Hall Big Stone Gap in Big Stone Gap, Virginia holds a CMS overall rating of 3 of 5 stars and a PlainElderCare Quality & Compliance Index of 51 of 100 (grade F). Its CMS inspection record lists multiple deficiencies. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (heavier deficiency book)
Its CMS deficiency count sits in the heavier U.S. deficiency tercile (>31). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall star rating shown at the top of the page. How this is calculated.
How the 51 is built
Each segment is a dimension's weighted points toward the score, summing to 51.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Heritage Hall Big Stone Gap's heavier CMS deficiency book
Quality ratings
On Care Compare (data as of April 2026), the overall star is a roll-up of three separately tracked sub-ratings: health inspection, staffing, and quality measures. The comparison chart below shows where each one sits relative to Virginia.
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Big Stone Gap, Virginia. Bed capacity and average daily census, where CMS reports them, are in Facility details below. Its ownership type, listed in Facility details, can influence staffing patterns, reinvestment decisions, and admissions policy. At about 91% occupancy, this facility's bed usage looks steady and consistent with a stabilized operation.
Same-ownership peers
Within Virginia, Heritage Hall Big Stone Gap is one of 113 for profit - corporation nursing homes CMS rates. Its 3-star overall rating sits above the for profit - corporation-segment average of 2.6 stars, ahead of roughly 50% of same-ownership peers in the state. Comparing a facility against its own ownership segment holds the business model roughly constant, which helps isolate facility-level performance from the staffing and reinvestment patterns that differ across for-profit, non-profit, and government operators.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility; the counts are in Facility details below. CMS has levied enforcement penalties - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Heritage Hall Big Stone Gap compares to Virginia
CMS five-star sub-ratings (0–5) for this facility against the Virginia facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Virginia state average. Higher is better on all four CMS measures.
Where Heritage Hall Big Stone Gap ranks in Virginia
Among the 285 CMS-rated nursing homes in Virginia, Heritage Hall Big Stone Gap’s 3-star overall rating is higher than 39% of them. The bars show how all Virginia homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
58 Virginia homes share this 3-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 180 |
| Residents | 164 |
| Ownership | For profit - Corporation |
| County | Wise |
| Penalties | 2 |
| Deficiencies | 41 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What families ask about Heritage Hall Big Stone Gap's inspection record
What is the quality rating for Heritage Hall Big Stone Gap? ▾
Heritage Hall Big Stone Gap has an overall CMS quality rating of 3 out of 5 stars. The health inspection, staffing, and quality measures sub-ratings behind it are compared with the Virginia average in the chart on this page.
How much does a nursing home cost per month in Virginia? ▾
CareScout's 2025 survey puts Virginia's median semi-private nursing home rate at $10,250 per month ($123,005 per year), with private rooms averaging $11,680 per month.
What services does Heritage Hall Big Stone Gap offer? ▾
Heritage Hall Big Stone Gap is a skilled nursing facility. CMS Care Compare does not list individual services or therapies, so ask the facility directly which it provides. Its bed capacity, census, and ownership type are in the Facility details table on this page.
Does Heritage Hall Big Stone Gap have any deficiencies or penalties? ▾
Heritage Hall Big Stone Gap has multiple deficiencies and enforcement penalties recorded by CMS; the counts are in the Facility details table. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Virginia? ▾
In Virginia, alternatives include assisted living ($6,945/mo), home health aides ($6,673/mo), and adult day care ($1,750/mo).
Keep reading
Also see the Virginia elder-care overview and highest-rated states. Provider ID: 495135.
Read our methodology - how this data is sourced, computed, and verified.