Heritage Hall Big Stone Gap: Staffing, Turnover, and Inspection Record
Heritage Hall Big Stone Gap is a 180-bed for-profit nursing home in Big Stone Gap, Virginia, part of Heritage Hall. In the CMS August 2026 release it reported 1.97 nurse aide hours per resident per day, 5% below the Virginia average of 2.07, and 26.6% nursing staff turnover (Virginia average 48.1%).
Heritage Hall Big Stone Gap
2045 Valley View DriveBig Stone Gap, VA 24219
Wise County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Heritage Hall Big Stone Gap, nurse aides logged 1.97 hours per resident per day, 5% below the Virginia average. With about 166 residents a day, that works out to roughly 326 aide hours a day, or about 41 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 18% below the all-days figure.
| Hours per resident per day | This home | Virginia avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.97 | 2.07 | 2.32 |
| Licensed practical nurses | 0.73 | 1.00 | 0.86 |
| Registered nurses | 0.41 | 0.69 | 0.69 |
| All nursing staff | 3.11 | 3.76 | 3.86 |
| All nursing staff, weekends | 2.56 | 3.29 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
26.6% of nursing staff at Heritage Hall Big Stone Gap left over the year CMS measured, against a Virginia average of 48.1% and a US average of 45.8%. Registered nurse turnover was 6.3%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Feb 1, 2023. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 5 health deficiencies (Virginia average 14.5). CMS lists 1 fine totaling $40,517 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Nov 19, 2024 | Fine | $40,517 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Heritage Hall Big Stone Gap holds 4 of 5 overall; the Virginia average is 3.0.
About Heritage Hall Big Stone Gap
- Ownership: For profit - Corporation
- Chain: Heritage Hall, 15 homes
- Legal name: Big Stone Gap Life Care LLC
- Medicare and Medicaid certified since: Feb 10, 1983
- Councils: resident council
- Area: rural
Nursing homes near Heritage Hall Big Stone Gap
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Norton Community Hospital SNF Unit Norton | 7.2 | 44 | 2.52 | 7.23 | 11.8% | 5 | $10,400 |
| Ridgecrest Manor Nursing & Rehabilitation Duffield | 11.5 | 120 | 1.88 | 3.59 | 37.0% | 4 | None |
| Heritage Hall Wise Wise | 12.6 | 97 | 2.20 | 3.58 | 37.9% | 4 | None |
| Tri Cities Rehabilitation and Healthcare Center Cumberland | 16.4 | 85 | 2.36 | 3.75 | 41.4% | 2 | $5,346 |
| Letcher Manor Whitesburg | 16.7 | 142 | 2.23 | 3.47 | 46.2% | 2 | None |
| Lee Health And Rehab Center Pennington Gap | 18.4 | 110 | 2.03 | 3.47 | 39.3% | 5 | None |
| Nova Health and Rehab Weber City | 20.8 | 90 | 1.84 | 3.24 | 55.0% | 5 | None |
| Asbury Place Kingsport Kingsport | 23.5 | 67 | 1.71 | 3.48 | 34.5% | 5 | $23,604 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.