Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Heritage Hall Blacksburg during CMS and state inspections, most recent first.
Staff failed to enforce the facility’s smoking and vaping policy by allowing multiple residents to keep vapes and, in at least one case, marijuana in their rooms, rather than securing these items in locked areas as required. Residents with intact cognition and significant medical conditions, including hemiplegia, CKD, cervical spine injury, diabetes with neuropathy, Alzheimer’s disease, and chronic pain, reported possessing and independently charging vapes in their rooms. Staff across disciplines, including CNAs, LPNs, housekeeping, and the SW, repeatedly noticed or were told about marijuana odors and resident vape use, particularly around certain rooms, but these observations were not consistently reported or documented, and care plans and safe smoking assessments often did not reflect actual vape or THC use.
A resident with significant cognitive impairment and multiple diagnoses experienced an 11.50% weight loss over five months. Despite ongoing documentation and dietary interventions by the RD, the facility failed to notify the responsible party of the resident's significant weight loss, as required by their policy. The DON confirmed the lack of notification during the survey.
The facility staff failed to ensure accurate MDS assessments for two residents, resulting in incorrect discharge coding. One resident was coded as discharged home but was actually admitted to a hospital for CHF, while another was coded as discharged to a hospital but was sent home. These errors were acknowledged by the MDS coordinator and discussed with facility leadership.
A resident with a history of nausea and vomiting was unable to receive Zofran as it was not available in the medication cart. Despite a pharmacy delivery of 12 tablets, only one dose had been administered. The DON suggested the medication might have been removed during a MAR to cart check, and it was later received via a STAT delivery.
A resident with multiple health conditions, including hypertension and cognitive impairment, was administered Hydralazine despite having systolic blood pressure readings below the prescribed threshold for withholding the medication. The facility's policy required checking vital signs before administering medications, but this was not adhered to, leading to the administration of unnecessary medication.
Three residents in a LTC facility experienced significant medication errors. One resident did not receive Lantus, Humalog, and Bactrim DS as ordered, despite having a supply on site. Another resident did not receive Lagevrio for COVID-19, even though it was delivered. A third resident received insulin outside the prescribed parameters. These errors highlight failures in medication administration and adherence to physician orders.
Facility staff failed to document baths for a resident with severe cognitive impairment in the electronic medical record. The DON provided worksheets intended as bath sheets, but they did not explicitly document bathing and were not found in the resident's clinical record. The facility's policy required documentation of all services provided, which was not followed.
Facility staff failed to follow infection control guidelines, leading to unsanitary conditions for two residents. Urine collection containers were improperly stored in a shared bathroom, and soiled linens were placed on the floor instead of being bagged. These actions were observed by surveyors and acknowledged by facility staff, highlighting deficiencies in adherence to infection prevention protocols.
Unsecured Vapes and Illicit Substances in Resident Rooms
Penalty
Summary
Facility staff failed to ensure that electronic cigarettes (vapes) and illicit substances were securely stored and controlled, contrary to the written smoking policy prohibiting smoking/vaping inside the facility and prohibiting residents from keeping smoking paraphernalia in their possession. The policy required all such items to be kept at the nurse’s station, in the med room, or another locked safe area. Despite this, multiple residents reported having vapes in their rooms and charging them independently, and staff interviews and documentation showed a pattern of noncompliance with the smoking policy and lack of secure storage of these items. One resident with hemiplegia, generalized muscle weakness, chronic kidney disease, and intact cognition was care planned as an active smoker with a history of noncompliance and prior loss of smoking privileges. The care plan included an intervention to ensure smoking items were stored correctly per policy, but the resident reported that he vaped, kept his vape in his room, and charged it without staff assistance. The social worker reported having taken multiple marijuana and nicotine vapes from this resident’s room in the past, most recently a few months before the survey, with the items found in plain sight. The resident’s safe smoking assessment did not address vape use, and staff interviews showed that, although the activities department stated vapes were to be locked and only used at designated smoking times, they had only “heard” that residents had vapes and had not observed them. Another resident with a history including cervical vertebrae dislocation, chronic pain syndrome, generalized muscle weakness, and intact cognition was care planned for a history of smoking with a goal not to smoke without supervision, but the safe smoking assessment listed the resident as a non-smoker. This resident stated he had a vape in a tote bag on his bed, that staff allowed him to vape while in bed, and that he charged the vape himself using his phone charger. A third resident, with diabetes, neuropathy, need for continuous supervision, and intact cognition, was care planned as a smoker with a history of noncompliance and documented vape use. A surveyor noted an odor resembling marijuana from this resident’s room after another resident entered and closed the door; the administrator also noted the odor, and later the resident admitted to having marijuana in his room and turned over a small baggie and a lighter. Multiple staff, including LPNs, CNAs, housekeepers, and a unit manager, reported smelling marijuana in or near this resident’s room over time, but the social worker, who stated she had received such reports and requested room searches, had not documented these conversations, and the clinical record contained no documentation of these reports or requests. A fourth resident with Alzheimer’s disease, major depressive disorder, generalized arthritis, generalized muscle weakness, and intact cognition was documented in a physician progress note as reporting THC vape use for pain management. The resident’s care plan did not address smoking status, and the safe smoking assessment listed the resident as a non-smoker. This resident stated she did not smoke cigarettes but had a vape in her room and could charge it without staff assistance. Staff interviews indicated that CNA and housekeeping staff had noticed marijuana odors in the hallway and specifically from the vicinity of this resident’s room, but some staff did not report these odors because they were unsure of the source. The physician later stated he knew the resident used THC for pain control but had no knowledge that she was using it in the facility. Across these residents, the facility’s own policy requiring secure storage of vapes and smoking materials and prohibiting unauthorized controlled substances was not implemented, and staff reports and observations of marijuana odors and resident possession of vapes were not consistently documented or acted upon in a manner that ensured secure storage and prevention of misuse or hazards.
Failure to Notify Responsible Party of Significant Weight Loss
Penalty
Summary
The facility staff failed to notify the responsible party of a resident's significant weight loss, which was a deficiency identified during the survey. The resident, who had diagnoses including gastroesophageal reflux disease, unspecified dementia with psychotic disturbance, major depressive disorder, and anxiety disorder, experienced an 11.50% weight loss over five months. Despite ongoing documentation by the Registered Dietician (RD) regarding the resident's weight loss and recommendations for dietary interventions, there was no evidence that the responsible party was informed of the resident's condition. The resident's weight decreased from 127 pounds in March to 111 pounds by the end of August. The RD's notes indicated various interventions, such as adding house supplements and initiating restorative dining, but the facility's policy requiring notification of significant changes in a resident's condition was not followed. During the survey, the Director of Nursing confirmed that they could not verify that the responsible party had been notified of the weight loss, which was expected according to the facility's policy.
Inaccurate MDS Coding for Resident Discharges
Penalty
Summary
The facility staff failed to ensure accurate minimum data set (MDS) assessments for two residents, leading to incorrect coding of their discharge statuses. For one resident, the MDS was incorrectly coded as the resident being discharged home, while the clinical record indicated that the resident was admitted to a hospital for congestive heart failure at the request of the resident's wife. This discrepancy was identified during a review of the resident's clinical records and was acknowledged by the MDS coordinator as an error. Similarly, another resident's MDS was incorrectly coded as discharging to an acute hospital, whereas the clinical record showed that the resident was discharged home. This error was also recognized by the MDS coordinator. Both instances of incorrect coding were discussed with the facility's administrative and nursing leadership, but no further information was provided before the surveyor's exit.
Medication Unavailability for Resident
Penalty
Summary
The facility staff failed to ensure that Zofran, a medication used to treat nausea and vomiting, was available for administration to a resident. This resident had a history of several medical conditions, including Nausea and Vomiting, GERD, Alzheimer's Disease, and others. The resident was cognitively intact, as indicated by a BIMS score of 15 out of 15. The resident's care plan included administering medications as ordered, and there was a specific order for Zofran 4 mg by mouth every six hours as needed for nausea/vomiting. During a medication administration observation, the resident requested medication for an upset stomach, but the LPN was unable to locate the Zofran in the medication cart. The pharmacy confirmed that 12 tablets of Zofran had been delivered to the facility, and only one dose had been administered since delivery. The Director of Nursing later stated that the Zofran might have been removed during a MAR to cart check, and the medication was subsequently received via a STAT delivery from the pharmacy. No further information was provided to the survey team before the exit conference.
Failure to Withhold Hydralazine for Low Systolic BP
Penalty
Summary
The facility staff failed to ensure that a resident was free from unnecessary medication, specifically Hydralazine, which is used to treat hypertension. The resident had multiple diagnoses, including muscle weakness, cognitive communication deficit, dementia, atrial fibrillation, congestive heart failure, hypertension, peripheral vascular disease, and cerebral infarction. The resident's cognitive abilities were moderately impaired, as indicated by a BIMS score of 10 out of 15. Despite having an active medical order to hold Hydralazine if the resident's systolic blood pressure was less than 120, the medication was administered on several occasions when the resident's systolic blood pressure was below this threshold. The medication administration records (MAR) for June, July, and August 2024 showed that the resident received Hydralazine on multiple dates with systolic blood pressures recorded as low as 79, 91, 103, 108, and 118, and on one occasion, no systolic blood pressure was recorded. The facility's policy on administering medications required that medications be administered as prescribed and that vital signs be checked and verified prior to administration. This deficiency was discussed with the facility's administration and clinical staff, but no further information was provided to the survey team before the exit conference.
Medication Administration Errors in LTC Facility
Penalty
Summary
The facility staff failed to ensure that three residents were free from significant medication errors. For one resident, the staff did not administer Lantus, Humalog, and Bactrim DS as ordered by the provider. The resident, who was cognitively intact, had a diagnosis of Type 2 Diabetes Mellitus among other conditions. The Medication Administration Record (MAR) showed multiple instances where Lantus and Humalog were not administered as ordered, and the first dose of Bactrim DS was missed due to the medication not being available, despite the facility having a supply on site. Another resident, who was also cognitively intact, did not receive Lagevrio, an oral antiviral for COVID-19, as ordered. The resident tested positive for COVID-19 and had a provider order for Lagevrio, but the MAR indicated that the medication was not administered on two occasions. The facility's pharmacy representative confirmed that the medication was delivered and signed for, yet it was not given to the resident as prescribed. A third resident, who was severely cognitively impaired, received insulin outside the physician-ordered parameters on six occasions. The resident's care plan included diabetes management, and the physician's order specified insulin administration only for blood glucose levels greater than 180. However, the MAR showed insulin was administered when the resident's blood sugar was below this threshold. The Director of Nursing acknowledged that the insulin should not have been administered on those days, indicating a failure to adhere to prescribed medication orders.
Failure to Document Resident Baths
Penalty
Summary
The facility staff failed to maintain complete and accurate clinical documentation for a resident, specifically regarding the documentation of baths in the electronic medical record. The resident in question had multiple diagnoses, including anxiety disorder, muscle weakness, need for assistance with personal care, unspecified dementia with psychotic disturbance, and major depressive disorder. The resident's minimum data set (MDS) assessment indicated severe cognitive impairment. Upon review, the surveyor was unable to locate any documentation of baths for the resident during the month of August. During the survey, the facility's Director of Nursing (DON) provided worksheets that were intended to serve as bath sheets, but these did not explicitly document that the resident was bathed. Instead, they only noted skin concerns. The DON acknowledged that these worksheets were supposed to be scanned into the resident's clinical record, but they were not found. The facility's policy on charting and documentation required that all services provided to the resident be documented in the medical record, which was not adhered to in this case.
Infection Control Deficiencies in Resident Care
Penalty
Summary
The facility staff failed to adhere to infection prevention and control guidelines, resulting in unsanitary conditions for two residents. For one resident, urine collection containers were not returned to the bedside after use and were left in a shared bathroom, which was used by four residents. This oversight was confirmed by a family member and observed by a surveyor, who noted a strong odor of urine and the presence of a urine bag hanging on a grab bar beside the commode. The facility's Director of Nursing and Infection Preventionist acknowledged that the containers should have been emptied, cleaned, and stored at the resident's bedside, as per facility expectations. However, the facility's policy did not specifically address the handling of urine collection bags, leading to this deficiency. In another instance, a resident's soiled linens were placed on the floor instead of being bagged immediately, as required by the facility's policy on handling contaminated laundry. This was observed by a surveyor during a facility round and confirmed by a Certified Nursing Assistant, who admitted that placing linens on the floor was not standard practice. The Infection Preventionist reiterated that soiled linens should be bagged at the point of collection. Despite discussions with the facility's administrative and clinical leadership, no additional information or corrective measures were provided to the survey team before the exit conference.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Blacksburg
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Wybe And Marietje Kroontje Health Care Center | 1.2 mi | ★★★★★ | 0 | 0 |
| Radford Health And Rehab Center | 9.7 mi | ★★★★★ | 0 | 0 |
| Highland Ridge Rehab Center | 16 mi | ★★★★★ | 18 | 0 |
| Richfield Health Center - Salem | 16.7 mi | ★★★★★ | 0 | 0 |
| Skyline Nursing & Rehabilitation | 19.5 mi | ★★★★★ | 11 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.