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 Front Royal during CMS and state inspections, most recent first.
A resident was transferred to the hospital for hyperkalemia and acute CKD, but the facility failed to include the comprehensive care plan goals in the transfer documentation. An LPN admitted to not sending the required information, initially unaware of the requirement, despite facility policy mandating its inclusion. The administrative staff were informed of the deficiency.
The facility failed to develop and implement comprehensive care plans for three residents, leading to deficiencies in care. One resident's care plan did not include the use of bed rails despite physician orders, another resident on Warfarin lacked documented monitoring for side effects, and the same resident's care plan was not updated for antibiotic use. These issues were acknowledged by the staff responsible for care plan updates.
The facility failed to monitor side effects of anticoagulant medications for two residents, leading to a deficiency. One resident, moderately impaired in decision-making, was on Xarelto for atrial fibrillation, while another, not cognitively impaired, was on Coumadin. Both care plans included monitoring for bleeding and bruising, but documentation was lacking. An LPN confirmed the absence of a specific area for documenting side effect monitoring.
Failure to Provide Comprehensive Care Plan Goals During Hospital Transfer
Penalty
Summary
The facility staff failed to provide all required documentation during a hospital transfer for a resident, specifically omitting the comprehensive care plan goals. The incident involved a resident who was transferred to the emergency department due to hyperkalemia and acute chronic kidney disease. The nurse's note indicated that the resident was experiencing increased fatigue and was administered subcutaneous normal saline before being sent to the hospital. However, upon review, it was found that the comprehensive care plan goals were not included in the transfer documentation. During an interview, the LPN responsible for completing the hospital transfer documents admitted to not sending the care plan goals and initially stated she was unaware of the requirement. The facility's policy mandates that comprehensive care plan goals must be communicated to the receiving facility during transfers. Despite this policy, the necessary documentation was not provided, and the administrative staff were informed of the findings, but no further information was provided by the end of the survey.
Deficiencies in Comprehensive Care Plan Development and Implementation
Penalty
Summary
The facility staff failed to develop and implement comprehensive care plans for three residents, leading to deficiencies in care. For one resident, the staff did not include the use of bed rails in the comprehensive care plan, despite the resident's severe cognitive impairment and the physician's order for bed rail use. Observations confirmed the use of bed rails, but the comprehensive care plan lacked documentation of this intervention. The LPN responsible for transferring information from the baseline care plan to the comprehensive care plan admitted that the bed rails were overlooked. Another resident was on anticoagulation therapy with Warfarin, which required monitoring for side effects such as bleeding and bruising. The comprehensive care plan included these interventions, but the nurse's notes did not document any monitoring for side effects. An LPN acknowledged the lack of a specific area to document such monitoring and stated that CNAs report changes to the nursing staff, but there was no formal documentation process in place. Additionally, the same resident was prescribed an antibiotic for an upper respiratory infection, but the comprehensive care plan was not updated to reflect this treatment. The LPN responsible for updating care plans admitted that she intended to develop a care plan for the antibiotic use but failed to do so. These oversights were brought to the attention of the facility's administrative and nursing staff, but no further information was provided before the survey exit.
Failure to Monitor Anticoagulant Side Effects
Penalty
Summary
The facility staff failed to monitor the side effects of anticoagulant medications for two residents, leading to a deficiency in care. For Resident #7, who was moderately impaired in making daily decisions, the facility did not document the monitoring of side effects for Xarelto (Rivaroxaban), prescribed for atrial fibrillation. The comprehensive care plan indicated the resident was at risk for bleeding and bruising due to anticoagulation therapy, with interventions to evaluate for blood in stools, bruising, hematuria, and other signs of bleeding. However, there was no specific documentation area for monitoring these side effects, as confirmed by an LPN during an interview. Similarly, for Resident #14, who was not cognitively impaired, the facility failed to document the monitoring of side effects for Coumadin (Warfarin), also prescribed for atrial fibrillation. The care plan for this resident included similar interventions to monitor for bleeding and bruising, but the nurse's notes did not evidence any documentation of such monitoring. The LPN interviewed acknowledged the lack of a specific area to document monitoring and stated that changes in the resident's condition were reported by CNAs. The deficiency was brought to the attention of the facility's administrative and nursing staff, including the administrator, administrator in training, regional nurse consultant, director of nursing, and assistant director of nursing. Despite being informed of the concern, no further information or corrective actions were provided before the survey exit.
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Illustrative
What surveyors actually found near you
We read the 66 citations issued within 25 miles in the last 12 months — including the 3 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Front Royal
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lynn Care Center | 1.3 mi | ★★★★★ | 20 | 2 |
| Evergreen Health And Rehabilitation Center | 15.6 mi | ★★★★★ | 6 | 0 |
| Woodstock Valley Health And Rehabilitation | 17.1 mi | ★★★★★ | 31 | 1 |
| The Village At Orchard Ridge | 17.5 mi | ★★★★★ | 0 | 0 |
| Skyline Terrace Conv Home | 17.6 mi | ★★★★★ | 5 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.