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 Wise during CMS and state inspections, most recent first.
The facility staff inaccurately completed MDS assessments for two residents. One resident was incorrectly documented as receiving anticoagulant medications instead of antiplatelet medications, despite clinical records showing orders for aspirin and Plavix. Another resident's discharge MDS was wrongly coded as a discharge to a hospital, while the resident was actually discharged home. These errors were identified during a review of clinical records and discussed with facility leadership.
Two residents' comprehensive care plans were not updated to reflect current treatment orders, leading to discrepancies in documented care. One resident's plan did not include the current order for Unna boots for edema, while another's plan inaccurately documented oxygen use. The MDS coordinator and a nurse confirmed these discrepancies during the survey.
A resident with severe cognitive impairment and respiratory issues was not provided with provider-ordered oxygen due to a failure in updating the care plan and medication records. The resident's oxygen order was not included in the MAR, and staff confirmed the resident never wore oxygen, leading to the discontinuation of the order.
Inaccurate MDS Assessments for Two Residents
Penalty
Summary
The facility staff failed to accurately complete Minimum Data Set (MDS) assessments for two residents, leading to deficiencies in the documentation of their medical records. For one resident, the MDS assessment was incorrectly coded to indicate the resident was receiving anticoagulant medications, while they were actually receiving antiplatelet medications. This resident had diagnoses including hemiplegia, hemiparesis following cerebral infarction, and heart failure. The error was identified during a review of the resident's clinical records, which showed provider orders for aspirin and Plavix, both classified as antiplatelet medications. For another resident, the discharge MDS was inaccurately coded to indicate the resident was discharged to a short-term general hospital, whereas they were actually discharged home. This resident's diagnoses included aftercare following surgery for neoplasm and dysphagia. The discrepancy was discovered upon reviewing the resident's progress notes, which confirmed the discharge to home. Both issues were discussed with the facility's administrative and nursing leadership, but no further information was provided to the survey team before the exit conference.
Failure to Update Comprehensive Care Plans
Penalty
Summary
The facility staff failed to review and revise the comprehensive care plan (CCP) for two residents, leading to discrepancies between the care plans and the current treatment orders. For one resident, the CCP did not reflect the current treatment order for the application of Unna boots to the lower extremities, which was necessary for managing edema and weeping. The resident's CCP still included outdated treatment orders for a venous ulcer, despite a new provider order for Unna boots being issued. The MDS coordinator confirmed that the CCP had not been updated to include the new treatment order, as they were only made aware of changes when informed by staff. For another resident, the CCP inaccurately documented an intervention for 6 liters of oxygen via nasal cannula for shortness of breath, while the provider order specified oxygen at 4 liters per minute. Despite the CCP's documentation, the resident was never observed using oxygen, and a nurse confirmed that the resident had not used oxygen during their two years at the facility. The discrepancy between the CCP and the actual care provided was noted during the survey, highlighting a failure to update the care plan to reflect the resident's current needs and provider orders.
Failure to Administer Provider-Ordered Oxygen
Penalty
Summary
The facility staff failed to ensure that a resident was utilizing provider-ordered oxygen. The resident had diagnoses including acute respiratory failure with hypoxia and hypercapnia, chronic obstructive pulmonary disease, and a history of malignant neoplasm of the bronchus and lung. The resident's quarterly minimum data set (MDS) assessment indicated severe cognitive impairment and noted the use of oxygen. However, the resident's medication administration records (MARs) and treatment administration records (TARs) for July did not include the order for oxygen, which was prescribed at 4 liters per minute. The comprehensive care plan (CCP) was not updated to reflect the current order, as it still indicated oxygen at 6 liters per minute. Throughout the survey, the resident was not observed using the ordered oxygen, and the staff confirmed that the oxygen order was not on the MAR. An LPN, who had been working at the facility for two years, stated that the resident never wore oxygen. The nursing staff later notified the physician about the resident's refusal to wear oxygen, leading to the discontinuation of the order. The facility's policy on oxygen administration requires verification of a physician's order and review of the resident's care plan, but these steps were not followed, resulting in the deficiency.
What surveyors are citing around you — mapped
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Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 7 citations issued within 25 miles in the last 12 months — 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
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Wise
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Norton Community Hospital Snf Unit | 5.4 mi | ★★★★★ | 6 | 0 |
| Heritage Hall Big Stone Gap | 12.6 mi | ★★★★★ | 0 | 0 |
| Heritage Hall Clintwood | 13.8 mi | ★★★★★ | 0 | 0 |
| Letcher Manor | 17 mi | ★★★★★ | 1 | 0 |
| Ridgecrest Manor Nursing & Rehabilitation | 22.5 mi | ★★★★★ | 0 | 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.