Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Heritage Hall Grundy

GRUNDY, VA · 120 certified beds · Last Life Safety survey February 28, 2023

CMS Certification Number 495259 · first certified December 1991

Ownership

Operated by HERITAGE HALL · For profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

9
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
7
Inspection & testing records
Of the citations on file

Position within VA

9 citations — more than 41% of the 289 certified nursing homes in VA. Compared within VA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 4 citations; the earlier surveys in the window averaged 2.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: September 2025 to September 2026. This facility’s last Life Safety survey was February 2023. Facilities in VA are typically surveyed 31–43 months after the last one (median 37), measured over 125 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 9 Life Safety citations above. The Physical Environment Index

  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  • F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in VA, and nationally. Surveyors differ markedly between states, so the VA figure is the meaningful one.

This facility9VA median10National median11
Citations on file over three years, compared
MeasureCitations
This facility9
Median facility in VA10
Median facility nationally11

Survey history

Citations at each Life Safety survey
02019-0352021-0342023-02
Citations at each Life Safety survey
Survey dateCitations
March 21, 20190
March 18, 20215
February 28, 20234

Most-cited tags

Most-cited tags at this facility
K-07612K-02931K-02221K-03631K-03531K-02911K-05111K-03241
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.22023-02-28
K-0293Have properly located and lighted "Exit" signs.12021-03-18
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.12021-03-18
K-0363Install corridor and hallway doors that block smoke.12021-03-18
K-0353Inspect, test, and maintain automatic sprinkler systems.12023-02-28
K-0291Install emergency lighting that can last at least 1 1/2 hours.12023-02-28
K-0511Have properly installed electrical wiring and gas equipment.12021-03-18
K-0324Provide properly protected cooking facilities.12023-02-28

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 3
  • Egress Deficiencies 3
  • Miscellaneous Deficiencies 2
  • Services Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies3
Egress Deficiencies3
Miscellaneous Deficiencies2
Services Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

February 28, 2023 — 4 citations

Citations issued on February 28, 2023
TagWhat the surveyor checksStatus
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (May 9, 2023)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (May 9, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Waiver has been granted (July 28, 2023)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (May 9, 2023)

March 18, 2021 — 5 citations

Citations issued on March 18, 2021
TagWhat the surveyor checksStatus
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (May 26, 2021)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (May 26, 2021)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (May 26, 2021)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (May 26, 2021)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (May 26, 2021)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.