CCN 495135 · Wise County, Virginia
Heritage Hall Big Stone Gap
2045 Valley View Drive, Big Stone Gap, VA 24219
Heritage Hall Big Stone Gap is a 180-bed for-profit nursing home in Big Stone Gap, Virginia, first certified for Medicare or Medicaid in 1983. CMS rates it 4 out of 5 stars overall in its September 2026 data, and it averaged 165.5 residents a day, about 92% of its certified beds. HUD's healthcare database shows an FHA-insured Section 232 loan for a project matching this facility, most recently $12.8 million in April 2019 (223(f) refinance or purchase), and none of them appears in HUD's active-loan file.
Facility facts
- Certified beds
- 180
- Average residents per day
- 165.5 (91.9% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Big Stone Gap Life Care LLC
- Certified since
- Feb 10, 1983
- Chain or affiliated group
- Heritage Hall (15 facilities, chain average 4.1 stars)
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Virginia median | US median |
|---|---|---|---|
| Overall rating | 4 of 5 | State spread: 60 at 1, 60 at 2, 54 at 3, 55 at 4, 57 at 5 | |
| Health inspections | 3 of 5 | ||
| Quality measures | 5 of 5 | ||
| Staffing | 2 of 5 | ||
| Total nurse hours per resident per day | 3.11 | 3.45 | 3.68 |
| RN hours per resident per day | 0.41 | 0.53 | 0.58 |
| Weekend nurse hours per resident per day | 2.56 | ||
| Nursing staff turnover | 26.6% | 48.3% | 44.9% |
| Occupancy (residents / beds) | 91.9% | 91.8% | 85.7% |
| Fines reported by CMS | 1 totaling $40,517 | ||
| Health deficiencies, latest standard survey | 5 (Feb 1, 2023) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Heritage Hall Big Stone Gap meets that part today: 4 stars overall, 3 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Dalton, BradIndividual | Operational / Managerial Control | n/a | 04/01/2024 |
| Dalton, RobertIndividual | Operational / Managerial Control | n/a | 04/21/2014 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Apr 23, 2019 | 223(f) refinance or purchaseHUD project name: American HealthCare - Heritage Hall Big Stone Gap, 180 beds. Lender at endorsement: Lument Real Estate Capital, LLC | $12,829,200 | Ended Jun 3, 2026Prepayment | 05122156 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.