Heritage Hall Blacksburg

In the surveyor’s words

From the most serious findings on record at Heritage Hall Blacksburg, in the surveyor’s own words.

• Actual harm, isolatedF689Apr 1, 2021

  Based on staff interview, clinical record review, facility document review, and during the course of a facility reported incident investigation, facility staff failed to ensure the resident environment remains as free of accident hazards as is possible and failed to provide adequate supervision to prevent accidents for 1 of 11 residents in the survey sample, Resident #5. The findings included: For Resident #5, the facility staff failed to turn off the resident's portable oxygen cylinder prior to assisting the resident to smoke a cigarette resulting in a fire causing second degree burns to the resident's cheek, upper lip, and nose. […]

• No harm, potential for more than minimal, patternF689Feb 24, 2026

  Based on observation, resident and staff interview, clinical record review, and facility document review, the facility staff failed to ensure electronic cigarettes (vapes) and/or illicit substances were stored in a manner to prevent misuse from other vulnerable residents and/or a fire hazard for four (4) of four (4) sampled residents, Resident #1, Resident #2, Resident #3, and Resident #4. The findings included:1. For Resident #1, the facility staff failed to ensure an electronic cigarette (vape) was securely stored. A facility policy titled, Resident Smoking, dated 2/21/24 specified, Smoking and/or vaping is not allowed inside the facility under any circumstances. The policy also specified, All smoking paraphernalia cigarettes, cigars, e cigs, vapes, etc. […]

• No harm, potential for more than minimal, patternF812Jan 19, 2023

  Based on observation and staff interview, the facility staff failed to prepare, distribute, and serve food in a manner that would prevent foodborne illnesses. The Bistro refrigerator and 2 of 3 pantry refrigerators (Center and Villa) contained out of date milk. The findings included: The Bistro refrigerator and the pantry refrigerators on the Center and Villa units were observed to contain out of date milk. [DATE], during the initial tour of the facility, the surveyor observed a tray of milk in the Bistro refrigerator with an expiration date of [DATE]. The Assistant Dietary Manager (ADM) removed the tray of milk from the refrigerator and stated they would dispose of the milk. […]

• No harm, potential for more than minimal, isolatedF580Aug 29, 2024

  Based on staff interview, record review and facility document review, the facility staff failed to notify the physician and/or responsible party of a significant change in the resident's physical, mental, or psychosocial status for one of 30 residents in the survey sample, resident #44. The findings included: The facility staff failed to notify resident # 44's responsible party of a significant weight loss. Resident # 44's diagnoses included but were not limited to gastroesophageal reflux disease (GERD), unspecified dementia with psychotic disturbance, major depressive disorder and anxiety disorder. […]

• No harm, potential for more than minimal, isolatedF641Aug 29, 2024

  Based on staff interview, clinical record review and facility document review the facility staff failed to ensure an accurate minimum data set assessment for 2 of 3 closed record reviews, Resident #125 and Resident #127. The findings included: 1. For Resident #125 the facility staff incorrectly coded the resident's discharge status. Resident #125's face sheet listed diagnoses which included but not limited to obesity, encephalopathy, and anemia. Section A of Resident #125's discharge minimum data set (MDS) with an assessment reference date of 06/01/24 coded the resident as being discharged home. Resident #125's clinical record was reviewed and contained a nurse's progress note which read in part, 6/1/2024 17:50 Spoke with . (name omitted) at . […]