During the first quarter of 2026, Heritage Hall Blacksburg emerged as the largest nursing home in Montgomery County, as reported by the Centers for Medicare and Medicaid Services (CMS).
The facility was equipped with 179 beds, surpassing Montgomery County’s average by 59 beds in the first quarter of 2026. It served an average of 131.6 residents throughout that timeframe.
Heritage Hall Blacksburg received a 4 out of 5 overall rating from the CMS, exceeding the statewide average rating of 3 awarded to Virginia nursing homes.
The Wybe and Marietje Kroontje Health Care Center was noted as the second largest facility in Montgomery County during the quarter, offering 60 beds.
Heritage Hall Blacksburg had no reported fines or penalties for the first quarter of 2026.
Overall, Montgomery County, Virginia had one for-profit nursing home.
U.S. Census Bureau estimates indicate that the nation’s older adult population is rising as the number of younger residents decreases. Between 2020 and 2024, the American population age 65 and older rose by 13%, while those under 18 fell by 1.7%. The older adult population in the U.S. expanded considerably over the last century, growing from 4.9 million in 1920 to over 61 million by 2024.
A 2021 study found that about half of U.S. adults in this age group, or approximately 28 million people, could require long-term services and support. The same study projects that over a third may eventually need nursing home care.
“Living a long life is something that many of us want and could get,” said Jesse Slome, executive director of the American Association for Long-Term Care Insurance, an insurance education organization. “But when we live a long life, the chances of us needing long-term care increase exponentially. But when you need that type of care, there are limited options.”
| Rank | Nursing Home | Overall Rating |
|---|---|---|
| 1 | Heritage Hall Blacksburg | 4 |
| 2 | The Wybe and Marietje Kroontje Health Care Center | 5 |
Details for this article were gathered from the Centers for Medicare and Medicaid Services. Source data is available here.


