Home / Virginia / East Lexington
Heritage Hall Lexington
205 Houston Street, East Lexington, VA 24450 · Lexington City County · (540) 464-8181
60 certified beds, about 55 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1997
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495321 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 28, 2025, inspectors cited 13 health deficiencies (the Virginia average is 14.3, the national average 9.2).
Of 19 health citations since May 2021, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.05 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.56 of those hours.
44.2% of nursing staff left within the year CMS measured (Virginia average 48.1%).
CMS links it to Heritage Hall, an affiliated group of 15 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
205/21
209/22
210/24
1308/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 19 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
10D
6E
0F
Potential for minimal harm
0A
1B
0C
August 28, 2025Standard inspection · 13 citations
- E Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Inspectors wroteBased on observations, resident interview, staff interview, facility documentation review, clinical record review, and in the course of a complaint investigation failed to post grievance information and failed to ensure an accurate grievance process for one resident, Resident #30 (R30) out of a survey sample of 19 residents.
- E Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on staff interviews, facility documentation the facility staff failed to implement their abuse policy for prescreening potential employees for five of 25 records reviewed.
- E Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, staff interview, and facility documentation review, the facility staff failed to label and store medications appropriately in the one medication room and on one of two medication carts (pink hall cart).
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interview and facility documentation review, the facility staff failed to store and prepare food in a sanitary manner in the main kitchen and the unit pantry, having the potential to affect many residents residing on one of one unit.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observations, resident interview, staff interview, clinical record review, facility documentation reviews the facility staff failed to review and revise comprehensive centered care plans for two residents, Resident #10 (R10) and Resident #36 (R36) out of a survey sample of 19 residents.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, resident interview, staff interview and clinical record review, the facility staff failed to follow physician orders for two of nineteen residents in the survey sample (Residents #17 and #46).
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on resident interview, staff interview, and clinical record review, the facility failed to notify and thoroughly investigate an incident during toileting for one of nineteen resident's, Resident #30 (R30).
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, resident interview, staff interview, clinical record review, facility documentation the facility staff failed to administer oxygen per physician's orders for one resident, Resident #1 (R1) out of a survey sample of 19 residents.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to document response to a pharmacy recommendation for one of nineteen residents in the survey sample (Resident #23).
- D Provide timely, quality laboratory services/tests to meet the needs of residents.
Inspectors wroteBased on staff interview, clinical record review, facility documentation reviews the facility staff failed to obtain labs per physician orders for one resident, Resident #9 (R9) out of a survey sample of 19 residents.
- D Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Inspectors wroteBased on observation, resident interview, staff interview, facility documentation review, clinical record review, the facility staff failed to provide therapeutic diet per physician's orders for one resident, Resident #36 (R36) out of a survey sample of 19 residents.
- D Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Inspectors wroteBased on observation, resident interview, staff interview, clinical record review the facility staff failed to provide assistive devices with meals for one resident, Resident #36 (R36) out of a survey sample of 19 residents. R36's drinks was not in coffee mugs with his meals. On 8/27/25, R36 was observed during the breakfast meal. He did not have his fluids served in coffee mugs. His meal ticket read: Regular, Mechanical Soft, Ground Meats, Coffee mugs - put drinks in coffee mugs, and ground meat should have gravy on the meat. On 8/27/25, an interview was conducted with R36 regarding his difficulty picking up the glass of milk. He stated, yes, need handles. On 8/27/25, an interview was conducted with a certified nursing assistant, CNA #6 (CNA6). She stated that if the meal ticket indicates drinks in coffee mugs, then they should be served that way. [...]
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview and facility document review, the facility staff failed to follow infection control practices for hand hygiene on one of four units (Sunset Drive).
October 16, 2024Complaint inspection · 2 citations
- E Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to provide a complete and accurate clinical record for one of three residents in the survey sample (Resident #3, R3).
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on staff interview, resident interview, facility document review, and clinical record review, the facility staff failed to provide timely toileting assistance for one of three residents in the survey sample (Resident #3).
September 21, 2022Standard inspection · 2 citations
- G Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on staff interview, clinical record review, facility document review, and in the course of a complaint investigation, the facility staff failed to follow professional standards of quality for one of 17 residents in survey sample (Resident # 54). Nursing staff did not follow professional standards of clinical practice during medication administration. Resident #54 was not properly identified and was administered the roommate's medications in error. Resident #54 was sent to the emergency room and was admitted to the intensive care unit. Resident #54 developed hypotension (low blood pressure) & bradycardia (low heart rate) which required intravenous (IV) fluids, medication, and continued telemetry (heart) monitoring. This indicated harm.
- G Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on staff interview, clinical record review, facility document review, and in the course of a complaint investigation, the facility staff failed to ensure one of 17 residents (Resident #54) was free from unnecessary medications. Resident #54 was administered her roommate's medications in error and was transferred to hospital, where she required treatment. This indicated harm.
May 12, 2021Standard inspection · 2 citations
- E Honor the resident's right to organize and participate in resident/family groups in the facility.
Inspectors wroteBased on resident interview, staff interview and facility document review, the facility staff failed to consider the views of the resident group and act promptly upon resident concerns/complaints of care and life in the facility for 5 months.
- B Ensure each resident receives an accurate assessment.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to ensure an accurate MDS (minimum data set) was completed for Resident #2 regarding a Level II PASRR [preadmission screening and resident review].
Fire safety inspections
5 fire safety citations on file: 3 on September 21, 2022, 2 on May 12, 2021.
Every fire safety citation5 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Have properly installed electrical wiring and gas equipment.
- B Develop a communication plan.
- B Provide emergency officials' contact information.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Virginia | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.05 | 3.76 | 3.86 |
| Registered nurses | 0.56 | 0.69 | 0.69 |
| All nursing staff on weekends | 2.72 | 3.29 | 3.42 |
| Nurse aides | 1.79 | ||
| Licensed practical nurses | 0.71 | ||
| Nursing staff turnover (share who left in a year) | 44.2% | 48.1% | 45.8% |
| Registered nurse turnover | 33.3% | 48.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.17 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.19 on weekdays and 2.72 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.38 in April to June 2025 to 3.05 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.05 | 0.56 | 3.19 | 2.72 | 0.0% | 0 of 90 | 55 |
| Oct to Dec 2025 | 3.23 | 0.49 | 3.38 | 2.83 | 0.0% | 0 of 92 | 55 |
| Jul to Sep 2025 | 3.04 | 0.57 | 3.19 | 2.66 | 0.0% | 0 of 92 | 56 |
| Apr to Jun 2025 | 3.38 | 0.65 | 3.57 | 2.89 | 0.0% | 0 of 91 | 55 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Virginia, Jan to Mar 2026 | 3.58 | 0.56 | 3.76 | 3.12 | 5.7% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Virginia | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 18.9 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.6 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.0 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.2 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.0 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 1.9 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 13.7 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.0 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.5 | 1.8 |
Owners and operators
Legal business name: LEXINGTON LIFE CARE CORP. CMS links this home to Heritage Hall, a group of 15 nursing homes averaging 4.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| AHC Acquisitions, LLC | 5% or greater direct ownership interest | Organization | 12% | 07/10/2020 |
| Crc Blind Trust | 5% or greater direct ownership interest | Organization | 7% | 07/10/2020 |
| Wcc Third Blind Trust | 5% or greater direct ownership interest | Organization | 78% | 07/10/2020 |
| Hopkins, William | Corporate director | Individual | 10/04/2024 | |
| Dalton, Robert | Corporate officer | Individual | 10/04/2024 | |
| East, Thomas | Corporate officer | Individual | 10/04/2024 | |
| American Healthcare LLC | Operational/managerial control | Organization | 11/22/2010 | |
| Cranwell, Robert | Operational/managerial control | Individual | 10/04/2024 | |
| Dalton, Brad | Operational/managerial control | Individual | 07/11/2024 | |
| Dalton, Robert | Operational/managerial control | Individual | 04/21/2014 | |
| East, Thomas | Operational/managerial control | Individual | 04/21/2014 | |
| Gallant, Cassandra | Operational/managerial control | Individual | 07/11/2024 | |
| East, Thomas | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 01/20/2026 | |
| Crc Blind Trust | Trustee of the SNF | Organization | 07/10/2020 | |
| Dalton, Brad | Adp of the SNF | Individual | 07/11/2024 | |
| Dalton, Robert | Adp of the SNF | Individual | 04/21/2014 | |
| East, Thomas | Adp of the SNF | Individual | 04/21/2014 | |
| Gallant, Cassandra | Adp of the SNF | Individual | 10/04/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on August 28, 2025: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on August 28, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on August 28, 2025: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on August 28, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.72 hours per resident per day, below the Virginia average of 3.29.
Other nursing homes nearby
- Kendal at Lexington Lexington, 1 mi · 4 of 5 stars · 23 citations
- Shenandoah Valley Health and Rehab Buena Vista, 5.3 mi · 2 of 5 stars · 37 citations
- Alleghany Health and Rehab Clifton Forge, 20.1 mi · 1 of 5 stars · 59 citations
- The Woodlands Health and Rehab Center Clifton Forge, 20.5 mi · 5 of 5 stars · 12 citations
- Brian Center of Alleghany Low Moor, 24.2 mi · 5 of 5 stars · 12 citations
Virginia contacts for a concern about a nursing home
These are the official offices in Virginia. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Virginia Department of Health, Office of Licensure and Certification, Division of Long-Term Care Services, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Virginia Office of the State Long-Term Care Ombudsman, 800-552-5019. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: VDH Nursing Home and ICF/IID Inspections and Surveys, where Virginia publishes its own records on licensed homes.
Common questions
- What is Heritage Hall Lexington's Medicare star rating?
- CMS rates Heritage Hall Lexington 4 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Heritage Hall Lexington get at its last inspection?
- 13 health deficiencies at the standard inspection on August 28, 2025. The Virginia average is 14.3.
- Has Heritage Hall Lexington been fined?
- CMS lists no fines in the last three years.
- Does Heritage Hall Lexington accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Heritage Hall Lexington?
- CMS lists 18 owners and managers, and links the home to Heritage Hall. Legal business name: LEXINGTON LIFE CARE CORP.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.