Kendal at Lexington
160 Kendal Drive, Lexington, VA 24450 · Lexington City County · (540) 463-1910
60 certified beds, about 40 residents a day · Non profit - Corporation · Medicare and Medicaid since 1967
Last standard inspection more than 2 years ago Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
2 of 5
Staffing
5 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495034 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 24, 2024, inspectors cited 15 health deficiencies (the Virginia average is 14.3, the national average 9.2).
Of 23 health citations since April 2019, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $10,033 in the last three years; the largest was $10,033, and the latest is dated April 24, 2024.
Nurses and nurse aides worked 4.88 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 1.16 of those hours.
40.0% of nursing staff left within the year CMS measured (Virginia average 48.1%).
CMS links it to Kendal, an affiliated group of 5 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.
404/19
411/21
1504/24
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 23 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
16D
4E
1F
Potential for minimal harm
0A
1B
0C
April 24, 2024Standard inspection · 15 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility failed to provide staff assistance and supervision for a safe transfer for one of sixteen residents (Resident #1), resulting in a fall with fracture (harm).
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on staff interviews, clinical record review and facility documentation review, the facility staff failed to maintain an infection prevention and control program to help prevent the development and transmission of communicable diseases and infections having the potential to affect residents on 2 of 2 nursing units.
- 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 document review the facility staff failed to prepare, store, and distribute food in a sanitary manner.
- E Implement a program that monitors antibiotic use.
Inspectors wroteBased on staff interview, clinical record review and facility documentation review, the facility staff failed to maintain an antibiotic stewardship program to monitor antibiotic use for three residents (Resident #1- R1, Resident #34- R34, and Resident #27- R27) in a survey sample of 3 residents reviewed for antibiotic use.
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, staff interview, clinical record review and facility documentation review, the facility staff failed to ensure that residents receive adequate assistance devices to prevent accidents for one resident (Resident #103- R103), in a survey sample of 18 residents.
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to follow abuse prevention policies for completion of a criminal background check for a privately hired companion for one of sixteen residents in the survey sample (Resident #1).
- 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 observation, resident interview, staff interview, clinical record review and facility documentation review, the facility staff failed to review and revise the care plan for one resident (Resident #7- R7), in a survey sample of 16 residents.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, the facility staff failed to follow professional standards of care for one of sixteen residents in the survey sample (Resident #29).
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, resident interview, staff interview, clinical record review and facility documentation review, the facility staff failed to provide ADL (activities of daily living) assistance for a resident who was dependent on facility staff, affecting one Resident (Resident #7) in a survey sample of 16 Residents.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to provide respiratory care, consistent with professional standards of practice, for one resident (Resident #187- R187) in a survey sample of 16 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 respond to pharmacy recommendations for 2 of 16 residents in the survey sample. (Resident # 22 and Resident # 10).
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to ensure 1 of 16 residents in the survey sample were free of unnecessary medications.
- D 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 store medications appropriately in 1 of 2 medication storage rooms and on 1 of 2 medication carts.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to maintain an accurate clinical record for one resident (Resident #187- R187) in a survey sample of 16 residents.
- D Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Inspectors wroteBased on staff interview, clinical record review and facility documentation review, the facility staff failed to provide education and offer the COVID-19 immunization, to 1 of 5 residents (Resident #34- R34) and failed to offer the spike vaccine booster for the 2023-2024 season for 5 of 5 staff sampled (LPN #1, LPN #4, Other Staff #12, CNA #3, and Admin Staff #1).
November 17, 2021Standard inspection · 4 citations
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to ensure four of five emergency exit doors were functioning properly; failed to ensure that one of 14 residents had a safety device correctly applied to his wheelchair, Resident # 37; and failed to ensure that physician ordered fall mats were in place for one of 14 residents, Resident #36.
- 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 observation, staff interview, and clinical record review, the facility staff failed to review and revise the comprehensive care plan for one of 14 residents in the survey sample, Resident # 37. Resident # 37's care plan was not updated to include the use of anti-rollback devices on the wheelchair.
- 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 clinical record review and staff interview, the facility staff failed to ensure a monthly pharmacy review was conducted for one of fourteen residents, Resident #26. There was no pharmacy review done for the month of June 2021.
- B Post nurse staffing information every day.
Inspectors wroteBased on observation and staff interview, the facility staff failed to post daily nurse staffing in a prominent area visible for visitors and residents in the facility.
April 4, 2019Standard inspection · 4 citations
- E 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 resident interview, group interview, staff interview and clinical record review, the facility staff failed to invite and/or encourage participation in care plan meetings for two of 14 residents in the survey sample. Residents #3 and #23 were not invited to participate in their quarterly care plan meetings. Eight residents during the resident council group interview stated they had not been invited to participate in the quarterly care plan meetings.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on a medication pass and pour observation, staff interview, and facility document review, the facility staff failed to follow a physician's order for medication administration for one of 14 residents in the survey sample, Resident #244. The facility staff failed to ensure Resident #244 was administered Miralax 17 grams per the physician's order during a medication pass and pour observation.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, the facility staff failed to provide proper care and treatment of a pressure ulcer for one of 14 residents in the survey sample. Resident #94 was observed without a physician ordered dressing in place on his coccyx pressure ulcer. Nursing staff failed to follow infection control practices during a dressing application to Resident #94's pressure ulcer. No hand hygiene was performed after removal of gloves and no glove change and/or hand hygiene was performed after cleansing the wound and prior to applying a clean dressing.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, the facility staff failed to follow infection control practices during a dressing application for one of 14 residents in the survey sample and failed to follow infection control protocols during a medication pass observation. 1. Resident #94 was observed without a physician ordered dressing in place on his coccyx pressure ulcer. Nursing staff failed to follow infection control practices during a dressing application to Resident #94's pressure ulcer. No hand hygiene was performed after removal of gloves and no glove change and/or hand hygiene was performed after cleansing the wound and prior to applying a clean dressing. 2. [...]
Fire safety inspections
7 fire safety citations on file: 5 on April 24, 2024, 1 on November 17, 2021, 1 on April 4, 2019.
Every fire safety citation7 citations
- D Install emergency lighting that can last at least 1 1/2 hours.
- D Install a fire alarm system that can be heard throughout the facility.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Have simulated fire drills held at unexpected times.
- D Meet other general requirements.
- D Have generator or other power source capable of supplying service within 10 seconds.
- F Keep aisles, corridors, and exits free of obstruction in case of emergency.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| April 24, 2024 | Fine | $10,033 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 4.88 | 3.76 | 3.86 |
| Registered nurses | 1.16 | 0.69 | 0.69 |
| All nursing staff on weekends | 4.21 | 3.29 | 3.42 |
| Nurse aides | 3.10 | ||
| Licensed practical nurses | 0.61 | ||
| Nursing staff turnover (share who left in a year) | 40.0% | 48.1% | 45.8% |
| Registered nurse turnover | 28.6% | 48.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.26 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 5.15 on weekdays and 4.21 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 6.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.43 in April to June 2025 to 4.88 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 | 4.88 | 1.16 | 5.15 | 4.21 | 6.2% | 0 of 90 | 40 |
| Oct to Dec 2025 | 4.55 | 1.18 | 4.73 | 4.08 | 7.4% | 0 of 92 | 41 |
| Jul to Sep 2025 | 4.35 | 0.97 | 4.58 | 3.78 | 4.7% | 0 of 92 | 41 |
| Apr to Jun 2025 | 4.43 | 0.67 | 4.65 | 3.88 | 4.4% | 0 of 91 | 39 |
| 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.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Virginia
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Virginia, all employers | |||
| CNAs (nursing assistants) | $20.77 | $17.80 to $22.56 | 40,580 |
| LPNs and LVNs | $31.21 | $28.66 to $35.84 | 15,550 |
| Registered nurses | $45.00 | $38.51 to $49.53 | 77,490 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 25.2 | 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 | 4.5 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 9.9 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.1 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 27.4 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.9 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 7.8 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 10.5 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 5.8 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 1.5 | 1.8 |
Owners and operators
Legal business name: LEXINGTON RETIREMENT COMMUNITY, INC. CMS links this home to Kendal, a group of 5 nursing homes averaging 4.6 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Baker, Priscilla | Corporate director | Individual | 07/27/2017 | |
| Branner, Elizabeth | Corporate director | Individual | 05/18/2023 | |
| Brooke, George | Corporate director | Individual | 05/16/2024 | |
| Gosse, Thomas | Corporate director | Individual | 05/15/2025 | |
| Grizzle, James | Corporate director | Individual | 05/21/2020 | |
| Hare, Randolph | Corporate director | Individual | 01/20/2022 | |
| Hentz, Michele | Corporate director | Individual | 05/16/2024 | |
| Herrick, Dianne | Corporate director | Individual | 05/16/2024 | |
| Huch, Robert | Corporate director | Individual | 05/21/2020 | |
| Keeley, Mark | Corporate director | Individual | 05/18/2023 | |
| Luecke, Pamela | Corporate director | Individual | 05/21/2020 | |
| Moliterno, Valerie | Corporate director | Individual | 05/15/2025 | |
| Reid, Colin | Corporate director | Individual | 05/15/2025 | |
| Ross, Bennett | Corporate director | Individual | 05/19/2022 | |
| Summers, Bruce | Corporate director | Individual | 07/27/2017 | |
| Walsh, Natasha | Corporate director | Individual | 05/23/2019 | |
| Warner, Harry | Corporate director | Individual | 05/16/2024 | |
| Wilder, Linda | Corporate director | Individual | 05/19/2022 | |
| Bush, Felicia | Corporate officer | Individual | 01/01/2010 | |
| Day, Adam | Corporate officer | Individual | 06/02/2025 | |
| Hare, Randolph | Corporate officer | Individual | 05/15/2025 | |
| Luecke, Pamela | Corporate officer | Individual | 05/20/2021 | |
| Ross, Bennett | Corporate officer | Individual | 09/21/2023 | |
| Wilder, Linda | Corporate officer | Individual | 05/18/2023 | |
| Baroco, Patrick | Operational/managerial control | Individual | 08/01/2023 | |
| Bryd, Vassar | Operational/managerial control | Individual | 01/09/2024 | |
| Bush, Felicia | Operational/managerial control | Individual | 08/17/2006 | |
| Day, Adam | Operational/managerial control | Individual | 06/02/2025 | |
| Feldbauer, Adam | Operational/managerial control | Individual | 09/06/2023 | |
| Guill, Noelle | Operational/managerial control | Individual | 12/16/2025 | |
| Baroco, Patrick | Adp of the SNF | Individual | 08/01/2023 | |
| Bryd, Vassar | Adp of the SNF | Individual | 01/09/2024 | |
| Bush, Felicia | Adp of the SNF | Individual | 08/17/2006 | |
| Day, Adam | Adp of the SNF | Individual | 06/02/2025 | |
| Feldbauer, Adam | Adp of the SNF | Individual | 09/06/2023 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on April 24, 2024: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on April 24, 2024: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 4 problems in this area, most recently on April 24, 2024: "Provide and implement an infection prevention and control program."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on April 24, 2024: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
Other nursing homes nearby
- Heritage Hall Lexington East Lexington, 1 mi · 4 of 5 stars · 19 citations
- Shenandoah Valley Health and Rehab Buena Vista, 6.4 mi · 2 of 5 stars · 37 citations
- Alleghany Health and Rehab Clifton Forge, 19.1 mi · 1 of 5 stars · 59 citations
- The Woodlands Health and Rehab Center Clifton Forge, 19.5 mi · 5 of 5 stars · 12 citations
- Brian Center of Alleghany Low Moor, 23.2 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 Kendal at Lexington's Medicare star rating?
- CMS rates Kendal at Lexington 4 out of 5 stars overall, with 2 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Kendal at Lexington get at its last inspection?
- 15 health deficiencies at the standard inspection on April 24, 2024. The Virginia average is 14.3.
- Has Kendal at Lexington been fined?
- Yes. CMS lists 1 fine totaling $10,033 in the last three years.
- Does Kendal at 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 Kendal at Lexington?
- CMS lists 35 owners and managers, and links the home to Kendal. Legal business name: LEXINGTON RETIREMENT COMMUNITY, INC.
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.