Virginia › Lexington City County › East Lexington
Heritage Hall Lexington
205 Houston Street, East Lexington, VA 24450
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Heritage Hall Lexington is a For-profit, limited liability company nursing home in East Lexington, Virginia, certified for 60 beds and caring for about 55 residents a day.
CMS gives it 4 of 5 stars overall, above the Virginia median of 3; the health inspection rating is 3, staffing 4 and quality measures 5.
Inspectors recorded 19 health deficiencies across the three most recent survey cycles (13, 4, 2 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 31.7 per 100 beds, about the same as the state median of 34.5.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.1 hours per resident per day (0.6 RN), close to the Virginia median of 3.4; nursing staff turnover is 44.2%.
Compared with county, state and nation
| Measure | This facility | Lexington City Co. median | Virginia median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 19 | 23 | 32 | 28.7 |
| Citations per 100 beds | 31.7 | 38.3 | 34.5 | 26.8 |
| Total nurse hours per resident day | 3.1 | 4.9 | 3.4 | 3.9 |
| RN hours per resident day | 0.6 | 1.2 | 0.5 | 0.7 |
| Nursing staff turnover | 44.2% | 44.2% | 48.3% | 45.8% |
| Fines listed | $0 | $10,033 | $0 | — |
County and state figures are medians across facilities (2 in the county, 289 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Virginia average per facility for the same cycle, as published by CMS. Standard health survey dates: 28 Aug 2025, 21 Sep 2022.
Severity mix: G ×2 D ×10 E ×6 B ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 28 Aug 2025 | F0585 | 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. | E | Standard survey | 7 Oct 2025 |
| 28 Aug 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 7 Oct 2025 |
| 28 Aug 2025 | F0761 | 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. | E | Standard survey | 7 Oct 2025 |
| 28 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 7 Oct 2025 |
| 28 Aug 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 7 Oct 2025 |
| 28 Aug 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 7 Oct 2025 |
| 28 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 7 Oct 2025 |
| 28 Aug 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 7 Oct 2025 |
| 28 Aug 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 7 Oct 2025 |
| 28 Aug 2025 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard survey | 7 Oct 2025 |
| 28 Aug 2025 | F0808 | 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. | D | Standard survey | 7 Oct 2025 |
| 28 Aug 2025 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Standard survey | 7 Oct 2025 |
| 28 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 7 Oct 2025 |
| 16 Oct 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | Deficient, Provider has no plan of correction |
| 16 Oct 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 21 Sep 2022 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | G | Standard survey | 31 Oct 2022 |
| 21 Sep 2022 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | G | Standard survey | 31 Oct 2022 |
| 12 May 2021 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 15 Jun 2021 |
| 12 May 2021 | F0641 | Ensure each resident receives an accurate assessment. | B | Standard survey | 15 Jun 2021 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Virginia average. Turnover: nursing staff 44.2%, RNs 33.3%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Virginia median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 18.9% | 13.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.2% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.6% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.0% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 14.2% | 14.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.0% | 4.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 1.9% | 13.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Lexington Life Care Corp. Chain: Heritage Hall (15 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Ahc Acquisitions, LLC | 5% or greater direct ownership interest | 12% | 07/10/2020 |
| American Healthcare LLC | Operational/managerial control | NOT APPLICABLE | 11/22/2010 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Lexington City County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Kendal At Lexington | Lexington | 60 | 4 | 2 | 5 | 23 | 38.3 | $10K | 24 Apr 2024 |
All 2 facilities in Lexington City County
Questions and answers
How many deficiencies has Heritage Hall Lexington been cited for?
19 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Virginia median is 32 per facility.
Has Heritage Hall Lexington been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Heritage Hall Lexington compare?
Reported total nurse staffing is 3.1 hours per resident per day against a Virginia median of 3.4 and a national average of 3.9.
Who operates Heritage Hall Lexington?
It is part of the Heritage Hall chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Ahc Acquisitions, LLC and American Healthcare LLC. Individual owners and managers are not listed on this site.
When was Heritage Hall Lexington last inspected?
The most recent survey or investigation in the CMS record is dated 28 Aug 2025; the most recent standard health survey was 28 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.