Virginia › Lexington City County › Lexington
Kendal At Lexington
160 Kendal Drive, 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.
Kendal At Lexington is a Non-profit, corporation nursing home in Lexington, Virginia, certified for 60 beds and caring for about 40 residents a day.
CMS gives it 4 of 5 stars overall, above the Virginia median of 3; the health inspection rating is 2, staffing 5 and quality measures 5.
Inspectors recorded 23 health deficiencies across the three most recent survey cycles (15, 4, 4 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 38.3 per 100 beds, about the same as the state median of 34.5.
CMS lists 1 penalty in the period covered: fines totalling $10K.
Reported nurse staffing is 4.9 hours per resident per day (1.2 RN), above the Virginia median of 3.4; nursing staff turnover is 40.0%.
CMS flags that the facility has not had a standard health inspection in more than two years.
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 | 23 | 23 | 32 | 28.7 |
| Citations per 100 beds | 38.3 | 38.3 | 34.5 | 26.8 |
| Total nurse hours per resident day | 4.9 | 4.9 | 3.4 | 3.9 |
| RN hours per resident day | 1.2 | 1.2 | 0.5 | 0.7 |
| Nursing staff turnover | 40.0% | 44.2% | 48.3% | 45.8% |
| Fines listed | $10,033 | $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: 24 Apr 2024, 17 Nov 2021.
Severity mix: G ×1 D ×16 E ×4 F ×1 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 |
|---|---|---|---|---|---|
| 24 Apr 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 7 Jun 2024 |
| 24 Apr 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 23 Jul 2024 |
| 24 Apr 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 23 Jul 2024 |
| 24 Apr 2024 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 7 Jun 2024 |
| 24 Apr 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 23 Jul 2024 |
| 24 Apr 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 7 Jun 2024 |
| 24 Apr 2024 | 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 Jun 2024 |
| 24 Apr 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 23 Jul 2024 |
| 24 Apr 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 7 Jun 2024 |
| 24 Apr 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 7 Jun 2024 |
| 24 Apr 2024 | 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 Jun 2024 |
| 24 Apr 2024 | F0758 | 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. | D | Standard survey | 23 Jul 2024 |
| 24 Apr 2024 | 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. | D | Standard survey | 23 Jul 2024 |
| 24 Apr 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 23 Jul 2024 |
| 24 Apr 2024 | F0887 | 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. | D | Standard survey | 7 Jun 2024 |
| 17 Nov 2021 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 20 Dec 2021 |
| 17 Nov 2021 | 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 | 20 Dec 2021 |
| 17 Nov 2021 | 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 | 20 Dec 2021 |
| 17 Nov 2021 | F0732 | Post nurse staffing information every day. | B | Standard survey | 20 Dec 2021 |
| 4 Apr 2019 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 10 May 2019 |
| 4 Apr 2019 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 10 May 2019 |
| 4 Apr 2019 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 10 May 2019 |
| 4 Apr 2019 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 10 May 2019 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 24 Apr 2024 | Fine | $10,033 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Virginia average. Turnover: nursing staff 40.0%, RNs 28.6%; 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 | 25.2% | 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 | 4.5% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 9.9% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.1% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 27.4% | 14.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.9% | 4.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 7.8% | 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: non-profit, corporation. Legal business name: Lexington Retirement Community, Inc. Chain: Kendal (5 facilities).
No organisations are listed in the CMS ownership record for this facility.
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 |
|---|---|---|---|---|---|---|---|---|---|
| Heritage Hall Lexington | East Lexington | 60 | 4 | 3 | 4 | 19 | 31.7 | — | 28 Aug 2025 |
All 2 facilities in Lexington City County
Questions and answers
How many deficiencies has Kendal At Lexington been cited for?
23 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Virginia median is 32 per facility.
Has Kendal At Lexington been fined?
Yes. CMS lists fines totalling $10K in the period covered.
How does staffing at Kendal At Lexington compare?
Reported total nurse staffing is 4.9 hours per resident per day against a Virginia median of 3.4 and a national average of 3.9.
Who operates Kendal At Lexington?
It is part of the Kendal chain. Ownership type is non-profit, corporation. Individual owners and managers are not listed on this site.
When was Kendal At Lexington last inspected?
The most recent survey or investigation in the CMS record is dated 24 Apr 2024; the most recent standard health survey was 24 Apr 2024.
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.