nursing home in East Lexington, VA
Heritage Hall Lexington
205 Houston Street, East Lexington, VA 24450 · (540) 464-8181
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★4
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Heritage Hall Lexington at a glance
Heritage Hall Lexington is a 60-bed for-profit nursing home in East Lexington, Virginia (Lexington City County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Virginia average of 3.
Residents receive about 3.1 hours of nursing care per day (0.6 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (August 28, 2025) found 13 health citations. The Virginia average is 14.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 44.2% per year (state average 48.1%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 60
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Heritage Hall
- Medicare-certified since
- June 1, 1997
- Resident/family council
- Resident
- County
- Lexington City County
- CMS Certification Number
- 495321
Ratings
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 3 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 2.4 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.9 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.6 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.05 hrs | 3.76 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.56 hrs | 0.69 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.79 hrs | 2.07 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.72 hrs | 3.29 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 44.2% | 48.1% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 33.3% | 48.2% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 13 | 14 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 64 | 122.3 | 80.6 | Better |
Penalties
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $23,688 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 60 | 113 | 107 | |
| Average residents per day | 55 | 99 | 86 | |
| Occupancy | 91.3% | 87.9% | 80.9% |
Long-stay residents
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1% | 3.6% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 2% | 4.7% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 1.9% | 14.2% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 1.6% | 1.6% | 1.6% | Average |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.4% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 18.9% | 14.9% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 14.2% | 15.6% | 14.1% | Average |
| Long-stay residents who lose too much weight (lower is better) | 2.1% | 5.4% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 3.6% | 18.7% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 32.5% | 20.6% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 19.3% | 21.8% | 19% | Average |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 94% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 98.5% | 90.9% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.3% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 95.8% | 73.6% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 75% | 73.7% | 82% | Worse |
Inspection citations
State inspectors cited this home for 19 health deficiencies and 5 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| August 28, 2025 Standard | 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. Resident Rights Deficiencies · Tag F0585 | E Potential harm, pattern | Corrected October 7, 2025 |
| August 28, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected October 7, 2025 |
| August 28, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected October 7, 2025 |
| August 28, 2025 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | E Potential harm, pattern | Corrected October 7, 2025 |
| August 28, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected October 7, 2025 |
| August 28, 2025 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected October 7, 2025 |
| August 28, 2025 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected October 7, 2025 |
| August 28, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected October 7, 2025 |
| August 28, 2025 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected October 7, 2025 |
| August 28, 2025 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected October 7, 2025 |
| August 28, 2025 Standard | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Tag F0770 | D Potential harm, isolated | Corrected October 7, 2025 |
| August 28, 2025 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0808 | D Potential harm, isolated | Corrected October 7, 2025 |
| August 28, 2025 Standard | Provide special eating equipment and utensils for residents who need them and appropriate assistance. Nutrition and Dietary Deficiencies · Tag F0810 | D Potential harm, isolated | Corrected October 7, 2025 |
| October 16, 2024 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | E Potential harm, pattern | Deficient, Provider has no plan of correction |
| October 16, 2024 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Deficient, Provider has no plan of correction |
| September 21, 2022 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected February 28, 2023 |
| September 21, 2022 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected January 6, 2023 |
| September 21, 2022 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected January 6, 2023 |
| September 21, 2022 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | G Actual harm, isolated | Corrected October 31, 2022 |
| September 21, 2022 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | G Actual harm, isolated | Corrected October 31, 2022 |
| May 12, 2021 Fire safety | Develop a communication plan. Emergency Preparedness Deficiencies · Tag E0029 | B No harm, pattern | Corrected June 15, 2021 |
| May 12, 2021 Fire safety | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Tag E0031 | B No harm, pattern | Corrected June 15, 2021 |
| May 12, 2021 Standard | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | E Potential harm, pattern | Corrected June 15, 2021 |
| May 12, 2021 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | B No harm, pattern | Corrected June 15, 2021 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| AHC ACQUISITIONS, LLC Organization | 5% or greater direct ownership interest | 12% | 07/10/2020 |
| CRC BLIND TRUST Organization | 5% or greater direct ownership interest | 7% | 07/10/2020 |
| WCC THIRD BLIND TRUST Organization | 5% or greater direct ownership interest | 78% | 07/10/2020 |
| DALTON, BRAD Individual | adp of the snf | NOT APPLICABLE | 07/11/2024 |
| DALTON, ROBERT Individual | adp of the snf | NOT APPLICABLE | 04/21/2014 |
| EAST, THOMAS Individual | adp of the snf | NOT APPLICABLE | 04/21/2014 |
| GALLANT, CASSANDRA Individual | adp of the snf | NOT APPLICABLE | 10/04/2024 |
| HOPKINS, WILLIAM Individual | corporate director | NOT APPLICABLE | 10/04/2024 |
| DALTON, ROBERT Individual | corporate officer | NOT APPLICABLE | 10/04/2024 |
| EAST, THOMAS Individual | corporate officer | NOT APPLICABLE | 10/04/2024 |
| EAST, THOMAS Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 01/20/2026 |
| AMERICAN HEALTHCARE LLC Organization | operational/managerial control | NOT APPLICABLE | 11/22/2010 |
| CRANWELL, ROBERT Individual | operational/managerial control | NOT APPLICABLE | 10/04/2024 |
| DALTON, BRAD Individual | operational/managerial control | NOT APPLICABLE | 07/11/2024 |
| DALTON, ROBERT Individual | operational/managerial control | NOT APPLICABLE | 04/21/2014 |
| EAST, THOMAS Individual | operational/managerial control | NOT APPLICABLE | 04/21/2014 |
| GALLANT, CASSANDRA Individual | operational/managerial control | NOT APPLICABLE | 07/11/2024 |
| CRC BLIND TRUST Organization | trustee of the snf | NOT APPLICABLE | 07/10/2020 |
Other nursing homes near Heritage Hall Lexington
Kendal at Lexington
160 Kendal Drive, Lexington, VA 24450 · 1 mi
Non-profit · 60 beds · Part of Kendal
★★★★★4Above averageShenandoah Valley Health and Rehab
3737 Catalpa Ave, Buena Vista, VA 24416 · 5.3 mi
For-profit · 93 beds · Part of Trio Healthcare
★★★★★2Below averageAlleghany Health and Rehab
1725 Main Street, Clifton Forge, VA 24422 · 20.1 mi
For-profit · 105 beds · Part of Trio Healthcare
★★★★★1Much below averageThe Woodlands Health and Rehab Center
1000 Fairview Heights, Clifton Forge, VA 24422 · 20.5 mi
For-profit · 60 beds · Part of Commonwealth Care of Roanoke
★★★★★5Much above averageBrian Center of Alleghany
100 Alleghany Regional Hospital Lane, Low Moor, VA 24457 · 24.2 mi
For-profit · 89 beds
★★★★★5Much above averageFairmont Crossing Health and Rehab Center
173 Brockman Park Drive, Amherst, VA 24521 · 26.1 mi
For-profit · 120 beds · Part of Hill Valley Healthcare
★★★★★2Below average
All nursing homes in East Lexington, VA · Compare side by side
Frequently asked questions
What is Heritage Hall Lexington's rating?
Heritage Hall Lexington has 4 out of 5 stars on the CMS overall star rating. The average for Virginia nursing homes is 3 stars.
How many inspection citations did Heritage Hall Lexington receive?
Its most recent standard health inspection found 13 citations, compared with a Virginia average of 14.4. Every citation is listed on this page with its severity.
Does Heritage Hall Lexington accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Heritage Hall Lexington?
It is for profit - limited liability company and part of Heritage Hall. The ownership section on this page lists the owners and managers reported to CMS.
Where is Heritage Hall Lexington and how do I contact it?
Heritage Hall Lexington is at 205 Houston Street, East Lexington, VA 24450. Phone: (540) 464-8181.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.