Heritage Hall Lexington
205 Houston Street, East Lexington, VA 24450 · Lexington City County · 60 certified beds · avg 55 residents/day · certified since Jun 1, 1997
Part of chain: HERITAGE HALL (15 facilities, chain avg rating 4.1★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Sep 21, 2022 · F-0658
The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Why it matters: Care that falls below professional standards can directly harm a resident's health and recovery.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Oct 31, 2022 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Sep 21, 2022 · F-0757
The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Why it matters: Unneeded drugs expose residents to side effects, drowsiness, falls, and dangerous interactions.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Oct 31, 2022 (Deficient, Provider has date of correction)
All citations in the current public record (19)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Aug 28, 2025 | E · Potential for harm, repeated | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Aug 28, 2025 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Aug 28, 2025 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Aug 28, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Aug 28, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Aug 28, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Aug 28, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Aug 28, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Aug 28, 2025 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Aug 28, 2025 | D · Potential for harm, one-off | The facility did not provide timely, quality laboratory tests to meet residents' needs. |
| Aug 28, 2025 | D · Potential for harm, one-off | The facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows. |
| Aug 28, 2025 | D · Potential for harm, one-off | The facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals. |
| Aug 28, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Oct 16, 2024 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Oct 16, 2024 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| Sep 21, 2022 | ▲ G · Actual harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Sep 21, 2022 | ▲ G · Actual harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| May 12, 2021 | E · Potential for harm, repeated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| May 12, 2021 | B · Minimal risk, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 13).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 2 | 0 | E |
| 2022 | 2 | 2 | G ▲ |
| 2024 | 2 | 0 | E |
| 2025 | 13 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Virginia avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.70 | 3.67 | 3.95 | top 29% in Virginia; bottom 47% in the U.S. |
| Registered Nurse hours | 0.68 | 0.66 | 0.69 | top 24% in Virginia; top 39% in the U.S. |
| Weekend total nurse staffing | 3.29 | 3.21 | 3.50 | top 29% in Virginia; bottom 46% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.31 | 0.46 | 0.48 | bottom 42% in Virginia; bottom 34% in the U.S. |
| Total nursing staff turnover (%) | 44.2 | 48.1 | 45.8 | top 37% in Virginia; top 48% in the U.S. |
| RN turnover (%) | 33.3 | 48.2 | 42.9 | top 22% in Virginia; top 33% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.05, RN 0.56, weekend 2.72. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | 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 |
| American Healthcare LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/22/2010 |
| Cranwell, Robert | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/04/2024 |
| CRC Blind Trust | Organization | Trustee of the SNF | NOT APPLICABLE | 07/10/2020 |
| Dalton, Brad | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/11/2024 |
| Dalton, Brad | Individual | ADP of the SNF | NOT APPLICABLE | 07/11/2024 |
| Dalton, Robert | Individual | Corporate Officer | NOT APPLICABLE | 10/04/2024 |
| Dalton, Robert | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/21/2014 |
| Dalton, Robert | Individual | ADP of the SNF | NOT APPLICABLE | 04/21/2014 |
| East, Thomas | Individual | Corporate Officer | NOT APPLICABLE | 10/04/2024 |
| East, Thomas | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/21/2014 |
| East, Thomas | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 01/20/2026 |
| East, Thomas | Individual | ADP of the SNF | NOT APPLICABLE | 04/21/2014 |
| Gallant, Cassandra | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/11/2024 |
| Gallant, Cassandra | Individual | ADP of the SNF | NOT APPLICABLE | 10/04/2024 |
| Hopkins, William | Individual | Corporate Director | NOT APPLICABLE | 10/04/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Kendal at Lexington | 1.1 mi | Lexington, VA | ★★★★☆ | 2/5 | |
| Shenandoah Valley Health and Rehab | 5.3 mi | Buena Vista, VA | ★★☆☆☆ | 2/5 |
Compare this facility with the 2 closest →
All facilities in East Lexington →
Facility data as of CMS processing date 2026-08-01. CCN 495321.