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No fines or payment denials in the published 3-year window.
205 Houston Street, East Lexington, VA 24450 (opens Google Maps) · Lexington City County · (540) 464-8181· 60 certified beds · avg 55 residents/day · certified since Jun 1, 1997 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: HERITAGE HALL (15 facilities, chain avg rating 4.1★)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5 · how star ratings work →
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 quality measures from resident assessments and claims.
▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Oct 31, 2022 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Oct 31, 2022 (Deficient, Provider has date of correction)
Showing the latest 3 of 19 inspection findings. Open the full record below to read every finding.
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. F-0585
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. F-0607
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. F-0761
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Aug 28, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0585 |
| Aug 28, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0607 |
| Aug 28, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0761 |
| Aug 28, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Aug 28, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0657 |
| Aug 28, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Aug 28, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Aug 28, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0695 |
| Aug 28, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0756 |
| Aug 28, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide timely, quality laboratory tests to meet residents' needs. · F-0770 |
| Aug 28, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0808 |
| Aug 28, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0810 |
| Aug 28, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Oct 16, 2024 | E · Potential for more than minimal harm, pattern | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842 |
| Oct 16, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0677 |
| Sep 21, 2022 | ▲ G · Actual harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Sep 21, 2022 | ▲ G · Actual harm, isolated | 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. · F-0757 |
| May 12, 2021 | E · Potential for more than minimal harm, pattern | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. · F-0565 |
| May 12, 2021 | B · Potential for minimal harm, pattern | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
Citations from standard inspections increased between the last two inspection cycles (2 → 13).
All bars start at zero. Exact values and supporting details remain below.
| 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.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.05 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Heritage Hall Lexington. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 18 owning or managing parties CMS has on file are shown — none excluded.
CMS lists this facility under the chain Heritage Hall — 15 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking. Showing 8 of the 14 others, continuing from this facility's own place in that list.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| 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 |
Facility data as of CMS processing date 2026-08-01. CCN 495321.
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