Virginia ›East Lexington

Heritage Hall Lexington

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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★)

3/5
Health inspection rating (on-site)
inspected Aug 28, 2025
2
Serious findings on record
most recent Sep 21, 2022
$0
Fines, last 3 years
3.70
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

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.

Most serious findings (actual harm or immediate jeopardy)

▲ 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)

Inspection findings in the public record

Showing the latest 3 of 19 inspection findings. Open the full record below to read every finding.

  1. 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

  2. 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

  3. 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

View all 19 inspection findingsShow only the latest 3 findings

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.

DateSeverityWhat the facility was cited for
Aug 28, 2025E · Potential for more than minimal harm, patternThe 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, 2025E · Potential for more than minimal harm, patternThe 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, 2025E · Potential for more than minimal harm, patternThe 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, 2025E · Potential for more than minimal harm, patternThe 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, 2025D · Potential for more than minimal harm, isolatedThe 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, 2025D · Potential for more than minimal harm, isolatedThe 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, 2025D · Potential for more than minimal harm, isolatedThe 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, 2025D · Potential for more than minimal harm, isolatedThe 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, 2025D · Potential for more than minimal harm, isolatedThe 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, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide timely, quality laboratory tests to meet residents' needs. · F-0770
Aug 28, 2025D · Potential for more than minimal harm, isolatedThe 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, 2025D · Potential for more than minimal harm, isolatedThe 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, 2025D · Potential for more than minimal harm, isolatedThe 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, 2024E · Potential for more than minimal harm, patternThe 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, 2024D · Potential for more than minimal harm, isolatedThe 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, isolatedThe 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, isolatedThe 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, 2021E · Potential for more than minimal harm, patternThe 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, 2021B · Potential for minimal harm, patternThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 13).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2021
All citations: 2
Serious citations (G–L): 0
2022
All citations: 2
Serious citations (G–L): 2
2024
All citations: 2
Serious citations (G–L): 0
2025
All citations: 13
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202120E
202222G ▲
202420E
2025130E

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)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityVirginia averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.70
Virginia average: 3.67
U.S. average: 3.95
Registered Nurse hours
This facility: 0.68
Virginia average: 0.66
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.29
Virginia average: 3.21
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityVirginia avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.703.673.95top 29% in Virginia; bottom 47% in the U.S.
Registered Nurse hours0.680.660.69top 24% in Virginia; top 39% in the U.S.
Weekend total nurse staffing3.293.213.50top 29% in Virginia; bottom 46% in the U.S.
Weekend RN hours (not acuity-adjusted)0.310.460.48bottom 42% in Virginia; bottom 34% in the U.S.
Total nursing staff turnover (%)44.248.145.8top 37% in Virginia; top 48% in the U.S.
RN turnover (%)33.348.242.9top 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.

Quality measures: assessments & claims

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

Costs & payment

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.

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Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

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 / managerTypeRoleStakeSince
Ahc Acquisitions, LLCOrganization5% or Greater Direct Ownership Interest12%07/10/2020
CRC Blind TrustOrganization5% or Greater Direct Ownership Interest7%07/10/2020
WCC Third Blind TrustOrganization5% or Greater Direct Ownership Interest78%07/10/2020
American Healthcare LLCOrganizationOperational/Managerial ControlNOT APPLICABLE11/22/2010
Cranwell, RobertIndividualOperational/Managerial ControlNOT APPLICABLE10/04/2024
CRC Blind TrustOrganizationTrustee of the SNFNOT APPLICABLE07/10/2020
Dalton, BradIndividualOperational/Managerial ControlNOT APPLICABLE07/11/2024
Dalton, BradIndividualADP of the SNFNOT APPLICABLE07/11/2024
Dalton, RobertIndividualCorporate OfficerNOT APPLICABLE10/04/2024
Dalton, RobertIndividualOperational/Managerial ControlNOT APPLICABLE04/21/2014
Dalton, RobertIndividualADP of the SNFNOT APPLICABLE04/21/2014
East, ThomasIndividualCorporate OfficerNOT APPLICABLE10/04/2024
East, ThomasIndividualOperational/Managerial ControlNOT APPLICABLE04/21/2014
East, ThomasIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE01/20/2026
East, ThomasIndividualADP of the SNFNOT APPLICABLE04/21/2014
Gallant, CassandraIndividualOperational/Managerial ControlNOT APPLICABLE07/11/2024
Gallant, CassandraIndividualADP of the SNFNOT APPLICABLE10/04/2024
Hopkins, WilliamIndividualCorporate DirectorNOT APPLICABLE10/04/2024

All 18 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

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.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 44% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 18 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Kendal at Lexington1.1 miLexington, VA★★★★☆2/5
Shenandoah Valley Health and Rehab5.3 miBuena 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.

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