Kendal at Lexington
160 Kendal Drive, Lexington, VA 24450 · Lexington City County · 60 certified beds · avg 40 residents/day · certified since Jan 1, 1967 · 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: KENDAL (5 facilities, chain avg rating 4.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 4/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
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 · Apr 24, 2024 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
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: Jun 7, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (23)
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 |
|---|---|---|
| Apr 24, 2024 | ▲ G · Actual 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. |
| Apr 24, 2024 | F · Potential for harm, facility-wide | 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. |
| Apr 24, 2024 | 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. |
| Apr 24, 2024 | E · Potential for harm, repeated | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Apr 24, 2024 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Apr 24, 2024 | D · Potential for harm, one-off | 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. |
| Apr 24, 2024 | 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. |
| Apr 24, 2024 | D · Potential for 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. |
| Apr 24, 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. |
| Apr 24, 2024 | 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. |
| Apr 24, 2024 | 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. |
| Apr 24, 2024 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Apr 24, 2024 | D · Potential for harm, one-off | 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. |
| Apr 24, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Apr 24, 2024 | D · Potential for harm, one-off | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. |
| Nov 17, 2021 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Nov 17, 2021 | 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. |
| Nov 17, 2021 | 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. |
| Nov 17, 2021 | B · Minimal risk, repeated | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Apr 4, 2019 | E · Potential for harm, repeated | 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. |
| Apr 4, 2019 | 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. |
| Apr 4, 2019 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Apr 4, 2019 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 15).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 4 | 0 | E |
| 2021 | 4 | 0 | E |
| 2024 | 15 | 1 | G ▲ |
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)
1 fine totaling $10,033.
| Date | Type | Amount / length |
|---|---|---|
| Apr 24, 2024 | Fine | $10,033 |
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) | 5.74 | 3.67 | 3.95 | top 6% in Virginia; top 5% in the U.S. |
| Registered Nurse hours | 1.36 | 0.66 | 0.69 | top 7% in Virginia; top 6% in the U.S. |
| Weekend total nurse staffing | 4.96 | 3.21 | 3.50 | top 7% in Virginia; top 7% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.79 | 0.46 | 0.48 | top 9% in Virginia; top 12% in the U.S. |
| Total nursing staff turnover (%) | 40.0 | 48.1 | 45.8 | top 30% in Virginia; top 36% in the U.S. |
| RN turnover (%) | 28.6 | 48.2 | 42.9 | top 17% in Virginia; top 26% 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 4.88, RN 1.16, weekend 4.21. Staffing rating: 5/5.
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: 3/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Baker, Priscilla | Individual | Corporate Director | NOT APPLICABLE | 07/27/2017 |
| Baroco, Patrick | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2023 |
| Baroco, Patrick | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2023 |
| Branner, Elizabeth | Individual | Corporate Director | NOT APPLICABLE | 05/18/2023 |
| Brooke, George | Individual | Corporate Director | NOT APPLICABLE | 05/16/2024 |
| Bryd, Vassar | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/09/2024 |
| Bryd, Vassar | Individual | ADP of the SNF | NOT APPLICABLE | 01/09/2024 |
| Bush, Felicia | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2010 |
| Bush, Felicia | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/17/2006 |
| Bush, Felicia | Individual | ADP of the SNF | NOT APPLICABLE | 08/17/2006 |
| Day, Adam | Individual | Corporate Officer | NOT APPLICABLE | 06/02/2025 |
| Day, Adam | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/02/2025 |
| Day, Adam | Individual | ADP of the SNF | NOT APPLICABLE | 06/02/2025 |
| Feldbauer, Adam | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/06/2023 |
| Feldbauer, Adam | Individual | ADP of the SNF | NOT APPLICABLE | 09/06/2023 |
| Gosse, Thomas | Individual | Corporate Director | NOT APPLICABLE | 05/15/2025 |
| Grizzle, James | Individual | Corporate Director | NOT APPLICABLE | 05/21/2020 |
| Guill, Noelle | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/16/2025 |
| Hare, Randolph | Individual | Corporate Director | NOT APPLICABLE | 01/20/2022 |
| Hare, Randolph | Individual | Corporate Officer | NOT APPLICABLE | 05/15/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "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 |
|---|---|---|---|---|---|
| Heritage Hall Lexington | 1.1 mi | East Lexington, VA | ★★★★☆ | 3/5 | |
| Shenandoah Valley Health and Rehab | 6.4 mi | Buena Vista, VA | ★★☆☆☆ | 2/5 | |
| Alleghany Health and Rehab | 19.1 mi | Clifton Forge, VA | ★☆☆☆☆ | 1/5 | |
| The Woodlands Health and Rehab Center | 19.4 mi | Clifton Forge, VA | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 495034.