Heritage Hall Lexington
205 Houston Street · East Lexington, VA · 24450 · 5404648181
60 certified beds For profit - Limited Liability company Chain: Heritage Hall
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.23 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.49 | 0.55–0.75 |
| Weekend hours / resident-day | 2.83 | ≈ weekday level |
| Nursing turnover / year | 50% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (19 in the current record)
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Potential for harm · E August 28, 2025
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.
Corrected October 7, 2025 · Resident Rights
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Potential for harm · E August 28, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected October 7, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 28, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 28, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 7, 2025 · Quality of Life and Care
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Potential for harm · D August 28, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 7, 2025 · Quality of Life and Care
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Potential for harm · D August 28, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected October 7, 2025 · Quality of Life and Care
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Potential for harm · D August 28, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected October 7, 2025 · Pharmacy Service
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Potential for harm · E August 28, 2025
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.
Corrected October 7, 2025 · Pharmacy Service
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Potential for harm · D August 28, 2025
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected October 7, 2025 · Administration
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Potential for harm · D August 28, 2025
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.
Corrected October 7, 2025 · Nutrition and Dietary
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Potential for harm · D August 28, 2025
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected October 7, 2025 · Nutrition and Dietary
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Potential for harm · E August 28, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 7, 2025 · Nutrition and Dietary
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Potential for harm · D August 28, 2025
Provide and implement an infection prevention and control program.
Corrected October 7, 2025 · Infection Control
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Potential for harm · D October 16, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Deficient, Provider has no plan of correction · Quality of Life and Care
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Potential for harm · E October 16, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Deficient, Provider has no plan of correction · Resident Assessment and Care Planning
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Actual harm · G September 21, 2022
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 31, 2022 · Resident Assessment and Care Planning
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Actual harm · G September 21, 2022
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected October 31, 2022 · Pharmacy Service
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Potential for harm · E May 12, 2021
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected June 15, 2021 · Resident Rights
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No harm found · B May 12, 2021
Ensure each resident receives an accurate assessment.
Corrected June 15, 2021 · Resident Assessment and Care Planning
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495321 · certified since June 1, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.