Nursing HomeInspections

Kendal at Lexington

Nursing home in Lexington, VA

Medicare & Medicaid certified4★ overall (CMS)

Call (540) 463-1910Send a messageMap ↗

Public-record details

Address
160 Kendal Drive, Lexington, VA 24450
Phone
(540) 463-1910
Listed under
Nonprofit, 4–5 star overall rating, Part of a retirement community
Medicare CCN
495034
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
2 of 5
Staffing rating
5 of 5
Quality measures rating
5 of 5
Certified beds
60
Average residents per day
40
Ownership
Nonprofit, corporation
Legal business name
Lexington Retirement Community, INC
Chain
Kendal (5 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 1, 1967
Changed ownership in last 12 months
No
Continuing care retirement community
Yes
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 495034. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 24, 2024. CMS lists 23 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 4, 2019 to Apr 24, 2024): 0 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Apr 24, 2024Reasonably accommodate the needs and preferences of each resident.
Resident Rights		D
Potential for more than minimal harm, isolated
Apr 24, 2024Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Apr 24, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Apr 24, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Apr 24, 2024Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 24, 2024Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 24, 2024Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Apr 24, 2024Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Apr 24, 2024Ensure 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…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Apr 24, 2024Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Apr 24, 2024Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff…
Infection Control		D
Potential for more than minimal harm, isolated
Apr 24, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 23. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $10,033 in the last three years.

Apr 24, 2024Fine: $10,033

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.88 hours
Registered nurse (RN) time per resident per day
1.16 hours
Nurse aide time per resident per day
3.10 hours
Total nurse staffing on weekends
4.21 hours
Nursing staff turnover (yearly)
40%
RN turnover (yearly)
29%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.