Nursing HomeInspections

Heritage Hall Lexington

Nursing home in East Lexington, VA

Medicare & Medicaid certified4★ overall (CMS)

Call (540) 464-8181Send a messageMap ↗

Public-record details

Address
205 Houston Street, East Lexington, VA 24450
Phone
(540) 464-8181
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
495321
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
3 of 5
Staffing rating
4 of 5
Quality measures rating
5 of 5
Certified beds
60
Average residents per day
55
Ownership
For-profit, limited Liability company
Legal business name
Lexington Life Care Corp
Chain
Heritage Hall (15 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jun 1, 1997
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 495321. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 28, 2025. CMS lists 19 health citations for this facility across its last three standard inspection cycles and complaint inspections (May 12, 2021 to Aug 28, 2025): 2 from complaint inspections, 2 at the “actual harm” level or higher.

InspectionCitationSeverity
Aug 28, 2025Develop 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
Aug 28, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 28, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 28, 2025Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 28, 2025Ensure 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
Aug 28, 2025Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration		D
Potential for more than minimal harm, isolated
Aug 28, 2025Ensure 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.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Aug 28, 2025Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Aug 28, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Aug 28, 2025Honor 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.
Resident Rights		E
Potential for more than minimal harm, pattern
Aug 28, 2025Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation		E
Potential for more than minimal harm, pattern
Aug 28, 2025Ensure 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		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 19. 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 no fines or payment denials for this facility in the last three years.

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
3.05 hours
Registered nurse (RN) time per resident per day
0.56 hours
Nurse aide time per resident per day
1.79 hours
Total nurse staffing on weekends
2.72 hours
Nursing staff turnover (yearly)
44%
RN turnover (yearly)
33%
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.