Heritage Hall Lexington
205 Houston Street, Lexington, VA 24450 · (540) 464-8181
For profit - Limited Liability company · 60 certified beds
Heritage Hall Lexington has a 4-star overall rating from Medicare, out of 5. Its last standard inspection, in August 2025, found 13 citations (the Virginia average is 14.3). It hasn't been fined in the last three years.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 4 out of 5 stars · Above average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 3 out of 5 stars · Average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 5 out of 5 stars · Much above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 4 out of 5 stars · Above average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on August 28, 2025 found 13 citations. What an inspection citation means
- 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.August 28, 2025 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop and implement policies and procedures to prevent abuse, neglect, and theft.August 28, 2025 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.August 28, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.August 28, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.August 28, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.August 28, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.August 28, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe and appropriate respiratory care for a resident when needed.August 28, 2025 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.August 28, 2025 · F0756 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide timely, quality laboratory services/tests to meet the needs of residents.August 28, 2025 · F0770 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.August 28, 2025 · F0808 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide special eating equipment and utensils for residents who need them and appropriate assistance.August 28, 2025 · F0810 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.August 28, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 2 citations.
- Provide care and assistance to perform activities of daily living for any resident who is unable.October 16, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.October 16, 2024 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Fines and payment denials
No fines or payment denials in the last three years.
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Virginia average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.05 | 3.76 | 3.86 |
| Registered nurses (RN) | 0.56 | 0.69 | 0.69 |
| Licensed practical nurses (LPN) | 0.71 | 1.00 | 0.86 |
| Nurse aides | 1.79 | 2.07 | 2.32 |
| Total nursing staff turnover | 44.2% | 48.1% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 60 |
| Average residents per day | 54.8 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Kendal at Lexington Lexington · ★★★★★ 4 out of 5 stars
- Shenandoah Valley Health and Rehab Buena Vista · ★★★★★ 2 out of 5 stars
- The Woodlands Health and Rehab Center Clifton Forge · ★★★★★ 5 out of 5 stars
- Alleghany Health and Rehab Clifton Forge · ★★★★★ 1 out of 5 stars
- The Springs Nursing & Rehab Center Hot Springs · ★★★★★ 5 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Heritage Hall Lexington on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.