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Heritage Hall Lexington

Nursing Home Facility

205 Houston Street, East Lexington, VA 24450

Nursing Home Care Senior Living

Heritage Hall Lexington is a senior care community located in East Lexington, VA. It provides nursing home care and senior living for older adults in the East Lexington area. To learn more or schedule a tour, call (540) 464-8181.

Operated by Heritage Hall, which runs 13 communities in our directory.

Heritage Hall Lexington is licensed for 60 beds, about typical for the area, where senior care communities in Lexington City County average about 48 beds.

Federal reporting puts occupancy at about 91% of its licensed beds, which is high; communities this full often maintain a waiting list, so it is worth calling well before you need a place.

Medicare rates this community 4 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in August 2025 and recorded 13 deficiencies.

Residents receive about 3.1 hours of nursing care per day on average, including 0.6 hours from a registered nurse. Communities in Lexington City County average about 4.0 hours. Nursing staff turnover over the past year was about 44%.

The community is located in Lexington City County, VA.

Medicare five-star ratings

  • Overall ★★★★★ 4/5
  • Health inspections ★★★★★ 3/5
  • Staffing ★★★★★ 4/5
  • Quality measures ★★★★★ 5/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 19 problems at Heritage Hall Lexington. 2 findings involved harm to a resident. 2 came from investigating complaints by residents or families.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, a pattern Resident Rights

    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.

    Inspected August 2025. Corrected by October 7, 2025.

  • Could cause more than minimal harm, a pattern Freedom from Abuse, Neglect, and Exploitation

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Inspected August 2025. Corrected by October 7, 2025.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    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.

    Inspected August 2025. Corrected by October 7, 2025.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected August 2025. Corrected by October 7, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Inspected August 2025. Corrected by October 7, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Inspected August 2025. Corrected by October 7, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Inspected August 2025. Corrected by October 7, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide safe and appropriate respiratory care for a resident when needed.

    Inspected August 2025. Corrected by October 7, 2025.

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  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Inspected August 2025. Corrected by October 7, 2025.

  • Could cause more than minimal harm, one or a few residents Administration

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    Inspected August 2025. Corrected by October 7, 2025.

  • Could cause more than minimal harm, one or a few residents Nutrition and Dietary

    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.

    Inspected August 2025. Corrected by October 7, 2025.

  • Could cause more than minimal harm, one or a few residents Nutrition and Dietary

    Provide special eating equipment and utensils for residents who need them and appropriate assistance.

    Inspected August 2025. Corrected by October 7, 2025.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected August 2025. Corrected by October 7, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Heritage Hall Lexington offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 60
  • Occupancy 91%
  • Nursing hours per resident/day 3.1
  • Annual staff turnover 44%
  • Last health inspection August 2025

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