Nursing home report card · East Lexington, VA
Heritage Hall Lexington
205 Houston Street, East Lexington, VA 24450
Call this home: (540) 464-8181
View this home on Medicare.gov ↗
Quick summary
Review the ratings and inspection history below
Use the star ratings as a quick grade, then read what inspectors actually wrote. Numbers alone do not tell the whole story for any one resident.
Our summary of public Medicare records. It does not establish that this home harmed a particular resident. About this summary.
How recent is this information?
- Medicare file prepared
- Aug 1, 2026
- Our record last updated
- Oct 15, 2026
- Last routine health inspection
- Aug 28, 2025
These dates mean different things. A new file can include older inspections and staffing figures. Read about the dates.
Medicare ratings
One star is the lowest rating. Five stars is the highest. Ratings are a starting point—read the inspection findings too.
Combines inspection, staffing, and care measures.
Above average
Based on problems found during health inspections.
About average for U.S. nursing homes
Based on staffing levels and related measures.
Above average
Based on reported health and care results.
Among the highest Medicare ratings
What do the ratings and warnings mean?
- Medicare ratings
- One star is the lowest rating. Five stars is the highest. These are government ratings, not family reviews.
- Inspection problems
- Inspectors found that a home did not meet a care or safety rule. The official term is “deficiency.”
- Abuse warning
- Medicare has flagged the home because of abuse-related inspection findings. Read the findings and dates.
- Nursing staff time
- Average staff hours for each resident per day. This does not mean each resident gets that much one-to-one care.
At a glance
These numbers come from the records we have. Inspection problems are rules the home did not meet. The dates covered can differ.
Care, safety, and resident-rights issues on recent inspections
Building, alarms, exits, and related safety citations
Total fine amounts in the imported penalty records
Medicare home ID: 495321
Inspection findings to read first
Start with these past findings. We show the most serious first, then the most recent. They do not describe the home’s condition today.
Caused actual harm · isolated case
Sep 21, 2022 · Inspection rule 0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Caused actual harm · isolated case
Sep 21, 2022 · Inspection rule 0658
Ensure services provided by the nursing facility meet professional standards of quality.
Could have caused harm · isolated case
Aug 28, 2025 · Inspection rule 0770
Provide timely, quality laboratory services/tests to meet the needs of residents.
Nursing staff time
These are average staff hours for each resident per day. They are not one-to-one bedside care. The file does not give the reporting period for each figure.
about 34 minutes per resident per day
about 3 hr 3 min per resident per day
about 19 minutes per resident per day
Latest inspection summary
A summary of the most recent routine inspections. You can open the dated findings below.
We do not have a routine inspection summary for this home. Check the dated findings below and the Medicare.gov record.
How this home compares
Compared with state and national averages. The numbers may cover different periods.
- Overall CMS rating: 4 stars
- Health inspection rating: 3 stars
- Staffing rating: 4 stars
- Registered nurse time per resident: 0.56 hours/day
- Total nurse time per resident: 3.05 hours/day
See the dates used for these averages
Medicare file dates: this home Aug 1, 2026; Virginia averages Unavailable; U.S. averages Oct 1, 2026.
Other concerns in the records
These points may be worth asking about. They do not establish what happened to a particular resident. See our Terms of Use.
- Recent citations include infection-control problems
How serious were the problems?
Inspectors rate each problem by how much harm it caused or could cause. We group the CMS letter codes into plain language.
- Caused actual harm2 citations
- Could have caused harm16 citations
- Low risk of harm1 citation
Why inspectors showed up
Routine checks happen on a schedule. Complaint visits happen when someone reports a concern.
- Complaints
- 0
- Routine
- 19
- Fire safety
- 0
- Other
- 0
Who owns it
Names CMS lists as owners or managers · reported as For profit - Limited Liability company.
- We do not have individual owner names for this home.
Other homes in this group: All Heritage Hall nursing homes
Inspection history
Open a date to read what inspectors found. The harm labels explain how serious the problem was at the time.
August 28, 202513 findings
- Resident Rights problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0585 · code E
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.
- Freedom from Abuse, Neglect, and Exploitation problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0607 · code E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Pharmacy Service problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0761 · code E
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.
- Nutrition and Dietary problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0812 · code E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Resident Assessment and Care Planning problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0657 · code D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Quality of Life and Care problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0684 · code D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Quality of Life and Care problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0689 · code D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Quality of Life and Care problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0695 · code D
Provide safe and appropriate respiratory care for a resident when needed.
- Pharmacy Service problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0756 · code D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- Administration problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0770 · code D
Provide timely, quality laboratory services/tests to meet the needs of residents.
- Nutrition and Dietary problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0808 · code D
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.
- Nutrition and Dietary problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0810 · code D
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
- Infection Control problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0880 · code D
Provide and implement an infection prevention and control program.
October 16, 20242 findings
- Resident Assessment and Care Planning problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0842 · code E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Quality of Life and Care problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0677 · code D
Provide care and assistance to perform activities of daily living for any resident who is unable.
September 21, 20222 findings
- Resident Assessment and Care Planning problemsCaused actual harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0658 · code G
Ensure services provided by the nursing facility meet professional standards of quality.
- Pharmacy Service problemsCaused actual harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0757 · code G
Ensure each resident’s drug regimen must be free from unnecessary drugs.
May 12, 20212 findings
- Resident Rights problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0565 · code E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- Resident Assessment and Care Planning problemsLow risk of harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0641 · code B
Ensure each resident receives an accurate assessment.
Fines & penalties
These fines appear in Medicare’s records. A listed amount does not tell us whether it has been paid.
- No fines or penalties appear in the records we have.
Other homes in this chain
Heritage Hall · other locations in Virginia
- Heritage Hall King George · King George2 of 5 · 53 problems
- South Roanoke Nursing and Rehabilitation · Roanoke3 of 5 · 39 problems
- Heritage Hall Dillwyn · Dillwyn3 of 5 · 25 problems
- Heritage Hall Big Stone Gap · Big Stone Gap4 of 5 · 41 problems
- Heritage Hall Clintwood · Clintwood4 of 5 · 18 problems
- Heritage Hall Wise · Wise4 of 5 · 20 problems
- Heritage Hall Blacksburg · Blacksburg4 of 5 · 22 problems
- Heritage Hall-Rich Creek · Rich Creek4 of 5 · 20 problems
Related topics
Questions about Heritage Hall Lexington
What is Heritage Hall Lexington's Medicare star rating?
Has Heritage Hall Lexington been fined?
Does Heritage Hall Lexington have a Medicare abuse warning?
How does Heritage Hall Lexington compare with other nursing homes in Virginia?
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