The nursing home failed to provide services that met professional standards of quality. Cited September 2022 — isolated incident, actual harm.
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F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: G
Nursing home report
HERITAGE HALL LEXINGTON
EAST LEXINGTON, VA · Medicare-certified · 60 beds
In good standing
For-profitChain member
4 of 5 overall
Heritage Hall Lexington has an overall 4-star rating, with 3-star health inspection and staffing ratings and a 5-star quality measures rating. It reported 3.23 nurse staffing hours per resident per day versus the 4.1 federal benchmark, had no fines in the last 24 months, and recent inspection citations included care standards, medication regimen, and grievance-handling issues.
Facility ratings
Health inspections
Staffing
3.2254 hrs/resident/day
Quality measures
Last inspection: August 28, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2254.
Staffing detail
- Registered nurses
- 0.49
- Licensed practical nurses
- 0.76
- Nurse aides
- 1.97
- Weekend nursing
- 2.83
Hours per resident per day.
Total staff turnover: 50%
Registered nurse turnover: 50%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
5.6%2.6%Improving
Residents with a fall causing major injury
1.8%2%No change
Residents with pressure ulcers (bedsores)
0%5.3%Worsening
Residents with a urinary tract infection
1.9%0%Improving
Residents who lost too much weight
5.9%2.1%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
21.3%22.7%Worsening
Residents whose ability to walk got worse
31.5%9.8%Improving
Long-stay residents on antianxiety or sleep medication
22.6%28%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
48.6%23.6%Improving
Residents with depressive symptoms
0%2%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—95.8%—
Short-stay residents given the pneumonia vaccine
95.7%62.2%Worsening
What the inspectors found
The home failed to ensure residents’ medications were free from unnecessary drugs. Cited September 2022 — isolated incident, actual harm.
View the original federal record
F-Tag 757 — 42 CFR §483.45(d) — S/S: G
The home failed to protect residents’ right to complain without fear and did not ensure grievances were handled promptly. Cited August 2025 — limited pattern, potential for harm.
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F-Tag 585 — 42 CFR §483.10 — S/S: E
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited August 2025 — limited pattern, potential for harm.
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F-Tag 607 — 42 CFR §483.12 — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited August 2025 — limited pattern, potential for harm.
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F-Tag 761 — 42 CFR §483.45(g) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 13 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of HERITAGE HALL · 16 homes · 3.8 stars avg
- Occupancy
- 55.1 residents on an average day (92% of 60 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 29 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.