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Nursing HomeMedicaid

Heritage Hall Lexington

Strong Medicare quality ratings; families often praise effective rehabilitation therapy. Still worth an in-person visit.

205 Houston Street, East Lexington, VA 2445060 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.6/5

based on 37 Google reviews

5
4
3
2
1
Heritage Hall Lexington Nursing Home in East Lexington, VA — Street View
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What this means for your family

Heritage Hall Lexington is highly regarded for its effective rehabilitation and dementia care programs. However, families should be aware of potential administrative friction regarding bed-hold policies during hospitalizations and should maintain proactive, frequent communication with nursing staff to ensure health changes are reported promptly.

Google Reviews

Google Reviews

37 reviews on Google
Heritage Hall Lexington receives high praise for its rehabilitation services and dedicated nursing staff, with several families noting significant improvements in their loved ones' health. However, there are serious concerns regarding administrative policies, specifically the practice of giving away beds during short-term hospitalizations, as well as reports of poor infection control and a lack of proactive communication during medical emergencies.

Quality Themes

Tap a score for details
Food5.0Staff8.0Clean4.0Activities9.0MedsN/AMemory9.0Comms3.0ValueN/A

Strengths

  • Effective rehabilitation therapy
  • Engaging activities program
  • Compassionate nursing staff
  • Dementia patient redirection

Concerns

  • Aggressive bed-hold policies during hospital stays (mentioned by 2 reviewers)
  • Inadequate communication regarding resident health status (mentioned by 2 reviewers)
  • Poor infection control and hygiene practices (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02018(1)5.02021(19)5.02022(1)5.02023(1)3.52024(2)3.42025(7)4.92026(8)

Distribution · 39 analyzed

5
34
4
1
3
0
2
2
1
2
15 reviews posted between Sep 1, 2021Sep 1, 2021 · 15 were 5-star

How They Respond to Reviews

3%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1With the current staffing rating of three stars, what steps are you taking to ensure consistent, personalized attention for residents throughout the day?
  • 2I noticed some feedback regarding communication; could you walk me through your standard process for updating families on a resident's health status or changes in condition?
  • 3Regarding the facility's bed-hold policy, could you clarify how you manage transitions if a resident needs to be temporarily hospitalized?
  • 4Given the importance of maintaining a healthy environment, what specific protocols and schedules do you have in place for daily cleaning and infection control?
  • 5I’ve heard great things about your rehabilitation therapy and activities program—could you tell me more about how you tailor these activities to keep residents engaged?
  • 6How do you handle medical emergencies or urgent health concerns during evening or weekend hours when clinical leadership might not be on-site?

Personalized based on this facility's data


Key Review Excerpts

The therapy was the best she's had and worked nothing short of a miracle with her.

Rehab patient's family · 2025★★★★★

This is the best facility that can redirect dementia patients without making them feel troubled.

Memory care family member · 2026★★★★★

Not being told your loved is sick then showing up to find them incredibly sick with none of the staff noticing is insane.

Long-term resident's family · 2025☆☆☆☆
Source: 37 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.49hrs
66%
Registered nurses for medical care
Total Nursing
3.23hrs
79%
All nurses + aides combined
Staff Turnover
50%
Lower is better (< 30% = good)
RN Turnover
50%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

11

measures

Worse Than Avg

5

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.0%
Better than Avg
Here
2.0%
US
12.1%
VA
16.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility3.3%
Better than Avg
Here
3.3%
US
15.5%
VA
14.2%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility28.2%
Worse than Avg
Here
28.2%
US
19.5%
VA
20.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.0%
Better than Avg
Here
99.0%
US
93.4%
VA
91.0%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility27.2%
Worse than Avg
Here
27.2%
US
19.4%
VA
22.0%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
VA
94.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility95.8%
Better than Avg
Here
95.8%
US
79.8%
VA
73.6%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility80.8%
Mixed vs Avgs
Here
80.8%
US
81.8%
VA
73.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
VA
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

13deficiencies
Near state avg (14.5)
2 complaint-triggered

Heritage Hall Lexington has a concerning pattern with two recent complaint-triggered deficiencies in October 2024 that remain uncorrected, involving daily care assistance and medical records protection. The facility shows recurring issues with care planning and assessment across multiple surveys, though most past deficiencies were corrected. Families should inquire about recent improvements before visiting.

Aug 28, 2025Routine
13
0585Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0607Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0770Potential for harm · IsolatedCorrected

Administration Deficiencies

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

0808Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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.

0810Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Oct 16, 2024Complaint
2
0842Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Sep 21, 2022Routine
5
0658Actual harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0757Actual harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0353Potential for harm · Widespread

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

May 12, 2021Routine
4
0565Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

0641Minimal · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0029Minimal · PatternCorrected

Emergency Preparedness Deficiencies

Develop a communication plan.

0031Minimal · PatternCorrected

Emergency Preparedness Deficiencies

Provide emergency officials' contact information.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Heritage Hall Lexington

Organization Type

for profit

Chain Affiliation

Chain Name

Heritage Hall

Chain Size

16 facilities nationwide

Chain avg rating: 3.9/5 · Rank 5 of 16

Ownership & Management

Owners

Ahc Acquisitions, LLC

Owner · Organization

12%

Crc Blind Trust

Owner · Organization

7%

Wcc Third Blind Trust

Owner · Organization

78%

East, Thomas

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Hopkins, WilliamOfficer / DirectorDalton, RobertOfficer / DirectorEast, ThomasOfficer / DirectorAmerican Healthcare LLCManagerCranwell, RobertManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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