Nursing home
Heritage Hall Lexington
205 Houston Street, East Lexington, VA 24450 · Map
For profit - Corporation · Part of Heritage Hall (16 facilities) · 60 certified beds
Heritage Hall Lexington is a Medicare-certified nursing home in East Lexington, Virginia. CMS rates it 4 out of 5 stars overall (3/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.04 hours per resident per day, below the Virginia average of 3.81. Its most recent inspection on Sep 21, 2022 cited 2 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Heritage Hall Lexington compares
This facility vs. the Virginia and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Virginia avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.04 | 3.81 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.57 | 0.69 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.84 | 2.12 | 2.34 | below avg |
| Nursing staff turnover | 49.2% | 48.4% | 46.4% | above avg |
| Deficiencies cited, last inspection | 2.0 | 14.5 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the August 28, 2025 inspection was corrected by October 7, 2025
What inspectors found at Heritage Hall Lexington
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Aug 28, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Aug 28, 2025 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Aug 28, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Aug 28, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Aug 28, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Nutrition and Dietary Deficiencies · Aug 28, 2025 · Full report (PDF) - Potential for harm
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 Deficiencies · Aug 28, 2025 · Full report (PDF) - Potential for harm
Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration Deficiencies · Aug 28, 2025 · Full report (PDF) - Potential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Aug 28, 2025 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Aug 28, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Aug 28, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Aug 28, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 205 Houston Street
East Lexington, VA 24450 - CMS certification #
- 495321
- Ownership
- For profit - Corporation
- Certified beds
- 60
- Avg residents/day
- 55.9
- Provider type
- Medicare and Medicaid
- First certified
- 1997-06-01
- Chain
- Heritage Hall (16 facilities)
- Setting
- Rural
Part of Heritage Hall
Heritage Hall operates 16 nursing facilities across the United States. View all Heritage Hall facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Heritage Hall Lexington using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Carilion Stonewall Jackson Hospital, Lexington. 0.2 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Kendal at Lexington, Lexington. 1.0 mile away, straight line.
- Nearest home health agency office
- Bayada Home Health Care Inc, Lexington. 0.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 0.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 24450 as small town (small town core).
- Dialysis within 15 miles
- Davita Lexington Dialysis (Va), Lexington, 1.8 miles away, straight line (CMS rating 4 of 5 stars)
- Hospice
- 9 Medicare hospices tell CMS they serve ZIP code 24450.
Connectionsplus Healthcare + Hospice, office in Lexington, 0.7 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- Centra Medical Group LLC, Lynchburg. 28.8 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- FEMA has a flood map for this community (effective April 6, 2000), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively moderate, inland flooding relatively high, wildfire very low, tornado relatively low, heat wave very low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Heritage Hall Lexington a good nursing home?
CMS gives Heritage Hall Lexington an overall rating of 4 out of 5 stars, including 3/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Heritage Hall Lexington staffed?
Heritage Hall Lexington reports 3.04 total nurse hours per resident per day, compared with the Virginia average of 3.81.
Has Heritage Hall Lexington had inspection problems?
Its most recent CMS inspection cited 2 deficiencies.
How many beds does Heritage Hall Lexington have?
Heritage Hall Lexington is certified for 60 beds.