Nursing homeActive
Kendal At Lexington
160 Kendal Drive, Lexington, VA 24450540463191060 certified beds · 40 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2019
Deficiencies
23
● 1● 21● 1
Penalties · 3 yrs
$10,033
1 fine
Last survey
2024-04-24
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 2
Staffing 5
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Virginia Office of Licensure and Certification · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2024-04-24 | Standard | 0141 | CMS-2567 (Care Compare) | — |
| 2021-11-17 | Standard | 130 | CMS-2567 (Care Compare) | — |
| 2019-04-04 | Standard | 040 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Virginia Office of Licensure and Certification publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-06-07Record 495034-20240424-F689
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-23Record 495034-20240424-F558
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-07Record 495034-20240424-F607
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-07Record 495034-20240424-F657
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-23Record 495034-20240424-F658
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-07Record 495034-20240424-F677
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-07Record 495034-20240424-F695
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-07Record 495034-20240424-F756
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-23Record 495034-20240424-F758
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-23Record 495034-20240424-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-23Record 495034-20240424-F812
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-23Record 495034-20240424-F842
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-07-23Record 495034-20240424-F880
F881Implement a program that monitors antibiotic use.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-07Record 495034-20240424-F881
F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-07Record 495034-20240424-F887
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-12-20Record 495034-20211117-F657
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2021-12-20Record 495034-20211117-F689
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-12-20Record 495034-20211117-F756
F732Post nurse staffing information every day.Scope/severity BPaperwork
Staffing
Pattern; potential for minimal harm.Corrected 2021-12-20Record 495034-20211117-F732
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-05-10Record 495034-20190404-F657
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-05-10Record 495034-20190404-F684
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-05-10Record 495034-20190404-F686
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-05-10Record 495034-20190404-F880
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-04-24 | Civil money penalty | $10,033 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.16
Facility
Virginia
National
Virginia 0.69 · National 0.69
Total nurse hours per resident day4.88
Facility
Virginia
National
Virginia 3.76 · National 3.86
Weekend total nurse hours4.21
Facility
Virginia
National
Virginia 3.29 · National 3.42
Total nursing staff turnover40%
Facility
Virginia
National
Virginia 48% · National 46%
Registered nurse turnover29%
Facility
Virginia
National
Virginia 48% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Virginia | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 4.9% | 4.7% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 9.9% | 3.6% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 7.8% | 14.2% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 4.5% | 1.6% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 25.2% | 14.9% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 4.1% | 5.4% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 31.8% | 20.6% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Baroco, Patrick Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bryd, Vassar Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bush, Felicia Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Day, Adam Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Feldbauer, Adam Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Guill, Noelle Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Baker, Priscilla Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Baroco, Patrick Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Branner, Elizabeth Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Brooke, George Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Bryd, Vassar Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bush, Felicia Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Bush, Felicia Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Day, Adam Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Day, Adam Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Feldbauer, Adam Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gosse, Thomas Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Grizzle, James Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Hare, Randolph Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Hare, Randolph Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Hentz, Michele Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Herrick, Dianne Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Huch, Robert Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Keeley, Mark Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Luecke, Pamela Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Luecke, Pamela Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Moliterno, Valerie Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Reid, Colin Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Ross, Bennett Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Ross, Bennett Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Summers, Bruce Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Walsh, Natasha Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Warner, Harry Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Wilder, Linda Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Wilder, Linda Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Part of a chain
Kendal — 5 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Virginia.
No county cost figures on file for Lexington City.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Heritage Hall Lexington East Lexington | 1.0 mi | 2025-08-28 | 0150 |
| Shenandoah Valley Health And Rehab Buena Vista | 6.4 mi | 2025-01-23 | 0102 |
| Alleghany Health And Rehab Clifton Forge | 19.1 mi | 2025-09-11 | 0284 |
| The Woodlands Health And Rehab Center Clifton Forge | 19.5 mi | 2023-04-13 | 000 |
| Brian Center Of Alleghany Low Moor | 23.2 mi | 2024-01-24 | 0100 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |