Nursing homeActive
Heritage Hall Lexington
205 Houston Street, East Lexington, VA 24450540464818160 certified beds · 55 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
4
since 2021
Deficiencies
19
● 1● 16● 2
Penalties · 3 yrs
—
none on file
Last survey
2025-08-28
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 3
Staffing 4
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 |
|---|---|---|---|---|
| 2025-08-28 | Standard | 0130 | CMS-2567 (Care Compare) | — |
| 2024-10-16 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2022-09-21 | Standard | 002 | CMS-2567 (Care Compare) | — |
| 2021-05-12 | Standard | 110 | 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.
F585Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-10-07Record 495321-20250828-F585
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-10-07Record 495321-20250828-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 2025-10-07Record 495321-20250828-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 2025-10-07Record 495321-20250828-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-07Record 495321-20250828-F689
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 2025-10-07Record 495321-20250828-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 2025-10-07Record 495321-20250828-F756
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 EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-10-07Record 495321-20250828-F761
F770Provide timely, quality laboratory services/tests to meet the needs of residents.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-07Record 495321-20250828-F770
F808Ensure 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.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-07Record 495321-20250828-F808
F810Provide special eating equipment and utensils for residents who need them and appropriate assistance.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-07Record 495321-20250828-F810
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 2025-10-07Record 495321-20250828-F812
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 2025-10-07Record 495321-20250828-F880
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.Correction not yet recordedRecord 495321-20241016-F677
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 495321-20241016-F842
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity GHarm
Care planningRecords
Isolated; actual harm that is not immediate jeopardy.Corrected 2022-10-31Record 495321-20220921-F658
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity GHarm
Medication
Isolated; actual harm that is not immediate jeopardy.Corrected 2022-10-31Record 495321-20220921-F757
F565Honor the resident's right to organize and participate in resident/family groups in the facility.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2021-06-15Record 495321-20210512-F565
F641Ensure each resident receives an accurate assessment.Scope/severity BPaperwork
Care planningRecords
Pattern; potential for minimal harm.Corrected 2021-06-15Record 495321-20210512-F641
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.56
Facility
Virginia
National
Virginia 0.69 · National 0.69
Total nurse hours per resident day3.05
Facility
Virginia
National
Virginia 3.76 · National 3.86
Weekend total nurse hours2.72
Facility
Virginia
National
Virginia 3.29 · National 3.42
Total nursing staff turnover44%
Facility
Virginia
National
Virginia 48% · National 46%
Registered nurse turnover33%
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 | 2.0% | 4.7% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.0% | 3.6% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 1.9% | 14.2% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.6% | 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 | 18.9% | 14.9% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 2.1% | 5.4% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 32.5% | 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 |
|---|---|---|---|---|
| Ahc Acquisitions, LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 12% | — | — |
| Crc Blind Trust Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 7% | — | — |
| Wcc Third Blind Trust Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 78% | — | — |
| American Healthcare LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Cranwell, Robert Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Dalton, Brad Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Dalton, Robert Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| East, Thomas Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Gallant, Cassandra Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Crc Blind Trust Organization | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Dalton, Brad Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Dalton, Robert Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Dalton, Robert Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| East, Thomas Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| East, Thomas Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| East, Thomas Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gallant, Cassandra Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hopkins, William Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Part of a chain
Heritage Hall — 15 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 |
|---|---|---|---|
| Kendal At Lexington Lexington | 1.0 mi | 2024-04-24 | 0141 |
| Shenandoah Valley Health And Rehab Buena Vista | 5.3 mi | 2025-01-23 | 0102 |
| Alleghany Health And Rehab Clifton Forge | 20.1 mi | 2025-09-11 | 0284 |
| The Woodlands Health And Rehab Center Clifton Forge | 20.5 mi | 2023-04-13 | 000 |
| Westminster-Canterbury Of Lynchburg Inc Lynchburg | 26.3 mi | 2026-03-19 | 020 |
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 |