
Report
TheVardellReport
Heritage Hall Lexington
Skilled nursing facility and nursing facility
205 Houston Street
East Lexington, VA 24450

TheVardellReport
Skilled nursing facility and nursing facility
205 Houston Street
East Lexington, VA 24450
Life by Vardell Presents
The deeper story, beautifully organized. Available records, historical context, and questions worth asking.
This report is free. Vardell does not certify, grade or endorse; it shows what the record documents.
The Essentials
Across 4 inspections from May 2021 to August 2025, state surveyors documented 19 findings at Heritage Hall Lexington; 17 have a recorded correction and 2 await one; CMS lists no enforcement action in the window.
* Partial year, through October 1, 2026.
| Year | Inspections | Findings | Of which, actual harm (level G or above) |
|---|---|---|---|
| 2021 | 1 | 2 | 0 |
| 2022 | 1 | 2 | 2 |
| 2023 | 0 | 0 | 0 |
| 2024 | 1 | 2 | 0 |
| 2025 | 1 | 13 | 0 |
| 2026 | 0 | 0 | 0 |
Chronology
Every inspection in the record window, newest first. A finding is a deficiency an inspector cited. CMS publishes what a complaint investigation cited, not what the complaint alleged.
13 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
2 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
2 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
2 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
Severity levels follow the CMS scope and severity grid. A–C: potential for minimal harm. D–F: no actual harm, potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy.
Context
A repeated citation can merit attention, but context and corrective action must be reviewed before drawing a conclusion.
F677 was cited in October 2024. This citation covers help with bathing, dressing, eating and toileting for residents who cannot manage alone. The most serious was level D (no actual harm, potential for more). The October 2024 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F842 was cited in October 2024. This citation covers whether resident records are complete, accurate and kept confidential. The most serious was level E (no actual harm, potential for more). The October 2024 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
For Your Next Visit
Bring these to the tour. Each one comes from something in the record; the reason is under the question.
How long do residents usually wait for help with bathing, dressing or the bathroom, and how is that tracked?
Help With Daily Living: cited in one inspections, most seriously at level D. The October 16, 2024 citation has no recorded correction date.
How can a family request a resident’s records, and how are they kept accurate?
Medical Records: cited in one inspections, most seriously at level E. The October 16, 2024 citation has no recorded correction date.
How many nurses and aides are on each shift, including nights and weekends, for the unit we are considering?
No staffing citation appears in this window. Staffing levels are published separately by CMS and are worth asking about directly.
Has the home been fined or had payments denied before this record begins?
CMS lists no fines or payment denials in this window. The record starts May 12, 2021; anything earlier is not in it.
The Evidence
Inspection results and penalties are published by the Centers for Medicare & Medicaid Services from surveys conducted by the Virginia state survey agency.
Virginia state survey agency
Inspection May 12, 2021 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Virginia state survey agency
Inspection Sep 21, 2022 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Virginia state survey agency
Inspection Oct 16, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Virginia state survey agency
Inspection Aug 28, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Centers for Medicare & Medicaid Services · 495321
Published Oct 1, 2026 · Retrieved Nov 1, 2026
Record windowMay 12, 2021 – October 1, 2026
Historical coverage varies by agency and location. Missing records do not mean that no complaint or violation occurred.
Data architecture: Cierto supplies the source-backed machine-readable bundle. Life by Vardell independently creates the narrative, design, and consumer report.