Federal inspection record · CMS data as of October 1, 2026
Kendal At Lexington
160 Kendal Drive, Lexington, VA · (540) 463-1910
- Certified beds
- 60
- Residents per day
- 38
- Ownership
- Non-Profit
- Chain
- Kendal
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1967
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Virginia.
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Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Virginia homes
Kendal At Lexington carries 112 inspection points. That is fewer than 30% of Virginia's 287 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Virginia: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–16 pts
- 4★ 16–45 pts
- 3★ 45–76.5 pts
- 2★ 76.5–168.75 pts
- 1★ over 168.75 pts
Bars show every rated home in Virginia by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
23 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Assessment and Care Planning5E
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care5E
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Infection Control4F
- F
Provide and implement an infection prevention and control program.
- E
Implement a program that monitors antibiotic use.
- D
Educate 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.
- D
Provide and implement an infection prevention and control program.
Pharmacy Service4D
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Implement 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.
- D
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.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights1D
- D
Reasonably accommodate the needs and preferences of each resident.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Nursing and Physician Services1B
- B
Post nurse staffing information every day.
Inspection history
2024-04-24
15 health deficiencies · 5 fire-safety deficiencies
Top issue: Infection Control (3 deficiencies)
2021-11-17
4 health deficiencies · 1 fire-safety deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
2019-04-04
4 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 10 min of nursing staff time a day, 1 h 15 min of it from a registered nurse.
This home
5 h 10 min
Virginia average
3 h 53 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 47% of nursing staff and 30% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$10,033 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-04-24 | Fine | $10,033 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident daysAbout the same | 1.4 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts worse | 2.2 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine8.8 pts better | 100.0% | 91.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.7 pts better | 100.0% | 93.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury8.8 pts worse | 12.3% | 3.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms20.5 pts better | 0.0% | 20.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight2 pts better | 3.3% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication13.4 pts worse | 34.1% | 20.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.7 pts better | 8.5% | 14.2% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8.2 pts worse | 22.4% | 14.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased9.1 pts worse | 23.6% | 14.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better | 0.0% | 0.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection3.8 pts worse | 5.4% | 1.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.4 pts better | 20.9% | 21.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.1 pts better | 3.3% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine23.7 pts better | 97.9% | 74.2% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.9 pts better | 7.6% | 11.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.3 pts better | 0.0% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine24 pts better | 97.3% | 73.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission9.6 pts better | 12.4% | 22.0% | 23.4% |
·
Who owns and runs it
38 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Baroco, Patrick | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Baroco, Patrick | Adp Of The SNF · Individual | 0% | 4 facilities |
| Branner, Elizabeth | Corporate Director · Individual | 0% | 1 facilities |
| Branner, Elizabeth | Corporate Officer · Individual | 0% | 1 facilities |
| Brooke, George | Corporate Director · Individual | 0% | 1 facilities |
| Bryd, Vassar | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bryd, Vassar | Adp Of The SNF · Individual | 0% | 1 facilities |
| Bush, Felicia | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bush, Felicia | Adp Of The SNF · Individual | 0% | 1 facilities |
| Cooper, Tyson | Corporate Director · Individual | 0% | 1 facilities |
| Crane, Richard | Corporate Director · Individual | 0% | 1 facilities |
| Day, Adam | Corporate Officer · Individual | 0% | 2 facilities |
| Day, Adam | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Day, Adam | Adp Of The SNF · Individual | 0% | 2 facilities |
| Devine, Alicia | Corporate Director · Individual | 0% | 1 facilities |
| Feldbauer, Adam | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Feldbauer, Adam | Adp Of The SNF · Individual | 0% | 1 facilities |
| Gosse, Thomas | Corporate Director · Individual | 0% | 1 facilities |
| Grizzle, James | Corporate Director · Individual | 0% | 1 facilities |
| Guill, Noelle | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hare, Randolph | Corporate Director · Individual | 0% | 1 facilities |
| Hare, Randolph | Corporate Officer · Individual | 0% | 1 facilities |
| Hentz, Michele | Corporate Director · Individual | 0% | 1 facilities |
| Herrick, Dianne | Corporate Director · Individual | 0% | 1 facilities |
| Huch, Robert | Corporate Director · Individual | 0% | 1 facilities |
| Huch, Robert | Corporate Officer · Individual | 0% | 1 facilities |
| Keeley, Mark | Corporate Director · Individual | 0% | 1 facilities |
| Lovell, Wendy | Corporate Director · Individual | 0% | 1 facilities |
| Moliterno, Valerie | Corporate Director · Individual | 0% | 1 facilities |
| Olan, Lorriann | Corporate Director · Individual | 0% | 1 facilities |
| Reid, Colin | Corporate Director · Individual | 0% | 1 facilities |
| Ross, Bennett | Corporate Director · Individual | 0% | 1 facilities |
| Ross, Bennett | Corporate Officer · Individual | 0% | 1 facilities |
| Swanson, Warren | Corporate Officer · Individual | 0% | 1 facilities |
| Swanson, Warren | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Swanson, Warren | Adp Of The SNF · Individual | 0% | 1 facilities |
| Walsh, Natasha | Corporate Director · Individual | 0% | 1 facilities |
| Warner, Harry | Corporate Director · Individual | 0% | 1 facilities |
·
Fire safety
7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3D
- D
Install a fire alarm system that can be heard throughout the facility.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Meet other general requirements.
Egress2F
- D
Install emergency lighting that can last at least 1 1/2 hours.
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Miscellaneous1D
- D
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems1D
- D
Have generator or other power source capable of supplying service within 10 seconds.
·
Other homes nearby
-
Heritage Hall Lexington
East Lexington, VA · Heritage Hall
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 5 min
- Fines
- $0
-
Shenandoah Valley Health And Rehab
Buena Vista, VA · Trio Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 18 min
- Fines
- $50,635
-
Alleghany Health And Rehab
Clifton Forge, VA · Trio Healthcare
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 17 min
- Fines
- $108,698