Nursing Care Index

Kendal At Lexington

Lexington, Lexington City County, Virginia · CCN 495034 · Non-profit (Corporation) · part of Kendal (5 facilities, chain average 4.4 stars)

CMS rates Kendal At Lexington 4 of 5 overall as of August 2026. 60 certified beds, 40 residents a day on average. 23 citations on record from the current inspection cycles, 1 involving actual harm; 1 fine totalling $10,033.

On record

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★★☆ 4 of 5
Health inspections★★☆☆☆ 2 of 5
Staffing★★★★★ 5 of 5
Quality measures★★★★★ 5 of 5
Quality: long-stay / short-stay3 / 5 of 5

Staffing

Total nurse staffing4.87731 hours per resident per day
Registered nurses1.16021 hours per resident per day
Weekend total4.21369 hours per resident per day
Nursing staff turnover40% (registered nurses 28.6%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2024-04-24 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2024-06-07
2024-04-24 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-07-23
2024-04-24 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-07-23
2024-04-24 Implement a program that monitors antibiotic use.
Infection Control Deficiencies · tag F0881
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-06-07
2024-04-24 Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · tag F0558
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-07-23
2024-04-24 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-06-07
2024-04-24 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-06-07
2024-04-24 Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-07-23
2024-04-24 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-06-07
2024-04-24 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-06-07
2024-04-24 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 · tag F0756
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-06-07
2024-04-24 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.
Pharmacy Service Deficiencies · tag F0758
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-07-23
2024-04-24 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 · tag F0761
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-07-23
2024-04-24 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-07-23
2024-04-24 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.
Infection Control Deficiencies · tag F0887
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-06-07
2021-11-17 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2021-12-20
2021-11-17 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-12-20
2021-11-17 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 · tag F0756
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-12-20
2021-11-17 Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · tag F0732
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2021-12-20
2019-04-04 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2019-05-10
2019-04-04 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2019-05-10
2019-04-04 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · tag F0686
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2019-05-10
2019-04-04 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2019-05-10

Fines and payment denials

DatePenaltyAmount
2024-04-24Fine$10,033

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Baroco, Patrick
Individual
adp of the snf2023-08-01
Bryd, Vassar
Individual
adp of the snf2024-01-09
Bush, Felicia
Individual
adp of the snf2006-08-17
Day, Adam
Individual
adp of the snf2025-06-02
Feldbauer, Adam
Individual
adp of the snf2023-09-06
Baker, Priscilla
Individual
corporate director2017-07-27
Branner, Elizabeth
Individual
corporate director2023-05-18
Brooke, George
Individual
corporate director2024-05-16
Gosse, Thomas
Individual
corporate director2025-05-15
Grizzle, James
Individual
corporate director2020-05-21
Hare, Randolph
Individual
corporate director2022-01-20
Hentz, Michele
Individual
corporate director2024-05-16
Herrick, Dianne
Individual
corporate director2024-05-16
Huch, Robert
Individual
corporate director2020-05-21
Keeley, Mark
Individual
corporate director2023-05-18
Luecke, Pamela
Individual
corporate director2020-05-21
Moliterno, Valerie
Individual
corporate director2025-05-15
Reid, Colin
Individual
corporate director2025-05-15
Ross, Bennett
Individual
corporate director2022-05-19
Summers, Bruce
Individual
corporate director2017-07-27
Walsh, Natasha
Individual
corporate director2019-05-23
Warner, Harry
Individual
corporate director2024-05-16
Wilder, Linda
Individual
corporate director2022-05-19
Bush, Felicia
Individual
corporate officer2010-01-01
Day, Adam
Individual
corporate officer2025-06-02
Hare, Randolph
Individual
corporate officer2025-05-15
Luecke, Pamela
Individual
corporate officer2021-05-20
Ross, Bennett
Individual
corporate officer2023-09-21
Wilder, Linda
Individual
corporate officer2023-05-18
Baroco, Patrick
Individual
operational/managerial control2023-08-01
Bryd, Vassar
Individual
operational/managerial control2024-01-09
Bush, Felicia
Individual
operational/managerial control2006-08-17
Day, Adam
Individual
operational/managerial control2025-06-02
Feldbauer, Adam
Individual
operational/managerial control2023-09-06
Guill, Noelle
Individual
operational/managerial control2025-12-16

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Lexington City County.