01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-04-24 | 15 | 2024-04-24 | 5 |
| Cycle 2 | 2021-11-17 | 4 | 2021-11-17 | 1 |
| Cycle 3 | 2019-04-04 | 4 | 2019-04-04 | 1 |
CMS CCN 4950342026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Kendal At Lexington
160 Kendal Drive · Lexington, VA 24450 · Lexington City County
Certified beds60CMS provider file
Recent citation rows30current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
30 rows in the current release
1 rows carry G–L scope/severity codes; 0 carry J–L. 4 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2024-04-24 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2024-07-232024-04-24 · HEALTHF0607Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Deficient, Provider has date of correction · 2024-06-072024-04-24 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2024-06-072024-04-24 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2024-07-232024-04-24 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2024-06-072024-04-24 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-06-072024-04-24 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2024-06-072024-04-24 · HEALTHF0756Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has date of correction · 2024-06-072024-04-24 · HEALTHF0758Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-07-232024-04-24 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-07-232024-04-24 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-07-232024-04-24 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2024-07-232024-04-24 · HEALTHF0880Severity F · widespread; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-07-232024-04-24 · HEALTHF0881Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Correction field: Deficient, Provider has date of correction · 2024-06-072024-04-24 · HEALTHF0887Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-06-072024-04-24 · FIREK0291Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2024-05-282024-04-24 · FIREK0341Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Correction field: Deficient, Provider has date of correction · 2024-05-282024-04-24 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-05-282024-04-24 · FIREK0712Severity D · isolated; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2024-05-282024-04-24 · FIREK0932Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Meet other general requirements.
Correction field: Deficient, Provider has date of correction · 2024-05-282021-11-17 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2021-12-202021-11-17 · HEALTHF0689Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2021-12-202021-11-17 · HEALTHF0732Severity B · pattern; potential for minimal harm
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Correction field: Deficient, Provider has date of correction · 2021-12-202021-11-17 · HEALTHF0756Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has date of correction · 2021-12-2003 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-04-24 | Fine | $10,033 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- BAKER, PRISCILLAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/27/2017
- BRANNER, ELIZABETHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/18/2023
- BROOKE, GEORGEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/16/2024
- GOSSE, THOMASIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/15/2025
- GRIZZLE, JAMESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/21/2020
- HARE, RANDOLPHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/20/2022
- HENTZ, MICHELEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/16/2024
- HERRICK, DIANNEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/16/2024
- HUCH, ROBERTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/21/2020
- KEELEY, MARKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/18/2023
- LUECKE, PAMELAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/21/2020
- MOLITERNO, VALERIEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/15/2025
- REID, COLINIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/15/2025
- ROSS, BENNETTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/19/2022
- SUMMERS, BRUCEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/27/2017
- WALSH, NATASHAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/23/2019
- WARNER, HARRYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/16/2024
- WILDER, LINDAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/19/2022
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.88per resident day
RN hours1.16per resident day
Weekend nurse hours4.21per resident day
Staff turnover40.0%CMS reported field
06 / LOCAL RECORDS
Open the Virginia ledger →Other published facilities nearby
No second facility in the same city met the directory rule.