B81

KENDAL AT LEXINGTON

Grade B 81/100 composite score

Non profit - Corporation

CMS Star Ratings

Overall
3/5
Health Insp.
2/5
Quality
4/5
Staffing
5/5
RN Staffing
Not rated

Certified Beds

60

Ownership

Non profit - Corporation

Total Fines

$10,033

Last Survey

N/A

160 KENDAL DRIVE, LEXINGTON, VA 24450
5404631910

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
1.13h
LPN
1.07h
CNA
2.88h
Total
5.08h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

HARRISON, AMY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2023

BAKER, PRISCILLA

IndividualCORPORATE DIRECTORSince Jul 2017

BRANNER, ELIZABETH

IndividualCORPORATE DIRECTORSince May 2023

BROOKE, GEORGE

IndividualCORPORATE DIRECTORSince May 2024

GRIZZLE, JAMES

IndividualCORPORATE DIRECTORSince May 2020

HARE, RANDOLPH

IndividualCORPORATE DIRECTORSince Jan 2022

HENTZ, MICHELE

IndividualCORPORATE DIRECTORSince May 2024

HERRICK, DIANNE

IndividualCORPORATE DIRECTORSince May 2024

HUCH, ROBERT

IndividualCORPORATE DIRECTORSince May 2020

KEELEY, MARK

IndividualCORPORATE DIRECTORSince May 2023

LUECKE, PAMELA

IndividualCORPORATE DIRECTORSince May 2020

ROSS, BENNETT

IndividualCORPORATE DIRECTORSince May 2022

RUSSELL, CHRISTOPHER

IndividualCORPORATE DIRECTORSince Jul 2016

RUSSELL, KAREN

IndividualCORPORATE DIRECTORSince Nov 2019

SUMMERS, BRUCE

IndividualCORPORATE DIRECTORSince Jul 2017

WALSH, NATASHA

IndividualCORPORATE DIRECTORSince May 2019

WARNER, HARRY

IndividualCORPORATE DIRECTORSince May 2024

WILDER, LINDA

IndividualCORPORATE DIRECTORSince May 2022

BIGELOW, JAN

IndividualCORPORATE OFFICERSince May 2020

BUSH, FELICIA

IndividualCORPORATE OFFICERSince Jan 2010

LUECKE, PAMELA

IndividualCORPORATE OFFICERSince May 2021

ROSS, BENNETT

IndividualCORPORATE OFFICERSince Sep 2023

RUSSELL, KAREN

IndividualCORPORATE OFFICERSince Nov 2021

WILDER, LINDA

IndividualCORPORATE OFFICERSince May 2023

BAROCO, PATRICK

IndividualCONTRACTED MANAGING EMPLOYEESince Aug 2023

BIGELOW, JAN

IndividualW-2 MANAGING EMPLOYEESince May 2020

BUSH, FELICIA

IndividualW-2 MANAGING EMPLOYEESince Jan 2010

FELDBAUER, ADAM

IndividualW-2 MANAGING EMPLOYEESince Sep 2023

Penalties & Fines (1)

$10,033total fines
DateTypeDescriptionAmount
Apr 24, 2024Fine$10,033

Health Inspection Deficiencies (26)

April 24, 2024Health15 deficiencies1 severe
0558DMinimal harm, Isolated

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Jul 23, 2024
0607DMinimal harm, Isolated

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jun 7, 2024
0657DMinimal harm, Isolated

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

Corrected Jun 7, 2024
0658DMinimal harm, Isolated

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Jul 23, 2024
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Jun 7, 2024
0689GActual harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Jun 7, 2024
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Jun 7, 2024
0756DMinimal harm, Isolated

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

Corrected Jun 7, 2024
0758DMinimal harm, Isolated

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

Corrected Jul 23, 2024
0761DMinimal harm, Isolated

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

Corrected Jul 23, 2024
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Jul 23, 2024
0842DMinimal harm, Isolated

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

Corrected Jul 23, 2024
0880FMinimal harm, Widespread

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jul 23, 2024
0881EMinimal harm, Pattern

Implement a program that monitors antibiotic use.

Infection Control Deficiencies

Corrected Jun 7, 2024
0887DMinimal harm, Isolated

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

Corrected Jun 7, 2024
January 31, 2023Health3 deficiencies
0690EMinimal harm, Pattern

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies

Corrected Oct 8, 2022
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Mar 24, 2023
0886EMinimal harm, Pattern

Perform COVID19 testing on residents and staff.

Infection Control Deficiencies

Corrected Mar 24, 2023
November 17, 2021Health4 deficiencies
0657DMinimal harm, Isolated

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

Corrected Dec 20, 2021
0689EMinimal harm, Pattern

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Dec 20, 2021
0732BNo harm, Pattern

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies

Corrected Dec 20, 2021
0756DMinimal harm, Isolated

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

Corrected Dec 20, 2021
April 4, 2019Health4 deficiencies
0657EMinimal harm, Pattern

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

Corrected May 10, 2019
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected May 10, 2019
0686DMinimal harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected May 10, 2019
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected May 10, 2019

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Frequently Asked Questions

What is the CareGrader rating for KENDAL AT LEXINGTON?

KENDAL AT LEXINGTON in LEXINGTON, Virginia has a CareGrader grade of B (Good), with a composite score of 80.5 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for KENDAL AT LEXINGTON?

KENDAL AT LEXINGTON has an overall CMS star rating of 3 out of 5, a health inspection rating of 2/5, and a staffing rating of 5/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does KENDAL AT LEXINGTON have?

KENDAL AT LEXINGTON has 26 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has KENDAL AT LEXINGTON been fined?

Yes. KENDAL AT LEXINGTON has $10,033 in total fines from CMS enforcement actions across 1 penalty.

How many beds does KENDAL AT LEXINGTON have?

KENDAL AT LEXINGTON has 60 certified beds with approximately 40 current residents (67% occupancy). The facility is located at 160 KENDAL DRIVE, LEXINGTON, Virginia 24450. It is a non profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.