State assisted-living licensing record · Virginia VDSS · record as pulled September 22, 2026· Not the federal nursing home survey
The Mayflower on Main Assisted Living
409 South Main Street, Lexington, VA 24450 · City of Lexington · 39 licensed beds
VDSS licence ID 8930 · licence 175386 · licensed for one year through November 23, 2026
The licence
Licensed by VDSS · Assisted Living Facility
Licence details, as listed by VDSS
- Licence term
- One-year licence, expires November 23, 2026
- Licensed for
- non-ambulatory residents; assisted living care
71
Citations on file
Since September 2021
15
VDSS visits
5 routine inspections
31
Building-related
Physical plant · emergency
Position within Virginia
71 citations — more than 91% of the 575 licensed assisted living facilities in Virginia. Compared only within Virginia: a citation from VDSS means what it means in Virginia, and there is no national assisted living record to compare to. Counted over 5 years, which holds two or three routine inspections. How this is calculated
Not in this record
Fire and life safety inspection, severity, and enforcement. The fire inspection of a Virginia assisted living facility is the State Fire Marshal's or the local fire official's and is not published; what VDSS itself cites about the building — its buildings-and-grounds, fire safety and emergency preparedness standards — is here. VDSS assigns no severity to a violation, and the facility's plan of correction is not republished. Sanctions, civil penalties and licence actions are recorded separately and not republished. VDSS publishes no first-licence date; a facility appears on the newly licensed page by the date of its initial inspection where the record shows one. Adult day centers and children's facilities are other licence types and are not included.
Get an email about The Mayflower on Main Assisted Living
One email when it happens, from the VDSS record as it is pulled each month. No account; stop it any time with one click.
Building-related citations
The citations about the building itself — physical plant and emergency management. Usually the maintenance side’s to fix.
- 22VAC40-73-860 General requirementsOctober 22, 2025
- 22VAC40-73-870 Maintenance of buildings and groundsOctober 22, 2025
- 22VAC40-73-860 General requirementsDecember 3, 2024
- 22VAC40-73-870 Maintenance of buildings and groundsDecember 3, 2024
- 22VAC40-73-920 Toilet, face/hand washing, and bathing facilitiesDecember 3, 2024
- 22VAC40-73-870 Maintenance of buildings and groundsOctober 21, 2024
- 22VAC40-73-870 Maintenance of buildings and groundsMay 10, 2024
- 22VAC40-73-920 Toilet, face/hand washing, and bathing facilitiesMay 10, 2024
- 22VAC40-73-870 Maintenance of buildings and groundsOctober 10, 2023
- 22VAC40-73-880 Heating, ventilation, and coolingOctober 10, 2023
- 22VAC40-73-920 Toilet, face/hand washing, and bathing facilitiesOctober 10, 2023
- 22VAC40-73-860 General requirementsMarch 16, 2023
- 22VAC40-73-870 Maintenance of buildings and groundsMarch 16, 2023
- 22VAC40-73-870 Maintenance of buildings and groundsMarch 16, 2023
- 22VAC40-73-920 Toilet, face/hand washing, and bathing facilitiesMarch 16, 2023
- 22VAC40-73-860 General requirementsSeptember 7, 2022
- 22VAC40-73-870 Maintenance of buildings and groundsSeptember 7, 2022
- 22VAC40-73-870 Maintenance of buildings and groundsSeptember 7, 2022
- 22VAC40-73-920 Toilet, face/hand washing, and bathing facilitiesSeptember 7, 2022
- 22VAC40-73-870 Maintenance of buildings and groundsApril 4, 2022
- 22VAC40-73-870 Maintenance of buildings and groundsApril 4, 2022
- 22VAC40-73-870 Maintenance of buildings and groundsApril 4, 2022
- 22VAC40-73-920 Toilet, face/hand washing, and bathing facilitiesApril 4, 2022
- 22VAC40-73-860 General requirementsNovember 5, 2021
- 22VAC40-73-860 General requirementsNovember 5, 2021
- 22VAC40-73-870 Maintenance of buildings and groundsNovember 5, 2021
- 22VAC40-73-870 Maintenance of buildings and groundsNovember 5, 2021
- 22VAC40-73-870 Maintenance of buildings and groundsNovember 5, 2021
- 22VAC40-73-870 Maintenance of buildings and groundsNovember 5, 2021
- 22VAC40-73-890 Lighting and lighting fixturesNovember 5, 2021
- 22VAC40-73-920 Toilet, face/hand washing, and bathing facilitiesNovember 5, 2021
How that compares
Compared with the median licensed assisted living facility in Virginia. Within-state only.
| Measure | Citations |
|---|---|
| This facility | 71 |
| Median facility in Virginia | 18 |
Visit history
| Visit | Type | Citations |
|---|---|---|
| November 5, 2021 | complaint investigation | 8 |
| April 4, 2022 | monitoring inspection | 4 |
| May 17, 2022 | renewal inspection | 11 |
| September 7, 2022 | monitoring inspection | 5 |
| November 10, 2022 | renewal inspection | 9 |
| March 16, 2023 | complaint investigation | 0 |
| March 16, 2023 | monitoring inspection | 4 |
| October 10, 2023 | renewal inspection | 7 |
| May 10, 2024 | monitoring inspection | 2 |
| May 10, 2024 | complaint investigation | 3 |
| October 21, 2024 | renewal inspection | 11 |
| December 3, 2024 | monitoring inspection | 2 |
| December 3, 2024 | monitoring inspection | 2 |
| October 22, 2025 | monitoring inspection | 1 |
| October 22, 2025 | renewal inspection | 2 |
What the citations cover
- Physical plant 31
- Resident care 14
- Staffing and training 11
- Medication 10
- Other 5
| Category | Citations |
|---|---|
| Physical plant | 31 |
| Resident care | 14 |
| Staffing and training | 11 |
| Medication | 10 |
| Food service | 3 |
| Records and administration | 2 |
Every visit on file since September 2021
As published by VDSS, newest first, including visits that cited nothing. The wording is VDSS’s own.
October 22, 2025 — monitoring inspection, 1 citation
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-640 | Medication management plan and reference materials |
October 22, 2025 — renewal inspection, 2 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-860 | General requirements |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
December 3, 2024 — monitoring inspection, 2 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-860 | General requirements |
December 3, 2024 — monitoring inspection, 2 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-920 | Toilet, face/hand washing, and bathing facilities |
October 21, 2024 — renewal inspection, 11 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-120 | Staff orientation and initial training |
| 22VAC40-73-250 | Staff records and health requirements |
| 22VAC40-73-250 | Staff records and health requirements |
| 22VAC40-73-320 | Physical examination and report |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-580 | Food service and nutrition |
| 22VAC40-73-640 | Medication management plan and reference materials |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-80-120 | Terms of the license |
| 22VAC40-90-30 | Sworn statement or affirmation |
May 10, 2024 — complaint investigation, 3 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-200 | Direct care staff qualifications |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-610 | Menus for meals and snacks |
May 10, 2024 — monitoring inspection, 2 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-920 | Toilet, face/hand washing, and bathing facilities |
October 10, 2023 — renewal inspection, 7 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-325 | Fall risk rating |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-560 | Resident records |
| 22VAC40-73-640 | Medication management plan and reference materials |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-880 | Heating, ventilation, and cooling |
| 22VAC40-73-920 | Toilet, face/hand washing, and bathing facilities |
March 16, 2023 — monitoring inspection, 4 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-860 | General requirements |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-920 | Toilet, face/hand washing, and bathing facilities |
March 16, 2023 — complaint investigation, nothing cited
November 10, 2022 — renewal inspection, 9 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-1020 | Staffing |
| 22VAC40-73-1030 | Staff training |
| 22VAC40-73-120 | Staff orientation and initial training |
| 22VAC40-73-250 | Staff records and health requirements |
| 22VAC40-73-320 | Physical examination and report |
| 22VAC40-73-440 | Uniform assessment instrument (UAI) |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-640 | Medication management plan and reference materials |
September 7, 2022 — monitoring inspection, 5 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-860 | General requirements |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-920 | Toilet, face/hand washing, and bathing facilities |
May 17, 2022 — renewal inspection, 11 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-100 | Infection control program |
| 22VAC40-73-1030 | Staff training |
| 22VAC40-73-260 | First aid and CPR certification |
| 22VAC40-73-380 | Resident personal and social information |
| 22VAC40-73-440 | Uniform assessment instrument (UAI) |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-450 | Individualized service plans |
| 22VAC40-73-610 | Menus for meals and snacks |
| 22VAC40-73-640 | Medication management plan and reference materials |
| 22VAC40-73-680 | Administration of medications and related provisions |
| 22VAC40-73-680 | Administration of medications and related provisions |
April 4, 2022 — monitoring inspection, 4 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-920 | Toilet, face/hand washing, and bathing facilities |
November 5, 2021 — complaint investigation, 8 citations
| Tag | What VDSS checks |
|---|---|
| 22VAC40-73-860 | General requirements |
| 22VAC40-73-860 | General requirements |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-870 | Maintenance of buildings and grounds |
| 22VAC40-73-890 | Lighting and lighting fixtures |
| 22VAC40-73-920 | Toilet, face/hand washing, and bathing facilities |
Reflects the VDSS record as pulled September 22, 2026. A recent visit may not appear yet. This is the Virginia state licensing record; it is not the federal nursing home survey and the two are never combined.