I moved my mom here and I'm very pleased - the staff (Ashley and Xochitl among them) are warm, genuinely caring, and helpful, the facility is clean and well-maintained, and medical/memory-care support, dining and activities keep residents engaged. The team made the transition smooth and reassuring; I'd recommend this community to families looking for compassionate, dependable senior care.
Loved one of resident
Jul 2026
Pricing
Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.
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Amenities
Healthcare services
Activities of daily living assistance
Assistance with bathing
Assistance with dressing
Assistance with transfers
Coordination with health care providers
Hospice waiver
Medication management
Mental wellness program
Healthcare staffing
12-16 hour nursing
24-hour call system
24-hour supervision
Meals and dining
Diabetes diet
Meal preparation and service
Restaurant-style dining
Special dietary restrictions
Room
Air-conditioning
Cable
Fully furnished
Housekeeping and linen services
Kitchenettes
Private bathrooms
Spa
Telephone
Wifi
Memory care community services
Dementia waiver
Mild cognitive impairment
Specialized memory care programming
Transportation
Community operated transportation
Transportation arrangement
Transportation arrangement (medical)
Transportation arrangement (non-medical)
Transportation to doctors appointments
Common areas
Beauty salon
Computer center
Dining room
Fitness room
Gaming room
Garden
Outdoor patio
Outdoor space
Small library
Wellness center
Community services
Concierge services
Fitness programs
Move-in coordination
Swimming pool
Activities
Community-sponsored activities
Planned day trips
Resident-run activities
Scheduled daily activities
Reviews
4.09·(141)
Overall rating
5
4
3
2
1
Care
3.8
Staff
4.2
Meals
3.2
Amenities
3.4
Value
3.0
Pros
Resort-style amenities (pool, spa, patios)
Clean, well-maintained common areas
Warm, compassionate caregiving staff
Helpful and efficient admissions and administrative team
Restaurant-style dining with flexible meal options
Active, varied activities and programs
On-site amenities (theater, library, salon, game room)
Proactive medical and hospice coordination
Family-friendly visitation and communication
Affordable pricing relative to local peers
Hotel-like lobby and spacious common areas
Long-tenured, familiar staff members
Accessible location near shops and transit
Apartment-style rooms in a range of sizes
Responsive maintenance and housekeeping
Regular social events and outings
Structured activity schedules and classes
Home-style cooking and accommodated diets
Cons
Inconsistent clinical staffing and supervision
Medication-management lapses and delays
Incontinence-care and hygiene scheduling issues
Aging physical plant and dated resident units
Limited capacity for higher-acuity residents
Variable food quality and meal-service continuity
Communication and billing transparency gaps
Laundry, belongings, and property-handling inconsistencies
Memory-care environmental constraints (small, dim spaces)
Language and staff-conduct concerns affecting communication
Front-desk and nighttime security coverage gaps
Management turnover and uneven leadership responsiveness
Allegations of theft and property mishandling
Summary of reviews
Lexington Assisted Living presents a mixed but generally positive profile for prospective independent or low-dependency residents. Its strongest attributes are resort-like amenities (notably an outdoor pool, spa, patios and a large dining room), well-maintained common areas, a lively activities program, and a staff culture many families describe as warm and compassionate. The community offers a range of apartment sizes, on-site amenities such as a theater and library, and often emphasizes family engagement and flexible dining options. For residents seeking an active, social environment with home-style meals and accessible location, Lexington frequently aligns with those expectations.
Care quality shows a dichotomy in the reviews. Numerous families praised attentive caregivers, proactive medical coordination, and strong hospice support where needed. At the same time, recurring operational concerns center on clinical staffing levels and supervision: reviewers cite periods without on-site nursing coverage, delayed or missed medications, and inconsistent hygiene and bathing schedules. These patterns have in some instances led to escalations requiring hospital care according to families, which suggests that residents with higher acuity needs should carefully verify clinical staffing models, on-call nursing availability, and medication-administration protocols before moving in.
Staffing and management impressions are similarly mixed. Many reviewers commend individual staff members, long-tenured employees, and an admissions team that facilitates smooth move-ins. However, there are repeated notes about management turnover, communication lapses, and billing or deposit disputes that have left families seeking clarification or reimbursement. Some reviews also identify language barriers and concerns about staff conduct or interpersonal communication. Several families did report improvements after face-to-face meetings or leadership changes, indicating responsiveness when issues are escalated.
Dining and programming are generally regarded as strengths: the community offers restaurant-style meals, occasional special venues (e.g., an ice cream parlor), cooking and art classes, and a broad calendar of activities including movies, bingo, exercise classes and outings. That said, meal consistency and freshness were occasional pain points—examples include cold meals, limited fresh produce, or interruptions to dining services—and should be probed during a visit if dining quality is a priority.
The physical plant combines attractive, hotel-like public spaces with an older, sometimes dated residential inventory. Reviewers note clean and well-kept interiors alongside smaller or box-like apartments in older sections, carpeting and paint that could be refreshed, and memory-care neighborhoods described as cramped or dim. Maintenance responsiveness receives positive mention, but some families observed unit-level cleanliness concerns, laundry mix-ups, and isolated property-handling issues, including serious allegations of misappropriation. Prospective residents should inspect specific unit types and memory-care areas in person to assess light, space, and finishes.
Bottom line: Lexington can be a strong fit for independent seniors or those needing light assistance who value activities, social life, and amenity-rich living at a relatively competitive price. Families seeking robust clinical oversight, consistent medication administration, or a highly supervised memory-care environment should conduct targeted due diligence: ask about RN coverage, staffing ratios by shift, medication and incident protocols, memory-care staffing and programming, security and front-desk coverage, and written billing/refund policies. An in-person tour that includes discussion of recent management changes and the facility’s responses to past concerns will give the clearest sense of current operations and suitability for a given level of care.
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Location
Lexington Assisted Living is located at 5440 Ralston St, Ventura, CA, 93003.
About Lexington Assisted Living
Lexington Assisted Living sits on Ralston Street in San Buenaventura, in a building designed with an English Tudor style that brings a certain charm, and the place spreads out in a U-shape around a landscaped courtyard with a relaxing pool and a jacuzzi so you always see a touch of green and plenty of natural light through those big windows in both apartments and the common rooms. People living here get support for different needs, like independent living, assisted living, and memory care, and each group has its own spaces and services-there's even a special first-floor Memory Care wing with 13 units that feel safe and comfortable for residents who need a bit more attention, and this area honors veterans with military seals and flags. The apartments come in different sizes, including studios, one-bedrooms, and two-bedrooms, with helpful features like large closets, room-controlled heating and air, tub-style showers cut out for easy access, and sometimes even small kitchenettes with fridges and microwaves if someone wants a cup of tea or a snack.
There's plenty of things to do, and Lexington has regular activities to keep residents active and engaged-art and crafts, games in the parlor, water aerobics in the heated pool, music programs, outings on the community bus to local spots like museums, casinos, and lunch places, and even a Sweet Shop stocked with snacks and a jukebox for a bit of nostalgia. The Bijou Theater shows movies every night with popcorn straight from the machine, and the Churchill library upstairs makes a quiet place to read, sit on the patio, or play some poker. For those who like to stay fit, there's a fitness center with equipment, group classes offered daily, and even on-site physical therapy; folks looking for a bit of pampering can head over to the beauty salon or barber shop during the week. Meals are served in a classic dining room with restaurant-style service, and there are private dining rooms for family visits, plus chef-prepared dishes and room service for anyone wanting a quieter meal. Guests can join for meals too.
The community helps with many daily needs, from laundry rooms on each floor to weekly housekeeping and a 24-hour concierge desk that coordinates appointments and helps line up complimentary shuttle rides or even trips to the store or doctor's office in a Lincoln Town Car. Residents get free Wi-Fi and cable TV, so family calls and favorite shows fit right into the day, and the building has a good emergency call system with intercoms linked to the concierge in case someone needs quick help. Lexington also has religious and devotional services both on-site and nearby, so residents who want to keep up with their faith have options. The staff-trained and ready to help-provide memory care, ambulatory care, incontinence support, and medication management, focusing on both independence and safety as needs change. The pet policy allows smaller pets up to 30 pounds, and the grounds are good for a stroll with a companion animal. Some apartments have small patios or decorated interiors to help everyone feel at home. Lexington Assisted Living has earned positive reviews over the years for being comfortable, full of activity, and offering enough support to let people relax, make friends, and enjoy each day at their own pace.
Pinnacle Senior Living operates 52 communities across Arizona, California, Nevada, Texas, Washington, and Wisconsin, providing independent living, assisted living, and memory care services. The organization focuses on person-centered care and creating secure, homelike environments designed to reduce agitation in memory care residents.
People often ask...
Lexington Assisted Living offers competitive pricing, with rates starting at a cost of $4,000 per month.
Lexington Assisted Living offers independent living, assisted living, and memory care.
There are 57 photos of Lexington Assisted Living on Mirador.
Yes, Lexington Assisted Living allows residents to age in place and adjust their level of care as needed.
The full address for this community is 5440 Ralston St, Ventura, CA 93003.
No, Lexington Assisted Living does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In California, the Department of Social Services' Community Care Licensing Division licenses residential care facilities for the elderly, conducting inspections and investigating complaints.
Investigated the allegation that staff did not check on a resident and that the resident was not given food; interviews and observations did not provide evidence to confirm the allegations.
31 Oct 2025Inspection
31 Oct 2025Inspection
Found that a self-reported incident involving staff and a resident was reviewed, with no citations issued; records, safety plans, and daily operations were examined.
21 Aug 2025Inspection
21 Aug 2025Inspection
Investigated a case of neglect/lack of care and supervision where a resident required medical attention and hospitalization after staff did not dispense prescribed medication.
Type A87465(a)(4)
21 Aug 2025Inspection
21 Aug 2025Inspection
Identified that a resident did not receive seizure medication for about 10 days, which led to hospitalization and subsequent death. Documented a verbal altercation between staff and a resident.
17 Jul 2025Inspection
17 Jul 2025Inspection
Identified proper documentation and physician orders for five residents' medications during a case management visit.
17 Jul 2025Complaint
17 Jul 2025Complaint
Investigated the allegation that staff did not provide adequate supervision, resulting in a resident leaving. Findings were based on documents, interviews, and observation.
17 Jul 2025Complaint
17 Jul 2025Complaint
Investigated two allegations concerning hygiene assistance and medical care; findings indicated these concerns were unfounded.
10 Jul 2025Inspection
10 Jul 2025Inspection
Concluded no citations were issued after a case management review. A brief tour and medication review were conducted, and additional review was scheduled.
26 Jun 2025Inspection
26 Jun 2025Inspection
Identified deficiencies in medication management, including missing start dates and incomplete documentation, creating an immediate health risk to residents.
Type A87468.2(a)(4)
13 Jun 2025Inspection
13 Jun 2025Inspection
Determined that a resident sustained multiple fractures due to inadequate care and supervision.
Type A1569.312
Type A1569.49(f)
Type A15610.67
17 Apr 2025Complaint
17 Apr 2025Complaint
Investigated an allegation that staff did not ensure residents' care needs were met. The resident later stated the complaint was a mistake and did not wish to pursue it.
17 Apr 2025Complaint
17 Apr 2025Complaint
Investigated complaints that staff did not reassess a resident's level of care, did not ensure carpeting was clean, and did not ensure the elevator was maintained. The complainant later stated the issue was a misunderstanding and wished to withdraw.
20 Mar 2025Complaint
20 Mar 2025Complaint
Investigated a complaint that a resident was locked in a bedroom and that medical records were incomplete; found the door was locked to prevent other residents from entering but could be opened from inside, and that POLST remained incomplete due to lack of a decision-maker and ethical constraints on completing it. No deficiencies observed.
21 Jan 2025Complaint
21 Jan 2025Complaint
Investigated a complaint that a resident did not receive prescribed seizure medications, resulting in seizures and medical events; findings showed medication administration gaps and incomplete MAR entries during the stay.
Type A87465(a)(4)
21 Jan 2025Inspection
21 Jan 2025Inspection
Identified failures in medication management that led to a seizure and hospitalization, and incomplete medical documentation missing the physician's signature.
Type A87468.2(j)
Type B87458(a)
06 Jan 2025Complaint
06 Jan 2025Complaint
Investigated a complaint alleging lack of supervision resulting in injury and failure to notify the resident's responsible party about an incident. The investigation reviewed records and spoke with staff to determine what occurred.
Type B87211(a)
20 Dec 2024Complaint
20 Dec 2024Complaint
Investigated two allegations that staff did not meet a resident's medical needs and did not administer medications as prescribed, and found insufficient evidence to support them.
20 Nov 2024Inspection
20 Nov 2024Inspection
Found deficiencies in medication documentation and hot water temperature control; one resident’s centrally stored medications were missing start dates, and hot water reached 121.6°F.
Type A87465(a)(6)
Type B87303(e)(2)
11 Oct 2024Inspection
11 Oct 2024Inspection
Investigated a self-reported suspicion of elder financial abuse by a staff member; further investigation was necessary.
30 Sept 2024Complaint
30 Sept 2024Complaint
Investigated complaints about odor in residents' rooms, meals, incontinence care, and medical attention; interviews and observations found no regulatory deficiencies.
30 Aug 2024Inspection
30 Aug 2024Inspection
Investigated a resident's medical emergency and subsequent death; found that death and incident reports were not submitted to the licensing agency within seven days.
Type B87211(a)(1)(A)
Type B87211(a)(1)(D)
22 Aug 2024Complaint
22 Aug 2024Complaint
Investigated a complaint about medication administration and showers after move-in. Documentation and interviews showed lapses in care.
Type B87465(a)(4)
Type B87464(f)(4)
22 May 2024Complaint
22 May 2024Complaint
Investigated allegations that staff failed to provide prescribed medications to a resident and did not respond promptly to the resident's requests for assistance, affecting care and safety.
Type A87465(a)(4)(a)
Type A87468.2(a)(4)(a)
22 May 2024Inspection
22 May 2024Inspection
Identified missing records for a resident during a case-management check; records were archived and medications marked discontinued when residents moved out.
Type B87468.2(a)(8)
06 Nov 2023Inspection
06 Nov 2023Inspection
Identified a discrepancy between a resident's medication bottle and the centrally stored medication record, indicating noncompliance with medication recordkeeping. This issue was documented as a deficiency with potential health risks.
Type B87465(h)(6)(E)
25 Aug 2023Complaint
25 Aug 2023Complaint
Investigated allegations that staff failed to provide adequate food service, failed to meet a resident's medical needs, and failed to meet a resident's hygiene needs. Findings showed meals were delivered, medical care could not be clearly confirmed, and hygiene records showed gaps and potential misdocumentation.
Type B87464(f)(4)
09 Aug 2023Inspection
09 Aug 2023Inspection
Found that residents with dementia left the building unassisted, posing safety risks due to gaps in supervision and security. Also found that a resident’s condition changes were not updated in reappraisal records.
Type A87705(c)(4)
Type B87463(a)
09 Aug 2023Complaint
09 Aug 2023Complaint
Investigated the allegation that reimbursement to the former resident's POA was refused. Found insufficient evidence to determine whether a refund was issued to the POA.
27 Jul 2023Complaint
27 Jul 2023Complaint
Identified two regulatory deficiencies related to residents' personal rights and incident reporting.
Type A87468.2(a)(4)
Type B87211(a)(1)(D)
20 Jul 2023Inspection
20 Jul 2023Inspection
Investigated an elopement incident involving a resident who left the premises and was brought back by staff, with monitoring and follow-up with medical staff and family.
15 Mar 2023Complaint
15 Mar 2023Complaint
Investigated allegation that staff failed to keep a resident safe; found no evidence to support the allegation.
21 Feb 2023Complaint
21 Feb 2023Complaint
Investigated allegations that staff did not follow physician orders for medications and did not respond promptly to residents' call lights; findings indicated inconsistencies in medication documentation and administration timing.
Type A87465(a)(4)
06 Feb 2023Complaint
06 Feb 2023Complaint
Investigated an allegation of neglect/lack of supervision resulting in a sexual incident between two residents; found insufficient evidence to support the allegation.
19 Oct 2022Inspection
19 Oct 2022Inspection
Observed infection control measures in place, including signage, handwashing supplies, masks, and entry screening, with sanitizer stations and fire extinguishers on each floor.
31 Aug 2022Complaint
31 Aug 2022Complaint
Identified concerns about a resident being left soiled and lacking access to personal possessions, including hearing aids, with meals not provided on 2/19/22. Also noted questions about a call button and timely medication administration.
Type A87625(b)(3)
Type B87555(b)(1)
Type B1569.269(a)(30)
31 Aug 2022Inspection
31 Aug 2022Inspection
Identified that a resident did not receive their prescribed escitalopram on 2/17/2022, 2/18/2022, and 2/19/2022 because the medication was unavailable and a refill was pending, posing an immediate health risk.
Type A87465(a)(4)
23 Aug 2022Inspection
23 Aug 2022Inspection
Identified that disinfectants and other toxic substances were accessible to residents, posing an immediate health risk.
Type A87705(f)(2)
23 Aug 2022Complaint
23 Aug 2022Complaint
Investigated two complaints alleging staff handled residents roughly and spoke to residents in crude terms.
Type A1569.269(a)(10)
08 Aug 2022Inspection
08 Aug 2022Inspection
Observed that toxic substances were accessible to residents because storage areas were not secured and scented products were left openly accessible.
Type A87705(f)(2)
08 Aug 2022Complaint
08 Aug 2022Complaint
Investigated an allegation that residents' personal rights were violated due to lack of supervision, including inappropriate touching and sexual remarks by a resident.
Type A1569.269(a)(10)
27 Jul 2022Inspection
27 Jul 2022Inspection
Observed that the pool gate was not locked, creating an immediate safety risk to people in care.
Type A87705(e)
12 Apr 2022Inspection
12 Apr 2022Inspection
Observed dishwashing liquid accessible to residents in memory care and a staff member not properly associated with the facility, creating immediate safety concerns.
Type A87705(f)(2)
Type A87355(e)(2)
12 Apr 2022Complaint
12 Apr 2022Complaint
Investigated an allegation that residents were not administered medications as prescribed, with staff distracted leading to missing doses that residents had to request.
Type B1569.269(a)(6)
12 Apr 2022Complaint
12 Apr 2022Complaint
Investigated an allegation that residents were not changed timely.
Type B87101(c)(3)
Type B1569.2(c)
Type B87464(f)(1)
08 Mar 2022Inspection
08 Mar 2022Inspection
Identified a failure to report a COVID-19 outbreak in February 2022 during a virtual informal conference. Attendees included licensing staff and facility representatives and reviewed past complaints and citations.
24 Feb 2022Complaint
24 Feb 2022Complaint
Identified failure to report a COVID-19 outbreak to licensing and local health authorities within 24 hours.
Type B87211(a)(2)
24 Feb 2022Inspection
24 Feb 2022Inspection
Identified that cleaners, medications, and other items were accessible to residents, and an unassociated staff member worked there. Also, a resident's care plan had not been updated to reflect a change in condition.
Type A87309(a)
Type A87355(e)(2)
Type A87705(f)(1)
Type A87465(h)(2)
Type B87463(a)
24 Feb 2022Complaint
24 Feb 2022Complaint
Identified an allegation that a resident sustained multiple injuries due to neglect and lack of supervision.
Type A1569.312(a)
04 Jan 2022Complaint
04 Jan 2022Complaint
Found that the vehicle used to transport residents was not maintained in a safe operating condition, with worn windshield wipers, a balding tire, and expired registration tags.
Type BCCR 87312Motor Vehicles Used in Transporting Residents
04 Jan 2022Complaint
04 Jan 2022Complaint
Investigated the allegation that an unqualified staff member administered medications; found they had not completed the required annual medication training.
Type B1569.69(b)
04 Jan 2022Complaint
04 Jan 2022Complaint
Investigated an allegation that staff retaliated against a resident for filing a complaint; interviews with residents and staff found no evidence of retaliation.
01 Dec 2021Complaint
01 Dec 2021Complaint
Investigated a complaint alleging that a resident was inappropriately touched by another resident and that staff did not prevent verbal altercations. Interviews indicated no evidence of inappropriate touching and staff intervened during verbal conflicts; residents continued participating in activities.
18 Nov 2021Complaint
18 Nov 2021Complaint
Identified that an untrained staff member assisted residents with medications, there was no Activities Director for about a month, and internet connectivity was unreliable.
Type B1569.69(a)(1)
Type B87219(f)
Type B87303(a)
18 Nov 2021Inspection
18 Nov 2021Inspection
Found hazardous items accessible to residents and several residents lacked current physician's reports.
Type A87705(f)(1)
Type A87705(f)(2)
Type B87705(c)(5)
Type B87458
14 Oct 2021Inspection
14 Oct 2021Inspection
Identified unsafe conditions, including medications and toxic substances accessible to residents and centrally stored meds not securely locked, and staff without proper criminal record clearance working on site.
Type A87705(f)(2)
Type A87465(h)(2)
Type A87355(e)(2)
13 Sept 2021Inspection
13 Sept 2021Inspection
Observed items such as cleaners and medications accessible to residents, creating safety risks. Deficiencies cited for improper storage of centrally stored medications and other substances.
Type A87705(f)(2)
Type A87465(h)(2)
28 May 2021Complaint
28 May 2021Complaint
Identified that water was shut off for several hours due to repairs, and residents did not receive advance notice of the shutdown.
Type B87307(d)(2)
Type B87468(a)
24 May 2021Complaint
24 May 2021Complaint
Investigated the allegation that food is not nutritionally adequate and found insufficient evidence to support it.
24 May 2021Inspection
24 May 2021Inspection
Observed a third-floor closet with paint storage left ajar, accessible to residents, and a second-floor storage closet left open and unlocked.
Type B87309(a)
23 Feb 2021Complaint
23 Feb 2021Complaint
Investigated the allegation that a scabies outbreak was not reported to the Department of Public Health. A reporting violation was identified.
Type B87211(a)(1)(D)
05 Mar 2020Inspection
05 Mar 2020Inspection
Identified deficiencies in safety and resident care were noted during the evaluation, including accessible hazardous substances and missing medical documentation.
Type A87705(f)(2)
Type B87705(c)(5)
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Mirador Living is not affiliated with the owner or operator(s) of Lexington Assisted Living. The information above has not been verified or approved by the owner or operator. For exact information, please contact Lexington Assisted Living directly. There is no cost for this service. We are compensated by the community you select.
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