I like the warm, caring staff-friendly CNAs, a welcoming front desk, clean common areas, decent meals, lots of activities and a homelike vibe that gave my family peace of mind. However the place is dated with small units, spotty staffing and supervision, and we experienced missed meds/attention, memory-care shortcomings and some management/billing headaches that undermined trust. I'd recommend touring if you want a friendly, affordable assisted or independent option, but not if your loved one needs reliable clinical oversight or strong dementia care.
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 50 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.
Yes, Lexington Assisted Living offers 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.
State of California Inspection Reports
84
Inspections
34
Type A Citations
28
Type B Citations
5
Years of reports
17 Jul 2025
17 Jul 2025
Found no evidence to support the specific allegation after reviewing documents and interviewing staff and the resident. The resident was oriented to time, place, and person, did not have a cognitive disability, and later moved to live with relatives after the incident involving confusion about their daughter's whereabouts.
17 Jul 2025
17 Jul 2025
Investigated the allegations that staff did not assist with hygiene and that the resident was kept beyond their level of care, and that medical care was not provided as needed. Found the wound was healing and not due to a pressure injury, odor could come from the wound, staff followed orders to keep it covered, the resident sometimes refused showers, and medical care was pursued with care provided elsewhere and the resident reporting their medical needs were addressed.
17 Jul 2025
17 Jul 2025
Found five residents' medications were correctly documented and had physicians' orders, including on-cycle, not on-cycle, and PRN drugs. Noted no citations issued and that an exit interview was conducted.
§ 9058
10 Jul 2025
10 Jul 2025
Found a brief tour of the memory care unit and kitchen, noted a sufficient food supply, and started a medication audit that will be completed on a later visit.
§ 9058
26 Jun 2025
26 Jun 2025
Found deficiencies in medication records for a resident, including missing start dates on most meds and start dates not documented on the bubble pack or central record; one med started on cycle but pills remained in the bubble pack on several dates. A $1,000 civil penalty was assessed for a repeat violation within one year.
§ 9058
§
13 Jun 2025
13 Jun 2025
Found that a resident sustained multiple fractures while in care. Issued in 2025, a civil penalty of $9,500 for serious bodily injury after an initial $500 penalty in 2022.
§ 9058
17 Apr 2025
17 Apr 2025
Found the allegation unsubstantiated after discussions with the administrator and the ombudsman, and the resident stated it was a misunderstanding and no longer wished to pursue it.
17 Apr 2025
17 Apr 2025
Found the allegation unsubstantiated at this time after reviewing documents and speaking with staff. The resident said the complaint was a misunderstanding and did not wish to pursue it.
30 Aug 2024
30 Aug 2024
Found that a resident had a medical emergency on about 8/13/2024, was transported to the hospital, and died about 8/20/2024. Found that licensing officials did not receive an incident report for that medical emergency.
§ 87211(a)(1)
§ 87211(a)(1)
20 Mar 2025
20 Mar 2025
Found two allegations addressed: locking a resident in a bedroom and incomplete POLST due to no decision-maker. The door-locking was described as a safety measure that could be opened from inside, and the POLST remained incomplete because no one could legally make medical decisions yet; not supported for either.
21 Jan 2025
21 Jan 2025
Identified medication management deficiencies: new residents' meds were centrally stored and manually entered into the MAR without cross-referencing to the physician's medication list, resulting in a seizure medication not being provided for 10 days and a seizure requiring hospitalization; the physician's signature on the medication list was missing.
21 Jan 2025
21 Jan 2025
Investigated neglect: failure to dispense prescribed seizure medication while under care led to a seizure, hospitalization, and death. Imposed a $1,000 immediate civil penalty for the deficiency.
§ 87465(a)(4)
06 Jan 2025
06 Jan 2025
Found that a resident with end-stage dementia fell and was taken to a hospital after the incident, with no clear record that the family was notified. Found that related paperwork and licensing submissions were unclear or not provided, the former administrator is no longer employed, the current administrator had no knowledge of the incident, and attempts to contact the family were unsuccessful due to outdated contact information.
§ 87211(a)
20 Dec 2024
20 Dec 2024
Identified insufficient evidence to support the allegations that staff did not meet residents' medical needs and that medications were not administered as prescribed.
20 Nov 2024
20 Nov 2024
Identified health and safety deficiencies and missing start dates on medications records during the visit; hot water measured 121.6 degrees Fahrenheit, sprinkler heads showed rust with a valve needing repair, and several CSMDRs lacked start dates.
§ 87303(e)(2)
§ 87465(a)(6)
11 Oct 2024
11 Oct 2024
Investigated a self-reported suspicion of elder financial abuse by a staff member; interviewed the administrator and collected documents, with further investigation necessary.
30 Sept 2024
30 Sept 2024
Found no solid evidence to support the following allegations: urine odor in residents' rooms; inadequate incontinence assistance; failure to seek medical attention for residents; and meals not being nutritious. Residents described satisfactory meals and care, and past plumbing issues had been resolved.
30 Aug 2024
30 Aug 2024
Found deficiencies related to a resident's medical emergency and subsequent death were not properly reported to the appropriate authorities.
22 Aug 2024
22 Aug 2024
Identified multiple care concerns involving one resident, including rough transfers, delays in responding to call lights, staff speaking to the resident inappropriately, language barriers affecting communication, inadequate food quantity and quality, failure to assist with self-administration of medications as prescribed, and missing showers during the first week.
§ 87464(f)(4)
§ 87465(a)(4)
22 Aug 2024
22 Aug 2024
Verified allegations regarding how staff handled a resident's medications and showering, while other allegations of inappropriate staff behavior and food quality were inconclusive. Residents generally expressed satisfaction with the facility.
22 May 2024
22 May 2024
Found that staff did not provide prescribed medications to Resident 1 and did not respond promptly to care requests, with records showing delays and missing meds linked to hospital stays and death. Other concerns about pendant functioning and communication with the resident’s authorized representative were not supported by enough evidence.
22 May 2024
22 May 2024
Found the allegation about missing medication records for a resident; staff said all records were archived and medications marked discontinued when residents moved out or expired, and a citation was issued.
§ 87506(a)(e)
22 May 2024
22 May 2024
Found deficiencies related to medication management and response times to resident requests for assistance.
§ 87465(a)(4)
§ 87468.2(a)(4)
06 Nov 2023
06 Nov 2023
Identified safety and records deficiencies, including a mismatch between a resident’s medication bottle and the central storage/destruction record, and only one staff member with an active first aid/CPR certification, with the last fire inspection dating from 2022.
06 Nov 2023
06 Nov 2023
Identified deficiencies in various areas of the facility during an unannounced inspection. Reviewed records, conducted interviews, and issued a report with appeal rights.
§ 87465(h)(6)
25 Aug 2023
25 Aug 2023
Found no evidence that staff failed to provide adequate food service or to meet residents' medical needs; found that staff failed to meet a resident's hygiene needs.
25 Aug 2023
25 Aug 2023
Confirmed inadequate care in meeting resident's hygiene needs based on staff falsifying documentation and failing to provide required showers. Insufficient evidence for allegations of inadequate food service and failure to meet medical needs.
§ 877464(f)(4)
09 Aug 2023
09 Aug 2023
Identified that a refund related to the POA was issued and appears to have been cashed, but there was insufficient evidence to conclude that the former resident’s POA was refused reimbursement.
09 Aug 2023
09 Aug 2023
Investigated two allegations that residents eloped from the residence. The first incident, on 07/20/2023, involved Resident #1 leaving the property near an IHOP and being returned after staff were alerted; the second, on 07/31/2023, involved Resident #2, who has dementia and cannot leave unassisted, exiting through the main entrance and being found on the street about an hour later with minor scrapes.
§ 87705(c)(4)
§ 87463(a)
09 Aug 2023
09 Aug 2023
Investigated an allegation that a refund was refused to a former resident's Power of Attorney, but evidence could not definitively determine any wrongdoing, with a refund check reportedly having been cashed.
27 Jul 2023
27 Jul 2023
Investigated allegations identified that residents endured multiple falls and a scabies outbreak with delayed reporting to families and the licensing agency. It did not find evidence that residents were left sitting in chairs all day, that residents wore clothing not their own, or that staff failed to safeguard personal items.
27 Jul 2023
27 Jul 2023
Confirmed multiple falls and scabies outbreak at the facility.
§ 87468.2(a)(4)
§ 87211(a)(1)
20 Jul 2023
20 Jul 2023
Identified a resident elopement in which the resident exited through the main door while staff were present and was returned by administrators; a head-to-toe check was conducted and the physician and family were informed. Noted concerns about leaving unassisted and not being able to navigate back, and requested an updated physician's report.
20 Jul 2023
20 Jul 2023
Investigated an incident where a resident left without being noticed, and found that the resident, though not diagnosed with dementia, may not be able to navigate back safely. Recommended obtaining an updated physician's report to ensure proper care.
15 Mar 2023
15 Mar 2023
Investigated the allegation that staff failed to keep a resident safe; found insufficient evidence to support the allegation. Conducted interviews with staff and residents and reviewed records to reach this conclusion.
15 Mar 2023
15 Mar 2023
Unsubstantiated allegation of resident safety violation due to lack of evidence from interviews and document review.
21 Feb 2023
21 Feb 2023
Investigated allegations that staff did not follow physician orders for two residents, finding discrepancies between electronic medication records and handwritten control records for fentanyl patches and timing issues with morphine and lorazepam. Found insufficient evidence to prove that call lights were not answered timely, with most responses under 15 minutes and only a few longer delays.
21 Feb 2023
21 Feb 2023
Confirmed staff did not follow physician's orders by failing to administer medication on schedule. Unsubstantiated claims of staff not responding timely to resident call lights.
§ 87465(a)(4)
06 Feb 2023
06 Feb 2023
Found the allegation of Neglect/Lack of Supervision: staff failed to provide supervision resulting in a sexual assault between two residents not supported by available evidence; interviews indicated a consensual relationship and that resident representatives were aware.
06 Feb 2023
06 Feb 2023
Investigated an allegation of neglect and lack of supervision regarding an incident between two residents and determined no sufficient evidence to support the allegation, concluding the reported incident was consensual.
19 Oct 2022
19 Oct 2022
Found infection control measures in place, including signage, staff wearing masks, soap and paper towels, hand sanitizer stations, and fire extinguishers on each floor; administrator stated residents returning from outings were not being screened. No deficiencies were cited after the infection control mitigation module.
19 Oct 2022
19 Oct 2022
Conducted unannounced infection control visit to ensure facility compliance with regulations. Observed adherence to proper infection control protocols and provided guidance on screening residents returning from outings.
31 Aug 2022
31 Aug 2022
Found that a resident did not receive their prescribed escitalopram 5 mg on 2/17/22, 2/18/22, and 2/19/22 because it was not available and a refill was pending; an exit interview was conducted and appeals rights were reviewed.
31 Aug 2022
31 Aug 2022
Identified that a resident was left in bed for a long period on 2/19/22, soaked with urine, and did not receive meals or help with hearing aids or toileting. Found that the call button was functioning when checked and there were no clear delays in medications for that day.
§ 1569.269(a)(30)
§ 87555(b)(1)
§ 87625(b)(3)
31 Aug 2022
31 Aug 2022
Identified deficiencies in medication administration were found during a recent inspection.
§ 87465
23 Aug 2022
23 Aug 2022
Found that staff handled residents roughly during toileting and transferring, causing extreme pain at times. Found no evidence that staff spoke to residents in crude or inappropriate ways.
§ 1569.269(a)(10)
23 Aug 2022
23 Aug 2022
Identified that several grooming and cleaning products were stored in an unlocked beauty parlor accessible to residents, posing a safety risk. A civil penalty of $250 was issued.
23 Aug 2022
23 Aug 2022
Identified deficiency in beauty parlor storage of hazardous products. Penalties issued.
§ 87705
08 Aug 2022
08 Aug 2022
Investigated an alleged incident involving two residents reported on 8/5/22. Found unsecured paint and painter's acrylic latex caulk in an unlocked office, and fragrance mist and body lotion in an unlocked staff break room accessible to residents; a civil penalty of $250 was issued.
08 Aug 2022
08 Aug 2022
Found that one resident engaged in inappropriate touching and verbal/sexual remarks toward other residents, observed by staff, indicating a violation of residents' personal rights due to insufficient supervision. Staff reported addressing the behavior; attempts to interview affected residents were limited by diagnoses.
§ 1569.269(a)(10)
08 Aug 2022
08 Aug 2022
Identified deficiencies during the visit resulted in civil penalties being issued.
§ 87705
27 Jul 2022
27 Jul 2022
Identified a zero-tolerance safety violation when a pool door was left unlocked, later secured. Issued civil penalties of $500 and conducted an exit interview.
27 Jul 2022
27 Jul 2022
Unlocked pool gate observed during inspection. Civil penalties issued for violation.
§ 87705(e)
12 Apr 2022
12 Apr 2022
Identified dishwashing liquid accessible to residents in the memory care laundry room and an unaffiliated staff member working at the home. Imposed penalties and conducted an exit interview with appeal rights explained.
§ 87705
§ 87355
12 Apr 2022
12 Apr 2022
Found that residents observed missing medications when staff distributed them, and staff admitted to being distracted and forgetting to give one dose. Noted that residents had to notify staff to obtain the missing medication.
12 Apr 2022
12 Apr 2022
Investigated the allegation that residents were not changed timely and did not receive timely help; records and interviews showed multiple delays in care with residents waiting for assistance and several emergency calls.
§ 87464(f)(1)
12 Apr 2022
12 Apr 2022
Confirmed missing medications for residents as staff forgot to give one of the medications and residents had to point out missing medications.
§ 1569.269(a)(6)
08 Mar 2022
08 Mar 2022
Identified a failure to report a February 2022 COVID-19 outbreak at the care site, noted past complaints and citations, and highlighted ongoing compliance needs; attendees included the Licensing Program Manager, Licensing Program Analyst, Administrator, and Operations Manager.
08 Mar 2022
08 Mar 2022
Confirmed failure to report a COVID-19 outbreak. Monitoring visits will continue to ensure compliance.
24 Feb 2022
24 Feb 2022
Found the allegation that the licensee failed to report COVID-positive residents to Public Health during 2/4/22 through 2/16/22, when 19 residents tested positive.
§ 87211(a)(2)
24 Feb 2022
24 Feb 2022
Found unsecured hazardous items and medications accessible to residents, and a staff member not affiliated with the site on duty. Identified that a resident's needs and services plan had not been updated to reflect falls and cognitive decline, with the resident moved to memory care in 2020; civil penalties were issued.
§ 87309
§ 87705
§ 87463
§ 87355
§ 87465
24 Feb 2022
24 Feb 2022
Investigated Neglect/Lack of Supervision—Resident sustained multiple injuries, including a broken nose, compression fractures of L1 and L3, and five rib fractures, while in care.
A $500 immediate civil penalty was issued.
24 Feb 2022
24 Feb 2022
Confirmed allegation of neglect/lack of supervision resulting in multiple injuries to a resident.
§ 1569.312(a)
04 Jan 2022
04 Jan 2022
Identified unsafe vehicle conditions: windshield wipers not replaced for at least two years and cracked, impairing visibility in rain. Also observed a balding right-front tire and license plate registration expired since 2020, with staff unaware of these maintenance issues.
04 Jan 2022
04 Jan 2022
Identified that a staff member who administers medications had not completed annual medication training and last received training about six years ago, based on interviews and a review of training records during an unannounced follow-up visit.
§ 1569.69(b)
04 Jan 2022
04 Jan 2022
Found that the allegation of staff retaliation against a resident for filing a complaint was unsubstantiated based on interviews with residents and staff.
04 Jan 2022
04 Jan 2022
Identified issues with a vehicle, including non-functional windshield wipers, a balding tire, and expired registration tags, based on observations and interviews.
§ 87312
01 Dec 2021
01 Dec 2021
Found no evidence that a resident was inappropriately touched by another resident; intimate relationships and public affection occurred, with some observing and deeming the behavior inappropriate. Found that a verbal altercation occurred between two residents, but staff intervened and removed them, and since then there have been no ongoing confrontations.
01 Dec 2021
01 Dec 2021
Investigated allegations of inappropriate touching and failure to prevent verbal altercations between residents but found insufficient evidence to confirm either.
18 Nov 2021
18 Nov 2021
Identified health and safety concerns, including hazardous items accessible to residents in unlocked rooms and six residents with dementia whose medical records were not current. Found infection control measures in place with entry screening, PPE supply, and cleaning protocols, and noted a locked pool gate during the tour.
18 Nov 2021
18 Nov 2021
Found that a staff member who helped residents with medications had not completed medication training and had no training documentation. Identified that there was no Activities Director for about a month, and that internet service was unreliable due to damaged control boxes, with parts taking about 45 days to obtain; a notebook recorded outages on 9/15/21.
§ 87303(a)
§ 87219(f)
§ 1569.69(a)(1)
18 Nov 2021
18 Nov 2021
Identified deficiencies in infection control practices and hazardous items accessibility led to civil penalties being issued during a recent inspection.
§ 87705(f)(2)
§ 87705(f)(1)
§ 87705(c)(5)
14 Oct 2021
14 Oct 2021
Identified an unaffiliated staff member working at the site and an unlocked room containing medications; deficiencies were cited and civil penalties totaling $750 were issued.
14 Oct 2021
14 Oct 2021
Found deficiencies during visit, issued civil penalties.
§ 87465
§ 87355
§ 87705
13 Sept 2021
13 Sept 2021
Identified that residents could access cleaning products, medications, and other hazardous items in several locations, matching the allegation from a complaint investigation. An exit interview was conducted and appeal rights were reviewed.
13 Sept 2021
13 Sept 2021
Identified several hazardous materials accessible to residents during a tour, noting substances like bleach, Tide pods, and medications improperly stored in various areas. Cited deficiencies based on regulatory violations related to these safety concerns.
§ 87465
§ 87705
28 May 2021
28 May 2021
Found water was shut off on May 20 from 10pm to 4am due to repairs, and advance notice of the shut-off was not provided to residents.
28 May 2021
28 May 2021
Confirmed that staff shut off water for an extended period on May 20th from 10pm to 4am and failed to provide residents with advance notice of the water shut-off.
§ 87307(d)(2)
§ 87468(a)
24 May 2021
24 May 2021
Found no evidence that the food was nutritionally inadequate, while residents reported a wide variety of meals and satisfaction with their quality and quantity.
24 May 2021
24 May 2021
Identified safety deficiencies after observing a third-floor maintenance closet left ajar with paint accessible to residents and a second-floor storage closet open and unlocked.
§ 87309
24 May 2021
24 May 2021
Found insufficient evidence to support claim of nutritionally inadequate food. Residents reported satisfaction with food quality and quantity.
23 Feb 2021
23 Feb 2021
Identified a failure to report a scabies outbreak. Interviews indicated 5 residents and 8 staff were diagnosed, and there was no documentation of notification to the Department of Public Health.
23 Feb 2021
23 Feb 2021
Confirmed scabies outbreak, failure to report to Department of Public Health.
§ 87211(a)(1)
05 Mar 2020
05 Mar 2020
Identified deficiencies in safety and resident care were noted during the evaluation, including accessible hazardous substances and missing medical documentation.
