Pricing ranges from
    $3,425 – 5,870/month

    The Mayflower by American Retirement Homes

    409 S Main St, Lexington, VA, 24450
    3.8 · 19 reviews
    • Assisted living
    AnonymousLoved one of resident
    4.0

    Mostly positive with cleanliness concerns

    I had a mostly positive experience: the staff were genuinely friendly, caring and professional, which gave me peace of mind and a family-like atmosphere. The location is attractive, the building bright and homey with good activities, outings and private room options. Common areas felt well kept, but I noticed inconsistent cleanliness (some rooms, carpets and shared bathrooms needed better care) and occasional evening/night staffing and food quality issues. Overall I'd recommend it with reservations.

    Pricing

    $3,425+/moSemi-privateAssisted Living
    $3,600+/mo1 BedroomAssisted Living
    $5,870+/mo2 BedroomAssisted Living
    $4,402+/moSuiteAssisted Living

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space
    • Small library

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    3.84 · 19 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.9
    • Staff

      3.9
    • Meals

      3.5
    • Amenities

      2.7
    • Value

      3.8

    Pros

    • Kind, caring and helpful staff
    • Personalized, family-like attention
    • Well-trained and professional caregivers/nurses (in many cases)
    • Smooth transition and accommodating admissions process
    • Private room options with private bathrooms available
    • Many social and community activities
    • Engaging activities (games, live music, outings, bus trips)
    • Family events such as luncheons
    • Outdoor patio and accessible outdoor space
    • Attractive/historical architecture and location (Lexington/Rockbridge County)
    • Homey, warm, non-sterile atmosphere
    • Delicious or down-home-style meals (reported by several reviews)
    • Residents described as happy and content in many reports
    • Peace of mind for families and restored resident independence
    • Well-maintained living and recreation areas (in some reviews)
    • Clean, inviting common areas reported by multiple reviewers
    • Qualified professionals on staff providing good clinical care (in some accounts)
    • Active, lively resident community

    Cons

    • Inconsistent cleanliness in resident rooms (grime, dirty carpets, unclean chairs, dirty baseboards)
    • Evening/night care deficiencies or reduced staffing at night
    • Reports of understaffing and limited staff attention at times
    • Food quality and nutrition inconsistent (some say subpar/not appropriate for elderly)
    • Old building with dated decor and small rooms
    • Shared rooms and shared bathrooms in some accommodations
    • Navigation issues inside facility (hard to find rooms)
    • Small common areas reported by some reviewers
    • Inconsistent maintenance (some areas well-maintained, others neglected)
    • Variation in caregiver quality — some nurses praised while others are criticized
    • Not up-to-date facilities/carpet and furnishings in some areas
    • At least one strongly negative overall experience suggesting serious care problems

    Summary review

    Overall impression: Reviews for The Mayflower by American Retirement Homes are mixed but lean toward positive for interpersonal care and social life while showing recurring concerns about facility condition, cleanliness, and consistency of care. Many reviewers emphasize the kindness and professionalism of staff members, a warm, home-like atmosphere, engaging activities, and a picturesque location. However, a sizable minority report troubling problems with cleanliness, night-time care, and the aged condition of parts of the building. The result is a facility that can provide excellent social and emotional support for residents but appears to deliver inconsistent standards across operational areas.

    Care quality and staff: The most consistently praised element across reviews is the staff. Multiple reviewers describe staff as kind, caring, friendly, and professional, with several mentions of well-trained nurses who provide compassionate, family-centered care. People report that staff are accommodating during transitions, polite, and attentive in daytime hours, offering peace of mind to families and helping residents regain independence and manage daily living tasks. At the same time, there is a clear pattern of variability: some accounts indicate that evening and night care can be deficient, and others describe understaffing that impairs staff responsiveness. Several reviews highlight specific nurses who "care a great deal," suggesting that quality of care may depend heavily on which staff are on duty.

    Facilities and cleanliness: Reviews present a contradictory picture of the physical environment. Some reviewers praise the Mayflower as clean, inviting, well-maintained, and architecturally attractive — even calling it the best option in the Lexington area and noting its historical charm. Others, however, report serious cleanliness problems in resident rooms (grime, dirty carpets, unclean chairs, soiled baseboards) and describe portions of the facility as old, dated, or not up-to-date. Shared rooms and shared bathrooms are noted as a downside by several people, and small room size and tight navigation in the older building are recurring complaints. These mixed reports point to uneven maintenance or variability between different parts of the facility or differing expectations among families.

    Dining and activities: Social programming is a strong selling point. Many reviews applaud a lively schedule of activities — games, live piano or local bands, bus trips, outdoor access, and family luncheons — and characterize residents as engaged and happy. Several reviewers specifically praise the food as "good," "delicious," or "down-home cooking with plenty of food." Conversely, a subset of reviewers feel meals are subpar or not sufficiently nutritious for elderly residents. This again suggests inconsistency: dining appears to be a positive feature when experienced directly by some families but a concern for others who emphasize nutrition and meal quality.

    Management, transitions, and communication: Admissions and transitions are described as smooth and accommodating by multiple reviewers, and directors and administrative staff receive positive comments for being polite and professional. Communication also receives mixed marks: some families appreciate frequent updates and attentive nurses, while others worry about the effect of facility size or staffing levels on the attention residents receive. There are specific mentions of excellent family-centered practices alongside concerns that larger facility size or staffing constraints may reduce individualized attention.

    Patterns and notable concerns: The dominant positive themes are strong interpersonal care, a warm atmosphere, engaging activities, and an attractive location. The dominant negatives are inconsistent cleanliness, nighttime staffing/care concerns, aging infrastructure, and variability in food quality. The coexistence of highly positive and highly negative reviews suggests inconsistent standards across shifts, wings, or time periods. Some reviewers describe an excellent, compassionate home-away-from-home experience; others report poor hygiene and inadequate care to a degree that warrants serious concern.

    Recommendations for prospective families: Given the variability in experiences, prospective residents and families should (1) schedule multiple visits at different times of day (including evenings) to assess night staffing and responsiveness, (2) tour the specific room options being considered to verify cleanliness, space, and bathroom arrangements (private vs shared), (3) ask about staff-to-resident ratios, night coverage, and turnover, (4) sample meals and inquire about nutritional planning for elderly diets, and (5) request details about maintenance schedules and recent renovations to reconcile the mixed reports about cleanliness and building condition. Overall, The Mayflower appears capable of providing warm, activity-rich, and compassionate care for many residents, but due diligence is advisable to ensure consistent standards and that the particular unit or wing meets an individual resident’s needs.

    Location

    Map showing location of The Mayflower by American Retirement Homes

    About The Mayflower by American Retirement Homes

    The Mayflower by American Retirement Homes sits in the historic part of Lexington, Virginia, in a big building that used to be a grand hotel, so you'll find tall ceilings, a covered front porch where people like to sit and talk, and a welcoming lobby that feels a bit like stepping into a hotel from another time, though now it's homey and made for easy living. The place can take up to 39 residents, with a choice of private, semi-private rooms, or suites, and every room has a private bathroom, tall windows, and a call bell system. Folks spend a lot of time in the several living rooms and activity areas, like the sun-filled activity room and the large dining room where residents and guests eat home-cooked meals prepared daily, and there are snacks and drinks between meals, plus you get restaurant-style dining which is a nice treat. There's help if you need it-staff are there 24 hours a day, including nurse aides, Licensed Practical Nurses, and an activities director, and they handle things like bathing, dressing, grooming, medication management, and even feeding if someone needs it, and they're trained, kind, and have background checks. The care offered covers assisted living, adult day care, memory care for folks with dementia, home health care, nursing, rehab, and respite stays, and the memory care unit is set up to reduce confusion and keep residents from wandering.

    The staff includes a consulting pharmacist and registered dietician to make sure medications and meals fit each person's needs, and there's a therapist on site too. You'll find the place is tidy with housekeeping services, basic cable, and help with laundry, and there's a maintenance director to keep everything running smoothly. They welcome pets, let folks bring a little piece of home with them, and have an elevator to get around. Safety's taken seriously with sprinklers and a call system. Social life stays active thanks to outings, group activities, church meetings, exercise, and visits from volunteers and groups like The Red Hat Society. There's a beauty salon and barbershop on site, and the front porch stays busy during nice weather when folks sit outside, talk to neighbors, or watch the seasons change. Families can visit often, and the staff hosts monthly family events to help people feel connected. Staff help with transfers, moving in, and financial guidance, and they provide a free assessment to see what kind of help someone needs. The community takes AG/Medicaid applicants.

    The Mayflower has been run by American Retirement Homes, a family company, since 1984, and the people working here have years of experience. There's a family-like feeling among the residents and staff, who work together and know each other's names, keeping things neighborly and familiar. The building sits among colonial houses in a stately, quiet neighborhood close to medical resources, and transportation is available for getting to appointments or going out. The Mayflower by American Retirement Homes isn't the biggest place, so it stays intimate, which helps folks feel at home, and many residents remark on how easy it is to make friends and enjoy day-to-day activities with others.

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