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

    The Mayflower by American Retirement Homes

    409 S Main St, Lexington, VA 24450
    • Assisted Living

    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
    • 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

    Reviews

    3.90·(20)

    Overall rating

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

      3.9
    • Staff

      4.0
    • Meals

      3.5
    • Amenities

      2.7
    • Value

      3.9

    Pros

    • compassionate, courteous caregiving staff
    • well-trained and professional personnel
    • clear family communication and updates
    • personalized, family-like attention
    • engaging social and recreational programming
    • live music and regular entertainment
    • home-style, generous meal service
    • accessible outdoor patio and pleasant grounds
    • attractive historic architecture and bright interiors
    • private-room options with en-suite bathrooms
    • smooth transitions from hospital/rehab settings
    • active, sociable resident community
    • walking-distance location in Lexington/Rockbridge County

    Cons

    • inconsistent cleanliness and room-level sanitation
    • variable meal quality and nutrition consistency
    • inconsistent staffing levels and reduced overnight coverage
    • aging physical plant and dated interiors
    • limited private-space availability and small common areas
    • wayfinding and navigation challenges inside facility
    • variability in staff attention and care across shifts

    Summary of reviews

    Overall impression: The Mayflower presents as a historically attractive, community-oriented senior living provider with many strengths in interpersonal care and programming, paired with operational inconsistencies that prospective residents and families should weigh. Families and residents frequently commend the staff’s compassion, professionalism, and individualized attention. Many accounts emphasize that communication with families is good, transitions from hospital or rehab are handled smoothly, and the presence of well-trained caregivers provides peace of mind. The facility’s historic architecture, bright common spaces, outdoor patio, and central Lexington/Rockbridge County location are also recurring positives.

    Care and staff: Reviews suggest a generally high level of warmth and professionalism from daytime staff and specific nursing personnel. Caregiving is often described as patient-centered, restoring resident independence and supporting daily living tasks. However, there is a clear pattern of variability in care quality: some reviewers note reduced responsiveness or coverage during evening and overnight shifts, and differences in attentiveness between individual staff members. This points to inconsistent staffing patterns and shift-to-shift variability that can affect continuity of care.

    Dining: Dining experiences are mixed. Numerous reviewers praise generous, home-style meals, live-music dining events, and family luncheons; these elements contribute to a convivial atmosphere. Conversely, other reports raise concerns about meal quality and nutritional adequacy, indicating inconsistency in menu quality and meal preparation. Prospective residents with specific dietary or nutritional needs should inquire directly about menu planning and oversight.

    Activities and social life: The Mayflower is described as having an active social calendar with games, outings, bus trips, live music, and other community-oriented events. These programs appear to support resident engagement and contribute to a warm, home-like atmosphere. Physical constraints such as limited common-area size or staffing availability at peak program times may restrict program scale or frequency for some residents.

    Facilities and maintenance: The building’s historic character and bright shared spaces are strengths, but the physical plant is also described as dated in places. Room sizes can be small, and there are reports of inconsistent cleanliness at the room level (carpets, baseboards, and shared bathrooms). Navigation within the older layout can be challenging for visitors and new residents. Private rooms with en-suite bathrooms are available, but shared rooms and shared bathrooms are still part of the housing mix; space and privacy options should be confirmed during a tour.

    Management and operational patterns: Management receives credit for friendly, accommodating interactions and for facilitating smooth admissions. At the same time, recurring operational themes include uneven oversight of housekeeping and housekeeping standards, variability in overnight staffing coverage, and the implications of an aging facility footprint. These patterns suggest areas where administrative focus could improve resident experience—namely, staffing consistency, cleaning oversight, and facility maintenance/updates.

    Notable patterns for decision-making: The Mayflower will likely appeal to families looking for a warm, community-focused environment with engaging programs, live entertainment, and compassionate daytime staff. Potential residents with higher acuity needs, strict nutritional or sanitation requirements, or a preference for newer, larger private accommodations should evaluate staffing patterns (especially overnight coverage), room-level cleanliness, and dining/nutrition practices during an in-person visit. Asking management about staffing ratios, the schedule for deep-cleaning and carpet maintenance, menu planning and dietician involvement, and the availability of private rooms will help clarify whether the facility is a good fit for specific care and lifestyle needs.

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    Location

    The Mayflower by American Retirement Homes is located at 409 S Main St, Lexington, VA, 24450.

    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.

    People often ask...

    The Mayflower by American Retirement Homes offers competitive pricing, with rates starting at a cost of $3,425 per month.

    The Mayflower by American Retirement Homes offers assisted living.

    There are 6 photos of The Mayflower by American Retirement Homes on Mirador.

    The full address for this community is 409 S Main St, Lexington, VA 24450.

    No, The Mayflower by American Retirement Homes 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 Virginia, the Department of Social Services licenses assisted living facilities and publishes the results of its routine and complaint inspections.

    License number8930
    Facility typeAssisted Living Facility
    License class1yr
    Capacity39 residents
    Care servedAssisted Living, Non-ambulatory
    ExpiresNovember 23rd, 2026
    Special certificationAssisted Living, Non-Ambulatory
    View the official license record

    Inspection Reports

    16

    Reports

    71

    Citations

    0

    Complaints

    5

    Years

    22 Oct 2025Inspection
    Found deficiencies: interior areas not kept clean and cleaning supplies stored in unlocked locations.
    • 22VAC40-73-(8)-870-A
    • 22VAC40-73-(8)-860-I
    22 Oct 2025Inspection
    Identified a medication management deficiency after reviewing resident records and an incident report, including misadministration of morphine by using another resident’s supply and inconsistent dosing per orders.
    • 22VAC40-73-(6)-640-A
    03 Dec 2024Inspection
    Found deficiencies for improper storage of cleaning supplies and for medications not administered according to physician orders.
    • 22VAC40-73-(8)-860-I
    • 22VAC40-73-(6)-680-D
    03 Dec 2024Inspection
    Identified deficiencies in building maintenance and bathroom ventilation; violations cited.
    • 22VAC40-73-(8)-920-C
    • 22VAC40-73-(8)-870-A
    21 Oct 2024Inspection
    Found multiple deficiencies across staff health screening, medication management, care planning, staff documentation, and oversight.
    • 22VAC40-73-(3)-120-A
    • 22VAC40-73-(8)-870-A
    • 22VAC40-73-(6)-450-F
    • 22VAC40-90-(BC2)-30-B
    • 22VAC40-80-(G3)-120-E-2
    • 22VAC40-73-(6)-640-A
    • 22VAC40-73-(5)-320-A
    • 22VAC40-73-(3)-250-D
    • 22VAC40-73-(3)-250-C
    • 22VAC40-73-(6)-580-A
    • 22VAC40-73-(6)-680-D
    10 May 2024Inspection
    Cited deficiencies related to bathroom ventilation and multiple building maintenance issues after on-site observations.
    • 22VAC40-73-(8)-870-A
    • 22VAC40-73-(8)-920-C
    10 May 2024Inspection
    Identified deficiencies in menu substitutions not being recorded, outdated service plans not reflecting resident condition changes, and care provided outside staff training for catheter care.
    • 22VAC40-73-(6)-450-F
    • 22VAC40-73-(3)-200-B
    • 22VAC40-73-(6)-610-B
    10 Oct 2023Inspection
    Found multiple deficiencies across medication management, environmental controls, record-keeping, and care planning.
    • 22VAC40-73-(8)-920-C
    • 22VAC40-73-(6)-450-F
    • 22VAC40-73-(8)-880-B
    • 22VAC40-73-(5)-325-B
    • 22VAC40-73-(6)-560-E
    • 22VAC40-73-(6)-640-A
    • 22VAC40-73-(8)-870-A
    16 Mar 2023Inspection
    Identified multiple deficiencies related to maintenance, ventilation, and storage of hazardous materials after a site visit. Violations were cited.
    • 22VAC40-73-(8)-870-E
    • 22VAC40-73-(8)-870-A
    • 22VAC40-73-(8)-860-I
    • 22VAC40-73-(8)-920-C
    16 Mar 2023Inspection
    Investigated a complaint and found no evidence of non-compliance with applicable standards.
    10 Nov 2022Inspection
    Identified deficiencies across medication management, resident assessments, care planning, staff training, and staffing, indicating violations of Virginia regulations.
    • 22VAC40-73-(6)-640-A
    • 22VAC40-73-(3)-250-D
    • 22VAC40-73-(6)-450-C
    • 22VAC40-73-(5)-320-A
    • 22VAC40-73-(10)-1020-A
    • 22VAC40-73-(6)-440-D
    • 22VAC40-73-(10)-1030-B
    • 22VAC40-73-(6)-450-D
    • 22VAC40-73-(3)-120-A
    07 Sept 2022Inspection
    Identified deficiencies related to PRN medication availability, unsafe storage of cleaners, extensive building repairs, and inadequate bathroom ventilation.
    • 22VAC40-73-(8)-860-I
    • 22VAC40-73-(8)-870-A
    • 22VAC40-73-(6)-680-M
    • 22VAC40-73-(8)-870-E
    • 22VAC40-73-(8)-920-C
    17 May 2022Inspection
    Identified multiple deficiencies across care planning, medication management, infection control, staff training, and resident records.
    • 22VAC40-73-(6)-440-A
    • 22VAC40-73-(6)-610-B
    • 22VAC40-73-(5)-380-A
    • 22VAC40-73-(3)-260-A
    • 22VAC40-73-(6)-680-E
    • 22VAC40-73-(6)-450-F
    • 22VAC40-73-(6)-640-A
    • 22VAC40-73-(10)-1030-B
    • 22VAC40-73-(6)-450-D
    • 22VAC40-73-(2)-100-C-1
    • 22VAC40-73-(6)-680-D
    04 Apr 2022Inspection
    Identified deficiencies in building maintenance, ventilation, furnishings, and vermin control.
    • 22VAC40-73-(8)-870-D
    • 22VAC40-73-(8)-870-A
    • 22VAC40-73-(8)-870-E
    • 22VAC40-73-(8)-920-C
    05 Nov 2021Inspection
    Identified numerous safety and maintenance violations, including unsecured hazardous materials, vermin presence, inadequate lighting, ventilation issues, and extensive building disrepair.
    • 22VAC40-73-(8)-920-C
    • 22VAC40-73-(8)-890-B
    • 22VAC40-73-(8)-870-H
    • 22VAC40-73-(8)-870-A
    • 22VAC40-73-(8)-870-D
    • 22VAC40-73-(8)-860-I
    • 22VAC40-73-(8)-860-D
    • 22VAC40-73-(8)-870-E
    08 Jul 2021Inspection
    Investigated a self-reported incident about resident care and related services and found no non-compliance.

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    Mirador Living is not affiliated with the owner or operator(s) of The Mayflower by American Retirement Homes. The information above has not been verified or approved by the owner or operator. For exact information, please contact The Mayflower by American Retirement Homes directly. There is no cost for this service. We are compensated by the community you select.

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