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

    The Mayflower by American Retirement Homes

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

    Friendly staff, homey meals, independence

    I'm very pleased with the Mayflower in Lexington - the friendly, well-trained staff provide compassionate, personalized care in a clean, historic, homey setting with delicious down-home meals, engaging activities, and a family-centered atmosphere that gives us real peace of mind and restores independence.

    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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    Tour Type

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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

    3.84·(19)

    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, compassionate staff
    • Professionally trained nursing team
    • Personalized, family-like atmosphere
    • Active social and recreational programming
    • On-site live music and communal events
    • Outdoor patio and accessible grounds
    • Private-room availability with en-suite option
    • Convenient downtown / walkable location
    • Historic, bright architecture and attractive setting
    • Smooth admissions and transition support
    • Rehabilitation services perceived as effective
    • Home-style dining with generous portions

    Cons

    • Inconsistent housekeeping and room sanitation
    • Variable meal nutritional quality and preparation standards
    • Reduced staffing and responsiveness on evening/night shifts
    • Aging physical plant with small rooms and limited modern upgrades
    • Shared-room occupancy and shared-bathroom configurations
    • Inconsistent clinical communication and shift-to-shift continuity
    • Limited common-area space relative to activity levels
    • Wayfinding and accessibility challenges within facility layout

    Summary of reviews

    The Mayflower by American Retirement Homes elicits a mix of positive impressions and operational concerns. Many families and visitors describe the facility as warm and home-like, emphasizing a compassionate and professional staff that provides personalized attention and a family-style atmosphere. Admissions and transitions are often described as smooth, and nursing and therapy services are perceived as effective in restoring independence for some residents. The setting—historic architecture in a convenient Lexington/Rockbridge County location with bright interiors and outdoor patio access—is repeatedly noted as attractive.

    Care and staffing quality show a clear pattern of strengths and variability. Reviewers frequently praise individual caregivers and the overall professionalism of the team; specific staff members, directors, and daytime teams receive positive mention for communication and attentiveness. At the same time, there are recurring concerns about staffing consistency outside daytime hours: reduced coverage and slower responsiveness in evening and night shifts is a notable pattern that families should evaluate during tours. There are also comments indicating uneven clinical communication and continuity between shifts, which can affect family updates and day-to-day follow-up.

    Dining and programming are strengths for many residents: home-style cooking, plentiful portions, live music, games, outings and organized social events contribute to a lively community feel. Conversely, several reviewers express reservations about nutritional quality and variability in meal preparation; prospective families should assess menus and special-diet accommodations if nutrition is a primary concern.

    Facility condition and housekeeping present mixed signals. The building’s historic character and bright common areas are assets, but the physical plant is described as older, with smaller resident rooms and some areas that would benefit from modernization. There are recurring sanitation and housekeeping concerns specific to resident rooms, carpets, and baseboard/room-detail cleaning; these suggest inconsistent housekeeping processes rather than a uniformly poor environment. Room configurations vary and include shared rooms with shared bathrooms in some units, which may not suit all residents’ preferences.

    Management and operations show both attentive elements and areas for improvement. Staff training and family-oriented practices are emphasized, yet reviewers highlight limited common-area space during busy programming and occasional difficulties navigating the facility’s layout. Prospective residents and families should weigh the facility’s strong social programming, compassionate daytime staff, and convenient location against the operational issues of evening staffing, housekeeping consistency, and the constraints of an older building. A practical next step for decision-making is an in-person visit during multiple shifts (day and evening), a review of housekeeping and meal-service protocols, and clarification of room options and staffing ratios to ensure alignment with the resident’s needs.

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    Location

    Map showing location of The Mayflower by American Retirement Homes

    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 3 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 servedNon-ambulatory, Assisted Living
    ExpiresNovember 23rd, 2026
    Special certificationNon-Ambulatory, Assisted Living
    View the official license record

    Inspection Reports

    16

    Reports

    71

    Citations

    0

    Complaints

    5

    Years

    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
    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
    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)-870-A
    • 22VAC40-73-(8)-920-C
    21 Oct 2024Inspection
    Found multiple deficiencies across staff health screening, medication management, care planning, staff documentation, and oversight.
    • 22VAC40-73-(3)-250-D
    • 22VAC40-73-(6)-680-D
    • 22VAC40-73-(6)-450-F
    • 22VAC40-73-(3)-250-C
    • 22VAC40-90-(BC2)-30-B
    • 22VAC40-73-(5)-320-A
    • 22VAC40-73-(8)-870-A
    • 22VAC40-73-(3)-120-A
    • 22VAC40-80-(G3)-120-E-2
    • 22VAC40-73-(6)-640-A
    • 22VAC40-73-(6)-580-A
    10 May 2024Inspection
    Cited deficiencies related to bathroom ventilation and multiple building maintenance issues after on-site observations.
    • 22VAC40-73-(8)-920-C
    • 22VAC40-73-(8)-870-A
    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)-610-B
    • 22VAC40-73-(6)-450-F
    • 22VAC40-73-(3)-200-B
    10 Oct 2023Inspection
    Found multiple deficiencies across medication management, environmental controls, record-keeping, and care planning.
    • 22VAC40-73-(6)-640-A
    • 22VAC40-73-(8)-880-B
    • 22VAC40-73-(8)-920-C
    • 22VAC40-73-(8)-870-A
    • 22VAC40-73-(6)-450-F
    • 22VAC40-73-(5)-325-B
    • 22VAC40-73-(6)-560-E
    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)-920-C
    • 22VAC40-73-(8)-860-I
    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-(6)-440-D
    • 22VAC40-73-(5)-320-A
    • 22VAC40-73-(6)-450-C
    • 22VAC40-73-(3)-120-A
    • 22VAC40-73-(6)-450-D
    • 22VAC40-73-(3)-250-D
    • 22VAC40-73-(10)-1030-B
    • 22VAC40-73-(10)-1020-A
    07 Sept 2022Inspection
    Identified deficiencies related to PRN medication availability, unsafe storage of cleaners, extensive building repairs, and inadequate bathroom ventilation.
    • 22VAC40-73-(6)-680-M
    • 22VAC40-73-(8)-860-I
    • 22VAC40-73-(8)-870-E
    • 22VAC40-73-(8)-870-A
    • 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)-450-D
    • 22VAC40-73-(2)-100-C-1
    • 22VAC40-73-(6)-640-A
    • 22VAC40-73-(6)-680-D
    • 22VAC40-73-(3)-260-A
    • 22VAC40-73-(6)-680-E
    • 22VAC40-73-(6)-440-A
    • 22VAC40-73-(6)-450-F
    • 22VAC40-73-(6)-610-B
    • 22VAC40-73-(5)-380-A
    • 22VAC40-73-(10)-1030-B
    04 Apr 2022Inspection
    Identified deficiencies in building maintenance, ventilation, furnishings, and vermin control.
    • 22VAC40-73-(8)-870-A
    • 22VAC40-73-(8)-920-C
    • 22VAC40-73-(8)-870-E
    • 22VAC40-73-(8)-870-D
    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)-860-I
    • 22VAC40-73-(8)-870-D
    • 22VAC40-73-(8)-890-B
    • 22VAC40-73-(8)-860-D
    • 22VAC40-73-(8)-870-H
    • 22VAC40-73-(8)-920-C
    • 22VAC40-73-(8)-870-A
    • 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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