PlainNursing
CMS Nursing Home Compare · August 2026

Lexington Health Care Center

17 Cornelia Drive, Lexington, NC 27292

Lexington Health Care Center, a 100-bed for profit - limited liability company nursing facility in Lexington, NC, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #270 of 415 rated homes in NC on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 3362421349

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2 / 5
Below average · CMS overall · nat'l 3.0
#270 of 415
In-state rank among rated NC homes
3.50
Below average · nurse hrs/day · nat'l 3.86
40
Inspection findings · 2 serious

The verdict

Lexington Health Care Center, a 100-bed for profit - limited liability company nursing facility in Lexington, NC, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #270 of 415 rated homes in NC on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

2 / 5
CMS overall · national 3.0
#270 of 415
In-state rank among rated NC homes
3.50
Nurse hrs/resident-day · national 3.86
40
Inspection findings · 2 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 419 NC nursing homes split by ownership sector

This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

2/5

Staffing

2/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
345419
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
100
Residents
97
In Hospital
No
County
Davidson
Last Inspection
Apr 29, 2025
Abuse citation on record

Staffing Data

How the 3.50 total nursing hours per resident-day are staffed:

RN Hours
0.44 (nat'l avg: 0.69)
LPN Hours
0.97
CNA Hours
2.09
Total Nursing Hours
3.50 (nat'l avg: 3.86)
PT Hours
0.13
Nursing Turnover
63.4%
RN Turnover
35.7%

What the CMS Record Reveals About Lexington Health Care Center

According to CMS Nursing Home Compare, Lexington Health Care Center ranks #270 of 415 rated nursing homes in NC on overall stars (tie-broken by health+staffing+quality, then fewer fines). Lexington Health Care Center operates 100 certified beds in Lexington, NC with approximately 97 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 2★ · staffing 2★ · quality 4★).

The inspection file contains 40 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider. Per resident day, this facility reports 3.50 total nursing hours (national average 3.86) and 0.44 RN hours.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Lexington Health Care Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 63.4% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (40 most recent)

D - Isolated - Minimal harm Dec 31, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 27, 2026

D - Isolated - Minimal harm Dec 31, 2025 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jan 27, 2026

D - Isolated - Minimal harm Oct 13, 2025 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 15, 2025

D - Isolated - Minimal harm Oct 13, 2025 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 9, 2025

D - Isolated - Minimal harm Sep 2, 2025 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 3, 2025

D - Isolated - Minimal harm Sep 2, 2025 Tag: 0602

Protect each resident from the wrongful use of the resident's belongings or money.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 3, 2025

D - Isolated - Minimal harm Apr 29, 2025 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: May 27, 2025

D - Isolated - Minimal harm Apr 29, 2025 Tag: 0693

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Category: Quality of Life and Care Deficiencies

Corrected: May 27, 2025

D - Isolated - Minimal harm Apr 29, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: May 27, 2025

D - Isolated - Minimal harm Apr 29, 2025 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 27, 2025

D - Isolated - Minimal harm Apr 29, 2025 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: May 27, 2025

D - Isolated - Minimal harm Apr 29, 2025 Tag: 0578

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Category: Resident Rights Deficiencies

Corrected: May 27, 2025

D - Isolated - Minimal harm Apr 29, 2025 Tag: 0565

Honor the resident's right to organize and participate in resident/family groups in the facility.

Category: Resident Rights Deficiencies

Corrected: May 27, 2025

D - Isolated - Minimal harm Apr 29, 2025 Tag: 0561

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Category: Resident Rights Deficiencies

Corrected: May 27, 2025

E - Pattern - Minimal harm Apr 29, 2025 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: May 27, 2025

B - Pattern - No harm Jan 30, 2025 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 20, 2025

B - Pattern - No harm Jan 30, 2025 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 20, 2025

D - Isolated - Minimal harm Oct 30, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 27, 2024

D - Isolated - Minimal harm Oct 30, 2024 Tag: 0602

Protect each resident from the wrongful use of the resident's belongings or money.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 7, 2024

B - Pattern - No harm Mar 1, 2024 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 27, 2024

B - Pattern - No harm Mar 1, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 27, 2024

B - Pattern - No harm Mar 1, 2024 Tag: 0636

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 27, 2024

D - Isolated - Minimal harm Mar 1, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 27, 2024

D - Isolated - Minimal harm Mar 1, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 27, 2024

D - Isolated - Minimal harm Mar 1, 2024 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Mar 27, 2024

E - Pattern - Minimal harm Mar 1, 2024 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Mar 27, 2024

E - Pattern - Minimal harm Mar 1, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 27, 2024

D - Isolated - Minimal harm Nov 21, 2023 Tag: 0660

Plan the resident's discharge to meet the resident's goals and needs.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 8, 2023

B - Pattern - No harm Oct 14, 2022 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 18, 2022

B - Pattern - No harm Oct 14, 2022 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 18, 2022

D - Isolated - Minimal harm Oct 14, 2022 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 18, 2022

D - Isolated - Minimal harm Oct 14, 2022 Tag: 0688

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 18, 2022

D - Isolated - Minimal harm Oct 14, 2022 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 18, 2022

D - Isolated - Minimal harm Oct 14, 2022 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 18, 2022

D - Isolated - Minimal harm Oct 14, 2022 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 18, 2022

D - Isolated - Minimal harm Oct 14, 2022 Tag: 0553

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Category: Resident Rights Deficiencies

Corrected: Nov 18, 2022

E - Pattern - Minimal harm Oct 14, 2022 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 18, 2022

E - Pattern - Minimal harm Oct 14, 2022 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Nov 18, 2022

K - Pattern - Jeopardy Oct 14, 2022 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Jun 15, 2022

K - Pattern - Jeopardy Oct 14, 2022 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Jun 15, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 14.8% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.8% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.4% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 15.8% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 6.6% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 24.3% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.7% Yes
Percentage of long-stay residents who lose too much weight Long Stay 16.6% No
Percentage of long-stay residents who have depressive symptoms Long Stay 26.9% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 96.2% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 20.7% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 27.4% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 99.9% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 99.6% No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Lexington Health Care Center, both outside NC so the neighborhoods are not the same-state geography list below.

What the CMS records show for Lexington Health Care Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The NC registry aggregates state averages and the highest-rated homes in this cohort. View NC registry
  • Peer homes near 100 beds show how CMS stars vary at a similar scale in NC. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Lexington Health Care Center?
Lexington Health Care Center has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (2★), and quality measures (4★).
Where does Lexington Health Care Center rank among nursing homes in NC?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Lexington Health Care Center ranks 270th among 415 rated nursing homes in NC (#270 of 415). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Lexington Health Care Center?
Lexington Health Care Center reports 3.50 total nursing hours per resident day (national average: 3.86). RN hours are 0.44 per resident day (national average: 0.69). Nursing staff turnover is 63.4%.
How many beds does Lexington Health Care Center have?
Lexington Health Care Center has 100 certified beds with approximately 97 residents. The facility is located at 17 Cornelia Drive, Lexington, NC 27292.
Does Lexington Health Care Center have any deficiencies on record?
Yes, Lexington Health Care Center has 40 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has Lexington Health Care Center received any fines or penalties?
No, Lexington Health Care Center has no fines or penalties on record.
Who owns Lexington Health Care Center?
Lexington Health Care Center is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Lexington Health Care Center last inspected?
The most recent health inspection for Lexington Health Care Center was on Apr 29, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Lexington Health Care Center?
Lexington Health Care Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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