Cycle 1
Health 2025-07-25 · Fire 2024-07-03
5 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Lexington, SC
L.M.C.- Extended Care
1-star overall rating with 1-star inspections with $43,752 in total fines with 5 recent health deficiencies
815 Old Cherokee Road, Lexington, SC
(803) 359-5181
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
352
Certified beds
Average residents
267
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1991-12-17
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.62
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.37
Licensed practical nurse staffing · state 1.01 · national 0.87
Aide hours / resident day
2.40
Nurse aide staffing · state 2.22 · national 2.35
Total nurse hours
4.39
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.99
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
3.95
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.36
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.65
CMS adjusted RN staffing hours
Adjusted total hours
4.65
CMS adjusted total nurse staffing hours
Case-mix index
1.29
Higher values indicate more complex resident acuity
RN turnover
41%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
42%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
10,183
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
21.21
Composite VBP score used to determine payment impact.
Payment multiplier
0.9826
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.89
Baseline 23.80% · Performance 22.18% · Measure score 1.89 · Achievement 0 · Improvement 1.89
Healthcare-associated infections
0
Baseline 6.23% · Performance 9.61% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
3.71
Baseline 47.65% · Performance 48.51% · Measure score 3.71 · Achievement 3.71 · Improvement 0
Adjusted total nurse staffing
2.88
Baseline 3.69 hours · Performance 3.90 hours · Measure score 2.88 · Achievement 2.88 · Improvement 0.51
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.57% |
10.72%
1.8 pts worse
|
No Different than the National Rate · Eligible stays 414 · Observed rate 13.77% · Lower 95% interval 10.06% |
| Discharge to community | 54.31% |
50.57%
3.7 pts better
|
No Different than the National Rate · Eligible stays 363 · Observed rate 47.93% · Lower 95% interval 49.1% |
| Medicare spending per beneficiary | 0.84 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 99.48% |
95.27%
4.2 pts better
|
Numerator 192 · Denominator 193 |
| Falls with major injury | 1.04% |
0.77%
0.3 pts worse
|
Numerator 2 · Denominator 193 |
| Discharge self-care score | 67.83% |
53.69%
14.1 pts better
|
Numerator 97 · Denominator 143 |
| Discharge mobility score | 39.16% |
50.94%
11.8 pts worse
|
Numerator 56 · Denominator 143 |
| Pressure ulcers or injuries, new or worsened | 4.15% |
2.29%
1.9 pts worse
|
Numerator 8 · Denominator 193 · Adjusted rate 4.23% |
| Healthcare-associated infections requiring hospitalization | 9.61% |
7.12%
2.5 pts worse
|
No Different than the National Rate · Eligible stays 236 · Observed rate 11.86% · Lower 95% interval 6.86% |
| Staff COVID-19 vaccination coverage | 1.69% |
8.2%
6.5 pts worse
|
Numerator 10 · Denominator 590 |
| Staff flu vaccination coverage | 13.43% |
42%
28.6 pts worse
|
Numerator 78 · Denominator 581 |
| Discharge function score | 50.35% |
56.45%
6.1 pts worse
|
Numerator 72 · Denominator 143 |
| Transfer of health information to provider | 97.56% |
95.95%
1.6 pts better
|
Numerator 40 · Denominator 41 |
| Transfer of health information to patient | 94.32% |
96.28%
2 pts worse
|
Numerator 83 · Denominator 88 |
| Resident COVID-19 vaccinations up to date | 18.69% |
25.2%
6.5 pts worse
|
Numerator 20 · Denominator 107 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.8 |
2.0
0.8 pts worse
|
1.9
0.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 2.2 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.4 |
1.9
0.5 pts better
|
1.8
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.3 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.4% |
90.5%
8.9 pts better
|
93.4%
6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 99.6% · Q2 99.6% · Q3 99.6% · Q4 98.8% · 4Q avg 99.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.9% |
90.6%
8.3 pts better
|
95.5%
3.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.4% |
3.0%
0.6 pts better
|
3.3%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 2.9% · Q3 2.6% · Q4 1.2% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.3% |
2.9%
0.6 pts better
|
11.4%
9.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 0.4% · Q3 1.5% · Q4 4.2% · 4Q avg 2.3% |
| Percentage of long-stay residents who lose too much weight | 4.5% |
6.2%
1.7 pts better
|
5.4%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 6.5% · Q3 4.5% · Q4 2.6% · 4Q avg 4.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 27.2% |
20.4%
6.8 pts worse
|
19.6%
7.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.2% · Q2 26.5% · Q3 27.2% · Q4 27.9% · 4Q avg 27.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 27.7% |
16.3%
11.4 pts worse
|
16.7%
11 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.7% · Q2 25.5% · Q3 26.9% · Q4 31.3% · 4Q avg 27.7% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 22.9% |
14.9%
8 pts worse
|
16.3%
6.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 37.4% · Q2 26.4% · Q3 12.2% · Q4 17.4% · 4Q avg 22.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.6% |
12.4%
1.8 pts better
|
14.9%
4.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 11.2% · Q3 10.1% · Q4 11.7% · 4Q avg 10.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
0.7%
0.4 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.3% · Q2 0.3% · Q3 0.7% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.4% |
1.6%
0.2 pts better
|
1.7%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.3% · Q3 1.3% · Q4 1.7% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 8.9% |
17.2%
8.3 pts better
|
19.8%
10.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.8% · Q2 10.2% · Q3 6.9% · Q4 7.5% · 4Q avg 8.9% |
| Percentage of long-stay residents with pressure ulcers | 3.7% |
5.8%
2.1 pts better
|
5.1%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 4.3% · Q3 2.0% · Q4 2.4% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.3% |
79.8%
18.5 pts better
|
81.7%
16.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.6% · Q2 98.5% · Q3 98.8% · Q4 95.8% · 4Q avg 98.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.0% |
14.1%
1.1 pts better
|
12.0%
1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.0% · Observed 11.7% · Expected 10.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.6%
1.1 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.0% · Q3 0.0% · Q4 0.8% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.8% |
78.0%
16.8 pts better
|
79.7%
15.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.8% |
24.7%
1.1 pts worse
|
23.9%
1.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.8% · Observed 24.3% · Expected 22.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-07-03 · Fire 2022-05-27
7 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-05-27 · Fire 2021-05-06
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-07-25
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-08-22
D · Potential for more than minimal harm
2025-07-25
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-08-22
D · Potential for more than minimal harm
2025-07-25
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-08-22
D · Potential for more than minimal harm
2025-07-25
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-08-22
D · Potential for more than minimal harm
2025-04-08
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-05-07
D · Potential for more than minimal harm
2024-07-03
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-07-18
D · Potential for more than minimal harm
2024-07-03
F578 · Resident Rights Deficiencies
Health
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.
Corrected 2024-07-18
D · Potential for more than minimal harm
2024-07-03
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-07-18
D · Potential for more than minimal harm
2024-07-03
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-25
D · Potential for more than minimal harm
2024-07-03
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-07-18
D · Potential for more than minimal harm
2024-07-03
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2024-07-18
D · Potential for more than minimal harm
2024-07-03
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-18
J · Immediate jeopardy
2023-09-26
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-09-18
J · Immediate jeopardy
2023-05-04
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-05-05
J · Immediate jeopardy
2023-03-15
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-04-14
D · Potential for more than minimal harm
2022-05-27
F688 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2022-06-23
Penalties and ownership
What sits behind the stars
$6,032
2024-07-03
Fine
Fine · fine $6,032
Fine
$23,989
2023-09-26
Fine
Fine · fine $23,989
Fine
$13,731
2023-05-04
Fine
Fine · fine $13,731
Fine
Ownership
Lexington County Health Services District Inc
5% Or Greater Direct Ownership Interest · Organization
Cabaltica, Rex Benjamin
Operational/Managerial Control · Individual
Cabaltica, Rex Benjamin
Corporate Director · Individual
Gill, Kathryn
Operational/Managerial Control · Individual
Gill, Kathryn
Corporate Officer · Individual
Hoffman Iii, Ronald
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Retreat at Wellmore of Lexington
Lexington, SC
4-star overall rating with 4-star inspections with $16,153 in total fines with 1 recent health deficiencies
#2
Presbyterian Home Of South Carolina-Columbia
Lexington, SC
5-star overall rating with 4-star inspections with 3 recent health deficiencies
#3
NHC Healthcare - Lexington
West Columbia, SC
3-star overall rating with 2-star inspections with 4 recent health deficiencies
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