Federal inspection record · CMS data as of October 1, 2026
Lexington Court Care Center
250 Delaware St, Lexington, OH · (419) 884-2000
- Certified beds
- 75
- Residents per day
- 71
- Ownership
- For-Profit
- Chain
- Atrium Centers
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 1, 1995
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Ohio.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Ohio homes
Lexington Court Care Center carries 69 inspection points. That is fewer than 42% of Ohio's 913 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Ohio: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–15 pts
- 4★ 15–42 pts
- 3★ 42–69 pts
- 2★ 69–121.25 pts
- 1★ over 121.25 pts
Bars show every rated home in Ohio by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
23 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Everything else, by area of care
Resident Assessment and Care Planning7F
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Ensure each resident receives an accurate assessment.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Assess the resident when there is a significant change in condition
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Nutrition and Dietary5F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- F
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- F
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care5E
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Assist a resident in gaining access to vision and hearing services.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide enough food/fluids to maintain a resident's health.
Resident Rights3D
- D
Reasonably accommodate the needs and preferences of each resident.
- C
Ensure residents have reasonable access to and privacy in their use of communication methods.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Environmental1D
- D
Have policies on smoking.
Pharmacy Service1E
- E
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.
Inspection history
2025-03-27
5 health deficiencies · 5 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2022-06-30
17 health deficiencies · 11 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (6 deficiencies)
2019-06-20
1 health deficiencies · 5 fire-safety deficiencies
Top issue: Resident Rights (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 3 min of nursing staff time a day, 40 min of it from a registered nurse.
This home
3 h 3 min
Ohio average
3 h 43 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 47% of nursing staff and 22% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts better | 1.2 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.1 pts better | 0.6 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.7 pts better | 97.4% | 92.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.4 pts better | 95.1% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.4 pts better | 1.7% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms23.4 pts better | 8.2% | 31.6% | 13.5% |
| Percentage of long-stay residents who lose too much weightAbout the same | 6.1% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.8 pts better | 18.7% | 25.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.7 pts better | 2.8% | 8.5% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened10.1 pts worse | 15.4% | 5.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased15.8 pts worse | 20.8% | 5.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts worse | 0.4% | 0.2% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts better | 0.0% | 0.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.8 pts better | 11.1% | 20.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcersAbout the same | 3.2% | 3.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.9 pts worse | 73.5% | 78.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.9 pts worse | 13.5% | 12.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts better | 0.7% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.2 pts better | 78.6% | 76.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission8.1 pts better | 16.3% | 24.4% | 23.4% |
·
Who owns and runs it
33 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Orion Operating Services LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 14 facilities |
| Albright Ross, Susan | Operational/Managerial Control · Individual | 0% | 25 facilities |
| Albright Ross, Susan | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 25 facilities |
| Albright Ross, Susan | Adp Of The SNF · Individual | 0% | 25 facilities |
| Amicus Capital Holdings Inc | Adp Of The SNF · Organization | 0% | 13 facilities |
| Amicus Properties LLC | Adp Of The SNF · Organization | 0% | 13 facilities |
| Anderson, Curt | Operational/Managerial Control · Individual | 0% | 12 facilities |
| Anderson, Curt | Adp Of The SNF · Individual | 0% | 12 facilities |
| Atrium Centers Management LLC | Operational/Managerial Control · Organization | 0% | 26 facilities |
| Cherry, Jill | Operational/Managerial Control · Individual | 0% | 12 facilities |
| Cherry, Jill | Adp Of The SNF · Individual | 0% | 12 facilities |
| Fifth Third Bank | 5% Or Greater Mortgage Interest · Organization | 0% | 16 facilities |
| Forvis Mazars Llp | Adp Of The SNF · Organization | 0% | 295 facilities |
| Freundlich, Thomas | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Freundlich, Thomas | Adp Of The SNF · Individual | 0% | 2 facilities |
| Hall, Rhonda | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hall, Rhonda | Adp Of The SNF · Individual | 0% | 1 facilities |
| Heller, David | Managing Control - Governing Body · Individual | 0% | 6 facilities |
| Heller, David | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Heller, David | Adp Of The SNF · Individual | 0% | 6 facilities |
| Johnson, Cindy | Managing Control - Governing Body · Individual | 0% | 11 facilities |
| Johnson, Cindy | Operational/Managerial Control · Individual | 0% | 11 facilities |
| Johnson, Cindy | Adp Of The SNF · Individual | 0% | 11 facilities |
| Leaderstat Ltd | Indirect Ownership Interest · Organization | 0% | 13 facilities |
| Ocs Real Estate Holdings LLC | Adp Of The SNF · Organization | 0% | 13 facilities |
| Omnicare LLC | Adp Of The SNF · Organization | 0% | 43 facilities |
| Orion Operating Services LLC | Operational/Managerial Control · Organization | 0% | 14 facilities |
| Paredes, Miguel | Adp Of The SNF · Individual | 0% | 12 facilities |
| Plante & Moran Pllc | Adp Of The SNF · Organization | 0% | 65 facilities |
| Sablan, Meghan | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Sablan, Meghan | Adp Of The SNF · Individual | 0% | 1 facilities |
| Snyder, Josh | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Snyder, Josh | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
21 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
Egress4F
- F
Have properly located and lighted "Exit" signs.
- F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F
Install emergency lighting that can last at least 1 1/2 hours.
- F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Miscellaneous4F
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems4F
- F
Ensure proper usage of power strips and extension cords.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
Services1F
- F
Have properly installed electrical wiring and gas equipment.
Emergency Preparedness1F
- F
Address subsistence needs for staff and patients.
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Other homes nearby
-
Country Meadow Rehabilitation And Nursing Center
Bellville, OH · Northwood Healthcare Group
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 14 min
- Fines
- $0
-
Liberty Nursing Center Of Mansfield
Mansfield, OH
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 41 min
- Fines
- $41,243
-
Winchester Terrace
Mansfield, OH
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 2 h 47 min
- Fines
- $9,110