Federal inspection record · CMS data as of October 1, 2026
Lexington Health Care Center
17 Cornelia Drive, Lexington, NC · (336) 242-1349
- Certified beds
- 100
- Residents per day
- 95
- Ownership
- For-Profit
- Chain
- Lifeworks Rehab
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 21, 1992
1
How this home got 1 star
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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in North Carolina.
-
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
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among North Carolina homes
Lexington Health Care Center carries 101.5 inspection points. That is fewer than 12% of North Carolina's 415 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in North Carolina: 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★ 0–4 pts
- 4★ 4–15 pts
- 3★ 15–35 pts
- 2★ 35–73.5 pts
- 1★ over 73.5 pts
Bars show every rated home in North Carolina 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
34 health citations on record since 2023. 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 (2)
-
G
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
-
G
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.
Everything else, by area of care
Resident Assessment and Care Planning11D
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- B
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- B
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure each resident receives an accurate assessment.
- B
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- B
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- B
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Plan the resident's discharge to meet the resident's goals and needs.
Resident Rights6D
- D
Keep residents' personal and medical records private and confidential.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Honor the resident's right to organize and participate in resident/family groups in the facility.
- D
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.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care6E
- D
Provide or obtain dental services for each resident.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
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.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation5D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nutrition and Dietary2E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service1D
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Administration1E
- E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspection history
2026-07-01
10 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2025-04-29
15 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2024-03-01
9 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 34 min of nursing staff time a day, 35 min of it from a registered nurse.
This home
3 h 34 min
North Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 59% of nursing staff and 36% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$29,055 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-07-01 | Fine | $13,870 |
| 2026-07-01 | Fine | $15,185 |
| 2026-07-01 | Payment Denial · 31 day denial | $0 |
6
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 days0.3 pts better | 1.4 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts better | 1.1 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.9 pts better | 97.3% | 92.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.3 pts better | 100.0% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1 pts better | 2.4% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms23.9 pts worse | 30.7% | 6.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight9.8 pts worse | 16.9% | 7.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.9 pts worse | 22.0% | 21.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.1 pts worse | 23.0% | 13.9% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.8 pts better | 15.8% | 16.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.1 pts better | 8.9% | 15.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same | 0.6% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.1 pts better | 0.0% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.4 pts worse | 26.3% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.8 pts worse | 6.2% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine18.2 pts better | 99.7% | 81.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.4 pts better | 7.3% | 12.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.7 pts better | 0.7% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine17.9 pts better | 99.0% | 81.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.8 pts worse | 29.0% | 22.2% | 23.4% |
·
Who owns and runs it
20 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 |
|---|---|---|---|
| Lexington Holdings I LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Charles 1994 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 40 facilities |
| Ck 2008 Family Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 10 facilities |
| Drm South LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 10 facilities |
| Edward 1998 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 38 facilities |
| Garrett, Alexandra | W-2 Managing Employee · Individual | 0% | 2 facilities |
| Garrett, Alexandra | Corporate Director · Individual | 0% | 2 facilities |
| Lauren 2020 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Lauren 2020 LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 10 facilities |
| Leps 2003 Family Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 9 facilities |
| Norman 5571 & Family LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 10 facilities |
| Norman 5571 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Norman 5571 LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Rl 2008 Family Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 10 facilities |
| Robin 2008 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Robin 2008 LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 10 facilities |
| Rsbrm South Manager LLC | Operational/Managerial Control · Organization | 0% | 10 facilities |
| Saul 2012 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 39 facilities |
| Springrock South LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 10 facilities |
| Summer South LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 9 facilities |
·
Fire safety
5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke2D
- D
Install a fire alarm system that can be heard throughout the facility.
- D
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Services2D
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Gas, Vacuum, and Electrical Systems1D
- D
Meet requirements for the installation and maintenance of electrical systems.
·
Other homes nearby
-
Abbotts Creek Center
Lexington, NC · Genesis Healthcare
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 22 min
- Fines
- $0
-
Pine Acres Center for Nursing and Rehabilitation
Lexington, NC · Alliance Health Group
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 19 min
- Fines
- $122,460
-
Davidson Health & Rehab Center
Lexington, NC · Saber Healthcare Group · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 39 min
- Fines
- $54,389