Federal inspection record · CMS data as of October 1, 2026

Lexington Nursing Home, Inc.

632 Southeast 3Rd Street, Lexington, OK · (405) 527-6531

  • CMS high-performer trophy

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
70
Residents per day
40
Ownership
For-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
August 20, 2007

1

How this home got 5 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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Oklahoma.

  2. 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.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Oklahoma homes

Lexington Nursing Home, Inc. carries 11 inspection points. That is fewer than 94% of Oklahoma's 281 rated homes.

5★4★3★2★1★+9 homes above 193.505102550100inspection points → fewer is better on the leftThis home · 11 pts · 5★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Oklahoma: 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★ 0–14 pts
  • 4★ 14–36 pts
  • 3★ 36–55 pts
  • 2★ 55–95 pts
  • 1★ over 95 pts

Bars show every rated home in Oklahoma 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

13 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 9 4 pts
E 4 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Resident Assessment and Care Planning4E
  1. D

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

    April 30, 2026 · Standard · F656 · Corrected June 19, 2026

  2. E

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

    June 27, 2024 · Standard · F656 · Corrected July 31, 2024

  3. E

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

    June 27, 2024 · Standard · F657 · Corrected July 31, 2024

  4. D

    Ensure each resident receives an accurate assessment.

    June 27, 2024 · Standard · F641 · Corrected July 31, 2024

Infection Control2E
  1. D

    Provide and implement an infection prevention and control program.

    April 30, 2026 · Standard · F880 · Corrected June 26, 2026

  2. E

    Implement a program that monitors antibiotic use.

    June 21, 2023 · Standard · F881 · Corrected August 20, 2023

Resident Rights2D
  1. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    June 21, 2023 · Standard · F550 · Corrected August 20, 2023

  2. D

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

    June 21, 2023 · Standard · F622 · Corrected August 20, 2023

Pharmacy Service2D
  1. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    June 21, 2023 · Standard · F755 · Corrected August 20, 2023

  2. D

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    June 21, 2023 · Standard · F758 · Corrected August 20, 2023

Nutrition and Dietary1E
  1. E

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

    June 21, 2023 · Standard · F812 · Corrected August 20, 2023

Quality of Life and Care1D
  1. D

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

    June 21, 2023 · Standard · F695 · Corrected August 20, 2023

Administration1D
  1. D

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    June 21, 2023 · Standard · F770 · Corrected August 20, 2023

Inspection history

  1. 2026-04-30

    2 health deficiencies · 0 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

  2. 2024-06-27

    3 health deficiencies · 0 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (3 deficiencies)

  3. 2023-06-21

    8 health deficiencies · 0 fire-safety deficiencies

    Top issue: Pharmacy Service (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 5 h 1 min of nursing staff time a day, 24 min of it from a registered nurse.

This home

5 h 1 min

Oklahoma average

3 h 49 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 53% of nursing staff and 0% of registered nurses left in the past year.

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.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.5 pts worse2.72.21.8
Number of outpatient emergency department visits per 1000 long-stay resident daysAbout the same2.82.81.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccineAbout the same91.3%91.3%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.3 pts better100.0%94.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.9 pts worse6.7%4.8%3.2%
Percentage of long-stay residents who have depressive symptoms8.7 pts worse12.1%3.4%13.5%
Percentage of long-stay residents who lose too much weight3.2 pts better0.0%3.2%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication3.7 pts worse29.7%26.0%19.5%
Percentage of long-stay residents who received an antipsychotic medication12.2 pts better5.6%17.8%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened4.8 pts better8.2%13.0%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased4.5 pts better9.1%13.6%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder2.8 pts worse4.5%1.7%0.7%
Percentage of long-stay residents with a urinary tract infection2.7 pts worse5.4%2.7%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.1 pts better12.3%16.4%18.3%
Percentage of long-stay residents with pressure ulcers2.9 pts better1.8%4.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine29.2 pts worse47.3%76.5%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication1.8 pts better0.0%1.8%1.5%

·

Who owns and runs it

9 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Horton, RickyOperational/Managerial Control · Individual0%1 facilities
Horton, RickyAdp Of The SNF · Individual0%1 facilities
Lawson, GeraldDirect Ownership Interest · Individual0%1 facilities
Lawson, GeraldCorporate Director · Individual0%1 facilities
Lawson, GeraldCorporate Officer · Individual0%1 facilities
Lawson, GeraldOperational/Managerial Control · Individual0%1 facilities
Lawson, GeraldAdp Of The SNF · Individual0%1 facilities
Mcwhirter, SherrieOperational/Managerial Control · Individual0%1 facilities
Mcwhirter, SherrieAdp Of The SNF · Individual0%1 facilities

·

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