All states › North Carolina › Lexington › Lexington Health Care Center
17 Cornelia Drive Lexington, NC 27292 · Davidson County
All 4 nursing homes in Lexington, NC (4 take Medicaid)
CMS certification number 345419 · See this home on Medicare Care Compare
Is Lexington Health Care Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Lexington Health Care Center as of October 2026.
CMS rates it 1 out of 5 stars overall, below the North Carolina average of 3.0.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.57 hours per resident per day at Lexington Health Care Center, about the same as the North Carolina median of 3.57 (US median: 3.72). About 0.59 of those hours are from registered nurses. On weekends it falls to 3.10 hours, 13% below its all-week average. 59.4% of nursing staff left within a year (North Carolina median 48.5%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Lexington Health Care Center: Medicare and Medicaid
Lexington Health Care Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet North Carolina's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on July 1, 2026 and found 6 deficiencies, plus 4 from complaint inspections in the same period. In total, inspectors issued 34 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 34 citations at Lexington Health Care Center across 9 inspection dates, 17 of them from complaint investigations. 2 were at the actual-harm level (G–I), most recently on July 1, 2026. The most common areas cited were resident assessment and care planning (11) and resident rights (8). The most serious was cited under the CMS rule to "honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights" (tag F0550, level G, July 1, 2026). 5 citations were under CMS's abuse, neglect and exploitation rules.
July 1, 2026 · 6 citations
GHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
GHonor 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DKeep residents' personal and medical records private and confidential.
DPASARR screening for Mental disorders or Intellectual Disabilities
DProvide or obtain dental services for each resident.
December 31, 2025 · 2 citations · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
October 13, 2025 · 2 citations · includes complaint inspection
DEnsure services provided by the nursing facility meet professional standards of quality.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
September 2, 2025 · 2 citations · includes complaint inspection
DProtect each resident from the wrongful use of the resident's belongings or money.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
April 29, 2025 · 9 citations · includes complaint inspection
EProvide safe and appropriate respiratory care for a resident when needed.
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DHonor the resident's right to organize and participate in resident/family groups in the facility.
DHonor 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.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure 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.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
January 30, 2025 · 2 citations · includes complaint inspection
BDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
BSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
October 30, 2024 · 2 citations · includes complaint inspection
DProtect each resident from the wrongful use of the resident's belongings or money.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
March 1, 2024 · 8 citations · includes complaint inspection
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
ESet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DEnsure each resident receives an accurate assessment.
BAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
BDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
BDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
November 21, 2023 · 1 citation · includes complaint inspection
DPlan the resident's discharge to meet the resident's goals and needs.
Questions to ask on a tour of Lexington Health Care Center
- Inspectors cited the home at the actual-harm level on July 1, 2026 under the rule on resident rights. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on December 31, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 59.4% a year. How many of the staff come from agencies?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
3 penalties in the last three years, including $29,055 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jul 1, 2026 | Fine | $13,870 |
| Jul 1, 2026 | Fine | $15,185 |
| Jul 1, 2026 | Payment Denial | 31 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 2/5 | 4/5 |
| August 2026 | 2/5 | 2/5 | 2/5 | 4/5 |
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Location
Hospitals near Lexington Health Care Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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2.7 mi
Lexington Memorial Hospital INC LexingtonEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 34m for patients treated and sent home
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8.4 mi
Thomasville Medical Center ThomasvilleEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 56m for patients treated and sent home
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15.9 mi
Rowan Regional Medical Center SalisburyEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 25m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Lexington Health Care Center › All nursing homes in Lexington ›
Compare Lexington Health Care Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Piedmont Crossing · Thomasville · 5 stars · 7.7 mi
- Abbotts Creek Center · Lexington · 4 stars · 2.5 mi
- Pine Ridge Health and Rehabilitation Center · Thomasville · 3 stars · 9.5 mi
Other Lifeworks Rehab nursing homes in North Carolina
- King Health and Rehabilitation Center · King · 4 stars
- Huntersville Health & Rehabilitation Center · Huntersville · 3 stars
- Carolina Rehab Center of Cumberland · Fayetteville · 3 stars
- Carolina Rehab Center of Burke · Connelly Spring · 2 stars
- Belaire Health Care Center · Gastonia · 2 stars
- Guilford Health Care Center · Greensboro · 2 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 64 Lifeworks Rehab nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.