facebook tracking Lexington Health Care Center, Lexington NC: CMS Ratings
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Lexington Health Care Center

All states › North Carolina › Lexington › Lexington Health Care Center

17 Cornelia Drive Lexington, NC 27292 · Davidson County

(336) 242-1349

All 4 nursing homes in Lexington, NC (4 take Medicaid)

Accepts Medicare Accepts Medicaid 100 certified beds For profit

CMS certification number 345419 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

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. Inspectors issued 34 citations in the last three years. CMS imposed 3 penalties, including $29,055 in fines, in that time. For short-term rehab patients CMS rates quality 3 out of 5; for long-term residents, 4 out of 5.

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.

Nursing care per resident per day 3.57 hours
About the North Carolina median Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.59 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.10 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 59.4% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 35.7% a year Share of registered nurses who left over a year.
Administrators who left 1 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds100
Residents per day 95 About 95% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceApril 1992
Part of a chainLifeworks Rehab
Legal business nameLEXINGTON OPERATOR LLC

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.

Actual harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Aug 31, 2026)

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.

Actual harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (Jul 29, 2026)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Aug 31, 2026)

DKeep residents' personal and medical records private and confidential.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0583 · Deficient, Provider has date of correction (Jul 29, 2026)

DPASARR screening for Mental disorders or Intellectual Disabilities

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0645 · Deficient, Provider has date of correction (Jul 29, 2026)

DProvide or obtain dental services for each resident.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0791 · Deficient, Provider has date of correction (Jul 29, 2026)

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.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Jan 27, 2026)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Jan 27, 2026)

October 13, 2025 · 2 citations · includes complaint inspection

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Complaint inspection · Past Non-Compliance (Oct 9, 2025)

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Complaint inspection · Deficient, Provider has date of correction (Oct 15, 2025)

September 2, 2025 · 2 citations · includes complaint inspection

DProtect each resident from the wrongful use of the resident's belongings or money.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 · Complaint inspection · Deficient, Provider has date of correction (Oct 3, 2025)

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Oct 3, 2025)

April 29, 2025 · 9 citations · includes complaint inspection

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Complaint inspection · Deficient, Provider has date of correction (May 27, 2025)

DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0561 · Complaint inspection · Deficient, Provider has date of correction (May 27, 2025)

DHonor the resident's right to organize and participate in resident/family groups in the facility.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0565 · Deficient, Provider has date of correction (May 27, 2025)

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (May 27, 2025)

DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Complaint inspection · Deficient, Provider has date of correction (May 27, 2025)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (May 27, 2025)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (May 27, 2025)

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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0693 · Deficient, Provider has date of correction (May 27, 2025)

DEnsure each resident’s drug regimen must be free from unnecessary drugs.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0757 · Complaint inspection · Deficient, Provider has date of correction (May 27, 2025)

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.

Potential for minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Complaint inspection · Deficient, Provider has plan of correction (Feb 20, 2025)

BSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Complaint inspection · Deficient, Provider has plan of correction (Feb 20, 2025)

October 30, 2024 · 2 citations · includes complaint inspection

DProtect each resident from the wrongful use of the resident's belongings or money.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 · Complaint inspection · Past Non-Compliance (Sep 7, 2024)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Past Non-Compliance (Jul 27, 2024)

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.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Mar 27, 2024)

ESet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Potential for more than minimal harm · Administration Deficiencies · Tag F0867 · Deficient, Provider has date of correction (Mar 27, 2024)

DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Deficient, Provider has date of correction (Mar 27, 2024)

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Mar 27, 2024)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Mar 27, 2024)

BAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Potential for minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0636 · Deficient, Provider has plan of correction (Mar 27, 2024)

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

Potential for minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has plan of correction (Mar 27, 2024)

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

Potential for minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has plan of correction (Mar 27, 2024)

November 21, 2023 · 1 citation · includes complaint inspection

DPlan the resident's discharge to meet the resident's goals and needs.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0660 · Complaint inspection · Deficient, Provider has date of correction (Dec 8, 2023)

Questions to ask on a tour of Lexington Health Care Center

  1. 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?
  2. CMS cited the home under its abuse and neglect rules on December 31, 2025. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Nursing staff turnover was 59.4% a year. How many of the staff come from agencies?
  5. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  6. 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.

DateTypeAmount 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 monthOverallInspectionStaffingQuality
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.

  • 2.7 mi
    Lexington Memorial Hospital INC Lexington
    Emergency room ★★☆☆☆ Medicare overall 2 of 5
    Median ER visit 2h 34m for patients treated and sent home
  • 8.4 mi
    Thomasville Medical Center Thomasville
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 2h 56m for patients treated and sent home
  • 15.9 mi
    Rowan Regional Medical Center Salisbury
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median 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

Abbotts Creek Center Lexington · 2.5 mi away ★★★★☆ Inspection 4/5 · Staffing 2/5 64 beds · Medicaid
Pine Acres Center for Nursing and Rehabilitation Lexington · 2.9 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 106 beds · Medicaid
Davidson Health & Rehab Center Lexington · 5.1 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 100 beds · Medicaid
Piedmont Crossing Thomasville · 7.7 mi away ★★★★★ Inspection 5/5 · Staffing 5/5 104 beds · Medicaid
Pine Ridge Health and Rehabilitation Center Thomasville · 9.5 mi away ★★★☆☆ Inspection 3/5 · Staffing 3/5 140 beds · Medicaid

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

Other Lifeworks Rehab nursing homes in North Carolina

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.

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https://www.nursinghomesineachstate.com/north-carolina/lexington/lexington-health-care-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.