facebook tracking Lexington Court Care Center, Lexington OH: CMS Ratings
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Lexington Court Care Center

All states › Ohio › Lexington › Lexington Court Care Center

250 Delaware St Lexington, OH 44904 · Richland County

(419) 884-2000

Accepts Medicare Accepts Medicaid 75 certified beds For profit

CMS certification number 366013 · 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 Court 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 Court Care Center as of October 2026.

CMS rates it 4 out of 5 stars overall, above the Ohio average of 3.2. Inspectors issued 23 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 4 out of 5; for long-term residents, 5 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 3.04 hours per resident per day at Lexington Court Care Center, below the Ohio median of 3.58 (US median: 3.72). About 0.66 of those hours are from registered nurses. On weekends it falls to 2.66 hours, 13% below its all-week average. 46.8% of nursing staff left within a year (Ohio median 48.9%). 2 administrators left in the past year.

Nursing care per resident per day 3.04 hours
Below the Ohio median of 3.58 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.66 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.66 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 46.8% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 22.2% a year Share of registered nurses who left over a year.
Administrators who left 2 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds75
Residents per day 71 About 95% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceAugust 1995
Part of a chainAtrium Centers
Legal business nameORION LEXINGTON LLC

Paying for care at Lexington Court Care Center: Medicare and Medicaid

Lexington Court 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 Ohio'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 March 27, 2025 and found 4 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 23 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 23 citations at Lexington Court Care Center across 4 inspection dates, 1 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on October 30, 2025. The most common areas cited were resident assessment and care planning (7) and quality of life and care (6). The most serious was cited under the CMS rule to "provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia" (tag F0744, level G, October 30, 2025).

October 30, 2025 · 1 citation · includes complaint inspection

GProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Actual harm · Quality of Life and Care Deficiencies · Tag F0744 · Complaint inspection · Deficient, Provider has date of correction (Nov 14, 2025)

March 27, 2025 · 4 citations

FProcure 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 (Apr 22, 2025)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Apr 22, 2025)

DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0806 · Deficient, Provider has date of correction (Apr 22, 2025)

DHave policies on smoking.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0926 · Deficient, Provider has date of correction (Apr 22, 2025)

June 30, 2022 · 17 citations

FEnsure 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.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0803 · Deficient, Provider has date of correction (Jul 26, 2022)

FEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0804 · Deficient, Provider has date of correction (Jul 26, 2022)

FProcure 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 (Jul 26, 2022)

FSafeguard 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 · Deficient, Provider has date of correction (Jul 26, 2022)

EEnsure 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 (Jul 26, 2022)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Jul 26, 2022)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Jul 26, 2022)

EProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Jul 26, 2022)

EEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Jul 26, 2022)

DReasonably accommodate the needs and preferences of each resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0558 · Deficient, Provider has date of correction (Jul 26, 2022)

DAssess the resident when there is a significant change in condition

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0637 · Deficient, Provider has date of correction (Jul 26, 2022)

DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0655 · Deficient, Provider has date of correction (Jul 26, 2022)

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (Jul 26, 2022)

DAssist a resident in gaining access to vision and hearing services.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0685 · Deficient, Provider has date of correction (Jul 26, 2022)

DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Deficient, Provider has date of correction (Jul 26, 2022)

DProvide enough food/fluids to maintain a resident's health.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0692 · Deficient, Provider has date of correction (Jul 26, 2022)

CEnsure residents have reasonable access to and privacy in their use of communication methods.

Potential for minimal harm · Resident Rights Deficiencies · Tag F0576 · Deficient, Provider has plan of correction (Jul 26, 2022)

June 20, 2019 · 1 citation

DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0623 · Deficient, Provider has date of correction (Aug 9, 2019)

Questions to ask on a tour of Lexington Court Care Center

  1. Inspectors cited the home at the actual-harm level on October 30, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. Several administrators left in the past year. What has changed for residents since then?
  3. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  4. 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

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 4/5 3/5 3/5 5/5
August 2026 4/5 3/5 3/5 5/5
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Location

Hospitals near Lexington Court 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.

  • 6.4 mi
    Ohiohealth Mansfield Hospital Mansfield
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 2h 10m for patients treated and sent home
  • 6.8 mi
    Avita Ontario Ontario
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 28m for patients treated and sent home
  • 11.7 mi
    Galion Community Hospital Galion
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 2h 11m 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

Country Meadow Rehabilitation and Nursing Center Bellville · 3.6 mi away ★★★★☆ Inspection 3/5 · Staffing 2/5 48 beds · Medicaid
Liberty Nursing Center of Mansfield Mansfield · 5.7 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 4/5 68 beds · Medicaid
Winchester Terrace Mansfield · 6.0 mi away ★★☆☆☆ Inspection 2/5 · Staffing 1/5 83 beds · Medicaid
Jag Healthcare Mansfield Mansfield · 6.7 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 66 beds · Medicaid
Crystal Care Center of Mansfie Mansfield · 7.6 mi away ★★★☆☆ Inspection 4/5 · Staffing 1/5 74 beds · Medicaid

More nursing homes near Lexington Court Care Center ›   All nursing homes in Lexington ›

Compare Lexington Court Care Center with the 3 closest homes side by side ›

Other Atrium Centers nursing homes in Ohio

Affiliation comes from CMS's affiliated-entity data, October 2026. All 26 Atrium Centers 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/ohio/lexington/lexington-court-care-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.