All states › Tennessee › Lexington › Lexington Post Acute
727 East Church Street Lexington, TN 38351 · Henderson County
All 2 nursing homes in Lexington, TN (2 take Medicaid)
CMS certification number 445431 · See this home on Medicare Care Compare
Is Lexington Post Acute 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 Post Acute as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Tennessee average of 3.1.
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 4.07 hours per resident per day at Lexington Post Acute, above the Tennessee median of 3.66 (US median: 3.72). About 0.84 of those hours are from registered nurses. Weekend staffing is close to its all-week average. 47.7% of nursing staff left within a year (Tennessee median 48.7%).
About this nursing home
Paying for care at Lexington Post Acute: Medicare and Medicaid
Lexington Post Acute 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 Tennessee'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 February 12, 2026 and found 3 deficiencies. In total, inspectors issued 20 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 20 citations at Lexington Post Acute across 4 inspection dates, 5 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on October 4, 2023 (complaint inspection). The most common areas cited were nutrition and dietary (5) and resident rights (4). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, October 4, 2023). 2 citations were under CMS's abuse, neglect and exploitation rules.
February 12, 2026 · 3 citations
DEnsure 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.
DElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
DProvide and implement an infection prevention and control program.
February 6, 2025 · 7 citations
EHonor 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.
DAllow residents to self-administer drugs if determined clinically appropriate.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide and implement an infection prevention and control program.
December 23, 2024 · 4 citations · includes complaint inspection
EEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
EProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DProvide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
October 4, 2023 · 6 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EProvide and implement an infection prevention and control program.
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.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure 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.
Questions to ask on a tour of Lexington Post Acute
- Inspectors cited the home at the immediate-jeopardy level on October 4, 2023 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on February 6, 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?
- 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
1 penalty in the last three years, including $6,152 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Dec 23, 2024 | Fine | $6,152 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 2/5 | 2/5 | 5/5 |
| August 2026 | 1/5 | 2/5 | 1/5 | 4/5 |
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Location
Hospitals near Lexington Post Acute
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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1.5 mi
Henderson County Community Hospital LexingtonEmergency roomMedian ER visit 2h 31m 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
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Compare Lexington Post Acute with the 3 closest homes side by side ›
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.