L.M.C.- Extended Care
815 Old Cherokee Road, Lexington, SC 29072 · Lexington County · 352 certified beds · avg 290 residents/day · certified since Dec 17, 1991
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Sep 26, 2023 · F-0760 · triggered by a complaint
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Sep 18, 2023 (Past Non-Compliance)
All citations in the current public record (14)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jul 25, 2025 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| Jul 25, 2025 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Jul 25, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Jul 25, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Apr 8, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Jul 3, 2024 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Jul 3, 2024 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Jul 3, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jul 3, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jul 3, 2024 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jul 3, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jul 3, 2024 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Sep 26, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| May 27, 2022 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (6 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 1 | 0 | D |
| 2023 | 1 | 1 | J ▲ |
| 2024 | 7 | 0 | D |
| 2025 | 5 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
2 fines totaling $30,021.
| Date | Type | Amount / length |
|---|---|---|
| Jul 3, 2024 | Fine | $6,032 |
| Sep 26, 2023 | Fine | $23,989 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | South Carolina avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.21 | 4.08 | 3.95 | top 34% in South Carolina; top 32% in the U.S. |
| Registered Nurse hours | 0.57 | 0.67 | 0.69 | top 48% in South Carolina; bottom 48% in the U.S. |
| Weekend total nurse staffing | 3.70 | 3.55 | 3.50 | top 31% in South Carolina; top 33% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.23 | 0.41 | 0.48 | bottom 28% in South Carolina; bottom 18% in the U.S. |
| Total nursing staff turnover (%) | 41.4 | 45.9 | 45.8 | top 37% in South Carolina; top 40% in the U.S. |
| RN turnover (%) | 32.6 | 42.1 | 42.9 | top 37% in South Carolina; top 33% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.86, RN 0.53, weekend 3.39. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Lexington County Health Services District INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 10/01/1989 |
| Cabaltica, Rex Benjamin | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/01/2024 |
| Cabaltica, Rex Benjamin | Individual | Corporate Director | NOT APPLICABLE | 10/01/2024 |
| Cabaltica, Rex Benjamin | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2024 |
| Cabaltica, Rex Benjamin | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Gill, Kathryn | Individual | Corporate Officer | NOT APPLICABLE | 03/26/2018 |
| Gill, Kathryn | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/26/2018 |
| Gill, Kathryn | Individual | ADP of the SNF | NOT APPLICABLE | 03/26/2018 |
| Hoffman III, Ronald | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2020 |
| Hoffman III, Ronald | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2020 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Retreat at Wellmore of Lexington | 2.1 mi | Lexington, SC | ★★★★☆ | 4/5 | |
| Presbyterian Home of South Carolina-Columbia | 6.8 mi | Lexington, SC | ★★☆☆☆ | 2/5 | |
| NHC Healthcare - Lexington | 7.3 mi | West Columbia, SC | ★★★★☆ | 3/5 | |
| St Andrews Operator, LLC | 7.4 mi | Columbia, SC | ★☆☆☆☆ | 1/5 | |
| Opus Post Acute Rehabilitation | 8.1 mi | West Columbia, SC | ★★★☆☆ | 3/5 | |
| Millennium Post Acute Rehabilitation | 8.2 mi | West Columbia, SC | ★★☆☆☆ | 2/5 | |
| The Heritage at Lowman Rehab and Healthcare | 9.2 mi | White Rock, SC | ★☆☆☆☆ | 2/5 | |
| Still Hopes Episcopal Retirement Community | 11.0 mi | West Columbia, SC | ★★★★★ | 5/5 | |
| C M Tucker Jr Nursing Care Center Fewell and Stone | 12.8 mi | Columbia, SC | ★★☆☆☆ | 1/5 | abuse |
| C M Tucker Jr Nursing Care Center Roddey Pavilio | 12.8 mi | Columbia, SC | ★★☆☆☆ | 1/5 | |
| Pruitthealth- Columbia | 13.7 mi | Columbia, SC | ★☆☆☆☆ | 1/5 | |
| Forest Acres Post Acute | 13.9 mi | Columbia, SC | ★☆☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 425321.