Lexington Court Care Center
250 Delaware St, Lexington, OH 44904 · Richland County · 75 certified beds · avg 71 residents/day · certified since Aug 1, 1995
Part of chain: ATRIUM CENTERS (26 facilities, chain avg rating 3.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
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)
▲ Actual harm, one-off · Oct 30, 2025 · F-0744 · triggered by a complaint
The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience.
Why it matters: Poor dementia care can lead to distress, unsafe wandering, or unnecessary sedating medication.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Nov 14, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (23)
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 |
|---|---|---|
| Oct 30, 2025 | ▲ G · Actual harm, one-off | The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. · from a complaint |
| Mar 27, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 27, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Mar 27, 2025 | D · Potential for harm, one-off | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. |
| Mar 27, 2025 | D · Potential for harm, one-off | The facility did not have policies on smoking. |
| Jun 30, 2022 | F · Potential for harm, facility-wide | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Jun 30, 2022 | F · Potential for harm, facility-wide | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Jun 30, 2022 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jun 30, 2022 | F · Potential for harm, facility-wide | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Jun 30, 2022 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jun 30, 2022 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jun 30, 2022 | E · Potential for harm, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Jun 30, 2022 | E · Potential for harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jun 30, 2022 | E · Potential for harm, repeated | 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. |
| Jun 30, 2022 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Jun 30, 2022 | D · Potential for harm, one-off | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. |
| Jun 30, 2022 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Jun 30, 2022 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jun 30, 2022 | D · Potential for harm, one-off | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. |
| Jun 30, 2022 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Jun 30, 2022 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Jun 30, 2022 | C · Minimal risk, facility-wide | The facility did not give residents reasonable access to and privacy in using ways to communicate, such as phones, mail, and email. Residents have the right to stay in touch with the outside world privately. |
| Jun 20, 2019 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (17 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 1 | 0 | D |
| 2022 | 17 | 0 | F |
| 2025 | 5 | 1 | G ▲ |
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)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Ohio avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.11 | 3.45 | 3.95 | bottom 34% in Ohio; bottom 18% in the U.S. |
| Registered Nurse hours | 0.70 | 0.60 | 0.69 | top 25% in Ohio; top 36% in the U.S. |
| Weekend total nurse staffing | 2.68 | 3.07 | 3.50 | bottom 25% in Ohio; bottom 15% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.29 | 0.42 | 0.48 | bottom 26% in Ohio; bottom 29% in the U.S. |
| Total nursing staff turnover (%) | 46.6 | 48.7 | 45.8 | top 44% in Ohio; bottom 46% in the U.S. |
| RN turnover (%) | 0.0 | 43.9 | 42.9 | top 1% in Ohio; top 1% 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 2.89, RN 0.65, weekend 2.50. Staffing rating: 3/5.
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: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Leaderstat LTD | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2025 |
| Orion Operating Services LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 11/01/2006 |
| Albright Ross, Susan | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/02/2018 |
| Albright Ross, Susan | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 05/20/2026 |
| Albright Ross, Susan | Individual | ADP of the SNF | NOT APPLICABLE | 01/02/2018 |
| Amicus Capital Holdings INC | Organization | ADP of the SNF | NOT APPLICABLE | 08/18/2021 |
| Amicus Properties LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2021 |
| Anderson, Curt | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2025 |
| Anderson, Curt | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2025 |
| Atrium Centers Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/01/2006 |
| Cherry, Jill | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| Cherry, Jill | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Fifth Third Bank | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 03/07/2017 |
| Forvis Mazars LLP | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2023 |
| Freundlich, Thomas | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Freundlich, Thomas | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Hall, Rhonda | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/12/1984 |
| Hall, Rhonda | Individual | ADP of the SNF | NOT APPLICABLE | 03/12/1984 |
| Heller, David | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/18/2024 |
| Heller, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/18/2024 |
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 specific dementia training do your staff receive, and how do you handle difficult moments without medication?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How do you track each resident's food allergies and preferences, and what happens if they don't like what's served?"
- "What are your smoking rules, and how do you keep residents who smoke — and everyone around them — safe?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "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 |
|---|---|---|---|---|---|
| Country Meadow Rehabilitation and Nursing Center | 3.6 mi | Bellville, OH | ★★☆☆☆ | 2/5 | |
| Liberty Nursing Center of Mansfield | 5.7 mi | Mansfield, OH | ★★☆☆☆ | 2/5 | |
| Winchester Terrace | 6.0 mi | Mansfield, OH | ★★☆☆☆ | 2/5 | |
| Jag Healthcare Mansfield | 6.7 mi | Mansfield, OH | ★☆☆☆☆ | 1/5 | |
| Crystal Care Center of Mansfie | 7.6 mi | Mansfield, OH | ★★★☆☆ | 4/5 | |
| Arbors at Mifflin | 10.6 mi | Mansfield, OH | ★★★☆☆ | 3/5 | |
| Oak Grove Manor | 10.6 mi | Mansfield, OH | ★☆☆☆☆ | 1/5 | |
| Crestline Rehabilitation and Nursing Center | 11.1 mi | Crestline, OH | ★★☆☆☆ | 2/5 | |
| Mill Creek Nursing & Rehabilitation | 11.7 mi | Galion, OH | ★★★★☆ | 4/5 | |
| Galion Meadows Skilled Nursing and Rehabilitation | 12.0 mi | Galion, OH | ★☆☆☆☆ | 1/5 | |
| Shelby Pointe | 13.9 mi | Shelby, OH | ★★★★★ | 4/5 | |
| Morrow Manor Nursing Center | 14.3 mi | Chesterville, OH | ★★★☆☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 366013.