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Lexington Court Care Center
250 Delaware St, Lexington, OH 44904 (opens Google Maps) · Richland County · (419) 884-2000· 75 certified beds · avg 71 residents/day · certified since Aug 1, 1995 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: ATRIUM CENTERS (26 facilities, chain avg rating 3.0★)
3/5
Health inspection rating (on-site)
inspected Mar 27, 2025
1
Serious findings on record
most recent Oct 30, 2025
$0
Fines, last 3 years
3.11
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, isolated · 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.
▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Nov 14, 2025 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 23 inspection findings. Open the full record below to read every finding.
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 F-0744
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. F-0812
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. F-0657
View all 23 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Oct 30, 2025 | ▲ G · Actual harm, isolated | 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 · F-0744 |
| Mar 27, 2025 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Mar 27, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0657 |
| Mar 27, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. · F-0806 |
| Mar 27, 2025 | D · Potential for more than minimal harm, isolated | The facility did not have policies on smoking. · F-0926 |
| Jun 30, 2022 | F · Potential for more than minimal harm, widespread | 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. · F-0803 |
| Jun 30, 2022 | F · Potential for more than minimal harm, widespread | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804 |
| Jun 30, 2022 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Jun 30, 2022 | F · Potential for more than minimal harm, widespread | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
| Jun 30, 2022 | E · Potential for more than minimal harm, pattern | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Jun 30, 2022 | E · Potential for more than minimal harm, pattern | 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. · F-0656 |
| Jun 30, 2022 | E · Potential for more than minimal harm, pattern | 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. · F-0657 |
| Jun 30, 2022 | E · Potential for more than minimal harm, pattern | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Jun 30, 2022 | E · Potential for more than minimal harm, pattern | 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. · F-0761 |
| Jun 30, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0558 |
| Jun 30, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0637 |
| Jun 30, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0655 |
| Jun 30, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0677 |
| Jun 30, 2022 | D · Potential for more than minimal harm, isolated | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. · F-0685 |
| Jun 30, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0690 |
| Jun 30, 2022 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| Jun 30, 2022 | C · Potential for minimal harm, widespread | 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. · F-0576 |
| Jun 20, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0623 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (17 → 4).
All citationsSerious citations (G–L)
2019
All citations: 1
Serious citations (G–L): 0
2022
All citations: 17
Serious citations (G–L): 0
2025
All citations: 5
Serious citations (G–L): 1
All bars start at zero. Exact values and supporting details remain below.
| 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityOhio averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.11
Ohio average: 3.45
U.S. average: 3.95
Registered Nurse hours
This facility: 0.70
Ohio average: 0.60
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.68
Ohio average: 3.07
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (2.89 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Lexington Court Care Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
Showing 20 of 33 parties CMS has on file for this facility; 13 are not displayed. The full list is in the CMS Ownership dataset.
Other facilities in the same chain
CMS lists this facility under the chain Atrium Centers — 26 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Woodside Village Care Center — Mount Gilead, OH · overall 3/5
- Frederic Nursing and Rehab Community — Frederic, WI · overall 3/5
- Mulder Health Care Facility — West Salem, WI · overall 1/5
- Prescott Nursing and Rehab Community — Prescott, WI · overall 3/5
- Tomah Nursing and Rehab — Tomah, WI · overall 2/5
- Crittenden County Health & Rehabilitation Center — Marion, KY · overall 3/5
- Salem Springlake Health & Rehabilitation Center — Salem, KY · overall 3/5
- Allendale Nursing and Rehabilitation Community — Allendale, MI · overall 2/5
Listed by state, then facility name — not a ranking. Showing 8 of the 25 others, continuing from this facility's own place in that list.
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?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Ohio midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 47% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 33 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 18 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 →
Other facilities in the same county
CMS records place this facility in Richland, OH — 10 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Crestwood Care Center — Shelby, OH · overall 2/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 366013.
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