Lexington Health Care Center
17 Cornelia Drive, Lexington, NC 27292 · Davidson County · 100 certified beds · avg 97 residents/day · certified since Apr 21, 1992
Abuse citation flag (CMS)
Part of chain: LIFEWORKS REHAB (64 facilities, chain avg rating 2.1★)
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
2/5
Health inspection rating (on-site)
2
Serious findings on record
$0
Fines, last 3 years
3.24
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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, repeated · Oct 14, 2022 · F-0580
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Why it matters: A family could learn about a serious injury or decline days later, after the chance to act has passed.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Jun 15, 2022 (Past Non-Compliance)
▲ Immediate jeopardy, repeated · Oct 14, 2022 · F-0760
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 (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Jun 15, 2022 (Past Non-Compliance)
All citations in the current public record (40)
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 |
|---|---|---|
| Dec 31, 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 |
| Dec 31, 2025 | 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. · from a complaint |
| Oct 13, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Oct 13, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Sep 2, 2025 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| Sep 2, 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 29, 2025 | E · Potential for harm, repeated | 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. · from a complaint |
| Apr 29, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · from a complaint |
| Apr 29, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| Apr 29, 2025 | 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. |
| Apr 29, 2025 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Apr 29, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Apr 29, 2025 | 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. · from a complaint |
| Apr 29, 2025 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Apr 29, 2025 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint |
| Jan 30, 2025 | B · Minimal risk, 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. · from a complaint |
| Jan 30, 2025 | B · Minimal risk, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Oct 30, 2024 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| Oct 30, 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. · from a complaint |
| Mar 1, 2024 | E · Potential for harm, repeated | 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 1, 2024 | E · Potential for harm, repeated | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Mar 1, 2024 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Mar 1, 2024 | 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 |
| Mar 1, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Mar 1, 2024 | B · Minimal risk, repeated | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Mar 1, 2024 | B · Minimal risk, 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. |
| Mar 1, 2024 | B · Minimal risk, 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. |
| Nov 21, 2023 | D · Potential for harm, one-off | The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. · from a complaint |
| Oct 14, 2022 | ▲ K · Immediate jeopardy, repeated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Oct 14, 2022 | ▲ K · Immediate jeopardy, repeated | 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. |
| Oct 14, 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. |
| Oct 14, 2022 | E · Potential for harm, repeated | 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. |
| Oct 14, 2022 | D · Potential for harm, one-off | The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. |
| Oct 14, 2022 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Oct 14, 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. |
| Oct 14, 2022 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Oct 14, 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. |
| Oct 14, 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. |
| Oct 14, 2022 | B · Minimal risk, 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. |
| Oct 14, 2022 | B · Minimal risk, 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 9).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 12 | 2 | K ▲ |
| 2023 | 1 | 0 | D |
| 2024 | 10 | 0 | E |
| 2025 | 17 | 0 | E |
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 | North Carolina avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.24 | 4.01 | 3.95 | bottom 17% in North Carolina; bottom 23% in the U.S. |
| Registered Nurse hours | 0.41 | 0.64 | 0.69 | bottom 27% in North Carolina; bottom 24% in the U.S. |
| Weekend total nurse staffing | 2.99 | 3.56 | 3.50 | bottom 26% in North Carolina; bottom 30% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.22 | 0.41 | 0.48 | bottom 23% in North Carolina; bottom 15% in the U.S. |
| Total nursing staff turnover (%) | 63.4 | 49.0 | 45.8 | bottom 17% in North Carolina; bottom 12% in the U.S. |
| RN turnover (%) | 35.7 | 45.7 | 42.9 | top 33% in North Carolina; top 39% 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 3.50, RN 0.44, weekend 3.23. Staffing rating: 2/5.
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: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Charles 1994 Family Grantor Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| CK 2008 Family Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| DRM South LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Edward 1998 Family Grantor Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Lauren 2020 Family Grantor Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Lauren 2020 LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Leps 2003 Family Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Lexington Holdings I LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 05/28/2021 |
| Norman 5571 & Family LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2019 |
| Norman 5571 Family Grantor Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Norman 5571 LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| RL 2008 Family Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Robin 2008 Family Grantor Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Robin 2008 LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Saul 2012 Family Grantor Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Springrock South LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Summer South LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Garrett, Alexandra | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/26/2024 |
| Garrett, Alexandra | Individual | Corporate Director | NOT APPLICABLE | 01/26/2024 |
| RSBRM South Manager LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/28/2021 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "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 |
|---|---|---|---|---|---|
| Abbotts Creek Center | 2.5 mi | Lexington, NC | ★★★★☆ | 4/5 | |
| Pine Acres Center for Nursing and Rehabilitation | 2.9 mi | Lexington, NC | ★☆☆☆☆ | 1/5 | |
| Davidson Health & Rehab Center | 5.1 mi | Lexington, NC | ★☆☆☆☆ | 1/5 | abuse |
| Piedmont Crossing | 7.7 mi | Thomasville, NC | ★★★★★ | 5/5 | |
| Pine Ridge Health and Rehabilitation Center | 9.5 mi | Thomasville, NC | ★★★☆☆ | 3/5 | |
| Magnolia Gardens Center for Nursing and Rehabilita | 11.2 mi | Thomasville, NC | ★★★☆☆ | 3/5 | |
| Westchester Manor at Providence Place | 14.5 mi | High Point, NC | ★★★☆☆ | 3/5 | |
| Compass Healthcare and Rehab Rowan, LLC | 14.8 mi | Spencer, NC | ★★★☆☆ | 3/5 | |
| Mountain Vista Health Park | 15.6 mi | Denton, NC | ★★★★★ | 5/5 | |
| Autumn Care of Salisbury | 15.7 mi | Salisbury, NC | ★★★★☆ | 3/5 | |
| NC State Veterans Home - Salisbury | 15.8 mi | Salisbury, NC | ★★★★☆ | 2/5 | |
| Cedar Hills Center for Nursing and Rehabilitation | 16.3 mi | Clemmons, NC | ★☆☆☆☆ | 1/5 | SFF |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 345419.