Retreat at Wellmore of Lexington

Name: Retreat at Wellmore of Lexington
Address: 200 Wellmore Drive, Lexington, SC, 29072, US
Telephone: 8035201200

200 Wellmore Drive, Lexington, SC 29072 · Lexington County · 60 certified beds · avg 46 residents/day · certified since Apr 20, 2018

4/5

Health inspection rating (on-site)

Serious findings on record

$16,153

Fines, last 3 years

5.03

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · 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)

▲ Immediate jeopardy, one-off · May 22, 2025 · 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: Mar 13, 2025 (Past Non-Compliance)

All citations in the current public record (17)

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
May 22, 2025	▲ 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
Jan 31, 2024	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.
Jan 31, 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.
Jan 31, 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.
Jan 31, 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.
Feb 3, 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.
Feb 3, 2022	E · Potential for harm, repeated	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Feb 3, 2022	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.
Feb 3, 2022	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Feb 3, 2022	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.
Feb 3, 2022	D · Potential for harm, one-off	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.
Feb 3, 2022	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Feb 3, 2022	D · Potential for harm, one-off	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care.
Feb 3, 2022	D · Potential for harm, one-off	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Feb 3, 2022	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Feb 3, 2022	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.
Feb 3, 2022	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.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (4 → 1).

Year	Citations	Serious (G–L)	Worst severity that year
2022	12	0	F
2024	4	0	F
2025	1	1	J ▲

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)

1 fine totaling $16,153.

Date	Type	Amount / length
May 22, 2025	Fine	$16,153

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)	5.03	4.08	3.95	top 12% in South Carolina; top 13% in the U.S.
Registered Nurse hours	0.76	0.67	0.69	top 25% in South Carolina; top 31% in the U.S.
Weekend total nurse staffing	4.68	3.55	3.50	top 10% in South Carolina; top 10% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.52	0.41	0.48	top 19% in South Carolina; top 30% in the U.S.
Total nursing staff turnover (%)	49.2	45.9	45.8	bottom 39% in South Carolina; bottom 39% in the U.S.
RN turnover (%)	40.0	42.1	42.9	top 48% in South Carolina; top 46% 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 5.03, RN 0.76, weekend 4.67. 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: 2/5 · long-stay residents: 2/5 · short-stay residents: 2/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Wellmore LLC	Organization	5% or Greater Direct Ownership Interest	100%	01/21/2015
Macon, Jonathan	Individual	ADP of the SNF	NOT APPLICABLE	09/22/2025
Maxwell Group, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	09/01/2016
Maxwell Group, INC.	Organization	ADP of the SNF	NOT APPLICABLE	02/01/2025
Pavlick, Crystal	Individual	ADP of the SNF	NOT APPLICABLE	09/22/2025
Thompson, Benjamin	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2022

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?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"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
L.M.C.- Extended Care	2.1 mi	Lexington, SC	★★★☆☆	3/5
Presbyterian Home of South Carolina-Columbia	5.1 mi	Lexington, SC	★★☆☆☆	2/5
NHC Healthcare - Lexington	5.4 mi	West Columbia, SC	★★★★☆	3/5
Opus Post Acute Rehabilitation	6.0 mi	West Columbia, SC	★★★☆☆	3/5
St Andrews Operator, LLC	6.1 mi	Columbia, SC	★☆☆☆☆	1/5
Millennium Post Acute Rehabilitation	6.3 mi	West Columbia, SC	★★☆☆☆	2/5
Still Hopes Episcopal Retirement Community	8.9 mi	West Columbia, SC	★★★★★	5/5
The Heritage at Lowman Rehab and Healthcare	10.4 mi	White Rock, SC	★☆☆☆☆	2/5
C M Tucker Jr Nursing Care Center Fewell and Stone	11.0 mi	Columbia, SC	★★☆☆☆	1/5	abuse
C M Tucker Jr Nursing Care Center Roddey Pavilio	11.0 mi	Columbia, SC	★★☆☆☆	1/5
Pruitthealth- Columbia	11.8 mi	Columbia, SC	★☆☆☆☆	1/5
Midlands Health & Rehabilitation Center	12.0 mi	Columbia, SC	★★☆☆☆	2/5

Compare this facility with the 3 closest →

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Facility data as of CMS processing date 2026-08-01. CCN 425412.

The Care File

Visit checklist — Retreat at Wellmore of Lexington

200 Wellmore Drive, Lexington, SC 29072 · 8035201200

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $16,153

Most serious findings on record:

▲ May 22, 2025 (F-0760, 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.

Questions for the administrator:

☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 425412 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)