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Nursing HomeMedicaid Investigative

Ahc Lexington

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

727 East Church Street, Lexington, TN 38351118 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 24 Google reviews

5
4
3
2
1
Ahc Lexington Nursing Home in Lexington, TN — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (7 vs median 5.0)

Below average in TN · Meets national RN staffing standard · $18,783 in fines

Source: Medicare data

What this means for your family

While AHC Lexington is praised for its active social calendar and effective rehab therapy, the facility has faced serious allegations regarding patient neglect and responsiveness. Families should conduct an unannounced visit to observe staff-to-resident interactions and specifically ask about the facility's protocols for monitoring patients who cannot advocate for themselves.

Google Reviews

Google Reviews

24 reviews on Google
AHC Lexington receives highly polarized feedback, with recent reviews showing a stark divide between praise for rehab therapy and activities versus severe allegations of neglect. While some families and patients report attentive care and successful recovery, others describe critical failures in basic hygiene, nutrition, and responsiveness to call lights. Potential families should be aware of these inconsistent experiences, as the quality of care appears to vary significantly.

Quality Themes

Tap a score for details
Food3.0Staff5.0Clean6.0Activities9.0MedsN/AMemoryN/AComms4.0ValueN/A

Strengths

  • Engaging activities and community events
  • Effective post-surgery rehab programs
  • Friendly and dedicated nursing staff
  • Clean and well-maintained facility

Concerns

  • Neglect and poor hygiene standards (mentioned by 3 reviewers)
  • Unresponsive or slow staff to call lights (mentioned by 2 reviewers)
  • Poor quality and lack of hot meals (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2343.02020(4)5.02021(4)3.02022(1)5.02023(1)1.82024(5)3.02025(2)4.62026(14)

Distribution · 31 analyzed

5
20
4
1
3
3
2
0
1
7

How They Respond to Reviews

33%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1I noticed some wonderful mentions of your community events and activities; could you tell me more about what a typical week looks like for residents?
  • 2We want to ensure our loved one is well-nourished, so could you describe the daily meal schedule and how you ensure meals are served hot and fresh?
  • 3How does the nursing team manage call lights during the night shift to ensure residents receive timely assistance?
  • 4What specific protocols are in place to maintain high standards of personal hygiene and room cleanliness for every resident?
  • 5In the event of a sudden medical change or an emergency after hours, how is the communication handled between the nursing staff and the family?
  • 6Since you are so active in responding to community feedback, how does the facility currently use resident or family input to improve daily care?

Personalized based on this facility's data


Key Review Excerpts

She was severely dehydrated and had critically low blood pressure among several things. She was not monitored AT ALL.

Long-term resident's family · 2024☆☆☆☆

It takes them a long time for anyone to come see about you after you push the button, if they come at all. They are suppose too come in every 2 hours but they do not!

Family member · 2024☆☆☆☆

I have been in many skilled nursing facilities and have never seen this type of cleanliness and more importantly genuine care for their residents.

Visitor · 2025★★★★★
Source: 24 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.79hrs
OK
Registered nurses for medical care
Total Nursing
3.43hrs
84%
All nurses + aides combined
Staff Turnover
50%
Lower is better (< 30% = good)
RN Turnover
42%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

11

measures

Worse Than Avg

4

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility67.8%
Worse than Avg
Here
67.8%
US
19.5%
TN
31.9%
Henderson
24.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility47.1%
Worse than Avg
Here
47.1%
US
12.1%
TN
12.9%
Henderson
2.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility6.1%
Better than Avg
Here
6.1%
US
15.3%
TN
18.5%
Henderson
19.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility4.7%
Better than Avg
Here
4.7%
US
14.4%
TN
14.6%
Henderson
15.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TN
89.5%
Henderson
95.3%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility21.4%
Worse than Avg
Here
21.4%
US
15.4%
TN
16.9%
Henderson
13.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
TN
79.4%
Henderson
83.7%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
TN
79.8%
Henderson
85.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TN
1.6%
Henderson
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
2penalties
Near state avg (5.9)
5 complaint-triggered
$18,783 in fines

AHC Lexington has concerning patterns with families filing multiple complaints, particularly about food services, safety hazards, and infection control. The facility shows recurring issues with nutrition services, resident rights, and safety protocols across recent surveys, though all deficiencies have been officially corrected. Given the complaint history and repeated problems in essential care areas, families should thoroughly investigate current conditions before considering placement.

Feb 12, 2026Routine
4
0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0851Potential for harm · IsolatedCorrected

Administration Deficiencies

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Feb 6, 2025Routine
8
0578Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0781Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

Dec 23, 2024Complaint
4
0801Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

0802Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0800Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Oct 4, 2023Complaint
1
0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Oct 4, 2023Routine
8
0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0223Potential for harm · IsolatedCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Federal Penalties

Fine

Dec 23, 2024

$6,152

Fine

Oct 4, 2023

$9,318

Ownership & Operations

Who Operates This Facility

Owner / Operator

Ahc Lexington

Organization Type

for profit

Chain Affiliation

Chain Name

Pacs Group

Chain Size

279 facilities nationwide

Chain avg rating: 2.4/5 · Rank 3 of 5

Ownership & Management

Owners

Undisclosed

Ownership Data Not Available · Organization

Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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