Nursing HomeMedicaid Investigative

Lexington Health Care Center

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

17 Cornelia Drive, Lexington, NC 27292|100 beds|Licensed & Active

1/5

Medicare

Inspection

Quality

Staffing

Google rating

4.5/5

based on 249 Google reviews

(336) 242-1349 Directions Website

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8/ 10

critical Risk

Quality Concerns Identified

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

Abuse citation on record
Low overall rating (1/5 stars)
Low staffing rating (1/5 stars)
Above-median deficiencies (15 vs median 4.0)
High staff turnover (65%)
High RN turnover (54%)

Bottom 25% in NC · Below recommended RN staffing · Worst in LIFEWORKS REHAB chain · No penalties on record · Abuse citation

Source: Medicare data

What this means for your family

While the facility's rehabilitation and activities programs are highly regarded, the recent increase in reports regarding patient safety and neglect is concerning. Families should conduct an unannounced visit, specifically checking the cleanliness of rooms and observing staff response times to call lights before making a decision.

Google Reviews

249 reviews on Google

“Lexington Health Care Center receives highly polarized feedback, with many families praising the facility's cleanliness, friendly staff, and effective rehabilitation programs. However, a significant number of recent, severe reviews allege dangerous neglect, including unaddressed bedsores, failure to report falls, and chronic understaffing that leads to delayed response times for basic patient needs.”

Quality Themes

Tap a score for details

Strengths

Effective rehabilitation and therapy services
Clean and well-maintained facility
Welcoming and friendly front-desk staff
Engaging activities department

Concerns

Understaffing leading to delayed response times for call buttons (mentioned by 5 reviewers)
Poor hygiene, including infrequent bathing and unclean rooms (mentioned by 4 reviewers)
Failure to report or prevent patient falls (mentioned by 4 reviewers)
Inadequate or unappetizing food quality (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 157 analyzed

122

How They Respond to Reviews

97%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

1It's wonderful to see how friendly the front desk team is; how does the activities department keep residents engaged with the community throughout the week?
2We noticed the facility is very well-maintained; what specific protocols are in place to ensure resident rooms and personal hygiene needs are addressed daily?
3With the focus on rehabilitation being a strength here, how do you coordinate therapy schedules to ensure residents are getting the most out of their sessions?
4Could you walk us through your process for monitoring call buttons and ensuring staff can respond quickly to a resident's needs at any time of day?
5What is the typical daily menu like, and how do you ensure the food is both nutritious and appetizing for the residents?
6How does the nursing team manage medication administration to ensure everything is accurate and timely for every resident?

Personalized based on this facility's data

Key Review Excerpts

“My father died on March 7th, 2026 from a bed ulcers he got there and they failed to treat. Don't send your loved ones there, They will die and they will try to cover it up.”

Family member · 2026★☆☆☆☆

“The rehab department has done a terrific job helping my friend through the therapy process. I've seen her improve so much in the past week.”

Friend of resident · 2024★★★★★

“My mother has been there 2 years. It's one of the worse places to put a loved one that I've ever seen ! My sister goes daily or else she would be in real bad shape . She's been let fall out.of the bed and it was so bad she was released to the hospital for several days.”

Family member · 2024★☆☆☆☆

Source: 249 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.38hrs

51%

Registered nurses for medical care

Total Nursing

3.40hrs

83%

All nurses + aides combined

Staff Turnover

63%

Lower is better (< 30% = good)

RN Turnover

50%

Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

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

Medicare Rating

4/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility95.3%

Better than Avg

Here

95.3%

93.4%

91.7%

Davidson

76.6%

😔

Residents with depression symptoms

↓ Lower is better

This Facility24.1%

Worse than Avg

Here

24.1%

12.1%

5.4%

Davidson

14.7%

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

💉

Residents vaccinated for the flu

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

95.5%

94.1%

Davidson

86.1%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility24.4%

Worse than Avg

Here

24.4%

15.4%

14.1%

Davidson

11.9%

🚶

Residents whose walking got worse

↓ Lower is better

This Facility26.0%

Worse than Avg

Here

26.0%

15.3%

20.2%

Davidson

22.3%

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility28.3%

Worse than Avg

Here

28.3%

19.4%

21.0%

Davidson

22.9%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility99.6%

Better than Avg

Here

99.6%

79.7%

78.1%

Davidson

65.7%

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

81.8%

80.1%

Davidson

68.7%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility0.5%

Better than Avg

Here

0.5%

1.6%

1.5%

Davidson

1.3%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

15deficiencies

Well above state avg (5.6)

17 complaint-triggered

Families have filed 17 complaints that triggered federal inspections, raising serious concerns about care quality at this facility. The most recurring problems involve care planning and assessment, resident safety and accident prevention, and medication management. Recent deficiencies from 2025 include failures to properly report suspected abuse and protect residents from safety hazards, with correction dates extending into late 2025, suggesting ongoing compliance struggles.

Dec 31, 2025Complaint2 findings

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.

0689Potential for harm · 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 13, 2025Complaint2 findings

0658Potential for harm · IsolatedResolved (past non-compliance)

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Sep 2, 2025Complaint2 findings

0602Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

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.

Apr 29, 2025Complaint5 findings

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0689Potential for harm · 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.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Apr 29, 2025Routine6 findings

0565Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0352Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly install and monitor supervisory attachments on automatic sprinkler systems.

0521Potential for harm · IsolatedCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Jan 30, 2025Complaint2 findings

0657Minimal · PatternCorrected

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.

0842Minimal · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Lexington Health Care Center

Organization Type

for profit

Chain Affiliation

Chain Name

Lifeworks Rehab

Chain Size

66 facilities nationwide

Chain avg rating: 2.1/5 · Rank 42 of 57 (Worst)

Ownership & Management

Owners

Lexington Holdings I LLC

Owner · Organization

100%

Charles 1994 Family Grantor Trust