Lexington Court Care CenterCMS ratings, inspections and fines
- Address
- 250 Delaware St, Lexington, OH 44904
- CCN
- 366013
- Ownership type
- For-profit, corporation
- Certified beds
- 75
- Chain
- Atrium Centers
- Residents per day
- 71
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Lexington Court Care Center an overall rating of 4 of 5 stars. The last standard survey was on 27 Mar 2025. The latest survey cycle has 5 health citations. The median for nursing homes in Ohio is 8. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Richland County median | Ohio median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 4 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 3 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 2.0 | 2.0 | 2.9 |
| Quality measure rating | 5 | 5.0 | 5.0 | 3.6 |
A median is the middle value of the homes in the group: 10 homes in the county, 922 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Ohio median |
|---|---|---|---|
| Cycle 1 (latest) | 27 Mar 2025 | 5 | 8 |
| Cycle 2 | 30 Jun 2022 | 17 | 8 |
| Cycle 3 | No date | 1 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 5 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 30 Oct 2025 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | G | Complaint investigation | 14 Nov 2025 |
| 27 Mar 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 22 Apr 2025 |
| 27 Mar 2025 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 22 Apr 2025 |
| 27 Mar 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 22 Apr 2025 |
| 27 Mar 2025 | F0926 | Have policies on smoking. | D | Standard survey | 22 Apr 2025 |
Survey cycle 2: 17 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 30 Jun 2022 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 26 Jul 2022 |
| 30 Jun 2022 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | C | Standard survey | 26 Jul 2022 |
| 30 Jun 2022 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 26 Jul 2022 |
| 30 Jun 2022 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 26 Jul 2022 |
| 30 Jun 2022 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 26 Jul 2022 |
| 30 Jun 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 26 Jul 2022 |
| 30 Jun 2022 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 26 Jul 2022 |
| 30 Jun 2022 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 26 Jul 2022 |
| 30 Jun 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 26 Jul 2022 |
| 30 Jun 2022 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 26 Jul 2022 |
| 30 Jun 2022 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 26 Jul 2022 |
| 30 Jun 2022 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 26 Jul 2022 |
| 30 Jun 2022 | F0761 | 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. | E | Standard survey | 26 Jul 2022 |
| 30 Jun 2022 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | Standard survey | 26 Jul 2022 |
| 30 Jun 2022 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Standard survey | 26 Jul 2022 |
| 30 Jun 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 26 Jul 2022 |
| 30 Jun 2022 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | F | Standard survey | 26 Jul 2022 |
Survey cycle 3: 1 citation
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 20 Jun 2019 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 9 Aug 2019 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Ohio median | Ohio average (CMS) |
|---|---|---|---|
| All nurse staff | 2.89 | 3.60 | 3.69 |
| Registered nurses (RN) | 0.65 | 0.60 | 0.64 |
| Licensed practical nurses (LPN) | 0.54 | 0.95 | |
| Nurse aides | 1.71 | 2.09 | |
| All nurse staff, weekends | 2.50 | 3.20 | 3.28 |
- Nurse staff turnover in a year
- 46.6%
- Nurse staff turnover, Ohio median
- 48.5%
- RN turnover in a year
- 0.0%
- Administrators who left in a year
- 2
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Ohio median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 21.7% | 4.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.4% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.3% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 15.8% | 4.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.8% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 3.0% | 7.5% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Orion Lexington LLC
- Chain
- Atrium Centers (26 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Orion Operating Services LLC | 5% or greater direct ownership interest | 100% | 1 Nov 2006 |
| Leaderstat Ltd | Indirect ownership interest | 1 Jan 2025 | |
| Fifth Third Bank | 5% or greater mortgage interest | 7 Mar 2017 | |
| Atrium Centers Management LLC | Operational/managerial control | 1 Nov 2006 | |
| Orion Operating Services LLC | Operational/managerial control | 8 Sep 2006 | |
| Amicus Capital Holdings Inc | Adp of the snf | 18 Aug 2021 | |
| Amicus Properties LLC | Adp of the snf | 1 Jan 2021 | |
| Forvis Mazars LLP | Adp of the snf | 1 Jun 2023 | |
| Ocs Real Estate Holdings LLC | Adp of the snf | 1 Jan 2021 | |
| Omnicare LLC | Adp of the snf | 1 Jan 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Richland County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Country Meadow Rehabilitation and Nursing Center | Bellville | 2 of 5 | 5 | $0 | 30 May 2024 | |
| Liberty Nursing Center of Mansfield | Mansfield | 2 of 5 | 13 | $41,243 | 13 May 2025 | |
| Winchester Terrace | Mansfield | 2 of 5 | 10 | $14,015 | 2 Jul 2024 | |
| Jag Healthcare Mansfield | Mansfield | 1 of 5 | 22 | $130,240 | 1 Jul 2025 | |
| Crystal Care Center of Mansfie | Mansfield | 3 of 5 | 4 | $0 | 28 Aug 2024 | |
| Arbors at Mifflin | Mansfield | 3 of 5 | 7 | $15,593 | 22 May 2024 | |
| Oak Grove Manor | Mansfield | 1 of 5 | 13 | $15,593 | 1 Jul 2025 | |
| Shelby Pointe | Shelby | 5 of 5 | 8 | $0 | 2 Jan 2025 | |
| Crestwood Care Center | Shelby | 2 of 5 | 12 | $232,204 | 27 Feb 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Lexington Court Care Center (CCN 366013). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/lexington-court-care-center-lexington-oh-366013/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Lexington Court Care Center last inspected?
- The latest inspection with a citation in the CMS record was on 30 Oct 2025. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 30 Jun 2022.
- Who operates Lexington Court Care Center?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Atrium Centers. The CMS ownership file names Atrium Centers Management LLC and Orion Operating Services LLC for operational or managerial control. This site does not show the names of persons.
- Is Lexington Court Care Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 5 homes in Ohio as Special Focus Facilities and 25 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.