Above average — CMS composite of the measures below.
The next survey window likely opens around March 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Lexington Nursing Home, Inc. during CMS and state inspections, most recent first.
A resident with heart disease, muscle wasting and atrophy, and muscle weakness developed an open area on the lateral side of the left foot, and new physician orders were written for wound care and a heel protection boot. The care plan was not updated to include the new wound or the heel protector boot, and an LPN stated these items should have been care planned.
A CNA emptied a resident’s catheter and then continued assisting with the resident’s transfer without changing gloves or performing hand hygiene. The resident required substantial to maximum assistance with bed mobility, transfers, and catheter care, and the facility policy required glove removal and hand hygiene before continuing care.
A facility failed to include diabetic monitoring in a care plan for a resident with type II diabetes mellitus. Despite physician orders for blood sugar monitoring and medication administration, the care plan lacked documentation of these measures. The MDS coordinator was unaware of the need to include diabetic monitoring in the care plan.
A resident with Alzheimer's and balance issues experienced multiple falls, but the facility failed to update the care plan with new fall prevention interventions as required by their policy. Despite several falls, including those with injuries, the care plan remained unchanged, which was acknowledged by the MDS coordinator and DON.
The facility failed to accurately code medications on MDS assessments for two residents. One resident with Alzheimer's was incorrectly documented as receiving an anticoagulant, and another with acute cystitis was incorrectly documented as receiving an antidepressant. The MDS coordinator confirmed the inaccuracies after reviewing the EHR.
Care Plan Not Revised for New Wound and Heel Protector
Penalty
Summary
The facility failed to revise the care plan for Resident #19 related to wound care. Record review showed the resident was admitted with diagnoses including heart disease, muscle wasting and atrophy, and muscle weakness. A progress note dated 04/20/26 documented an open area on the lateral side of the left foot and new physician orders for wound care and for the resident to wear a heel protection boot on the left foot. The care plan was not updated to include the new open area or the heel protector boot. During interview on 04/30/26 at 12:59 p.m., LPN #1 stated the new wound and the heel protector should have been care planned.
Infection Control Lapse During Catheter Care
Penalty
Summary
Provide and implement an infection prevention and control program was deficient when staff failed to maintain proper infection control during catheter care for one resident. On 04/27/2026 at 8:06 a.m., two CNAs were observed donning gowns and gloves to assist the resident out of bed. One CNA emptied the resident’s catheter into a urinal and disposed of the urine in the toilet, then returned to assist with transferring the resident from bed to wheelchair without changing gloves or performing hand hygiene after the catheter care. The facility’s Perineal Care Policy and Procedure, updated May 2022, required gloves for catheter care, disposal of soiled supplies in the appropriate trash bag, and removal of gloves with hand hygiene before donning clean gloves to continue care. The resident’s quarterly assessment dated 11/03/25 showed the resident was cognitively intact, required substantial to maximum assistance with bed mobility, transfers, and catheter care, and had contracted left hand and foot.
Failure to Document Diabetic Monitoring in Care Plan
Penalty
Summary
The facility failed to develop a comprehensive care plan for a resident with type II diabetes mellitus, which was identified during a review of unnecessary medications. The resident was admitted with a diagnosis of diabetes and had several physician orders related to diabetic care, including finger stick blood sugar monitoring and administration of insulin and Trulicity. Despite these orders, the care plan reviewed did not document the resident's diabetic monitoring. The MDS coordinator acknowledged the omission, stating they were unaware that diabetic monitoring needed to be included in the care plan.
Failure to Revise Care Plan After Resident Falls
Penalty
Summary
The facility failed to revise the care plan related to falls for a resident with Alzheimer's disease, seizures, and an overactive bladder. The resident had a documented potential for falls due to balance problems, a history of falls prior to admission, and was on routine antidepressant medication. Despite multiple falls occurring over a period of time, the care plan was not updated with additional fall prevention interventions. Incident reports documented several falls, including those with injuries, but no new interventions were added to the care plan after these incidents. The facility's policy on managing falls and fall risk required staff to implement additional or different interventions if falls recurred, or to document why the current approach remained relevant. However, the care plan for the resident was not revised after each fall, contrary to the facility's policy. The MDS coordinator acknowledged that the care plan should have been updated after every fall, and the DON confirmed that fall prevention interventions should have been documented on the care plan following each incident.
Inaccurate Medication Coding on MDS Assessments
Penalty
Summary
The facility failed to ensure accurate coding of medications on Minimum Data Set (MDS) assessments for two residents. Resident #1, diagnosed with Alzheimer's disease, was documented as receiving an anticoagulant in a quarterly assessment, but there was no evidence of anticoagulant administration during the look-back period. Similarly, Resident #3, diagnosed with acute cystitis, was documented as receiving an antidepressant, yet there was no documentation of antidepressant administration during the look-back period. On June 27, 2024, the MDS coordinator reviewed the electronic health records (EHR) and confirmed that the MDS assessments for both residents were inaccurately coded regarding their medications. This discrepancy was identified through record review and interviews, highlighting a failure in the facility's process to ensure accurate medication coding on MDS assessments.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Lexington
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Broadway Living Center | 0.6 mi | ★★★★★ | 0 | 0 |
| Purcell Care Center | 2.2 mi | ★★★★★ | 1 | 0 |
| Sunset Estates Of Purcell | 2.3 mi | ★★★★★ | 0 | 0 |
| Noble Health Care Center | 10.7 mi | ★★★★★ | 2 | 0 |
| 24th Place | 16.2 mi | ★★★★★ | 13 | 1 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.