Nursing homeActive

Lexington Court Care Center

250 Delaware St, Lexington, OH 44904419884200075 certified beds · 71 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2019
Deficiencies
23
1211
Penalties · 3 yrs
none on file
Last survey
2025-10-30
Complaint
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 3
Staffing 3
Quality 5
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Ohio Department of Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2025-10-30Complaint001CMS-2567 (Care Compare)
2025-03-27Standard040CMS-2567 (Care Compare)
2022-06-30Standard1160CMS-2567 (Care Compare)
2019-06-20Standard010CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Ohio Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2025-10-30Complaint survey · 1 deficiencyOfficial report
F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-11-14Record 366013-20251030-F744
2025-03-27Standard survey · 4 deficienciesOfficial report
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-22Record 366013-20250327-F657
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-22Record 366013-20250327-F806
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-04-22Record 366013-20250327-F812
F926Have policies on smoking.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-22Record 366013-20250327-F926
2022-06-30Standard survey · 17 deficienciesOfficial report
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-07-26Record 366013-20220630-F558
F637Assess the resident when there is a significant change in conditionScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-07-26Record 366013-20220630-F637
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-07-26Record 366013-20220630-F641
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-07-26Record 366013-20220630-F655
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-07-26Record 366013-20220630-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-07-26Record 366013-20220630-F657
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-07-26Record 366013-20220630-F677
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-07-26Record 366013-20220630-F684
F685Assist a resident in gaining access to vision and hearing services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-07-26Record 366013-20220630-F685
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-07-26Record 366013-20220630-F690
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-07-26Record 366013-20220630-F692
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-07-26Record 366013-20220630-F761
F803Ensure 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.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-07-26Record 366013-20220630-F803
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-07-26Record 366013-20220630-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-07-26Record 366013-20220630-F812
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity FStandard
Care planningRecords
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-07-26Record 366013-20220630-F842
F576Ensure residents have reasonable access to and privacy in their use of communication methods.Scope/severity CPaperwork
Dignity & rights
Widespread; potential for minimal harm.Corrected 2022-07-26Record 366013-20220630-F576
2019-06-20Standard survey · 1 deficiencyOfficial report
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-08-09Record 366013-20190620-F623

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.65
Facility
Ohio
National
Ohio 0.64 · National 0.69
Total nurse hours per resident day2.89
Facility
Ohio
National
Ohio 3.69 · National 3.86
Weekend total nurse hours2.50
Facility
Ohio
National
Ohio 3.28 · National 3.42
Total nursing staff turnover47%
Facility
Ohio
National
Ohio 49% · National 46%
Registered nurse turnover0%
Facility
Ohio
National
Ohio 44% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityOhioNational
Percentage of long-stay residents with pressure ulcers
lower is better
2.8%3.4%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
0.4%3.2%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
3.0%8.8%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.0%0.4%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.1%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
21.7%5.3%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
7.9%6.2%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
19.5%25.5%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Orion Operating Services LLC
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Albright Ross, Susan
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Anderson, Curt
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Atrium Centers Management LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Cherry, Jill
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Freundlich, Thomas
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Hall, Rhonda
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Heller, David
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Johnson, Cindy
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Orion Operating Services LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Sablan, Meghan
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Snyder, Josh
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Albright Ross, Susan
Individual
ADP OF THE SNFNOT APPLICABLE
Albright Ross, Susan
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Amicus Capital Holdings Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Amicus Properties LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Anderson, Curt
Individual
ADP OF THE SNFNOT APPLICABLE
Cherry, Jill
Individual
ADP OF THE SNFNOT APPLICABLE
Fifth Third Bank
Organization
5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
Forvis Mazars LLP
Organization
ADP OF THE SNFNOT APPLICABLE
Freundlich, Thomas
Individual
ADP OF THE SNFNOT APPLICABLE
Hall, Rhonda
Individual
ADP OF THE SNFNOT APPLICABLE
Heller, David
Individual
ADP OF THE SNFNOT APPLICABLE
Heller, David
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Johnson, Cindy
Individual
ADP OF THE SNFNOT APPLICABLE
Johnson, Cindy
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Leaderstat Ltd
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Ocs Real Estate Holdings LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Omnicare LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Paredes, Miguel
Individual
ADP OF THE SNFNOT APPLICABLE
Plante & Moran Pllc
Organization
ADP OF THE SNFNOT APPLICABLE
Sablan, Meghan
Individual
ADP OF THE SNFNOT APPLICABLE
Snyder, Josh
Individual
ADP OF THE SNFNOT APPLICABLE
Part of a chain
Atrium Centers26 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Ohio.

No county cost figures on file for Richland.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Country Meadow Rehabilitation And Nursing Center
Bellville
3.6 mi2024-05-30050
Liberty Nursing Center Of Mansfield
Mansfield
5.7 mi2025-05-130161
Winchester Terrace
Mansfield
6.0 mi2025-12-312112
Jag Healthcare Mansfield
Mansfield
6.7 mi2025-07-010391
Crystal Care Center Of Mansfie
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7.6 mi2026-06-30040
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01