Nursing HomeInspections

Lexington Court Care Center

Nursing home in Lexington, OH

Medicare & Medicaid certified4★ overall (CMS)

Call (419) 884-2000Send a messageMap ↗

Public-record details

Address
250 Delaware St, Lexington, OH 44904
Phone
(419) 884-2000
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
366013
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
3 of 5
Staffing rating
3 of 5
Quality measures rating
5 of 5
Certified beds
75
Average residents per day
71
Ownership
For-profit, corporation
Legal business name
Orion Lexington LLC
Chain
Atrium Centers (26 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Aug 1, 1995
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 366013. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 27, 2025. CMS lists 23 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 20, 2019 to Oct 30, 2025): 1 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Oct 30, 2025Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Mar 27, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 27, 2025Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Mar 27, 2025Have policies on smoking.
Environmental		D
Potential for more than minimal harm, isolated
Mar 27, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Jun 30, 2022Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights		C
Potential for minimal harm, widespread
Jun 30, 2022Reasonably accommodate the needs and preferences of each resident.
Resident Rights		D
Potential for more than minimal harm, isolated
Jun 30, 2022Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jun 30, 2022Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jun 30, 2022Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jun 30, 2022Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jun 30, 2022Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 23. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
2.89 hours
Registered nurse (RN) time per resident per day
0.65 hours
Nurse aide time per resident per day
1.71 hours
Total nurse staffing on weekends
2.50 hours
Nursing staff turnover (yearly)
47%
RN turnover (yearly)
0%
Administrators who left in the past year
2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.