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Lexington Medical Center Extended Care
Nursing Home & Memory Care · Lexington, SC
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Exterior view of the facility with landscaped grounds Covered entrance of Lexington Medical Center Extended Care Interior view of a shared resident room with two beds Beautiful outdoor space with a pond and bench Scenic view of a pond with trees and a fountain

Lexington Medical Center Extended Care

Nursing Home & Memory Care · Lexington, SC
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
815 Old Cherokee Rd, Lexington, SC 29072-8115 View map Calculator: See prices in your area
Lexington Medical Center Extended Care accepts Medicare, Medicaid, and private pay.
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Lexington Medical Center Extended Care accepts Medicare, Medicaid, and private pay.

Overview of Lexington Medical Center Extended Care

Lexington Medical Center Extended Care offers long-term care, short-term rehabilitation, memory care, and respite care in Lexington, South Carolina. Lexmed Inc operates the 388-bed nursing home under the Lexington County Health Services District. The facility is the largest certified skilled nursing facility in South Carolina by bed count and accepts Medicare, Medicaid, and private pay. CMS rates the facility 1 out of 5 stars overall. Health Inspection sub-rating runs 63.6% below the South Carolina average, the primary driver of the overall score. Quality Measures also trail the state benchmark by 42.7%. Staffing is the one clear strength: nurse staffing averages 4 hours and 27 minutes per resident per day, 9% above the South Carolina average. Weekend nursing coverage is 13% above the state norm, which is meaningful in a facility of this size and acuity. The facility is supported by on-site physical, occupational, and respiratory therapy staff. Occupancy is 81.7%, essentially in line with the state average. The average length of stay of 152 days indicates a predominantly long-term resident population. Lexington Medical Center Extended Care is best suited for residents seeking long-term care and post-acute recovery in Lexington County, with the capacity and therapy staffing to support complex, ongoing care needs.

Facility Direct Line (803) 359-5181
Facility Direct Line (803) 359-5181

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to state averages

Total nursing care / resident Info Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 27m per day
Rank #30 / 121Nurse hours — State benchmarkedThis home is ranked 30th out of 121 homes in South Carolina. Shows adjusted nurse hours per resident per day benchmarked to the South Carolina average, with a ranking across 121 South Carolina facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in South Carolina that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 33m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 1h 17m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 2h 21m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 3h 44m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 3m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent. 19m per day

Capacity and availability

Avg. Length of Stay
152 days
Bed community size
388-bed community Rank #1 / 309Bed count — State benchmarkedThis home is ranked 1st out of 309 homes in South Carolina. Shows this facility's certified or reported bed count compared to other South Carolina facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Rankings are based only on facilities in South Carolina that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A large-scale community that may provide a wide range of amenities, services, and structured programs.

About this community

Occupancy

Occupancy rate
82%
Rank #83 / 131Occupancy rate — State benchmarkedThis home is ranked 83rd out of 131 homes in South Carolina. Shows this facility's occupancy rate versus the South Carolina average, with its Statewide rank out of 131. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in South Carolina that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Similar to the South Carolina average: 82.1%
Occupied beds
317 / 388
Average occupied beds in South Carolina homes 90 beds

License Details

Facility TypeHl- Nursing Home
StatusActive
CountyLexington
License NumberNCF-0730
Business TypeCounty
CMS Certification Number425321

Ownership & Operating Entity

Lexington Medical Center Extended Care is legally operated by Lexmed Inc, and administered by Kathryn Gill.

Owner NameLexmed Inc

Type Of Units

Institutional Nursing Home
388 units
Total beds
388 units

Staffing

Key information about the people who lead and staff this community.

Leadership

Administrator Emailkdgill@lexhealth.org

Therapy & Rehabilitation

1 service
Rehabilitation Services

State Programs & Certifications (VT)

CMS Certified

Contact Information

Email kdgill@lexhealth.org

Contact Lexington Medical Center Extended Care

Health Inspection History

Inspections since 2022
Total health inspections 7

State average N/A

Last Health inspection on Jul 2025

Total health citations
16 Rank #85 / 122Health citations — State benchmarkedThis home is ranked 85th out of 122 homes in South Carolina. Shows this facility's total health deficiency citations benchmarked to the South Carolina State average, with a ranking across all 122 SC facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in South Carolina that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
2.29 Rank #30 / 122Citations per inspection — State benchmarkedThis home is ranked 30th out of 122 homes in South Carolina. Shows average deficiency citations per CMS inspection for this facility versus the South Carolina mean across 122 facilities with citation data. Lower is better.Rankings are based only on facilities in South Carolina that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

10 of 16 citations resulted from standard inspections; and 6 of 16 resulted from complaint investigations.

Breakdown of citation severity (last 4 years)
Critical health citations
3
In line with State average

State average: N/A

Serious health citations
0
In line with State average

State average: N/A

3 critical citations State average: N/A
0 serious citations State average: N/A
13 moderate citations State average: N/A
0 minor citations State average: N/A
Citations history (last 4 years)
Abuse/Neglect moderate citation Jul 25, 2025
Corrected
Abuse/Neglect moderate citation Jul 25, 2025
Corrected
Infection Control moderate citation Jul 25, 2025
Corrected
Care Planning moderate citation Jul 25, 2025
Corrected

Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 388
Employees 385
Contractors 3
Staff to resident ratio 1.46 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 164
Average shift 8.6 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 130,225

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 33 RN Staff are full-time employees. No contractors work on this role. 33
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 101 LPN Staff are full-time employees. No contractors work on this role. 101
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.1 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 171 CNA Staff are full-time employees. No contractors work on this role. 171
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

0.2%

275 contractor hours this quarter

Occupational Therapy Assistant: 2 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant171017162,58392100%8.8
Licensed Practical Nurse101010133,41492100%9.1
Registered Nurse330339,44892100%8.1
Clinical Nurse Specialist110114,6907076%8.3
Dietitian100104,4998693%7.5
Speech Language Pathologist100102,5197784%7.5
Mental Health Service Worker6062,2996672%8.4
Physical Therapy Aide7071,7207582%7.5
Occupational Therapy Aide3031,3376975%8
Respiratory Therapy Technician5051,3067177%7.2
Qualified Social Worker8081,1537278%5.5
Qualified Activities Professional8081,14592100%11.2
Physical Therapy Assistant6061,1007784%7.8
RN Director of Nursing2029546368%8
Other Dietary Services Staff2028248188%6.4
Nurse Practitioner1015206571%8
Administrator1014405560%8
Occupational Therapy Assistant0222723942%6.1
Medical Director011333%1
171 Certified Nursing Assistant
% of Days 100%
101 Licensed Practical Nurse
% of Days 100%
33 Registered Nurse
% of Days 100%
11 Clinical Nurse Specialist
% of Days 76%
10 Dietitian
% of Days 93%
10 Speech Language Pathologist
% of Days 84%
6 Mental Health Service Worker
% of Days 72%
7 Physical Therapy Aide
% of Days 82%
3 Occupational Therapy Aide
% of Days 75%
5 Respiratory Therapy Technician
% of Days 77%
8 Qualified Social Worker
% of Days 78%
8 Qualified Activities Professional
% of Days 100%
6 Physical Therapy Assistant
% of Days 84%
2 RN Director of Nursing
% of Days 68%
2 Other Dietary Services Staff
% of Days 88%
1 Nurse Practitioner
% of Days 71%
1 Administrator
% of Days 60%
2 Occupational Therapy Assistant
% of Days 42%
1 Medical Director
% of Days 3%
View All Staffing Data

Penalties and fines

Includes penalties issued in 2023-2024

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $52K Rank #108 / 123Federal fines — State benchmarkedThis home is ranked 108th out of 123 homes in South Carolina. Shows this facility's cumulative CMS federal fine dollars versus the South Carolina average among facilities with fines, and where it ranks among 123 facilities in the pool. Lower total dollars mean a better rank.Rankings are based only on facilities in South Carolina that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
54% higher than State average

State average: $34K

Number of fines 4
64% more fines than State average

State average: 2.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than State average

State average: 0.1

Fines amount comparison
Fines amount comparison
This facility $52K
State average $34K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

2 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jul 3, 2024
$6K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Sep 26, 2023
$24K

Last updated: Jan 2026

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 9.6
10% worse than State average

State average: 8.7

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 14.8
In line with State average

State average: 15.5

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 10.7%
18% better than State average

State average: 13.1%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 24.7%
52% worse than State average

State average: 16.2%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 8.9%
48% better than State average

State average: 17.0%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.9%
In line with State average

State average: 3.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.0%
19% better than State average

State average: 6.1%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.4%
16% better than State average

State average: 1.6%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.9%
21% better than State average

State average: 6.2%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.7%
37% better than State average

State average: 2.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 27.1%
87% worse than State average

State average: 14.5%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.6%
10% better than State average

State average: 90.5%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.9%
9% better than State average

State average: 90.6%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.8%
24% better than State average

State average: 79.5%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.7%
58% better than State average

State average: 1.7%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 94.8%
21% better than State average

State average: 78.0%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Breakdown by payment type

Medicare

36% of new residents, usually for short-term rehab.

Typical stay 23 days

Private pay

50% of new residents, often for short stays.

Typical stay 3 - 4 months

Medicaid

14% of new residents, often for long-term daily care.

Typical stay 2 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 265
Medicare
28
10.6% of residents
Medicaid
177
66.8% of residents
Private pay or other
60
22.6% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 09/2023.

Nonprofit
Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$34.3M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$4.7M
Nonprofit Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$34.3M Rank #4 / 125Revenue — State benchmarkedThis home is ranked 4th out of 125 homes in South Carolina. Shows this facility's annual revenue compared to the South Carolina average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in South Carolina that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$4.7M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$1.9M
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #2 / 125Payroll — State benchmarkedThis home is ranked 2nd out of 125 homes in South Carolina. Shows total annual staff payroll benchmarked to the South Carolina average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in South Carolina that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$26.2M 76.5% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #9 / 125Payroll % — State benchmarkedThis home is ranked 9th out of 125 homes in South Carolina. Shows payroll as a percentage of revenue versus the South Carolina average. Well-run South Carolina facilities typically land around 53–64% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in South Carolina that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$12.8M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$39.1M
How we calculate these figures

This home is administered by Kathryn Gill.

This home is owned by Lexington County Health Services District Inc

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 425321

Show certification details

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Most new residents arrive under private pay (50% of admissions), and a typical private pay stay runs around 3 - 4 months.

Admissions
746 total

Coverage residents most often arrive under.

Medicare 36%
Private pay 50%
Medicaid 14%
Discharges
715 total

Coverage residents most often leave under.

Medicare 30%
Private pay 53%
Medicaid 17%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

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Address 815 Old Cherokee Rd, Lexington, SC 29072-8115

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Frequently Asked Questions about Lexington Medical Center Extended Care

What neighborhood is Lexington Medical Center Extended Care in?

Lexington Medical Center Extended Care is in the USA neighborhood of LEXINGTON.

Who is the owner of Lexington Medical Center Extended Care?

Lexington Medical Center Extended Care is legally operated by Lexmed Inc, and administered by Kathryn Gill.

What is the license number of Lexington Medical Center Extended Care?

According to SC state health department records, Lexington Medical Center Extended Care's license number is NCF-0730.

What is the occupancy rate at Lexington Medical Center Extended Care?

Lexington Medical Center Extended Care's occupancy is 82%.

What is the best email address for Lexington Medical Center Extended Care?

The team at Lexington Medical Center Extended Care can be reached at KDGILL@LEXHEALTH.ORG.

Does Lexington Medical Center Extended Care operate as a for-profit or non-profit?

Lexington Medical Center Extended Care is registered as a non-profit in SC.

Who is the administrator of Lexington Medical Center Extended Care?

Kathryn Gill is the administrator of Lexington Medical Center Extended Care.

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