Inspection Reports for
Lexington Manor Senior Care
56 Rockport Road, Lexington, MS, 39095
Back to Facility Profile20 Reports
Inspection Report — Aug 19, 2025
Complaint Investigation
Date: Aug 19, 2025
Visit Reason
The State Agency conducted Complaint Investigations (CI), MS #2582590 and MS #2563089 related to allegations of abuse at the facility on 08/19/25.
Complaint Details
Complaint Investigations MS #2582590 and MS #2563089 related to allegations of abuse were conducted; the facility was found in compliance with no deficiencies cited.
Findings
The facility was found in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement. There were no deficiencies cited.
Report Facts
Complaint Investigations: 2
Inspection Report — Jun 18, 2025
Complaint Investigation
Date: Jun 18, 2025
Visit Reason
On 06/18/25 the State Agency (SA) conducted an onsite complaint investigation for CI MS #28337.
Complaint Details
Complaint CI MS #28337 was investigated and found to be unsubstantiated; no deficiencies were cited.
Findings
The SA determined that the facility was in compliance with the Standards for Participation in Medicare and Medicaid and no deficiencies were cited.
Report Facts
Complaint investigations: 1
Inspection Report — Nov 18, 2024
Annual Inspection
Date: Nov 18, 2024
Visit Reason
On 11/18/24 the State Agency (SA) conducted a desk review of the information that was provided to our agency related to the annual survey that was completed on 10/17/24. The information provided by the facility confirmed the facility had put measures in place to correct the deficient practice and sustain compliance with Medicare and Medicaid requirements of participation.
Findings
The State Agency is recommending that the facility be placed back in compliance effective 11/13/24. No deficiencies were cited in this desk review.
Inspection Report — Oct 17, 2024
Annual Inspection
Date: Oct 17, 2024
Visit Reason
The State Agency conducted an annual recertification survey at the facility from 10/15/24 through 10/17/24. During the survey, the SA determined that the facility was not in compliance with the requirements of participation in Medicare and Medicaid and cited F641, F656, and F689.
Findings
The facility was found not in compliance with Medicare and Medicaid participation requirements due to deficiencies in accuracy of assessments, development and implementation of comprehensive care plans, and ensuring a safe environment free of accident hazards.
Deficiencies (3)
F0641 - Accuracy of Assessments. The facility failed to accurately complete an Annual Minimum Data Set (MDS) for one resident with serious mental illness, resulting in incorrect documentation of the resident's PASRR status.
F0656 - Develop/Implement Comprehensive Care Plan. The facility failed to implement a smoking care plan for one resident who smoked without wearing the required protective smoking apron.
F0689 - Free of Accident Hazards/Supervision/Devices. The facility failed to provide a required smoking protection assistive device (smoking apron) to one resident, placing the resident at risk of injury from cigarette burns.
Report Facts
Deficiencies cited: 3
Inspection Report — Oct 15, 2024
Life Safety
Date: Oct 15, 2024
Visit Reason
Survey conducted on 10/15/24 reveals the above facility meets all applicable Federal, State and local emergency preparedness requirements. The facility meets the applicable provisions of the 2012 (existing) Edition of the Life Safety Code (LSC) of the National Fire Protection Association (NFPA).
Findings
No deficiencies were cited in the emergency preparedness or life safety code surveys.
Inspection Report — Sep 19, 2023
Annual Inspection
Date: Sep 19, 2023
Visit Reason
On 09/19/23 the State Agency conducted a desk review of the information provided related to the annual survey completed on 08/10/23. The facility confirmed measures were put in place to correct the deficient practice and sustain compliance with Medicare and Medicaid requirements.
Findings
The State Agency is recommending that the facility be placed back in compliance effective 09/13/23. No deficiencies were cited in this desk review.
Inspection Report — Aug 10, 2023
Annual Inspection
Date: Aug 10, 2023
Visit Reason
The State Agency (SA) conducted an annual recertification at the facility from 8/08/23 through 8/10/23. During the survey, the SA determined that the facility was not in compliance with the requirements of participation in Medicare and Medicaid and cited F656, F677, F689 and F761.
Findings
The facility was found not in compliance with Medicare and Medicaid participation requirements, citing deficiencies in comprehensive care planning, ADL care, accident hazards, and drug storage. The facility failed to implement an ADL care plan for one resident, maintain a safe environment free of hazards, and properly store narcotics and hazardous medications.
Deficiencies (4)
F0656 - The facility failed to implement an Activities of Daily Living care plan for one of 20 care plans reviewed, as evidenced by Resident #48 having long fingernails with a dark brown substance underneath, despite requiring total assistance with personal hygiene.
F0677 - The facility failed to provide nail care for a resident dependent on staff for ADLs, as Resident #48 had long fingernails with a brown substance underneath, posing a risk for infection and injury.
F0689 - The facility failed to maintain an environment free from accident hazards when an office door behind the nursing desk was left open and unsecured with hazardous items including Hibiclens, hydrogen peroxide, syringes with needles, butterfly needles, vacutainers, and COVID testing solution visible and accessible.
F0761 - The facility failed to store narcotics properly in a permanently affixed locked compartment in the refrigerator, as Lorazepam vials were found unsecured in plastic bags outside the locked box. Additionally, the office door behind the nursing desk was left open and unsecured with hazardous items accessible.
Report Facts
Deficiencies cited: 4
Inspection Report — Aug 9, 2023
Life Safety
Date: Aug 9, 2023
Visit Reason
The facility was surveyed for compliance with the 2012 (existing) Edition of the Life Safety Code (LSC) of the National Fire Protection Association (NFPA).
Findings
There were no Life Safety Code deficiencies cited during this survey. The facility met the applicable provisions of the 2012 Edition of the Life Safety Code.
Inspection Report — Jan 25, 2022
Annual Inspection
Date: Jan 25, 2022
Visit Reason
On 01/25/22 the State Agency (SA) conducted a desk review of the information that was provided to our agency related to the annual survey that was conducted on 12/2/21. The information provided by the facility confirmed the facility had put measures in place to correct the deficient practice and sustain compliance with Medicare and Medicaid requirements of participation.
Findings
The State Agency is recommending that the facility be placed back in compliance effective 01/14/22. No deficiencies were cited in this desk review.
Inspection Report — Dec 2, 2021
Annual Inspection
Date: Dec 2, 2021
Visit Reason
The State Agency (SA) conducted an annual recertification survey at the facility from 11/29/2021 through 12/2/2021. During the survey, the SA determined that the facility was not in compliance with the requirements of participation in Medicare and Medicaid and cited regulatory deficiencies F677, F695, F812, and F880.
Findings
The facility was found not in compliance with Medicare and Medicaid participation requirements due to deficiencies in ADL care, respiratory care, food safety, and infection prevention and control.
Deficiencies (4)
F0677 - The facility failed to provide nail care for a resident dependent on ADLs, evidenced by brown substance and jagged nails on Resident #26.
F0695 - The facility failed to ensure proper labeling of oxygen tubing and humidifier bottles and failed to place oxygen in use signage on resident doors for four residents receiving oxygen therapy.
F0812 - The facility failed to prevent potential food borne illness by storing and using food past expiration and use-by dates, including buttermilk and fruit cocktail.
F0880 - The facility failed to prevent possible spread of infection by not cleaning and disinfecting multi-use vital sign equipment between resident use.
Report Facts
Deficiencies cited: 4
Inspection Report — Dec 1, 2021
Life Safety
Date: Dec 1, 2021
Visit Reason
Survey conducted on 12/01/21 reveals the above facility meets all applicable Federal, State and local emergency preparedness requirements.
Findings
The facility was found to be in compliance with all applicable Federal, State and local emergency preparedness requirements.
Inspection Report — Dec 1, 2021
Routine
Date: Dec 1, 2021
Visit Reason
This facility was surveyed under the Centers for Medicare Medicaid Services (CMS) COVID-19 Emergency Declaration Blanket 1135 Waivers for Health Care Provider.
Findings
There were no Life Safety Code deficiencies cited during this survey.
Inspection Report — Aug 19, 2021
Routine
Date: Aug 19, 2021
Visit Reason
A COVID-19 Focused Infection Control Survey and a Complaint Investigation (CI) #17690, was conducted by State Agency (SA) on 8/18/21 through 8/19/21.
Complaint Details
Complaint Investigation (CI) #17690 was unsubstantiated for discharge rights and for resident rights.
Findings
The facility was found to be in compliance with infection control regulations and has implemented the Centers for Medicare and Medicaid (CMS) and the Centers for Disease Control and Prevention (CDC) recommended practices to prepare for COVID-19.
Report Facts
Complaint investigations: 1
Inspection Report — Aug 19, 2021
Routine
Date: Aug 19, 2021
Visit Reason
The State Agency (SA) conducted a Focused Infection Control (FIC) and a Complaint survey, MS #17690 from 8/18/21 through 8/19/21.
Complaint Details
Complaint MS #17690 was investigated and not substantiated.
Findings
The SA did not substantiate the complaints and determined the facility was in compliance with the Mississippi Regulations for Minimum Standards for Institutions for Aged or Infirm with no deficiencies cited.
Inspection Report — Nov 30, 2020
Routine
Date: Nov 30, 2020
Visit Reason
The survey was conducted to assess the facility's compliance with COVID-19 reporting requirements to the CDC's National Healthcare Safety Network.
Findings
The facility failed to report complete information about COVID-19 to the CDC's National Healthcare Safety Network during a seven-day period as required by regulation.
Deficiencies (1)
F0884 - The facility failed to report complete COVID-19 information to the CDC's National Healthcare Safety Network between 11/23/2020 and 11/29/2020 as required by regulation.
Report Facts
Deficiencies cited: 1
Inspection Report — Nov 23, 2020
Routine
Date: Nov 23, 2020
Visit Reason
The facility was surveyed for compliance with COVID-19 reporting requirements as specified by CMS and CDC.
Findings
The facility failed to report complete information about COVID-19 to the CDC's National Healthcare Safety Network during a seven-day period, which has the potential to cause more than minimal harm to all residents.
Deficiencies (1)
F0884 - The facility failed to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a seven-day period as required by regulation.
Report Facts
Deficiencies cited: 1
Inspection Report — Aug 24, 2020
Routine
Date: Aug 24, 2020
Visit Reason
The facility was surveyed for compliance with COVID-19 reporting requirements to the CDC's National Healthcare Safety Network.
Findings
The facility failed to report complete information about COVID-19 to the CDC's National Healthcare Safety Network during a seven-day period as required by regulation.
Deficiencies (1)
F0884 - Reporting - National Health Safety Network. The facility failed to report complete information about COVID-19 to the CDC's National Healthcare Safety Network during a seven-day period.
Report Facts
Deficiencies cited: 1
Inspection Report — Jun 24, 2020
Routine
Date: Jun 24, 2020
Visit Reason
A Covid-19 Focused Infection Control Survey was conducted by the State Agency (SA) on 6/24/20.
Findings
The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and has implemented the CMS and Centers for Disease Control and Prevention (CDC) recommended practices to prepare for COVID-19.
Inspection Report — Oct 24, 2019
Complaint Investigation
Date: Oct 24, 2019
Visit Reason
The State Survey Agency (SA) conducted a complaint investigation on 10/24/19.
Complaint Details
Complaint investigation CI MS #15994, CI MS #16046, CI MS #16254, CI MS #16314 & CI MS #16320 were unsubstantiated with no deficiencies cited.
Findings
The investigation was unsubstantiated with no deficiencies cited. The facility was found in compliance with Medicare and Medicaid requirements for participation.
Report Facts
Complaint investigations: 5
Inspection Report — Apr 5, 2019
Annual Inspection
Date: Apr 5, 2019
Visit Reason
A standard survey was conducted at Lexington Manor Senior Care from April 2, 2019 through April 5, 2019. The standard survey revealed that the facility was in substantial compliance with the requirements of participation in Medicare/Medicaid.
Findings
The facility was found to be in substantial compliance with no deficiencies cited during the survey.
Report Facts
Deficiencies cited: 0
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