Total health inspections
7
South Carolina average 3.9
Last Health inspection on Jul 2025
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.
Lexington Medical Center Extended Care
Nursing Home · South Carolina, SC
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Lexington Medical Center Extended Care
Nursing Home · South Carolina, SC
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Lexington Medical Center Extended Care accepts Medicare, Medicaid, and private pay.
Lexington Medical Center Extended Care provides extended care for recovery in a comfortable environment. The facility offers long-term care and rehabilitation services. Visitors are welcome at any time without an appointment.
Quality ratings
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.
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.
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.
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
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.
Total nursing care / resident
This home is ranked 26th out of 112 homes in South Carolina. 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.
This home is ranked 26th out of 112 homes in South Carolina. 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 #26 / 112Nurse hours — State benchmarkedThis home is ranked 26th out of 112 homes in South Carolina. Shows adjusted nurse hours per resident per day benchmarked to the South Carolina average, with a ranking across 112 South Carolina SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs South Carolina avg
+9%
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
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 |
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
81.7%
Rank #77 / 121Occupancy rate — State benchmarkedThis home is ranked 77th out of 121 homes in South Carolina. Shows this facility's occupancy rate versus the South Carolina average, with its Statewide rank out of 121. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
152 days
Occupancy rate
81.7%
Rank #77 / 121Occupancy rate — State benchmarkedThis home is ranked 77th out of 121 homes in South Carolina. Shows this facility's occupancy rate versus the South Carolina average, with its Statewide rank out of 121. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
152 days
388-bed community Rank #1 / 312Bed count — State benchmarkedThis home is ranked 1st out of 312 homes in South Carolina. Shows this facility's certified or reported bed count compared to other South Carolina SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.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
Facility TypeNursing Homes
StatusActive
License NumberNCF-0730
CMS Certification Number425321
Lexington Medical Center Extended Care is administrated by Kathryn Gill.
Owner NameLexmed Inc
Rehabilitation Services
Email
[email protected]
Specific ProgramsJobs
Health Inspection History
Inspections
Total health citations
16
Rank #79 / 113Health citations — State benchmarkedThis home is ranked 79th out of 113 homes in South Carolina. Shows this facility's total health deficiency citations benchmarked to the South Carolina State average, with a ranking across all 113 SC SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
South Carolina average 13.7
Citations per inspection
2.29
Rank #27 / 113Citations per inspection — State benchmarkedThis home is ranked 27th out of 113 homes in South Carolina. Shows average deficiency citations per CMS inspection for this facility versus the South Carolina mean across 113 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
South Carolina average 3.44
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
200% worse than South Carolina averageSouth Carolina average: 1
Serious Health citations
0
100% better than South Carolina averageSouth Carolina average: 0.3
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
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
20% worse than South Carolina average
Avg staff/day
164
Average shift
8.6 hours
9% better than South Carolina average
Total staff hours (quarter)
130,225
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
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
33
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
101
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
171
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursNo contractors work on this role.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
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
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 171 | 0 | 171 | 62,583 | 92 | 100% | 8.8 |
| Licensed Practical Nurse | 101 | 0 | 101 | 33,414 | 92 | 100% | 9.1 |
| Registered Nurse | 33 | 0 | 33 | 9,448 | 92 | 100% | 8.1 |
| Clinical Nurse Specialist | 11 | 0 | 11 | 4,690 | 70 | 76% | 8.3 |
| Dietitian | 10 | 0 | 10 | 4,499 | 86 | 93% | 7.5 |
| Speech Language Pathologist | 10 | 0 | 10 | 2,519 | 77 | 84% | 7.5 |
| Mental Health Service Worker | 6 | 0 | 6 | 2,299 | 66 | 72% | 8.4 |
| Physical Therapy Aide | 7 | 0 | 7 | 1,720 | 75 | 82% | 7.5 |
| Occupational Therapy Aide | 3 | 0 | 3 | 1,337 | 69 | 75% | 8 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 1,306 | 71 | 77% | 7.2 |
| Qualified Social Worker | 8 | 0 | 8 | 1,153 | 72 | 78% | 5.5 |
| Qualified Activities Professional | 8 | 0 | 8 | 1,145 | 92 | 100% | 11.2 |
| Physical Therapy Assistant | 6 | 0 | 6 | 1,100 | 77 | 84% | 7.8 |
| RN Director of Nursing | 2 | 0 | 2 | 954 | 63 | 68% | 8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 824 | 81 | 88% | 6.4 |
| Nurse Practitioner | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Administrator | 1 | 0 | 1 | 440 | 55 | 60% | 8 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 272 | 39 | 42% | 6.1 |
| Medical Director | 0 | 1 | 1 | 3 | 3 | 3% | 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%
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 #104 / 114Federal fines — State benchmarkedThis home is ranked 104th out of 114 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 114 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
54% higher than South Carolina averageSouth Carolina average: $34K
Number of fines
4
64% more fines than South Carolina averageSouth Carolina average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than South Carolina averageSouth Carolina average: 0.1
Fines amount comparison
Fines amount comparison
This facility
$52K
South Carolina 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
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 3, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 3, 2024
$6K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 26, 2023
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.6
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 South Carolina averageSouth Carolina average: 8.7
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.8
In line with South Carolina averageSouth Carolina average: 15.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
10.7%
Percent of long-stay residents whose need for help with daily activities has increased
10.7%
18% better than South Carolina averageSouth Carolina average: 13.1%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
24.7%
Percent of long-stay residents whose ability to move independently worsened
24.7%
52% worse than South Carolina averageSouth Carolina average: 16.2%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
8.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
8.9%
48% better than South Carolina averageSouth Carolina average: 17.0%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.9%
Percent of long-stay residents experiencing one or more falls with major injury
2.9%
In line with South Carolina averageSouth Carolina average: 3.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.0%
Percent of long-stay high risk residents with pressure ulcers
5.0%
19% better than South Carolina averageSouth Carolina average: 6.1%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.4%
Percent of long-stay residents with a urinary tract infection
1.4%
16% better than South Carolina averageSouth Carolina average: 1.6%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.9%
Percent of long-stay residents who lose too much weight
4.9%
21% better than South Carolina averageSouth Carolina average: 6.2%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.7%
Percent of long-stay residents who have depressive symptoms
1.7%
37% better than South Carolina averageSouth Carolina average: 2.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
27.1%
Percent of long-stay residents who received an antipsychotic medication
27.1%
87% worse than South Carolina averageSouth Carolina average: 14.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.6%
10% better than South Carolina averageSouth Carolina average: 90.5%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.9%
9% better than South Carolina averageSouth Carolina average: 90.6%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.8%
24% better than South Carolina averageSouth Carolina average: 79.5%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
58% better than South Carolina averageSouth Carolina average: 1.7%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.8%
21% better than South Carolina averageSouth Carolina 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.
Financial Trends
Historical financial and operational data for Lexington Medical Center Extended Care based on CMS SNF Cost Reports.
Occupancy Rate
81.7%
↑ 3.2pp vs 2022
Net Income
-$2.9M
↓ ~$518.7K vs 2022
Total Payroll
$26.2M
↑ ~$315.1K vs 2022
Profit Margin
-8.0%
↓ 1.0pp vs 2022
Finances and operations
Governmental community
Home revenue
$37.9M
Operating deficit
-$2.9M
Governmental community
Home revenue
$37.9M Rank #4 / 116Revenue — State benchmarkedThis home is ranked 4th out of 116 homes in South Carolina. Shows this facility's annual revenue compared to the South Carolina SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating deficit
-$2.9M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #2 / 116Payroll — State benchmarkedThis home is ranked 2nd out of 116 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$26.2M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #2 / 116Payroll — State benchmarkedThis home is ranked 2nd out of 116 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$14.6M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$40.8M
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Lexington Medical Center Extended Care
2426.7 miles from city center
Estimated distance in miles from Lexington's city center to Lexington Medical Center Extended Care's address, calculated via Google Maps.
Calculate Travel Distance to Lexington Medical Center Extended Care
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Financial Assistance for
Nursing Home in South Carolina
Lexington Medical Center Extended Care is located in LEXINGTON, South Carolina.
Here are the financial assistance programs available to residents in South Carolina.
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?
The legal owner and operator of Lexington Medical Center Extended Care is Lexmed Inc.
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 best email address for Lexington Medical Center Extended Care?
The team at Lexington Medical Center Extended Care can be reached at [email protected].
Who is the administrator of Lexington Medical Center Extended Care?
Kathryn Gill is the administrator of Lexington Medical Center Extended Care.
How many beds does Lexington Medical Center Extended Care have?
Lexington Medical Center Extended Care has 388 beds.
What is the address of Lexington Medical Center Extended Care?
Lexington Medical Center Extended Care is located at 815 OLD CHEROKEE RD.
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