2/5
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.
2/5
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.
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.
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.
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.
This home is ranked 29th out of 118 homes in South Carolina for nurse hours. 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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 | ▼ 13% State avg: 38m per day · National avg: 41m per day |
|
LPN / LVN
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 | ▲ 28% State avg: 1h 0m per day · National avg: 52m per day |
|
Nurse Aide
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 | ▲ 6% State avg: 2h 13m per day · National avg: 2h 20m per day |
|
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 | ▲ 11% State avg: 3h 22m per day · National avg: 3h 27m per day |
|
Physical Therapist
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 | ▼ 40% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
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 | ▼ 27% State avg: 25m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Lexington Medical Center Extended Care is legally operated by Lexmed Inc, and administered by Kathryn Gill.
Key information about the people who lead and staff this community.
State average 3.9
Last Health inspection on Jul 2025
State average 13.7
State 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.
200% worse than State averageState average: 1
100% better than State averageState average: 0.3
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
20% fewer staff per resident than South Carolina average
9% better than South Carolina average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 33 RN Staff are full-time employees. No contractors work on this role.
33
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursAssists with medical care and medications.
All 101 LPN Staff are full-time employees. No contractors work on this role.
101
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursHelps with daily care and mobility.
All 171 CNA Staff are full-time employees. No contractors work on this role.
171
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
275 contractor hours this quarter
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 |
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)
54% higher than South Carolina averageSouth Carolina average: $34K
64% more fines than South Carolina averageSouth Carolina average: 2.4
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
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.
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.
Sep 26, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
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%
Percent of long-stay residents whose ability to move independently worsened
24.7%
52% worse than South Carolina averageSouth Carolina average: 16.2%
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%
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%
Percent of long-stay high risk residents with pressure ulcers
5.0%
19% better than South Carolina averageSouth Carolina average: 6.1%
Percent of long-stay residents with a urinary tract infection
1.4%
16% better than South Carolina averageSouth Carolina average: 1.6%
Percent of long-stay residents who lose too much weight
4.9%
21% better than South Carolina averageSouth Carolina average: 6.2%
Percent of long-stay residents who have depressive symptoms
1.7%
37% better than South Carolina averageSouth Carolina average: 2.8%
Percent of long-stay residents who received an antipsychotic medication
27.1%
87% worse than South Carolina averageSouth Carolina average: 14.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.6%
10% better than South Carolina averageSouth Carolina average: 90.5%
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%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.8%
24% better than South Carolina averageSouth Carolina average: 79.5%
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
58% better than South Carolina averageSouth Carolina average: 1.7%
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.
36% of new residents, usually for short-term rehab.
50% of new residents, often for short stays.
14% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
265Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Lexington Medical Center Extended Care from 2012–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 09/2023.
Based on CMS SNF Cost Report for fiscal year ending in 09/2023.
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."
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."
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."
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."
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.
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 / 121Payroll — State benchmarkedThis home is ranked 2nd out of 121 homes in South Carolina for payroll. 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.Facilities with the same value for a metric share the same 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.
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 #8 / 121Payroll % — State benchmarkedThis home is ranked 8th out of 121 homes in South Carolina for payroll %. Shows payroll as a percentage of revenue versus the South Carolina average. Well-run South Carolina facilities typically land around 52–64% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same 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.
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).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
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.
Coverage residents most often arrive under.
Coverage residents most often leave under.
815 Old Cherokee Rd, Lexington, SC 29072-8115
Add your location
Info below is compiled from CMS reports & the SC Dept. of Public Health (DPH), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| The Village at Summerville | NH AL IL MC RC SNF | Summerville (Palmetto Park) | 48
Facility
48
SC AVG
90
Rank
#266 / 307 |
83.3%
Facility
83.3%
SC AVG
84.8
Rank
#73 / 94 | -2% | 4.14
Facility
4.14
SC AVG
4.00
Rank
#41 / 118 | +3% | +4% | $0
Facility
$0
SC AVG
$34.8k
Rank
#1 / 120 | 2
Facility
2
SC AVG
13.7
Rank
#2 / 119 | 2.0
Facility
2.0
SC AVG
3.4
Rank
#14 / 119 | - | 40 | - |
45
Facility
45
SC AVG
32
Rank
#58 / 230 | Presbyterian Communities Of South Carolina | $23.7MFiscal year ending 12/2023
Facility
$23.7MFiscal year ending 12/2023
SC AVG
$13.0M
Rank
#10 / 121 | $11.7MFiscal year ending 12/2023
Facility
$11.7MFiscal year ending 12/2023
SC AVG
$5.4M
Rank
#6 / 121 | 49.2%Fiscal year ending 12/2023
Facility
49.2%Fiscal year ending 12/2023
SC AVG
44%
Rank
#75 / 121 | 425389 | ||||
| Nhc Healthcare Anderson | NH HC HOS SNF | Anderson | 290
Facility
290
SC AVG
90
Rank
#2 / 307 |
96.0%
Facility
96.0%
SC AVG
84.8
Rank
#17 / 94 | +13% | 3.53
Facility
3.53
SC AVG
4.00
Rank
#81 / 118 | -13% | -12% | $0
Facility
$0
SC AVG
$34.8k
Rank
#1 / 120 | 6
Facility
6
SC AVG
13.7
Rank
#20 / 119 | 3.0
Facility
3.0
SC AVG
3.4
Rank
#54 / 119 | - | 278 | - | - | Bradley Moorhouse | $28.4MFiscal year ending 12/2023
Facility
$28.4MFiscal year ending 12/2023
SC AVG
$13.0M
Rank
#3 / 121 | $17.7MFiscal year ending 12/2023
Facility
$17.7MFiscal year ending 12/2023
SC AVG
$5.4M
Rank
#4 / 121 | 62.5%Fiscal year ending 12/2023
Facility
62.5%Fiscal year ending 12/2023
SC AVG
44%
Rank
#71 / 121 | 425052 | ||||
| Nhc Healthcare Clinton | NH HC HOS SNF | Clinton | 131
Facility
131
SC AVG
90
Rank
#53 / 307 |
96.6%
Facility
96.6%
SC AVG
84.8
Rank
#10 / 94 | +14% | 3.83
Facility
3.83
SC AVG
4.00
Rank
#60 / 118 | +20% | -4% | $0
Facility
$0
SC AVG
$34.8k
Rank
#1 / 120 | 5
Facility
5
SC AVG
13.7
Rank
#14 / 119 | 1.7
Facility
1.7
SC AVG
3.4
Rank
#11 / 119 | - | 127 | - | - | Charles Holder | $12.8MFiscal year ending 12/2023
Facility
$12.8MFiscal year ending 12/2023
SC AVG
$13.0M
Rank
#46 / 121 | $8.3MFiscal year ending 12/2023
Facility
$8.3MFiscal year ending 12/2023
SC AVG
$5.4M
Rank
#36 / 121 | 64.7%Fiscal year ending 12/2023
Facility
64.7%Fiscal year ending 12/2023
SC AVG
44%
Rank
#68 / 121 | 425071 | ||||
| Lakes at Litchfield Assisted Living | NH AL IL MC SNF | Pawleys Island | 79
Facility
79
SC AVG
90
Rank
#172 / 307 | - | - | 4.83
Facility
4.83
SC AVG
4.00
Rank
#20 / 118 | -57% | +21% | $5.2k
Facility
$5.2k
SC AVG
$34.8k
Rank
#59 / 120 | 9
Facility
9
SC AVG
13.7
Rank
#44 / 119 | 2.3
Facility
2.3
SC AVG
3.4
Rank
#29 / 119 | - | 14 | A+ | - | Litchfield Retirement LLC | $3.9MFiscal year ending 12/2023
Facility
$3.9MFiscal year ending 12/2023
SC AVG
$13.0M
Rank
#34 / 121 | $5.5MFiscal year ending 12/2023
Facility
$5.5MFiscal year ending 12/2023
SC AVG
$5.4M
Rank
#75 / 121 | 141.7%Fiscal year ending 12/2023
Facility
141.7%Fiscal year ending 12/2023
SC AVG
44%
Rank
#110 / 121 | 425380 | ||||
| Lexington Medical Center Extended Care | NH MC SNF | Lexington | 388
Facility
388
SC AVG
90
Rank
#1 / 307 | - | - | 4.45
Facility
4.45
SC AVG
4.00
Rank
#29 / 118 | -9% | +11% | $30.0k
Facility
$30.0k
SC AVG
$34.8k
Rank
#105 / 120 | 16
Facility
16
SC AVG
13.7
Rank
#84 / 119 | 2.3
Facility
2.3
SC AVG
3.4
Rank
#29 / 119 | 3 | 289 | - | - | Lexington County Health Services District Inc | $34.3MFiscal year ending 09/2023
Facility
$34.3MFiscal year ending 09/2023
SC AVG
$13.0M
Rank
#4 / 121 | $26.2MFiscal year ending 09/2023
Facility
$26.2MFiscal year ending 09/2023
SC AVG
$5.4M
Rank
#2 / 121 | 76.5%Fiscal year ending 09/2023
Facility
76.5%Fiscal year ending 09/2023
SC AVG
44%
Rank
#8 / 121 | 425321 |
Lexington Medical Center Extended Care is in the USA neighborhood of LEXINGTON.
Lexington Medical Center Extended Care is legally operated by Lexmed Inc, and administered by Kathryn Gill.
According to SC state health department records, Lexington Medical Center Extended Care's license number is NCF-0730.
Lexington Medical Center Extended Care's occupancy is 81.7%.
No, Lexington Medical Center Extended Care has a no-pet policy.
The team at Lexington Medical Center Extended Care can be reached at KDGILL@LEXHEALTH.ORG.
Lexington Medical Center Extended Care is registered as a non-profit in SC.
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