Lexington Premier Nursing & Rehab has a 1-star overall rating, with 1-star health inspection, staffing, and quality ratings, and it is flagged for the lowest overall rating. Reported nurse staffing is 3.54 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Last inspection: August 8, 2025Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5367.
Staffing detail
Registered nurses
0.25
Licensed practical nurses
1.12
Nurse aides
2.17
Weekend nursing
3.26
Hours per resident per day.
Total staff turnover: 54%
Registered nurse turnover: 79%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
17.7%11.9%Improving
Residents with a fall causing major injury
1.1%2.1%Worsening
Residents with pressure ulcers (bedsores)
11.9%11.1%Improving
Residents with a urinary tract infection
5.3%5.3%No change
Residents who lost too much weight
11.2%16.7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
24%15.7%Improving
Residents whose ability to walk got worse
37.9%21.8%Improving
Long-stay residents on antianxiety or sleep medication
30.3%25.3%Improving
Short-stay residents newly given an antipsychotic
0%2%Worsening
Residents with a long-term catheter
1.3%0.7%Improving
Residents with new or worsening incontinence
29.4%24.7%Improving
Residents with depressive symptoms
6.5%11.1%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—91.3%—
Long-stay residents given the pneumonia vaccine
92.6%79.2%Worsening
Short-stay residents given the seasonal flu vaccine
—38.5%—
Short-stay residents given the pneumonia vaccine
26.7%39.1%Improving
What the inspectors found
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited September 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to run its operations effectively and efficiently using its available resources. Cited September 2023 — limited pattern, actual harm.
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F-Tag 835 — 42 CFR §483.70 — S/S: H
The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited September 2023 — limited pattern, actual harm.
View the original federal record
F-Tag 867 — 42 CFR §483.75 — S/S: H
The home failed to ensure residents received food prepared in a form that met their individual needs. Cited January 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 805 — 42 CFR §483.60 — S/S: G
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 13 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 17 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $240,331 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Sep 5, 2023
25 days
Federal fine
Sep 5, 2023
$240,331
Operator & ownership
Ownership
For profit - Limited Liability company
Occupancy
113.1 residents on an average day (94% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 19 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.