The nursing home failed to ensure residents were free from significant medication errors. Cited May 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: J
Nursing home report
Retreat at Wellmore of Lexington
Lexington, SC · Medicare-certified · 60 beds
Needs attention
For-profit
4 of 5 overall
Retreat at Wellmore of Lexington has an overall rating of 4 out of 5 stars, with solid health inspection and staffing ratings of 4 stars each, but a lower quality measures rating of 2 stars. Reported nurse staffing is 4.69 hours per resident per day, above the federal benchmark of 4.1, and the facility has had $16,153 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
4.6869 hrs/resident/day
Quality measures
Last inspection: May 22, 2025Penalties, last 24 months: $16,153recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.6869.
Staffing detail
- Registered nurses
- 0.80
- Licensed practical nurses
- 1.20
- Nurse aides
- 2.68
- Weekend nursing
- 4.46
Hours per resident per day.
Total staff turnover: 44%
Registered nurse turnover: 50%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
16%Steady
Residents with a fall causing major injury
4.6%Worsening
Residents with pressure ulcers (bedsores)
8.6%Improving
Residents with a urinary tract infection
4.7%Improving
Residents who lost too much weight
8.1%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
23.1%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
31.2%Steady
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0.5%Worsening
Residents with new or worsening incontinence
21.8%Improving
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
89.3%Steady
Long-stay residents given the pneumonia vaccine
93.6%Worsening
Short-stay residents given the seasonal flu vaccine
84.6%Steady
Short-stay residents given the pneumonia vaccine
85.4%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to properly reduce or limit psychotropic medication use and try safer non-drug approaches when appropriate. Cited February 2022 — limited pattern, potential for harm.
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F-Tag 758 — 42 CFR §483.45(e) — S/S: E
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited January 2024 — isolated incident, potential for harm.
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F-Tag 695 — 42 CFR §483.25(i) — S/S: D
The home failed to properly label and securely store medications and biologicals. Cited January 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- PENALTY
A federal fine of $16,153 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $16,153 in total fines.
- $16,153
Federal fine
May 22, 2025
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Occupancy
- 46.2 residents on an average day (77% of 60 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 8 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.