Retreat At Wellmore Of Lexington is an average performer in CMS ratings, earning a C grade with a score of 68/100. Located in Lexington, South Carolina, the facility meets baseline standards across most quality metrics.
Staffing levels at Retreat At Wellmore Of Lexington exceed national averages, with 4.44 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.83 hours per resident per day also exceeds the national average of 0.7 hours.
Recent CMS inspections identified 17 deficiencies at Retreat At Wellmore Of Lexington, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that residents are free from significant medication errors..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.44 | 3.8 | Above Average |
| Registered Nurses (RN) | 0.83 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 1.09 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.52 | 2.4 | Average |
| Weekend Total Nursing | 4.12 | 3.8 | Average |
| Weekend RN Hours | 0.49 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0760 Severity JEnsure that residents are free from significant medication errors.May 21, 2025 · Pharmacy Service Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Jan 30, 2024 · Nutrition and Dietary Deficiencies
- Tag 0695 Severity DProvide safe and appropriate respiratory care for a resident when needed.Jan 30, 2024 · Quality of Life and Care Deficiencies
- Tag 0761 Severity DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiJan 30, 2024 · Pharmacy Service Deficiencies
- Tag 0880 Severity DProvide and implement an infection prevention and control program.Jan 30, 2024 · Infection Control Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 10.3% | 4.5% | Worse |
| Falls with major injury | 2.8% | 3.0% | Average |
| On antipsychotic medication | 15.1% | 14.5% | Average |
| Urinary tract infections | 6.7% | 2.5% | Worse |
| ADL decline (daily activities) | 15.4% | 14.0% | Average |
| Excessive weight loss | 4.8% | 7.5% | Better |
| New/worsened incontinence | 26.6% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $16,153
How This Grade Was Calculated
This facility's grade of C is based on a score of 68 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 4★ → 32 pts (max 40)
- Health Inspection Rating: 4★ → 20 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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