Retreat at Wellmore of Lexington
State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2025-05-22 — IMMEDIATE JEOPARDY (tag F0760, severity J)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Ensure that residents are free from significant medication errors.
Staffing, from payroll records
Nursing hours / resident / day
4.75
state median 3.28
Weekend staffing gap
−3%
fewer nursing hours on weekends · state median −9%
RN hours / resident / day
0.48
registered nurses only
Contract (agency) staff
22%
share of all nursing hours
Nursing staff turnover
49%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
1 enforcement action(s), totaling $16,153 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-05-22 | Fine | $16,153 |
Ownership
Ownership type: For profit - Limited Liability company.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2025-05-22 | F0760 | Pharmacy Service Deficiencies | J | not recorded |
| 2024-01-31 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-01-31 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-01-31 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-01-31 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2022-02-03 | F0578 | Resident Rights Deficiencies | D | not recorded |
| 2022-02-03 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2022-02-03 | F0644 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2022-02-03 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2022-02-03 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-02-03 | F0725 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2022-02-03 | F0726 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2022-02-03 | F0758 | Pharmacy Service Deficiencies | E | not recorded |
| 2022-02-03 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2022-02-03 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2022-02-03 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2022-02-03 | F0880 | Infection Control Deficiencies | D | not recorded |