Home / Mississippi / Lexington
Lexington Manor Senior Care, LLC
56 Rockport Road, Lexington, MS 39095 · Holmes County · (662) 834-3021
60 certified beds, about 55 residents a day · For profit - Corporation · Medicare and Medicaid since 1984
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 255091 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on October 17, 2024, inspectors cited 3 health deficiencies (the Mississippi average is 6.8, the national average 9.2).
None of its 11 health citations since December 2021 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.98 hours per resident per day, against 4.18 across Mississippi and 3.86 nationally. Registered nurses accounted for 0.45 of those hours.
41.1% of nursing staff left within the year CMS measured (Mississippi average 45.7%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
412/21
408/23
310/24
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 11 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
4E
0F
Potential for minimal harm
0A
0B
0C
October 17, 2024Standard inspection · 3 citations
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, staff interview, record review, and facility policy review, the facility failed to implement a smoking care plan for one (1) of 17 care plans reviewed.
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, staff interview, record review, and facility policy review, the facility failed to promote an environment as free of accident hazards as possible, when the facility failed to provide a resident a smoking protection assistive device to prevent accidents for one (1) of three (3) residents reviewed for accidents and hazards.(Resident #44)
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on staff interview and record review, the facility failed to accurately complete an Annual Minimum Data Set (MDS) for a resident that had a serious mental illness for one (1) of 17 MDS reviews. Resident #2 Findings Include: The facility provided a statement on letterhead dated 10/16/24, It is the practice of this facility, Proper Name, to document data for the MDS 3.0 according to the instructions per the RAI (Resident Assessment Instrument) Manual. Record review of Resident #2's Preadmission Screening and Resident Review (PASRR) Summary of Findings Report dated 3/23/23 revealed under, Mental Health: . The individual meets criteria for having a diagnosis of mental illness as defined by PASRR with the primary diagnosis of Schizophrenia. Record review of the Transfer/Discharge Report revealed the facility admitted Resident #2 on 4/6/23 with a medical diagnosis of Schizophrenia. [...]
August 10, 2023Standard inspection · 4 citations
- E Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, staff interview, record review and facility policy review the facility failed to provide nail care for a resident dependent on staff for Activities of Daily Living (ADL's) as evidenced by brown substance under the resident's nails for one (1) of five (5) residents reviewed for ADL's.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, staff interview, record review, and facility policy review the facility failed to implement an Activities of Daily Living (ADL) care plan for one (1) of 20 care plans reviewed.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, staff interview, record review and facility policy review the facility failed to maintain an environment that is free from accident hazards as is possible when an office door behind the nursing desk was left open and unsecured with a gallon bottle of Hibiclens (chlorhexidine gluconate), a small bottle of Hydrogen peroxide, syringes with needles intact, two (2) boxes of butterfly needles, vacutainer's, and a bottle of covid testing solution sitting on a shelf visible from the doorway for one (1) of three (3) days of survey.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observations, staff interview, record review and facility policy review, the facility failed to store narcotics in the permanently affixed compartment in the refrigerator and left an office door behind the nursing desk open and unsecured with a gallon bottle of Hibiclens (chlorhexidine gluconate), a small bottle of Hydrogen peroxide and a bottle of covid testing solution sitting on a shelf one (1) of three (3) days of survey. Findings Include: A review of the facility policy titled, Storage of Medication, revealed, Policy: Medications and biologicals are stored safely, securely, and properly, following manufactures recommendations or those of the supplier. The medication is accessible only to licensed personnel, pharmacy personnel, or staff members lawfully authorized to administer medications. Procedures: [...]
December 2, 2021Standard inspection · 4 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interviews, and facility policy review, the facility failed to prevent the potential of a food borne illness as evidenced by food open and used after the expiration date and food stored with an open lid and past the use by date on one (1) of three (3) kitchen tours.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, staff and resident interview, record review and facility policy review the facility failed to provide nail care for a resident who was dependent for her Activities of Daily Living (ADLs) as evidenced by a brown substance on top of and underneath all fingernails for one (1) of eight (8) residents observed for ADL care.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, staff and resident interview, record review and facility policy review, the facility failed to ensure the proper labeling of oxygen tubing and humidifier bottles and failed to place signage on resident doors indicating oxygen was in use for 4 (four) of 6 (six) residents receiving oxygen therapy. Residents #2, #26, #28 and #36.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, staff interviews, facility policy review, the facility failed to prevent the possible spread of infection by failure to clean and disinfect multi-use equipment between resident use for one (1) of four (4) days of survey.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Mississippi | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.98 | 4.18 | 3.86 |
| Registered nurses | 0.45 | 0.64 | 0.69 |
| All nursing staff on weekends | 3.40 | 3.50 | 3.42 |
| Nurse aides | 2.34 | ||
| Licensed practical nurses | 1.20 | ||
| Nursing staff turnover (share who left in a year) | 41.1% | 45.7% | 45.8% |
| Registered nurse turnover | 14.3% | 38.5% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.45 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.21 on weekdays and 3.40 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 7.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.14 in April to June 2025 to 3.98 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.98 | 0.45 | 4.21 | 3.40 | 7.6% | 0 of 90 | 55 |
| Oct to Dec 2025 | 3.97 | 0.42 | 4.19 | 3.41 | 4.8% | 0 of 92 | 58 |
| Jul to Sep 2025 | 4.12 | 0.43 | 4.39 | 3.43 | 6.7% | 0 of 92 | 57 |
| Apr to Jun 2025 | 4.14 | 0.44 | 4.41 | 3.49 | 4.9% | 0 of 91 | 56 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Mississippi, Jan to Mar 2026 | 4.09 | 0.60 | 4.35 | 3.44 | 6.2% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Mississippi | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 16.5 | 20.5 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.3 | 1.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.4 | 3.1 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 11.1 | 19.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.2 | 6.3 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.9 | 21.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 28.9 | 27.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 16.3 | 15.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.7 | 2.4 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 4.0 | 2.9 | 1.8 |
Owners and operators
Legal business name: LEXINGTON MANOR SENIOR CARE LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Tillman Senior Care, LLC | 5% or greater direct ownership interest | Organization | 100% | 01/01/2017 |
| Montgomery, Andrew | Operational/managerial control | Individual | 03/01/2022 | |
| Fulcher, Todd | Adp of the SNF | Individual | 10/06/2025 | |
| Horne, Miriam | Adp of the SNF | Individual | 10/06/2025 | |
| Montgomery, Andrew | Adp of the SNF | Individual | 03/01/2022 | |
| Tillman, Clifford | Adp of the SNF | Individual | 08/01/2007 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on October 17, 2024: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on October 17, 2024: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on August 10, 2023: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on December 2, 2021: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.40 hours per resident per day, below the Mississippi average of 3.50.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Holmes County Long Term Care Center - Durant Durant, 10.6 mi · 1 of 5 stars · 26 citations
- Vaiden Community Living Center Vaiden, 21.9 mi · 3 of 5 stars · 16 citations
Mississippi contacts for a concern about a nursing home
These are the official offices in Mississippi. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Mississippi State Department of Health, Health Facilities Licensure and Certification, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Mississippi Long-Term Care Ombudsman Program, MDHS Division of Aging and Adult Services, 1-888-844-0041. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: MSDH Nursing Home Search, where Mississippi publishes its own records on licensed homes.
Common questions
- What is Lexington Manor Senior Care, LLC's Medicare star rating?
- CMS rates Lexington Manor Senior Care, LLC 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Lexington Manor Senior Care, LLC get at its last inspection?
- 3 health deficiencies at the standard inspection on October 17, 2024. The Mississippi average is 6.8.
- Has Lexington Manor Senior Care, LLC been fined?
- CMS lists no fines in the last three years.
- Does Lexington Manor Senior Care, LLC accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Lexington Manor Senior Care, LLC?
- CMS lists 6 owners and managers. Legal business name: LEXINGTON MANOR SENIOR CARE LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.