Lexington Nursing Home, Inc.
632 Southeast 3rd Street, Lexington, OK 73051 · Cleveland County · (405) 527-6531
70 certified beds, about 37 residents a day · For profit - Corporation · Medicare and Medicaid since 2007
CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 375514 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 30, 2026, inspectors cited 2 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).
None of its 13 health citations since June 2023 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 5.62 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.38 of those hours.
51.6% of nursing staff left within the year CMS measured (Oklahoma average 55.5%).
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.
806/23
306/24
204/26
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 13 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
9D
4E
0F
Potential for minimal harm
0A
0B
0C
April 30, 2026Standard inspection · 2 citations
- 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 record review and interview, the facility failed to ensure the care plan was revised related to wound care for 1 (#19) of 12 sampled residents reviewed for care plan revision. The DON identified 39 residents resided in the facility.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure proper infection control for 1 (#2) of 1 sampled resident reviewed for catheter care. The DON identified 39 residents resided in the facility. The facility matrix identified two residents had catheters. On 04/27/2026 at 8:06 a.m., CNA #1 and CNA #2 were observed donning personal protective equipment which included gowns and gloves in preparation to assist Res #2 out of bed. CNA #1 emptied the catheter into a urinal and then disposed of the urine in the toilet. CNA #1 returned to assist CNA #2 with transferring Res #2 from bed to wheelchair. CNA #1 did not change their gloves or perform hand hygiene after the catheter care and before continuing to assist Res #2. A Perineal Care Policy and Procedure, updated May 2022, showed gloves should be worn to provide catheter care. [...]
June 27, 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 record review and interview, the facility failed to develop a comprehensive care plan for diabetic monitoring for one (#9) of five residents reviewed for unnecessary medications. MDS coordinator #1 identified eight residents with diabetes.
- E Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, record review, and interview, the facility failed to revise the care plan related to falls for one (#9) of three residents sampled for falls. The administrator identified 84 falls in the last six months.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview, the facility failed to ensure medications were coded accurately on MDS assessments for two (#1 and #3) of 12 sampled residents MDS were reviewed. The Administrator identified 43 residents who resided in the facility.
June 21, 2023Standard inspection · 8 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 and interview, the facility failed to ensure the kitchen was kept clean and maintained in good repair. The Resident Census and Conditions of Residents report, dated 06/19/23, documented 39 residents resided in facility.
- E Implement a program that monitors antibiotic use.
Inspectors wroteBased on record review and interview, the facility failed to ensure proper antibiotic stewardship was completed for two (#8 and #30) of two residents reviewed for antibiotic use. The Resident Census and Conditions of Residents form, dated 6/19/23, documented a census of 39.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a resident was treated with dignity during a transfer for one (#27) of one sampled resident observed for dignity. The Resident Census and Conditions of Resident report, dated 06/19/23, documented 39 residents resided in the facility.
- D Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Inspectors wroteBased on record review and interview, the facility failed to ensure there was sufficient documentation for basis of a resident discharge for one (#42) of one sampled resident review for discharge. The Resident Census and Conditions of Residents report, dated 06/19/23, documented 39 residents resided in the facility.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, record review, and interview, the facility failed to change and label oxygen tubing and concentrator reservoir according to physician orders for one (#11) of one residents sampled for respiratory treatments. The Resident Census and Conditions of Residents form dated 06/19/23, documented 39 residents resided in the facility.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on record review and interview, the facility failed to ensure the results of the use of PRN pain medications were obtained for one (#36) of five sampled residents reviewed for medications. The Resident Census and Conditions of Residents report, dated 06/19/23, documented 39 residents resided in the facility. It documented 21 residents were on a pain management program.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on record review and interview, the facility failed to ensure side effects were monitored for the use of psychoactive medications for one (#36) of five sampled residents reviewed for unnecessary medications. The Resident Census and Conditions of Residents report, dated 06/19/23, documented 31 residents who received psychoactive medications.
- D Provide timely, quality laboratory services/tests to meet the needs of residents.
Inspectors wroteBased of record review and interview, the facility failed to obtain physician ordered labs for one (#24) of five sampled residents reviewed for lab services. The Resident Census and Conditions of Residents report, dated 06/19/23, documented 39 residents resided in the facility.
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 | Oklahoma | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 5.62 | 3.79 | 3.86 |
| Registered nurses | 0.38 | 0.34 | 0.69 |
| All nursing staff on weekends | 5.11 | 3.44 | 3.42 |
| Nurse aides | 3.63 | ||
| Licensed practical nurses | 1.61 | ||
| Nursing staff turnover (share who left in a year) | 51.6% | 55.5% | 45.8% |
| Registered nurse turnover | not reported | 53.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.28 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 5.83 on weekdays and 5.11 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.12 in April to June 2025 to 5.62 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 | 5.62 | 0.38 | 5.83 | 5.11 | 0.3% | 0 of 90 | 37 |
| Oct to Dec 2025 | 5.68 | 0.36 | 5.88 | 5.18 | 0.6% | 0 of 92 | 37 |
| Jul to Sep 2025 | 4.97 | 0.34 | 5.15 | 4.50 | 0.7% | 0 of 92 | 42 |
| Apr to Jun 2025 | 5.12 | 0.33 | 5.18 | 4.97 | 0.5% | 0 of 91 | 42 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Oklahoma, Jan to Mar 2026 | 3.79 | 0.32 | 3.94 | 3.42 | 2.2% | 1.6% 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 | Oklahoma | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 8.5 | 13.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 5.3 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.0 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 7.1 | 4.7 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.8 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.4 | 13.7 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.6 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 7.5 | 17.5 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 28.1 | 27.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 33.4 | 16.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 2.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.0 | 3.0 | 1.8 |
Owners and operators
Legal business name: LEXINGTON NURSING HOME, INC..
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Lawson, Gerald | Direct ownership interest | Individual | 01/18/1977 | |
| Lawson, Gerald | Corporate director | Individual | 01/31/2000 | |
| Lawson, Gerald | Corporate officer | Individual | 01/18/1977 | |
| Horton, Ricky | Operational/managerial control | Individual | 04/01/2017 | |
| Lawson, Gerald | Operational/managerial control | Individual | 01/31/2000 | |
| McWhirter, Sherrie | Operational/managerial control | Individual | 09/19/2013 | |
| Horton, Ricky | Adp of the SNF | Individual | 04/01/1997 | |
| Lawson, Gerald | Adp of the SNF | Individual | 01/31/1977 | |
| McWhirter, Sherrie | Adp of the SNF | Individual | 09/19/2013 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on April 30, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on April 30, 2026: "Provide and implement an infection prevention and control program."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on June 21, 2023: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on June 21, 2023: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
Other nursing homes nearby
- Broadway Living Center Lexington, 0.6 mi · 4 of 5 stars · 15 citations
- Purcell Care Center Purcell, 2.2 mi · 4 of 5 stars · 11 citations
- Sunset Estates of Purcell Purcell, 2.3 mi · 4 of 5 stars · 18 citations
- Noble Health Care Center Noble, 10.7 mi · 1 of 5 stars · 47 citations
- 24th Place Norman, 16.2 mi · 1 of 5 stars · 33 citations
- Holiday Heights Healthcare Norman, 16.8 mi · 5 of 5 stars · 9 citations
- Grace Skilled and Nursing Therapy Norman Norman, 17.6 mi · 5 of 5 stars · 9 citations
- Ignite Medical Resort Norman, LLC Norman, 17.8 mi · 1 of 5 stars · 23 citations
Oklahoma contacts for a concern about a nursing home
These are the official offices in Oklahoma. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Oklahoma State Department of Health, Long Term Care Service, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Oklahoma Long-Term Care Ombudsman, Office of the Attorney General, 1-800-211-2116. 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: OSDH Long Term Care Surveys search, where Oklahoma publishes its own records on licensed homes.
Common questions
- What is Lexington Nursing Home, Inc.'s Medicare star rating?
- CMS rates Lexington Nursing Home, Inc. 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Lexington Nursing Home, Inc. get at its last inspection?
- 2 health deficiencies at the standard inspection on April 30, 2026. The Oklahoma average is 6.4.
- Has Lexington Nursing Home, Inc. been fined?
- CMS lists no fines in the last three years.
- Does Lexington Nursing Home, Inc. 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 Nursing Home, Inc.?
- CMS lists 9 owners and managers. Legal business name: LEXINGTON NURSING HOME, INC..
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.