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NHC Healthcare - Lexington

2993 Sunset Blvd, West Columbia, SC 29169 · Lexington County · (803) 939-0026

170 certified beds, about 158 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1994

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 425333 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 2, 2026, inspectors cited 1 health deficiency (the South Carolina average is 3.7, the national average 9.2).

Of 5 health citations since October 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.82 hours per resident per day, against 3.84 across South Carolina and 3.86 nationally. Registered nurses accounted for 0.60 of those hours.

45.5% of nursing staff left within the year CMS measured (South Carolina average 45.9%).

CMS links it to National Healthcare Corporation, an affiliated group of 71 nursing homes.

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.

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 5 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
2D
2E
0F
Potential for minimal harm
0A
0B
0C
April 2, 2026Standard inspection · 1 citation
  1. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 16, 2026
    Inspectors wroteBased on review of facility policy, observation, and interview, the facility failed to ensure medications were not pre-poured prior to administration for 3 of 3 residents observed during medication administration.
March 12, 2025Standard inspection, Complaint inspection · 4 citations
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 12, 2025
    Inspectors wroteBased on record review, interview, observation and review of facility policy, (1) the facility failed to ensure an ordered medication was secured and not left at Resident (R)40's bedside. Additionally, (2) the facility failed to ensure the correct resident (R23) was transported to an appointment. Specifically, transportation picked up R130 (who did not have an appointment), a cognitively impaired and elopement risk resident, and transported her approximately 15 miles to a medical facility and left the resident unattended. For 3 of 5 residents reviewed. On 03/12/25 at 9:00 AM, the survey team provided the Administrator with a copy of the CMS Immediate Jeopardy (IJ) Template and informed the facility IJ existed as of 02/05/25. The IJ was related to 42 CFR 483.25 - Quality of Care. On 03/12/25 at 1:43 PM, the facility provided an acceptable IJ Removal Plan. [...]
  2. E
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 12, 2025
    Inspectors wroteBased on facility policy review, record review, observation, and interview, the facility failed to ensure respiratory equipment (Bipap, CPAP, and Nebulizer Masks) were functioning, maintained, and stored appropriately for 4 of 4 residents (Resident (R)19, R14, R46 and R59) reviewed for respiratory care out of total sample of 12 residents. The facility's deficient practice increased the resident's risk of respiratory complications.
  3. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 12, 2025
    Inspectors wroteBased on observation, interview, and review of facility policy, the facility failed to ensure used Personal Protective Equipment (PPE) was disposed of properly in accordance with professional standards. Specifically, used PPE was observed hanging outside of the resident's rooms who were currently on droplet precautions for 6 of 9 rooms observed.
  4. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 12, 2025
    Inspectors wroteBased on observation, interview, and review of facility policy, the facility failed to ensure call lights were within residents' reach and easily accessible for 2 of 4 residents reviewed for accommodation of needs, Resident (R)126 and R61.
October 11, 2023Standard inspection · 0 citations

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.

MeasureThis homeSouth CarolinaUnited States
All nursing staff (RN, LPN and aides)3.823.843.86
Registered nurses0.600.630.69
All nursing staff on weekends3.493.333.42
Nurse aides2.29
Licensed practical nurses0.92
Nursing staff turnover (share who left in a year)45.5%45.9%45.8%
Registered nurse turnover38.5%42.1%42.9%
Administrators who left0

CMS expects 3.54 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 3.95 on weekdays and 3.49 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.66 in April to June 2025 to 3.82 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.820.603.953.49 0.0%0 of 90158
Oct to Dec 20253.780.573.893.50 0.0%0 of 92159
Jul to Sep 20253.730.603.863.39 0.0%0 of 92159
Apr to Jun 20253.660.613.843.19 0.0%0 of 91160
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
South Carolina, Jan to Mar 20263.620.533.813.137.2%0.3% 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.

MeasureThis homeSouth CarolinaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
15.711.913.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.60.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.01.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.83.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.21.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
9.212.714.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.55.14.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
10.115.315.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
17.424.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
7.013.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.32.01.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.61.81.8

Owners and operators

Legal business name: NHC HEALTHCARE-LEXINGTON LLC. CMS links this home to National Healthcare Corporation, a group of 71 nursing homes averaging 4 stars overall.

NameRoleTypeShareSince
NHC/Delaware IncIndirect ownership interestOrganization07/01/2000
Moorhouse, BradleyManaging control - governing bodyIndividual07/01/2018
Moorhouse, BradleyCorporate officerIndividual07/01/2018
National Healthcare CorporationOperational/managerial controlOrganization07/01/2000
NHC-Op LPOperational/managerial controlOrganization07/01/2000
Dodson, VickiOperational/managerial controlIndividual06/01/2019
Greenhouse, DavidOperational/managerial controlIndividual09/01/2020
Hutcherson, DeundreauOperational/managerial controlIndividual03/29/2021
Kidd, BrianOperational/managerial controlIndividual01/01/2017
Manley, MichaelOperational/managerial controlIndividual11/21/2011
Moorhouse, BradleyOperational/managerial controlIndividual07/01/2018
Shelly, TimothyOperational/managerial controlIndividual07/12/2024
Ussery, RobertOperational/managerial controlIndividual01/01/2017
Blackrock IncAdp of the SNFOrganization03/20/2019
Dimensional Fund Advisors LPAdp of the SNFOrganization03/07/2023
Morgan StanleyAdp of the SNFOrganization11/08/2024
National Health CorporationAdp of the SNFOrganization07/01/2000
National Healthcare CorporationAdp of the SNFOrganization07/01/2000
NHC-Op LPAdp of the SNFOrganization07/01/2000
Vanguard Group IncAdp of the SNFOrganization03/27/2017
Dodson, VickiAdp of the SNFIndividual06/01/2019
Greenhouse, DavidAdp of the SNFIndividual09/01/2020
Kidd, BrianAdp of the SNFIndividual01/01/2017
Manley, MichaelAdp of the SNFIndividual04/13/2025

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on March 12, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on April 2, 2026: "Ensure services provided by the nursing facility meet professional standards of quality."
  3. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on March 12, 2025: "Provide and implement an infection prevention and control program."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on March 12, 2025: "Reasonably accommodate the needs and preferences of each resident."

Other nursing homes nearby

South Carolina contacts for a concern about a nursing home

These are the official offices in South Carolina. NursingHomeClear cannot take or act on complaints.

Common questions

What is NHC Healthcare - Lexington's Medicare star rating?
CMS rates NHC Healthcare - Lexington 4 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did NHC Healthcare - Lexington get at its last inspection?
1 health deficiency at the standard inspection on April 2, 2026. The South Carolina average is 3.7.
Has NHC Healthcare - Lexington been fined?
CMS lists no fines in the last three years.
Does NHC Healthcare - Lexington 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 NHC Healthcare - Lexington?
CMS lists 24 owners and managers, and links the home to National Healthcare Corporation. Legal business name: NHC HEALTHCARE-LEXINGTON LLC.

Sources

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