Lexington Manor Senior Care, LLC
56 Rockport Road, Lexington, MS 39095


Lexington Manor Senior Care, LLC is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 255091. The address is 56 Rockport Road, Lexington, MS 39095. The zip code is 39095. The phone number is 6628343021.


Lexington Manor Senior Care, LLC · 56 Rockport Road, Lexington, MS 39095

Federal Provider Number 255091
Provider Name LEXINGTON MANOR SENIOR CARE, LLC
Address 56 ROCKPORT ROAD
LEXINGTON, MS 39095
Phone Number 6628343021
SSA County Code 250
County Name Holmes
Ownership Type For profit - Corporation
Certified Beds 68
Certified Beds Residents 60
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name LEXINGTON MANOR SENIOR CARE LLC
Date First Approved to Provide Medicare Medicaid Services 08/09/1984
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 3
Health Inspection Rating 3
Quality Measure Rating 3
Staffing Rating 3
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.68417
Reported LPN Staffing Hours per Resident per Day 1.10583
Reported RN Staffing Hours per Resident per Day 0.68333
Reported Licensed Staffing Hours per Resident per Day 1.78917
Reported Total Nurse Staffing Hours per Resident per Day 4.47333
Reported Physical Therapist Staffing Hours per Resident Per Day 0.01083
Expected CNA Staffing Hours per Resident per Day 2.60639
Expected LPN Staffing Hours per Resident per Day 0.67221
Expected RN Staffing Hours per Resident per Day 1.09931
Expected Total Nurse Staffing Hours per Resident per Day 4.37791
Adjusted CNA Staffing Hours per Resident per Day 2.52692
Adjusted LPN Staffing Hours per Resident per Day 1.36541
Adjusted RN Staffing Hours per Resident per Day 0.46446
Adjusted Total Nurse Staffing Hours per Resident per Day 4.11876
Cycle 1 Total Number of Health Deficiencies 7
Cycle 1 Number of Standard Health Deficiencies 7
Cycle 1 Health Deficiency Score 28
Cycle 1 Standard Survey Health Date 06/28/2017
Cycle 1 Total Health Score 28
Cycle 2 Total Number of Health Deficiencies 4
Cycle 2 Number of Standard Health Deficiencies 4
Cycle 2 Health Deficiency Score 28
Cycle 2 Standard Health Survey Date 08/17/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 28
Cycle 3 Total Number of Health Deficiencies 2
Cycle 3 Number of Standard Health Deficiencies 2
Cycle 3 Health Deficiency Score 8
Cycle 3 Standard Health Survey Date 09/30/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 8
Total Weighted Health Survey Score 24.667
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Lexington Manor Senior Care, LLC

Owner Name Role Association Date
MASSEY, JAY (Individual) DIRECTOR since 08/01/2007
MASSEY, JAY (Individual) MANAGING EMPLOYEE since 08/01/2007
TILLMAN, CLIFFORD (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 08/01/2007
TILLMAN, CLIFFORD (Individual) MANAGING EMPLOYEE since 08/01/2007

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