Facility profile · CCN 425412
Retreat At Wellmore Of Lexington
17 federal citations on record , including 1 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $16,153.
Record summary
Federal record · Q1 202617
Total citations
5
Last 3 years
1
Actual harm+
1
Federal penalties
$16,153
Total fines
4
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
17 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| May 22, 2025 | F760 | Ensure that residents are free from significant medication errors. | J | Complaint |
| Jan 31, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Jan 31, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Jan 31, 2024 | F761 | 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. | D | Standard |
| Jan 31, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Feb 3, 2022 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Feb 3, 2022 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Feb 3, 2022 | F761 | 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. | D | Standard |
| Feb 3, 2022 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Feb 3, 2022 | F758 | 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. | E | Standard |
| Feb 3, 2022 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Standard |
| Feb 3, 2022 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Standard |
| Feb 3, 2022 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Feb 3, 2022 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Feb 3, 2022 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Feb 3, 2022 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard |
| Feb 3, 2022 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $16,153 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| May 22, 2025 | Fine | $16,153 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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