All 3 Medicare-certified nursing homes in Lexington,
side by side on the things that separate them: how many nursing hours each resident gets, how much of the
staff leaves each year, and what inspectors found on their last visit.
Care One At Lexington runs 211 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.55 hours per resident day, roughly 8% under the national average of 3.86, with weekends about 7% thinner than weekdays. That 13% annual turnover, though, is remarkably low against the national 45.8%, so the aides and nurses here tend to stay. The inspection record is the harder read: 41 deficiencies, one serious enough to reach harm or jeopardy level, and a $51,765 fine, with the most recent survey dated December 24, 2025. Quality measures score well, but consistent staffing and a clean survey history are what families should weigh.
Brookhaven At Lexington runs 49 certified beds under nonprofit ownership, and its inspection record is genuinely clean, four deficiencies total, none at the harm or jeopardy level and nothing abuse-related, with a survey done as recently as November 2025. The federal inspection and quality measure ratings both sit at five stars, which tells you the clinical numbers and the survey history hold up on their own.
What keeps the overall picture from being flawless is staffing relative to what you'd expect for a home with these marks. Read the numbers yourself: strong outcomes, small size, no serious citations. If you're weighing this one against others, ask about direct care hours per resident per day before you decide.
Pine Knoll runs on 3.39 nursing hours per resident per day, roughly 12 percent under the national average, and weekend staffing drops about 5 percent below what it manages on weekdays, so the thinnest coverage lands when families tend to visit and when fewer eyes are watching. The inspection record backs that up: 82 deficiencies, 12 of them serious enough to involve harm or jeopardy, 4 tied to abuse, and $568,747 in federal fines across three events. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care. The most recent inspection was March 2026.