All 4 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.
Abbotts Creek Center runs 64 beds in Lexington under corporate ownership, and its inspection record is the strongest thing about it, a recent January 2026 survey and 12 deficiencies with none rising to harm or jeopardy, none tied to abuse. The staffing side tells a different story. At 3.46 nurse hours per resident day, it sits about 10% under the national average of 3.86, weekends drop roughly 15% below its own weekday levels, and turnover hits 61.3% against a national 45.8%. High turnover plus thin weekend coverage means the aide helping your mother on a Saturday may be new and unfamiliar with her. Ask specifically how they cover weekends and how long their current staff have actually been there.
Lexington Health Care Center runs on thinner staffing than most homes, about 3.50 nurse hours per resident each day, roughly 9% under the national average, with weekends dipping further below its own weekday level. Turnover tells a similar story: 63.4% of nursing staff leave within a year, well above the 45.8% national figure, which means unfamiliar faces are often the ones providing care. The inspection record is heavier than most, with 40 deficiencies logged, including two at the harm level and five tied to abuse. Ownership is for-profit and LLC-operated. The quality measure score looks good on paper, but it sits alongside a staffing rating and inspection history that raise harder questions than that one number answers.
Davidson Health & Rehab Center runs on 3.50 nursing hours per resident day, about 9% under the national average, and weekend staffing drops roughly 12% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 72% against a national 45.8%, which means the people caring for your relative are often brand new. The current inspection record carries 43 deficiencies, including six at harm or jeopardy level and two abuse-related, plus $54,389 in fines across three penalties. Its last inspection was August 2025, so the record is recent. Corporate ownership, a one-star inspection rating, and one-star staffing tell the same story.
Pine Acres Center For Nursing And Rehabilitation is a 106-bed for-profit run by a corporation, and its record shows the strain. The health inspection rating sits at 1 out of 5, with 27 deficiencies on file, 10 of them serious enough to cause harm or put residents in jeopardy, plus 2 tied to abuse. Two fines total $122,460. Staffing tells a similar story: 3.30 nurse hours per resident day, about 15% under the national average, and weekends run roughly 9% leaner than weekdays. Turnover at 45.5% is basically the national norm, so the problem isn't retention, it's how few hands are scheduled against how many residents need them.