Retreat at Wellmore of Lexington
200 Wellmore Drive, Lexington, SC 29072 · CCN 425412
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 60
- Avg residents/day
- 47.9
- Phone
- 8035201200
Inspection history vs South Carolina & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | South Carolina avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-05-22 | 1 | 3.7 | 9.5 | -2.7 better |
| 2 | 2024-01-31 | 4 | 5.0 | 9.8 | -1.0 better |
| 3 | 2022-02-03 | 12 | 4.5 | 9.3 | +7.5 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Pharmacy service | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.44 | 40.0% |
| RN staffing (reported) | 0.83 | 41.7% |
| Total nurse staffing (adjusted) | 4.45 | — |
Fines & penalties
- Total fines
- $16,153
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Inspection citations (17)1 immediate jeopardy
- JF0760Ensure that residents are free from significant medication errors.2025-05-22 · Health · corrected 2025-03-13
Immediate jeopardy
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-01-31 · Health · corrected 2024-02-23
Potential for more than minimal harm
- DF0761Ensure 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.2024-01-31 · Health · corrected 2024-02-23
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-01-31 · Health · corrected 2024-02-23
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-01-31 · Health · corrected 2024-02-23
Potential for more than minimal harm
- DF0578Honor 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.2022-02-03 · Health · corrected 2022-03-04
Potential for more than minimal harm
- DF0584Honor 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.2022-02-03 · Health · corrected 2022-03-04
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2022-02-03 · Health · corrected 2022-03-04
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-02-03 · Health · corrected 2022-03-04
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-02-03 · Health · corrected 2022-03-04
Potential for more than minimal harm
- DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2022-02-03 · Health · corrected 2022-03-04
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2022-02-03 · Health · corrected 2022-03-04
Potential for more than minimal harm
- EF0758Implement 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.2022-02-03 · Health · corrected 2022-03-04
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2022-02-03 · Health · corrected 2022-03-04
Potential for more than minimal harm
- DF0761Ensure 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.2022-02-03 · Health · corrected 2022-03-04
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-02-03 · Health · corrected 2022-03-04
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2022-02-03 · Health · corrected 2022-03-04
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| WELLMORE LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2015-01-21 |
| THOMPSON, DONALD | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2015-01-21 |
| THOMPSON, BENJAMIN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | 2021-01-01 |
| THOMPSON, JOSHUA | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | 2021-01-01 |
| MAXWELL GROUP, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-09-01 |
| THOMPSON, BENJAMIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-07-01 |
Other facilities in Lexington
| Name | Overall | Beds |
|---|---|---|
| Presbyterian Home Of South Carolina-Columbia | ★★★★★ | 22 |
| L.M.C.- Extended Care | ★☆☆☆☆ | 352 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.