{"schema_version":"1.0.0","facility":{"id":"cms-375514","ccn":"375514","name":"Lexington Nursing Home, Inc.","source_name":"Lexington Nursing Home, Inc.","facility_types":["skilled_nursing_facility","nursing_home"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare and Medicaid","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"OK","address":{"line1":"632 Southeast 3rd Street","city":"Lexington","state":"OK","zip":"73051","county_name":"Cleveland County","county_fips":"40027","county_method":"name_match","ssa_county_code":"130","urban":true},"location":{"lat":35.0093,"lon":-97.331,"method":"cms_published_coordinates"},"phone":"4055276531","certification":{"authority":"CMS","ccn":"375514","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"2007-08-20","certified_beds":70,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/375514"},"licenses":[],"license_note":"State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.","capacity":{"certified_beds":70,"avg_residents_per_day":39.7},"ownership_type":"For profit - Corporation","ownership_class":"for_profit","legal_business_name":"LEXINGTON NURSING HOME, INC.","flags":{"ccrc":false,"abuse_icon":false,"high_performing":true,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":5},"health_inspection":{"value":5},"quality_measures":{"value":3},"long_stay_qm":{"value":3},"short_stay_qm":{"footnote":"2"},"staffing":{"value":4},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":3.18359,"lpn_hprd":1.44466,"rn_hprd":0.39413,"licensed_hprd":1.83878,"total_nurse_hprd":5.02237,"weekend_total_nurse_hprd":4.33623,"weekend_rn_hprd":0.25002,"pt_hprd":0.01606,"nursing_turnover_pct":53,"rn_turnover_footnote":"27","administrators_left":0,"case_mix_index":1.2004,"case_mix_index_ratio":0.85119,"case_mix_total_nurse_hprd":3.32038,"adjusted_total_nurse_hprd":5.85408,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2026-04-30","cycle1_deficiencies":2,"cycle1_score":8,"cycle2_date":"2024-06-27","cycle23_deficiencies":3,"cycle23_score":20,"total_weighted_score":11,"infection_control_citations":0},"cms_penalty_counts":{"fines":0,"fine_total":0,"payment_denials":0,"total":0},"operator_id":"op-lexington-nursing-home-inc","first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/375514","provenance":[{"source_id":"cms_provider_info","source_record_id":"375514","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=375514&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["name","address","phone","certification","certified_beds","ownership_type","legal_business_name","chain"],"evidence_class":"VERIFIED","status":"current"},{"source_id":"cms_provider_info","source_record_id":"375514","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=375514&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."}],"inspection_summary":{"count":7,"health_count":4,"fire_count":3,"complaint_count":0,"latest_date":"2026-04-30","latest_standard_health":"2026-04-30","earliest_date":"2023-06-21","window_note":"CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.","evidence_class":"VERIFIED"},"deficiency_summary":{"count":13,"health_count":13,"fire_count":0,"open_count":0,"actual_harm_count":0,"immediate_jeopardy_count":0,"serious_count":0,"complaint_count":0,"by_severity":{"potential":13},"by_scope_severity":{"D":9,"E":4},"by_concept":{"clinical_care":5,"infection_prevention":2,"food_nutrition":1,"resident_rights":2,"medication":2,"administration":1},"type_ids":["cms-f0656","cms-f0880","cms-f0657","cms-f0641","cms-f0812","cms-f0881","cms-f0550","cms-f0622","cms-f0695","cms-f0755","cms-f0758","cms-f0770"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":0,"fines":0,"fine_total":0,"payment_denials":0},"ownership_summary":{"disclosures":9,"organizations":0,"individuals":9,"not_available":false}},"row":{"id":"cms-375514","ccn":"375514","name":"Lexington Nursing Home, Inc.","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"OK","city":"Lexington","zip":"73051","county_fips":"40027","county_name":"Cleveland County","address":"632 Southeast 3rd Street","beds":70,"residents":39.7,"ownership":"for_profit","operator_id":"op-lexington-nursing-home-inc","operator_name":"Lexington Nursing Home, Inc","lat":35.0093,"lon":-97.331,"overall":5,"health_rating":5,"staffing_rating":4,"qm_rating":3,"nurse_hprd":5.02,"turnover":53,"inspections":7,"last_inspection":"2026-04-30","deficiencies":13,"serious":0,"ij":0,"open":0,"penalties":0,"fines_total":0,"deficiency_type_ids":["cms-f0656","cms-f0880","cms-f0657","cms-f0641","cms-f0812","cms-f0881","cms-f0550","cms-f0622","cms-f0695","cms-f0755","cms-f0758","cms-f0770"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-lexington-nursing-home-inc","name":"Lexington Nursing Home, Inc","legal_name":"LEXINGTON NURSING HOME, INC","facility_count":1,"states":["OK"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"ownership":[{"owner_type":"individual","owner_name":"Gerald Lawson","role":"direct_owner","role_raw":"DIRECT OWNERSHIP INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"1977-01-18","owner_name_raw":"LAWSON, GERALD"},{"owner_type":"individual","owner_name":"Ricky Horton","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2017-04-01","owner_name_raw":"HORTON, RICKY"},{"owner_type":"individual","owner_name":"Gerald Lawson","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2000-01-31","owner_name_raw":"LAWSON, GERALD"},{"owner_type":"individual","owner_name":"Sherrie Mcwhirter","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2013-09-19","owner_name_raw":"MCWHIRTER, SHERRIE"},{"owner_type":"individual","owner_name":"Gerald Lawson","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2000-01-31","owner_name_raw":"LAWSON, GERALD"},{"owner_type":"individual","owner_name":"Gerald Lawson","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"1977-01-18","owner_name_raw":"LAWSON, GERALD"},{"owner_type":"individual","owner_name":"Ricky Horton","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"1997-04-01","owner_name_raw":"HORTON, RICKY"},{"owner_type":"individual","owner_name":"Gerald Lawson","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"1977-01-31","owner_name_raw":"LAWSON, GERALD"},{"owner_type":"individual","owner_name":"Sherrie Mcwhirter","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2013-09-19","owner_name_raw":"MCWHIRTER, SHERRIE"}],"inspections":[{"id":"cms-375514-20260430-fire","ccn":"375514","date":"2026-04-30","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":0,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[]},{"id":"cms-375514-20260430-health","ccn":"375514","date":"2026-04-30","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2026-06-19","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2026-06-26","std":1}]},{"id":"cms-375514-20240627-fire","ccn":"375514","date":"2024-06-27","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":0,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[]},{"id":"cms-375514-20240627-health","ccn":"375514","date":"2024-06-27","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0641","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-31","std":1},{"t":"cms-f0656","ss":"E","sl":2,"cs":"corrected","cd":"2024-07-31","std":1},{"t":"cms-f0657","ss":"E","sl":2,"cs":"corrected","cd":"2024-07-31","std":1}]},{"id":"cms-375514-20240124-health","ccn":"375514","date":"2024-01-24","domain":"health","authority":"CMS / state survey agency","survey_types":["Infection Control"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"infection_control","deficiency_count":0,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[]},{"id":"cms-375514-20230621-fire","ccn":"375514","date":"2023-06-21","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":0,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[]},{"id":"cms-375514-20230621-health","ccn":"375514","date":"2023-06-21","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":8,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0550","ss":"D","sl":2,"cs":"corrected","cd":"2023-08-20","std":1},{"t":"cms-f0622","ss":"D","sl":2,"cs":"corrected","cd":"2023-08-20","std":1},{"t":"cms-f0695","ss":"D","sl":2,"cs":"corrected","cd":"2023-08-20","std":1},{"t":"cms-f0755","ss":"D","sl":2,"cs":"corrected","cd":"2023-08-20","std":1},{"t":"cms-f0758","ss":"D","sl":2,"cs":"corrected","cd":"2023-08-20","std":1},{"t":"cms-f0770","ss":"D","sl":2,"cs":"corrected","cd":"2023-08-20","std":1},{"t":"cms-f0812","ss":"E","sl":2,"cs":"corrected","cd":"2023-08-20","std":1},{"t":"cms-f0881","ss":"E","sl":2,"cs":"corrected","cd":"2023-08-20","std":1}]}],"deficiency_types":{"cms-f0656":{"code":"F-0656","title":"Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0880":{"code":"F-0880","title":"Provide and implement an infection prevention and control program.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0657":{"code":"F-0657","title":"Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0641":{"code":"F-0641","title":"Ensure each resident receives an accurate assessment.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0812":{"code":"F-0812","title":"Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0881":{"code":"F-0881","title":"Implement a program that monitors antibiotic use.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0550":{"code":"F-0550","title":"Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0622":{"code":"F-0622","title":"Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information  when a resident is transferred or discharged.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0695":{"code":"F-0695","title":"Provide safe and appropriate respiratory care for a resident when needed.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0755":{"code":"F-0755","title":"Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0758":{"code":"F-0758","title":"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.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0770":{"code":"F-0770","title":"Provide timely, quality laboratory services/tests to meet the needs of residents.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"}},"penalties":[],"state_actions":[],"record_urls":{"cms_provider_info":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=375514&conditions%5B0%5D%5Boperator%5D=%3D","cms_ownership":"https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=375514&conditions%5B0%5D%5Boperator%5D=%3D","cms_health_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=375514&conditions%5B0%5D%5Boperator%5D=%3D","cms_fire_safety_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=375514&conditions%5B0%5D%5Boperator%5D=%3D","cms_penalties":"https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=375514&conditions%5B0%5D%5Boperator%5D=%3D","cms_inspection_dates":"https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=375514&conditions%5B0%5D%5Boperator%5D=%3D"},"compact_keys":{"t":"deficiency_type_id","ss":"scope_severity_code","sl":"severity_level (1–4)","cs":"correction_status","cd":"correction_date","cmp":"complaint","std":"standard survey","ic":"infection control","idr":"under IDR","iidr":"under IIDR","tv":"tag version"},"benchmarks":{"state":{"key":"OK","overall_rating":2.7,"health_inspection_rating":2.8,"qm_rating":2.8,"staffing_rating":2.7,"avg_residents_per_day":61.1,"cycle1_health_deficiencies":6.5,"cycle1_fire_deficiencies":2.5,"nurse_aide_hprd":2.55,"lpn_hprd":0.92,"rn_hprd":0.3357,"licensed_hprd":1.26,"total_nurse_hprd":3.81512,"weekend_total_nurse_hprd":3.44088,"weekend_rn_hprd":0.27,"pt_hprd":0.02,"nursing_turnover_pct":55.4,"rn_turnover_pct":52,"administrators_left":0.6,"case_mix_index":1.16825,"fines":0.8,"fine_amount":17843,"processing_note":"CMS State and US Averages"},"nation":{"key":"NATION","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.7,"staffing_rating":3,"avg_residents_per_day":85.7,"cycle1_health_deficiencies":9.2,"cycle1_fire_deficiencies":4.4,"nurse_aide_hprd":2.35,"lpn_hprd":0.86,"rn_hprd":0.69164,"licensed_hprd":1.55,"total_nurse_hprd":3.90085,"weekend_total_nurse_hprd":3.43303,"weekend_rn_hprd":0.48,"pt_hprd":0.07,"nursing_turnover_pct":45.3,"rn_turnover_pct":42.5,"administrators_left":0.5,"case_mix_index":1.41025,"fines":0.9,"fine_amount":30351,"processing_note":"CMS State and US Averages"}},"geo":{"state":{"code":"OK","name":"Oklahoma"},"county":{"fips":"40027","name":"Cleveland County"},"zip":"73051","city":"Lexington"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[],"same_chain_total":0,"same_site_review":[],"nearby":[{"id":"cms-375491","ccn":"375491","name":"Broadway Living Center","address":"301 Broadway","city":"Lexington","state":"OK","zip":"73051","beds":101,"overall":4,"inspections":6,"last_inspection":"2026-07-31","deficiencies":20,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":1},{"id":"cms-375286","ccn":"375286","name":"Purcell Care Center","address":"801 North 6th Street","city":"Purcell","state":"OK","zip":"73080","beds":105,"overall":4,"inspections":10,"last_inspection":"2026-08-07","deficiencies":16,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":3.6},{"id":"cms-375440","ccn":"375440","name":"Sunset Estates of Purcell","address":"915 North 7th Avenue","city":"Purcell","state":"OK","zip":"73080","beds":69,"overall":4,"inspections":6,"last_inspection":"2024-11-14","deficiencies":26,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":3.7},{"id":"cms-375245","ccn":"375245","name":"Noble Health Care Center","address":"1501 North 8th Street","city":"Noble","state":"OK","zip":"73068","beds":110,"overall":1,"inspections":11,"last_inspection":"2026-07-01","deficiencies":66,"serious":1,"ij":0,"open":0,"fines_total":16350,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":17.2}]}}