Retreat at Wellmore of Lexington
200 Wellmore Drive · Lexington, SC · 29072 · 8035201200
60 certified beds For profit - Limited Liability company Part of a CCRC
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Staffing hours comfortably above national benchmarks.
The composite number cleared 76 points, but Recommended is gated: immediate-jeopardy citation in the current inspection cycle. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.69 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.80 | 0.55–0.75 |
| Weekend hours / resident-day | 4.46 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | 1 · $16,153 |
Inspection citations (17 in the current record)
-
Immediate jeopardy · J May 22, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected March 13, 2025 · Pharmacy Service
-
Potential for harm · D January 31, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 23, 2024 · Quality of Life and Care
-
Potential for harm · D January 31, 2024
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.
Corrected February 23, 2024 · Pharmacy Service
-
Potential for harm · F January 31, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 23, 2024 · Nutrition and Dietary
-
Potential for harm · D January 31, 2024
Provide and implement an infection prevention and control program.
Corrected February 23, 2024 · Infection Control
-
Potential for harm · D February 3, 2022
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.
Corrected March 4, 2022 · Resident Rights
-
Potential for harm · D February 3, 2022
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.
Corrected March 4, 2022 · Resident Rights
-
Potential for harm · D February 3, 2022
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected March 4, 2022 · Resident Assessment and Care Planning
-
Potential for harm · D February 3, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 4, 2022 · Resident Assessment and Care Planning
-
Potential for harm · D February 3, 2022
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 4, 2022 · Quality of Life and Care
-
Potential for harm · D February 3, 2022
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected March 4, 2022 · Nursing and Physician Services
-
Potential for harm · D February 3, 2022
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.
Corrected March 4, 2022 · Nursing and Physician Services
-
Potential for harm · E February 3, 2022
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.
Corrected March 4, 2022 · Pharmacy Service
-
Potential for harm · D February 3, 2022
Ensure medication error rates are not 5 percent or greater.
Corrected March 4, 2022 · Pharmacy Service
-
Potential for harm · D February 3, 2022
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.
Corrected March 4, 2022 · Pharmacy Service
-
Potential for harm · F February 3, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 4, 2022 · Nutrition and Dietary
-
Potential for harm · D February 3, 2022
Provide and implement an infection prevention and control program.
Corrected March 4, 2022 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 22, 2025 | Fine | $16,153 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 425412 · certified since April 20, 2018. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.