Retreat at Wellmore of Lexington
Lexington, SC · 60 beds · For profit - Limited Liability company
Red Flags
- ⚠ 1 citation(s) at the highest severity level — immediate risk to residents
Green Flags
- ✓ 4-star health inspection rating
- ✓ 4-star staffing rating
- ✓ Below-average deficiency count (1 vs 4 state avg)
Quick Facts
Violation Timeline
May 21, 2025
2 deficiencyiesPharmacy Service Deficiencies
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Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
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Ensure that residents are free from significant medication errors.
January 30, 2024
8 deficiencyiesQuality of Life and Care Deficiencies
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Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
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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.
Nutrition and Dietary Deficiencies
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
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Provide and implement an infection prevention and control program.
Quality of Life and Care Deficiencies
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Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
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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.
Nutrition and Dietary Deficiencies
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
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Provide and implement an infection prevention and control program.
February 2, 2022
10 deficiencyiesResident Rights Deficiencies
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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.
Resident Rights Deficiencies
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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.
Resident Assessment and Care Planning Deficiencies
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Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
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Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Nursing and Physician Services Deficiencies
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies
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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.
Pharmacy Service Deficiencies
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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.
Pharmacy Service Deficiencies
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Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
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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.
Staffing
A nurse checks on each resident roughly every 5.4 hours on average.
Fines & Penalties
- Fine May 21, 2025$16,153
Ownership
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WELLMORE LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
Since since 01/21/2015
100% Organization -
THOMPSON, BENJAMIN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Since since 01/01/2021
25% Individual -
THOMPSON, DONALD
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Since since 01/21/2015
50% Individual -
THOMPSON, JOSHUA
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Since since 01/01/2021
25% Individual -
MAXWELL GROUP, INC.
OPERATIONAL/MANAGERIAL CONTROL
Since since 09/01/2016
Organization -
THOMPSON, BENJAMIN
OPERATIONAL/MANAGERIAL CONTROL
Since since 07/01/2022
Individual
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