Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
Retreat at Wellmore of Lexington
Lexington, SC · 60 certified beds · Last Life Safety survey May 22, 2025
CMS Certification Number 425412 · first certified April 2018
Ownership
Independently operated (no chain recorded by CMS) · For profit - Limited Liability company
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within SC
3 citations — more than 69% of the 187 certified nursing homes in SC. Compared within SC rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
When is the next survey likely?
The window is open now: June 2026 to February 2027. This facility’s last Life Safety survey was May 2025. Facilities in SC are typically surveyed 13–21 months after the last one (median 15), measured over 286 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
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Physical environment (health survey)
3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 3 Life Safety citations above. The Physical Environment Index
How that compares
Compared with the median facility in SC, and nationally. Surveyors differ markedly between states, so the SC figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 3 |
| Median facility in SC | 1 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| February 3, 2022 | 0 |
| January 31, 2024 | 3 |
| May 22, 2025 | 0 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 1 | 2024-01-31 |
| K-0712 | Have simulated fire drills held at unexpected times. | 1 | 2024-01-31 |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 1 | 2024-01-31 |
What the citations cover
- Miscellaneous Deficiencies 1
- Smoke Deficiencies 1
- Gas, Vacuum, and Electrical Systems Deficiencies 1
| Category | Citations |
|---|---|
| Miscellaneous Deficiencies | 1 |
| Smoke Deficiencies | 1 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
January 31, 2024 — 3 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (February 16, 2024) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (February 16, 2024) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (February 16, 2024) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.