CCN 366013 · Richland County, Ohio
Lexington Court Care Center
250 Delaware St, Lexington, OH 44904
Lexington Court Care Center is a 75-bed for-profit nursing home in Lexington, Ohio, first certified for Medicare or Medicaid in 1995. CMS rates it 4 out of 5 stars overall in its September 2026 data, and it averaged 71.2 residents a day, about 95% of its certified beds. It has an active FHA-insured Section 232 loan: $9.1 million originally, at 5.78%, with $9.1 million outstanding as of September 30, 2026 and maturity in July 2061.
Facility facts
- Certified beds
- 75
- Average residents per day
- 71.2 (94.9% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Orion Lexington LLC
- Certified since
- Aug 1, 1995
- Chain or affiliated group
- Atrium Centers (26 facilities, chain average 2.9 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Ohio median | US median |
|---|---|---|---|
| Overall rating | 4 of 5 | State spread: 118 at 1, 216 at 2, 180 at 3, 190 at 4, 209 at 5 | |
| Health inspections | 3 of 5 | ||
| Quality measures | 5 of 5 | ||
| Staffing | 3 of 5 | ||
| Total nurse hours per resident per day | 2.89 | 3.57 | 3.68 |
| RN hours per resident per day | 0.65 | 0.59 | 0.58 |
| Weekend nurse hours per resident per day | 2.50 | ||
| Nursing staff turnover | 46.6% | 48.5% | 44.9% |
| Occupancy (residents / beds) | 94.9% | 87.2% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 5 (Mar 27, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Lexington Court Care Center meets that part today: 4 stars overall, 3 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Orion Operating Services LLCOrganization | Direct Ownership Interest | 100% | 11/01/2006 |
| Fifth Third BankOrganization | Mortgage Interest | n/a | 03/07/2017 |
| Atrium Centers Management LLCOrganization | Operational / Managerial Control | n/a | 11/01/2006 |
| Orion Operating Services LLCOrganization | Operational / Managerial Control | n/a | 09/08/2006 |
| Albright Ross, SusanIndividual | Operational / Managerial Control | n/a | 01/02/2018 |
| Anderson, CurtIndividual | Operational / Managerial Control | n/a | 08/01/2025 |
| Cherry, JillIndividual | Operational / Managerial Control | n/a | 06/01/2025 |
| Freundlich, ThomasIndividual | Operational / Managerial Control | n/a | 05/01/2025 |
| Hall, RhondaIndividual | Operational / Managerial Control | n/a | 03/12/1984 |
| Heller, DavidIndividual | Operational / Managerial Control | n/a | 09/18/2024 |
| Johnson, CindyIndividual | Operational / Managerial Control | n/a | 09/18/2024 |
| Sablan, MeghanIndividual | Operational / Managerial Control | n/a | 08/18/2023 |
| Snyder, JoshIndividual | Operational / Managerial Control | n/a | 09/02/2025 |
Holders of a 5% or greater mortgage interest reported in the enrollment record: Fifth Third Bank.
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Jun 23, 2026 | 223(f) refinance or purchaseHUD project name: Lexington Court Care Center, 75 beds. Lender at endorsement: Lument Real Estate Capital, LLC | $9,120,000 | Active: 5.78%, $9,106,502 balanceMatures Jul 1, 2061. Servicer: Lument Real Estate Capital | 04222488 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.