Medicare and Medicaid · Pinellas County
Lexington Healthcare And Rehabilitation Center
6300 46TH AVE N, Saint Petersburg, FL 33709 · 7275441444
Overall rating
3/5
Lexington Healthcare And Rehabilitation Center is a for-profit nursing home in Saint Petersburg, FL with 159 licensed beds. CMS rates it 3 out of 5 stars overall — average for Florida nursing homes. Subcategory scores: staffing (2/5), health inspections (2/5), quality measures (5/5). The facility has incurred $26,685 in government fines — review the penalty history below.
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How this home is rated
Source: CMS Care Compare, last updated May 1, 2026
About this home
- Capacity
- 159 beds
- Ownership
- For profit - Limited Liability company
- Type
- Medicare and Medicaid
- County
- Pinellas
Government Penalties
$26,685 total fines- 2025-07-17 — Fine · $26,685
What the government rating says
3
out of 5
CMS stars
Lexington Healthcare And Rehabilitation Center holds a 3-star CMS rating — average for a Florida nursing home. The facility meets federal requirements but does not rank in the top tier. The sub-category breakdown below shows where it performs well and where there is room for improvement.
Health Inspections
2/5
Below average — notable inspection findings
Staffing
2/5
Below average — fewer nurse hours per resident than typical
Quality Measures
5/5
Top tier — among best outcomes in Florida
What the Ratings Mean
Lexington Healthcare And Rehabilitation Center holds an overall 3-star rating from CMS, which means it lands right around average when stacked up against other nursing homes nationwide. That overall number is a composite of three separate ratings, and in this case, those pieces tell pretty different stories. The health inspection rating comes in at 2 stars, meaning state inspectors have found more citations, or more serious ones, than you would typically see at a comparable facility. The staffing rating is also 2 stars, which reflects that nurses are spending fewer hours with each resident than average - something worth asking about, since staffing levels directly affect how quickly staff can respond to a resident's needs day to day.
Where Lexington really stands out is in quality measures, where it earns a perfect 5 stars. That category looks at 15 clinical outcomes - things like how residents are managing pain, whether they're experiencing falls or pressure sores, and how their physical functioning is holding up over time. A 5-star score here means the facility is performing much better than average on those real, measurable health results. For families, the honest picture is a bit mixed. The clinical outcomes are genuinely impressive, but the lower inspection and staffing scores are worth a closer look. It would be reasonable to ask the facility directly about any recent inspection findings and what their typical nurse-to-resident ratio looks like on a given shift.
Staffing at a Glance
Staffing at Lexington Healthcare And Rehabilitation Center runs a bit below what you'd typically find at Florida nursing homes. Residents here receive about 3.62 total nurse hours per day, compared to the state average of 3.87, and registered nurse time comes in at 0.43 hours per resident versus the Florida average of 0.52. In practical terms, those fractions of an hour add up across an entire shift. A small gap like this might mean nurses are stretched a little thinner during busy periods, which can affect how quickly call lights get answered or how much one-on-one attention a resident receives during medication rounds or personal care. It does not necessarily mean care is poor, but it is worth asking the facility how they manage staffing during nights, weekends, and holidays, since those are often the times when numbers dip even further.
Inspection & Penalty History
Lexington Healthcare and Rehabilitation Center in Saint Petersburg has a 2-out-of-5-star health inspection rating from the government, which is below average and worth taking seriously as you look into this facility. There is one penalty on record, with a fine of $26,685 issued as recently as July 2025, meaning this is not a historical issue that has long since been resolved. A single penalty does not automatically disqualify a facility, but the combination of a below-average inspection rating and a recent fine suggests families should dig deeper, ask questions during a tour, and pay close attention to staffing levels and how the facility responds to concerns. Families evaluating this facility can compare it to others in Saint Petersburg on the Saint Petersburg nursing homes and assisted living page.
Questions to Ask When You Visit
- How many residents does each certified nursing assistant care for during a typical day shift and a typical night shift?
- How often do residents see the same aides and nurses week to week, and what is your current staff turnover rate?
- Can you walk me through exactly what happens if a resident falls or has a medical emergency in the middle of the night?
- How do you handle a resident who refuses to eat, seems withdrawn, or shows signs that something might be wrong emotionally?
- What does a normal weekday look like for a resident who does not have family visiting, from the time they wake up to the time they go to bed?
- Has this facility been cited for any deficiencies in the last two years, and if so, what specific changes did you make to address them?
For more guidance on evaluating facilities, see our guide to questions to ask when choosing a Florida nursing home.
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