SNF
Mayfair Manor
CCN: 185069 · Lexington, KY 40502 · Fayette County
Abuse citation flag
Overview
- Address
- 3300 Tates Creek Road, Lexington, KY 40502
- Phone
- 8592662126
- Certified beds
- 98
- Avg daily residents
- 83 (85% of beds filled)
- Ownership
- For-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1977-06-01
- Setting
- Urban
1 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.70 | 3.87 | 3.69 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.36 | 0.68 | 0.36 | ≥ 0.55 | Below floor |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.26 | 0.86 | 1.26 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.08 | 2.33 | 2.08 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.62 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.13 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.13
hrs / resident / day
RN (weekend)
0.19
hrs / resident / day
Total nurse (adjusted, weekend)
3.12
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
39.0%
annual
RN turnover
61.5%
annual
Administrators departed
2
last 12 months
Resident acuity
Nursing Case-Mix Index
1.37
higher acuity than avg
Case-Mix Index Ratio
0.99
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2024-11-26 | 5 | 5 | 1 | 40 | 1 | 40 |
| Cycle 2/3 (prior) | 2021-06-24 | 15 | 6 | 9 | 148 | 1 | 148 |
Total weighted health score
67.0
lower is better
Deficiencies (22)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
19 D/E/F Actual harm — potential for minor
3 J/K/L Immediate jeopardy
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2024-11-26 | 2025-01-01 |
| 0685 | Assist a resident in gaining access to vision and hearing services. | D | 2024-11-26 | 2025-01-01 |
| 0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2024-11-26 | 2025-01-01 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2024-11-26 | 2025-01-01 |
| 0602 | Protect each resident from the wrongful use of the resident's belongings or money. | J | 2024-11-26 | 2024-08-23 |
| 0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | D | 2024-07-30 | 2024-08-24 |
| 0584 | 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. | F | 2024-07-30 | 2024-08-24 |
| 0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | 2024-07-30 | 2024-08-24 |
| 0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2024-07-30 | 2024-08-24 |
| 0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | J | 2024-07-30 | 2023-07-14 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2024-07-30 | 2023-07-14 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | F | 2024-07-30 | 2024-08-24 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-07-30 | 2024-08-24 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2024-07-30 | 2024-08-24 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2021-06-24 | 2021-08-08 |
| 0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2021-06-24 | 2021-08-08 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2021-06-24 | 2021-08-08 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2021-06-24 | 2021-08-08 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2021-06-24 | 2021-08-08 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2021-06-24 | 2021-08-08 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | D | 2019-05-09 | 2019-06-17 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2019-05-09 | 2019-06-17 |
Penalties (3)
Fines issued
3
last 3 years
Total fines
$33,602
| Date | Type | Fine amount |
|---|---|---|
| 2024-07-30 | Fine | $6,500 |
| 2024-07-30 | Fine | $10,301 |
| 2024-11-26 | Fine | $16,801 |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 12.2% Medicaid 52.6% Other 35.2%
Operating performance
Operating Margin
-9.4%
Total Margin
-9.3%
Occupancy Rate
79.9%
Cost per Resident Day
$51
Revenue & costs
Net Patient Revenue
$9.6M
Total Costs
$1.4M
Net Income
-$892K
Balance sheet
Total Assets
$1.7M
Total Liabilities
$7.4M
Fund Balance
-$5.7M
Current Ratio
0.27
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: SIGNATURE HEALTHCARE
- Chain ID
474- Facilities in chain
- 71
- Legal business name
- LP LEXINGTON LLC
Chain-average star ratings (for peer context)
Overall
3.0
Health
2.8
Staffing
2.6
QM
3.8
Owner / manager organizations (5)
| Organization | Role | Association |
|---|---|---|
| LP O HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 11/01/2007 |
| AGEMO HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 11/01/2007 |
| JJLA LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 11/01/2007 |
| LPSNF II LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 11/01/2007 |
| WHEATEN LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 11/01/2007 |
Owner / manager individuals (4)
| Name | Role | Association |
|---|---|---|
| SMEDRA, IRA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 11/01/2007 |
| STEIER III, ELMER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 11/01/2007 |
| HARRISON, JOHN | CORPORATE OFFICER | since 11/01/2007 |
| GRIFFITH, HEATHER | W-2 MANAGING EMPLOYEE | since 09/15/2020 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- Yes — last 2 cycles
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $51 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.27 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 52.6% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 12.2% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-891,972 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $9,589,410 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 79.9% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -9.4% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $1,660,278 | metrics.total_assets |
| Cost Report | Total Costs ($) | $1,443,030 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-5,694,028 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $7,354,306 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -9.3% | metrics.total_margin |
| Provider Information | Abuse Icon | Y | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 1.25806 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.07766 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.35560 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.69132 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.12112 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 83.4 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.85859 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.33345 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.67676 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.86880 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.40994 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.8 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 3.0 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 3.8 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 2.6 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 474 | Chain ID |
| Provider Information | Chain Name | SIGNATURE HEALTHCARE | Chain Name |
| Provider Information | City/Town | Lexington | City/Town |
| Provider Information | CMS Certification Number (CCN) | 185069 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Fayette | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1977-06-01 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 1 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 37.9979 | Latitude |
| Provider Information | Legal Business Name | LP LEXINGTON LLC | Legal Business Name |
| Provider Information | Location | 3300 Tates Creek Road,Lexington,KY,40502 | Location |
| Provider Information | Long-Stay QM Rating | 4 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -84.496 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 2 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 98 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 71 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 3 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.37054 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.99484 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 1 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Corporation | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 3300 Tates Creek Road | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | Mayfair Manor | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 330 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 3 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 40 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 1 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 5 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2024-11-26 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 40 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 5 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 6 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2021-06-24 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 148 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 9 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 148 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 15 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.18770 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 61.5 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.61695 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.26062 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.08190 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.13145 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.35633 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.69885 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 1 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 2 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | KY | State |
| Provider Information | Telephone Number | 8592662126 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 33602.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.12748 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 3 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 39.0 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 67.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 40502 | ZIP Code |