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Abbotts Creek Center

Nursing Home Facility

877 Hill Everhart Road, Lexington, NC 27295

Memory Care Nursing Home Care Respite Care Senior Living

Abbotts Creek Center is located in Lexington, North Carolina. With its serene setting, Abbotts Creek is a leading short-term rehabilitation and extended care facility. Our hardworking and committed employees are dedicated to delivering high-quality and compassionate care. We have had five years in a row deficiency-free surveys by the NC Department of Health Service Regulation. Abbotts Creek has been featured on the Alliance for Quality Nursing Home Care highlighting the facility in its 21st Century Facility Spotlight. In addition, we were awarded the Bronze National Quality Award from the American Health Care Association in 2012.

Operated by Genesis HealthCare, which runs 507 communities in our directory.

Abbotts Creek Center is licensed for 64 beds, about typical for the area, where senior care communities in Lexington average about 70 beds.

Federal reporting puts occupancy at about 90% of its licensed beds, which is high; communities this full often maintain a waiting list, so it is worth calling well before you need a place.

Medicare rates this community 4 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Lexington average about 2.0 stars. The individual scores differ noticeably: 2 stars for staffing against 4 stars for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in January 2026 and recorded 5 deficiencies.

Residents receive about 3.5 hours of nursing care per day on average, including 0.9 hours from a registered nurse. Nursing staff turnover over the past year was about 61%, which is high and can affect continuity of care.

The community is located in Davidson County, NC.

Medicare five-star ratings

  • Overall ★★★★★ 4/5
  • Health inspections ★★★★★ 4/5
  • Staffing ★★★★★ 2/5
  • Quality measures ★★★★★ 4/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 12 problems at Abbotts Creek Center. None of them caused harm to a resident. 3 came from investigating complaints by residents or families.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, one or a few residents Resident Rights

    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.

    Inspected January 2026, after a complaint. Corrected by February 4, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide safe and appropriate respiratory care for a resident when needed.

    Inspected January 2026. Corrected by February 4, 2026.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Inspected January 2026. Corrected by February 4, 2026.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    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.

    Inspected January 2026. Corrected by February 4, 2026.

  • Minimal harm or the potential for it, widespread Nursing and Physician Services

    Post nurse staffing information every day.

    Inspected January 2026. Corrected by February 4, 2026.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Abbotts Creek Center offers memory care, nursing home care, respite care, and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 64
  • Occupancy 90%
  • Nursing hours per resident/day 3.5
  • Annual staff turnover 61%
  • Last health inspection January 2026

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