Why this was flagged
Medicare paid far more per patient than peers
In 2024 this provider was paid $26,248 per patient, against a typical $15,096 for the same kind of provider in OH. A genuinely high-need patient mix can explain some of this, but extreme per-patient billing is a classic upcoding and phantom-patient pattern.
Source CMS Skilled Nursing Facility Enrollments · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · 02c2f9
Owners and managing parties of record
ORION OPERATING SERVICES LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Nov 1, 2006
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
MIGUEL PAREDES
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 100% ownership · since Aug 18, 2021
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
Unnamed party
INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Aug 18, 2021
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
ATRIUM CENTERS MANAGEMENT LLC
OPERATIONAL/MANAGERIAL CONTROL · O · 100% ownership · since Nov 1, 2006
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
AMICUS CAPITAL HOLDINGS INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jan 1, 2021
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
ATRIUM CENTERS, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jan 1, 2010
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
FIFTH THIRD BANK
5% OR GREATER MORTGAGE INTEREST · O · 80% ownership · since Mar 7, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
JILL CHERRY
ADP OF THE SNF · I · since Jun 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
DAVID HELLER
OPERATIONAL/MANAGERIAL CONTROL · I · since Sep 18, 2024
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
DAVID HELLER
MANAGING CONTROL - GOVERNING BODY · I · since Sep 18, 2024
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
DAVID HELLER
ADP OF THE SNF · I · since Sep 18, 2024
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
PLANTE & MORAN PLLC
ADP OF THE SNF · O · since Jan 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
JOSH SNYDER
OPERATIONAL/MANAGERIAL CONTROL · I · since Sep 2, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
JOSH SNYDER
ADP OF THE SNF · I · since Sep 2, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
Unnamed party
ADP OF THE SNF · O · since Nov 1, 2006
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
MIGUEL PAREDES
ADP OF THE SNF · I · since Aug 18, 2021
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
AMICUS CAPITAL HOLDINGS INC
ADP OF THE SNF · O · since Aug 18, 2021
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
OCS REAL ESTATE HOLDINGS LLC
ADP OF THE SNF · O · since Jan 1, 2021
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
CURT ANDERSON
OPERATIONAL/MANAGERIAL CONTROL · I · since Aug 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
CURT ANDERSON
ADP OF THE SNF · I · since Aug 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
SUSAN ALBRIGHT ROSS
OPERATIONAL/MANAGERIAL CONTROL · I · since Jan 2, 2018
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
SUSAN ALBRIGHT ROSS
ADP OF THE SNF · I · since Jan 2, 2018
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
LEADERSTAT LTD
INDIRECT OWNERSHIP INTEREST · O · since Jan 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
Unnamed party
ADP OF THE SNF · O · since Sep 1, 2021
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
RHONDA HALL
OPERATIONAL/MANAGERIAL CONTROL · I · since Mar 12, 1984
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
RHONDA HALL
ADP OF THE SNF · I · since Mar 12, 1984
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
ORION OPERATING SERVICES LLC
OPERATIONAL/MANAGERIAL CONTROL · O · since Sep 8, 2006
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
FORVIS MAZARS LLP
ADP OF THE SNF · O · since Jun 1, 2023
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
Unnamed party
ADP OF THE SNF · O · since Aug 18, 2021
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
THOMAS E FREUNDLICH
OPERATIONAL/MANAGERIAL CONTROL · I · since May 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
THOMAS E FREUNDLICH
ADP OF THE SNF · I · since May 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
MEGHAN SABLAN
OPERATIONAL/MANAGERIAL CONTROL · I · since Aug 18, 2023
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
AMICUS PROPERTIES LLC
ADP OF THE SNF · O · since Jan 1, 2021
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
MEGHAN SABLAN
ADP OF THE SNF · I · since Aug 18, 2023
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
OMNICARE LLC
ADP OF THE SNF · O · since Jan 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
CINDY JOHNSON
OPERATIONAL/MANAGERIAL CONTROL · I · since Sep 18, 2024
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
CINDY JOHNSON
MANAGING CONTROL - GOVERNING BODY · I · since Sep 18, 2024
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
CINDY JOHNSON
ADP OF THE SNF · I · since Sep 18, 2024
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
JILL CHERRY
OPERATIONAL/MANAGERIAL CONTROL · I · since Jun 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
Source timeline
Every flag on this provider is built from one or more published government files. Below is each file that contributed, the weekly pulls we have of it, and the actual records read from it.
- Medicare paid far more per patient than peers
Weekly refreshes
- 18 Sept 2026 (in use)14,410 records14,410 added · 0 changed · 0 removedpublisher data as of 17 Aug 2026
Records read from this file
- ORION LEXINGTON LLCNPI 1942301908 · certification 366013 · 250 DELAWARE AVE, LEXINGTON, OH
CMS Skilled Nursing Facility All Owners
Weekly refreshes
- 18 Sept 2026 (in use)295,083 recordspublisher data as of 17 Aug 2026
Records read from this file
- ORION OPERATING SERVICES LLC5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% share · since 2006-11-01
- MIGUEL PAREDES5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2021-08-18
- Unnamed partyINDIRECT OWNERSHIP INTEREST · 100% share · since 2021-08-18
- ATRIUM CENTERS MANAGEMENT LLCOPERATIONAL/MANAGERIAL CONTROL · 100% share · since 2006-11-01
- AMICUS CAPITAL HOLDINGS INC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2021-01-01
- ATRIUM CENTERS, LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2010-01-01
- FIFTH THIRD BANK5% OR GREATER MORTGAGE INTEREST · 80% share · since 2017-03-07
- JILL CHERRYADP OF THE SNF · since 2025-06-01
cms_snf_payments
No completed weekly pull is recorded for this file yet.
Records read from this file
- Lexington Court Care Center — 2024$1,469,911 paid · 56 patients
Where every detail came from
Each value below is traced to the published file it was read from, the day we downloaded it, and the weekly version it belongs to. Open the link to check the original record yourself.
| Detail | Value | Published file | Record as of | Pulled | Version |
|---|---|---|---|---|---|
| Legal name | ORION LEXINGTON LLC | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| Trading name | LEXINGTON COURT CARE CENTER | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| NPI | 1942301908 | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| Medicare certification number | 366013 | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| CMS associate ID | 3678573169 | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| Provider type | PART A PROVIDER - SKILLED NURSING FACILITY | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| Organisation type | LLC | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| Incorporation date | 2004-10-31 | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| State of incorporation | DE | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| Street address | 250 DELAWARE AVE | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| City | LEXINGTON | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| State | OH | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| ZIP | 449041215 | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
What changed
How this provider's public record has moved between weekly refreshes. See the whole week.
Nothing has changed for this provider since we started comparing weekly refreshes.
Public research history
Nobody has worked this lead yet. Notes published by investigators stay here even after a claim expires.
Readers judge whether this flag holds up. A note only reaches the top when people who usually disagree both rate it helpful.
No notes yet. If you have checked this provider, say what you found.