Winston-Salem Senior AdvisorBrookdale Lexington (161 Young Drive, Lexington) holds North Carolina adult care home license HAL-029-006 for 76 residents in Davidson County, 24 of them in a dementia special care unit. The state's current rating is 3 stars on a 0-4 scale.
What does North Carolina's license record say about Brookdale Lexington?
It does: Brookdale Lexington holds adult care home license HAL-029-006 for 76 beds, bigger than the 62-bed median for the 47 adult care homes in our five counties, and the license runs to December 31, 2026.
| Item | State record |
|---|---|
| License number (DHSR) | HAL-029-006 |
| Category | Adult care home: 7 or more residents, 10A NCAC 13F |
| Licensed capacity | 76 beds |
| Dementia special care unit | 24 beds |
| License valid through | December 31, 2026 |
| Licensee (legal operator) | Southern Assisted Living, LLC |
| Executive Director | Anthony McManus |
| State star rating | 3 stars, score 101.00 |
| Fines on the 36-month list | 2 |
| Phone (from the state listing) | (336) 238-1700 |
Responsibility sits with the licensee shown here, Southern Assisted Living, LLC. When the state cites or fines a home, it does so in that legal name, which may not match the name on the front sign.
What is Brookdale Lexington's North Carolina star rating?
Brookdale Lexington is rated 3 stars of a possible 4 by DHSR (score 101.00), a rating shared by 24 of the 55 rated homes across Forsyth, Davidson, Davie, Stokes and Yadkin counties.
Nursing homes are rated by CMS on a different, five-star scale. Comparing a three-star adult care home with a three-star nursing home tells you nothing, because the two scales measure different things.
DHSR keeps the rating history and the inspection documents on its own page for this home.
What have inspections at Brookdale Lexington turned up?
Inspectors' most recent annual visit to Brookdale Lexington on record was July 31, 2026: deficiencies cited.
| Visit date | Kind of visit | Document DHSR posted |
|---|---|---|
| 07/31/2026 | ACLS Annual, Complaint, and Follow-up | Statement of Deficiency with Plan of Correction |
| 08/14/2025 | ACLS Follow-up | Statement of Deficiency |
| 05/16/2025 | ACLS Annual | Statement of Deficiency with Plan of Correction |
| 06/20/2024 | ACLS Follow-up | No Deficiencies Cited |
| 03/27/2024 | Constr Biennial Follow-up | No Deficiencies Cited |
| 02/22/2024 | ACLS Annual and Follow-up | Statement of Deficiency with Plan of Correction |
| 01/12/2024 | Constr Biennial Follow-up | Statement of Deficiency with Plan of Correction |
The record goes back to 2014: 8 annual or initial surveys (0 with nothing cited), 3 complaint investigations and 9 visits from DHSR's construction section, which checks the building. When two documents share a date, the one marked “with Plan of Correction” holds the home's own answer to the findings, and it is usually the more revealing read.
Does Brookdale Lexington appear on North Carolina's adult care penalty list?
Yes: the 36-month penalty list carries 2 fines for Brookdale Lexington, $2,000 in all, most recently imposed September 10, 2025 at level A2 under 10A NCAC 13F .0901(b) Personal Care and Supervision.
- September 10, 2025: level A2, 10A NCAC 13F .0901(b) Personal Care and Supervision, from the 5/16/2025 inspection; $1,000.00 (paid in full)
- September 10, 2025: level A2, 10A NCAC 13F .1004(a) Medication Administration, from the 5/16/2025 inspection; $1,000.00 (paid in full)
A fine records what happened at one inspection. The useful follow-up is whether later surveys in the table above came back cleaner, and what the administrator says changed.
Can Brookdale Lexington care for a resident with Alzheimer's disease?
It does. DHSR's October 28, 2026 special care unit list puts 24 of Brookdale Lexington's 76 beds in a unit for Alzheimer's disease and related disorders.
If money may run short, ask how many unit beds take State/County Special Assistance, which pays its higher Enhanced Rate inside a special care unit.
Other dementia units close by: Brookstone Retirement Center (3.5 mi, 42 unit beds), Grayson Creek of Welcome (7.1 mi, 16 unit beds), Brookstone Terrace of Thomasville (10.1 mi, 14 unit beds).
Where could we look if Brookdale Lexington has no opening?
Closest is Brookstone Retirement Center in Lexington, roughly 3.5 miles as the crow flies: a adult care home licensed for 115 with a state rating of 4 stars.
| Facility | License type | Miles away | Licensed beds | Special care unit beds | DHSR stars |
|---|---|---|---|---|---|
| Brookstone Retirement Center 2968 Old Salisbury Road, 27295 | ACH | 3.5 | 115 | 42 | 4 stars |
| Mary's House Family Care Home 120 Cotton Cross Drive, 27292 | FCH | 4.6 | 4 | 0 | 3 stars |
| Grayson Creek of Welcome 6781 Old US HWY 52, 27295 | ACH | 7.1 | 75 | 16 | 3 stars |
| Thalia Gardens Assisted Living 275 Carlile Drive, 27295 | FCH | 8.4 | 4 | 0 | Not rated |
| Brookstone Terrace of Thomasville 915 West Cooksey Drive, 27360 | ACH | 10.1 | 62 | 14 | 4 stars |
How far is Brookdale Lexington from a hospital?
The home sits in Lexington in Davidson County; the nearest acute-care hospital on the state's list is Lexington Medical Center in Lexington, roughly 2.9 miles as the crow flies.
Second closest is Novant Health Thomasville Medical Center in Thomasville, about 8.6 miles. These are straight-line figures between mapped addresses; the drive is longer.
For nursing care later on, the two nearest Medicare-certified nursing homes are Lexington Health Care Center (0.3 mi; CMS 1 of 5) and Abbotts Creek Center (2.7 mi; CMS 4 of 5).
What should we ask Brookdale Lexington on a tour?
Lead with what DHSR's documents show: ask what was changed after the level A2 fine under .0901(b) Personal Care and Supervision, and who now checks that it holds.
- Ask for a copy of the July 31, 2026 statement of deficiencies and the plan of correction that answered it.
- Ask how many aides and supervisors work each shift, nights included, and what share are agency staff.
- Ask for the special care unit's disclosure statement and the number of staff posted inside the unit on each shift.
- Ask whether Special Assistance and Medicaid personal care services are accepted before you count on either.
- Ask which charges climb as care needs climb, and get the current rate sheet on paper.
