2343 - 2345 Lexington Avenue, Salem, OH 44460
For more information about senior living options: (866) 208-4318
Overall Review of Lexington Place Assisted Living
Pros
Lexington is described as personal and like family.
It is described as more than expected.
The reviewer thanks Mr. Fabian and all staff and says they feel like family.
Cons
Medicine goes missing.
Elder abuse is not taken seriously.
There are no nurses at all.
There are no license requirements for staff.
There is no activities director.
Aides will ignore falls until convenient.
Aides steal medication.
Aides come in intoxicated (per management request).
Abuse reports go unanswered.
The place is a joke.
Review
Lexington Place Assisted Living in Salem is best suited for seniors who value a home-like, personal atmosphere and a sense of family-like care. It works for families and residents who prize warmth, individualized attention, and daily interactions that feel less clinical and more intimate. In the strongest cases, residents report care that feels deeply personal and staff who behave as if they are part of the family unit. For someone prioritizing emotional comfort and a small-community vibe over formal medical systems, Lexington can feel like the right fit. The upside is a perceived sense of belonging and approachable, familiar staff in a setting that many would describe as homelike rather than hospital-like.
That said, consideration of alternatives is essential for anyone depending on robust medical oversight and rigorous safety governance. Families with residents who require licensed nursing on site, consistent medication management, or highly structured programming should look elsewhere. If 24/7 medical supervision, reliable response to falls, or formal activity programming is non-negotiable, this community may fall short. Similarly, those who insist on clear, enforceable abuse and neglect reporting protocols, ongoing monitoring of staff licensure, and predictable safety practices will want options with stronger regulatory alignment and verified accountability.
The strongest positive signal here is the unmistakable warmth and personal attention some residents experience. When care feels individualized and staff go beyond routine tasks to treat residents like family, that is meaningful, especially for seniors who fear impersonal care settings. That compassionate foundation can make daily life more pleasant and reduce anxiety about transitions. However, these favorable impressions operate in tension with the more troubling, systemic concerns raised by several observers, and those concerns tend to dominate the overall risk calculus for families weighing the decision.
The most serious red flags center on safety, governance, and accountability. Reports of missing medications, allegations of elder abuse not being taken seriously, and an absence of licensed nurses on site create a dangerous gap between care ideals and actual practice. The claim that there are no licensed staff and no activities director points to a broader lack of professional oversight and structured engagement for residents. Aides purportedly ignoring falls, potential medication theft, and claims that abuse reports go unanswered all undermine trust and raise the stakes for families assessing long-term safety and quality of life. Taken together, these elements suggest significant risk that cannot be dismissed as minor or intermittent.
For families moving forward, a disciplined due-diligence approach is essential. Before choosing Lexington Place, demand clarity on staffing credentials, nurse availability, and the exact medication-management process. Request the current abuse-report policy, a copy of the latest inspection or licensure status, and a detailed activity calendar or program plan. Tour with the administrator or director of operations and insist on speaking with current residents and their families about day-to-day safety and responsiveness. If possible, arrange to observe staff interactions during peak hours and ask about incident reporting and follow-up procedures. These steps illuminate whether the warm, family-style promise can be reconciled with the concrete safeguards necessary for safe, dignified senior living.
In the end, Lexington Place presents a mixed proposition: a homey environment with genuine warmth on one side, and notable governance, safety, and staffing gaps on the other. For seniors who can tolerate, or even overlook, gaps in formal medical oversight in exchange for a compelling sense of belonging, it may work. For families who require predictable medical supervision, rigorous safety protocols, and demonstrable accountability, alternatives with licensed nursing on site and robust activity programming will likely serve better. The decision hinges on tolerating risk versus valuing intimate, personal care, and the next step should be a thorough, structured evaluation against those criteria.








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