Lancashire Nursing & Rehabilitation Center
287 School Street, Kilmarnock, VA 22482
Lancashire Nursing & Rehabilitation Center, a 120-bed for profit - corporation nursing facility in Kilmarnock, VA, holds a 4-star CMS overall rating - well above the 3.0-star national average, with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 8044351684
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- 4 / 5
- Above average · CMS overall · nat'l 3.0
- 2.97
- Well below average · nurse hrs/day · nat'l 3.89
- 22
- Inspection findings · 2 serious
- $0
- Federal penalties (0)
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 495345
- Ownership
- For profit - Corporation
- Provider Type
- Medicare and Medicaid
- Beds
- 120
- Residents
- 92
- In Hospital
- No
- County
- Lancaster
- Last Inspection
- Feb 3, 2022
Staffing Data
How the 2.97 total nursing hours per resident-day are staffed:
- RN Hours
- 0.50 (nat'l avg: 0.68)
- LPN Hours
- 0.71
- CNA Hours
- 1.76
- Total Nursing Hours
- 2.97 (nat'l avg: 3.89)
- PT Hours
- 0.01
- Nursing Turnover
- 39.7%
- RN Turnover
- 12.5%
What the CMS Record Reveals About Lancashire Nursing & Rehabilitation Center
Lancashire Nursing & Rehabilitation Center operates 120 certified beds in Kilmarnock, VA with approximately 92 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 3★ · staffing 2★ · quality 5★).
The inspection file contains 22 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider. Staffing is reported at 2.97 total nursing hours per resident day (national average 3.89), with RN coverage at 0.50 per resident day.
Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Lancashire Nursing & Rehabilitation Center falls into a category where comparative context matters. Reported nursing turnover at this facility is 39.7%, within a range generally associated with stable care teams.
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.
Deficiency History (22 most recent)
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Category: Infection Control Deficiencies
Corrected: Mar 18, 2022
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Mar 18, 2022
Provide or obtain dental services for each resident.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 18, 2022
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.
Category: Pharmacy Service Deficiencies
Corrected: Mar 18, 2022
Provide enough food/fluids to maintain a resident's health.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 18, 2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 18, 2022
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 18, 2022
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Mar 18, 2022
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.
Category: Resident Rights Deficiencies
Corrected: Mar 18, 2022
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Category: Resident Rights Deficiencies
Corrected: Mar 18, 2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 1, 2019
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Mar 1, 2019
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Mar 1, 2019
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Mar 1, 2019
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Category: Resident Rights Deficiencies
Corrected: Mar 1, 2019
Train all employees on what to do in an emergency, and carry out unannounced staff drills.
Category: Administration Deficiencies
Corrected: Nov 13, 2017
Have a program that investigates, controls and keeps infection from spreading.
Category: Environmental Deficiencies
Corrected: Nov 13, 2017
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
Category: Pharmacy Service Deficiencies
Corrected: Nov 13, 2017
Provide necessary care and services to maintain or improve the highest well being of each resident .
Category: Quality of Life and Care Deficiencies
Corrected: Nov 13, 2017
Allow residents the right to participate in the planning or revision of care and treatment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Nov 13, 2017
Ensure each resident receives an accurate assessment by a qualified health professional.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Nov 13, 2017
Reasonably accommodate the needs and preferences of each resident.
Category: Resident Rights Deficiencies
Corrected: Nov 13, 2017
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 8.9% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.0% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.6% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.8% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.5% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 25.7% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 1.8% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 11.0% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 29.0% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 19.4% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 97.0% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 100.0% | No |
Penalty History
No penalties on record.
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Understanding Nursing Home Data
Frequently Asked Questions
What is the overall CMS rating for Lancashire Nursing & Rehabilitation Center?
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How many beds does Lancashire Nursing & Rehabilitation Center have?
Does Lancashire Nursing & Rehabilitation Center have any deficiencies on record?
Has Lancashire Nursing & Rehabilitation Center received any fines or penalties?
Who owns Lancashire Nursing & Rehabilitation Center?
When was Lancashire Nursing & Rehabilitation Center last inspected?
What quality measures are tracked for Lancashire Nursing & Rehabilitation Center?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
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