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LANCASHIRE NURSING & REHABILITATION CENTER

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LANCASHIRE NURSING & REHABILITATION CENTER is a for profit - corporation facility in KILMARNOCK, VA with 120 certified beds and a 4-star overall CMS rating. The facility has 22 deficiency records on file.

287 SCHOOL STREET, KILMARNOCK, VA 22482

Phone: 8044351684

Overall Rating

4/5

Health Inspection

3/5

Staffing

2/5

Quality Measures

5/5

Long-Stay Quality

5/5

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

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. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (2★), and quality measures (5★). 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.

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, suggesting issues — if any — did not rise to the enforcement threshold. 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 — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

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. 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. Reported nursing turnover at this facility is 39.7%, within a range generally associated with stable care teams. 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)

D — Isolated - Minimal harm Feb 3, 2022 Tag: 0887

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

D — Isolated - Minimal harm Feb 3, 2022 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 18, 2022

D — Isolated - Minimal harm Feb 3, 2022 Tag: 0791

Provide or obtain dental services for each resident.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 18, 2022

E — Pattern - Minimal harm Feb 3, 2022 Tag: 0761

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

D — Isolated - Minimal harm Feb 3, 2022 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 18, 2022

D — Isolated - Minimal harm Feb 3, 2022 Tag: 0689

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

D — Isolated - Minimal harm Feb 3, 2022 Tag: 0688

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

D — Isolated - Minimal harm Feb 3, 2022 Tag: 0657

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

D — Isolated - Minimal harm Feb 3, 2022 Tag: 0584

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

E — Pattern - Minimal harm Feb 3, 2022 Tag: 0582

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category: Resident Rights Deficiencies

Corrected: Mar 18, 2022

J — Isolated - Jeopardy Jan 25, 2019 Tag: 0689

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

G — Isolated - Actual harm Jan 25, 2019 Tag: 0656

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

D — Isolated - Minimal harm Jan 25, 2019 Tag: 0646

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

D — Isolated - Minimal harm Jan 25, 2019 Tag: 0644

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

D — Isolated - Minimal harm Jan 25, 2019 Tag: 0623

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

D — Isolated - Minimal harm Oct 12, 2017 Tag: 0518

Train all employees on what to do in an emergency, and carry out unannounced staff drills.

Category: Administration Deficiencies

Corrected: Nov 13, 2017

D — Isolated - Minimal harm Oct 12, 2017 Tag: 0441

Have a program that investigates, controls and keeps infection from spreading.

Category: Environmental Deficiencies

Corrected: Nov 13, 2017

D — Isolated - Minimal harm Oct 12, 2017 Tag: 0425

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

D — Isolated - Minimal harm Oct 12, 2017 Tag: 0309

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

D — Isolated - Minimal harm Oct 12, 2017 Tag: 0280

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

D — Isolated - Minimal harm Oct 12, 2017 Tag: 0278

Ensure each resident receives an accurate assessment by a qualified health professional.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 13, 2017

D — Isolated - Minimal harm Oct 12, 2017 Tag: 0246

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 who lose too much weight Long Stay 1.8% No
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 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 experiencing one or more falls with major injury Long Stay 3.6% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 97.0% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 11.8% Yes
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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 100.0% No
Percentage of long-stay residents with pressure ulcers Long Stay 1.5% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 19.4% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 25.7% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for LANCASHIRE NURSING & REHABILITATION CENTER?
LANCASHIRE NURSING & REHABILITATION CENTER has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (3★), staffing levels (2★), and quality measures (5★).
What are the staffing levels at LANCASHIRE NURSING & REHABILITATION CENTER?
LANCASHIRE NURSING & REHABILITATION CENTER reports 2.97 total nursing hours per resident day (national average: 3.89). RN hours are 0.50 per resident day (national average: 0.68). Nursing staff turnover is 39.7%.
How many beds does LANCASHIRE NURSING & REHABILITATION CENTER have?
LANCASHIRE NURSING & REHABILITATION CENTER has 120 certified beds with approximately 92 residents. The facility is located at 287 SCHOOL STREET, KILMARNOCK, VA 22482.
Does LANCASHIRE NURSING & REHABILITATION CENTER have any deficiencies on record?
Yes, LANCASHIRE NURSING & REHABILITATION CENTER has 22 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has LANCASHIRE NURSING & REHABILITATION CENTER received any fines or penalties?
No, LANCASHIRE NURSING & REHABILITATION CENTER has no fines or penalties on record.
Who owns LANCASHIRE NURSING & REHABILITATION CENTER?
LANCASHIRE NURSING & REHABILITATION CENTER is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was LANCASHIRE NURSING & REHABILITATION CENTER last inspected?
The most recent health inspection for LANCASHIRE NURSING & REHABILITATION CENTER was on Feb 3, 2022. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for LANCASHIRE NURSING & REHABILITATION CENTER?
LANCASHIRE NURSING & REHABILITATION CENTER is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

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.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial