PlainNursing
CMS Nursing Home Compare · August 2026

Lancaster Health Services

1350 S Madison St, Lancaster, WI 53813

Lancaster Health Services, a 50-bed for profit - limited liability company nursing facility in Lancaster, WI, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #193 of 321 rated homes in WI on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding 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: 6087234143

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2 / 5
Below average · CMS overall · nat'l 3.0
#193 of 321
In-state rank among rated WI homes
3.62
Below average · nurse hrs/day · nat'l 3.86
18
Inspection findings · 1 serious

The verdict

Lancaster Health Services, a 50-bed for profit - limited liability company nursing facility in Lancaster, WI, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #193 of 321 rated homes in WI on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

2 / 5
CMS overall · national 3.0
#193 of 321
In-state rank among rated WI homes
3.62
Nurse hrs/resident-day · national 3.86
18
Inspection findings · 1 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 323 WI nursing homes split by ownership sector

This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

2/5

Staffing

4/5

Quality Measures

3/5

Long-Stay Quality

3/5

Facility Information

Provider Number
525352
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
50
Residents
42
In Hospital
No
County
Grant
Last Inspection
Aug 19, 2025

Staffing Data

How the 3.62 total nursing hours per resident-day are staffed:

RN Hours
0.69 (nat'l avg: 0.69)
LPN Hours
0.73
CNA Hours
2.21
Total Nursing Hours
3.62 (nat'l avg: 3.86)
PT Hours
0.01
Nursing Turnover
28.0%
RN Turnover
28.6%

What the CMS Record Reveals About Lancaster Health Services

According to CMS Nursing Home Compare, Lancaster Health Services ranks #193 of 321 rated nursing homes in WI on overall stars (tie-broken by health+staffing+quality, then fewer fines). Lancaster Health Services operates 50 certified beds in Lancaster, WI with approximately 42 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 2★ · staffing 4★ · quality 3★).

The inspection file contains 18 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS has not levied any fines or payment denials against this facility. Reported nurse staffing runs 3.62 total hours per resident day (national average 3.86); RN hours specifically are 0.69 per resident day.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Lancaster Health Services falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 28.0% (CMS payroll-based measure).

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 the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (18 most recent)

D - Isolated - Minimal harm Aug 19, 2025 Tag: 0881

Implement a program that monitors antibiotic use.

Category: Infection Control Deficiencies

Corrected: Sep 16, 2025

D - Isolated - Minimal harm Aug 19, 2025 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Sep 16, 2025

D - Isolated - Minimal harm Aug 19, 2025 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: Sep 16, 2025

D - Isolated - Minimal harm Aug 19, 2025 Tag: 0578

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Category: Resident Rights Deficiencies

Corrected: Sep 16, 2025

E - Pattern - Minimal harm Aug 19, 2025 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 16, 2025

F - Widespread - Minimal harm Aug 19, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 16, 2025

J - Isolated - Jeopardy Aug 19, 2025 Tag: 0605

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 16, 2025

D - Isolated - Minimal harm Feb 19, 2025 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 18, 2025

D - Isolated - Minimal harm Feb 19, 2025 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 18, 2025

D - Isolated - Minimal harm Aug 27, 2024 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 27, 2024

D - Isolated - Minimal harm Jul 24, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 23, 2024

D - Isolated - Minimal harm Jul 24, 2024 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Aug 23, 2024

F - Widespread - Minimal harm Jul 24, 2024 Tag: 0851

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Category: Administration Deficiencies

Corrected: Mar 5, 2024

D - Isolated - Minimal harm Apr 24, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 3, 2024

C - Widespread - No harm Apr 6, 2023 Tag: 0888

Ensure staff are vaccinated for COVID-19

Category: Infection Control Deficiencies

Corrected: Apr 6, 2023

D - Isolated - Minimal harm Apr 6, 2023 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: May 2, 2023

F - Widespread - Minimal harm Apr 6, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 2, 2023

F - Widespread - Minimal harm Apr 6, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: May 2, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 17.5% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.2% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 5.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 20.2% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 3.5% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 23.9% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.8% Yes
Percentage of long-stay residents who lose too much weight Long Stay 2.5% No
Percentage of long-stay residents who have depressive symptoms Long Stay 10.2% 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 15.7% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 94.7% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 23.3% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 93.8% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 75.9% No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Lancaster Health Services, both outside WI so the neighborhoods are not the same-state geography list below.

What the CMS records show for Lancaster Health Services

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The WI registry aggregates state averages and the highest-rated homes in this cohort. View WI registry
  • Peer homes near 50 beds show how CMS stars vary at a similar scale in WI. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Lancaster Health Services?
Lancaster Health Services has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (4★), and quality measures (3★).
Where does Lancaster Health Services rank among nursing homes in WI?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Lancaster Health Services ranks 193rd among 321 rated nursing homes in WI (#193 of 321). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Lancaster Health Services?
Lancaster Health Services reports 3.62 total nursing hours per resident day (national average: 3.86). RN hours are 0.69 per resident day (national average: 0.69). Nursing staff turnover is 28.0%.
How many beds does Lancaster Health Services have?
Lancaster Health Services has 50 certified beds with approximately 42 residents. The facility is located at 1350 S Madison St, Lancaster, WI 53813.
Does Lancaster Health Services have any deficiencies on record?
Yes, Lancaster Health Services has 18 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Lancaster Health Services received any fines or penalties?
No, Lancaster Health Services has no fines or penalties on record.
Who owns Lancaster Health Services?
Lancaster Health Services is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Lancaster Health Services last inspected?
The most recent health inspection for Lancaster Health Services was on Aug 19, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Lancaster Health Services?
Lancaster Health Services 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. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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