GoodStanding

Nursing home report

LANCASHIRE NURSING & REHABILITATION CENTER

KILMARNOCK, VA · Medicare-certified · 120 beds

In good standing
For-profit
4 of 5 overall

4 out of 5 stars overall. Quality measures are strong at 5 stars, but staffing is low at 2 stars and reported nurse staffing is 2.55 hours per resident per day, well below the federal benchmark of 4.1; the home has 3 stars for health inspections and no fines in the last 24 months.

Facility ratings

Health inspections

Staffing

2.5516 hrs/resident/day

Quality measures

Last inspection: June 22, 2023Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.5516.

Staffing detail

Registered nurses
0.43
Licensed practical nurses
0.64
Nurse aides
1.48
Weekend nursing
2.20

Hours per resident per day.

Total staff turnover: 45%
Registered nurse turnover: 13%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

23.2%27.5%Worsening

Residents with a fall causing major injury

5.6%3.3%Improving

Residents with pressure ulcers (bedsores)

0%2%Worsening

Residents with a urinary tract infection

0%1.1%Worsening

Residents who lost too much weight

3%7.4%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

1.6%14.8%Worsening

Residents whose ability to walk got worse

9.3%12.2%Worsening

Long-stay residents on antianxiety or sleep medication

22.7%36.1%Worsening

Short-stay residents newly given an antipsychotic

0%0%No change

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

13%17%Worsening

Residents with depressive symptoms

10.3%25.6%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

100%

Long-stay residents given the pneumonia vaccine

100%97.8%Worsening

Short-stay residents given the seasonal flu vaccine

100%

Short-stay residents given the pneumonia vaccine

95.7%84.1%Worsening

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2019 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited January 2019 — isolated incident, actual harm.

View the original federal record

F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: G

The home failed to give residents clear notice about what Medicare or Medicaid would cover and what costs they might have to pay themselves. Cited February 2022 — limited pattern, potential for harm.

View the original federal record

F-Tag 582 — 42 CFR §483.10 — S/S: E

The home failed to properly label and securely store medications and biologicals. Cited February 2022 — limited pattern, potential for harm.

View the original federal record

F-Tag 761 — 42 CFR §483.45(g) — S/S: E

The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited February 2022 — isolated incident, potential for harm.

View the original federal record

F-Tag 584 — 42 CFR §483.10 — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 10 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found

Operator & ownership

Ownership
For profit - Corporation
Occupancy
101.5 residents on an average day (85% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 26 years

The most recent standard health inspection was more than two years ago.

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.