C76

LANCASHIRE NURSING & REHABILITATION CENTER

Grade C 76/100 composite score

For profit - Corporation

CMS Star Ratings

Overall
4/5
Health Insp.
3/5
Quality
5/5
Staffing
2/5
RN Staffing
Not rated

Certified Beds

120

Ownership

For profit - Corporation

Total Fines

None

Last Survey

N/A

287 SCHOOL STREET, KILMARNOCK, VA 22482
8044351684

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.49h
LPN
0.70h
CNA
1.74h
Total
2.92h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

GEORGE S MITCHELL JR RVOC TR

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Nov 2020

7%

WASON, HARRY

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jan 2012

9%

FREEMAN, ROBERT

IndividualCORPORATE DIRECTORSince Jan 2003

KLYCZEK, MARK

IndividualCORPORATE DIRECTORSince Apr 2020

MORRISETTE, STEPHEN

IndividualCORPORATE DIRECTORSince Jan 2015

SUTTLE, RAYMOND

IndividualCORPORATE DIRECTORSince Jan 2003

WASON, HARRY

IndividualCORPORATE DIRECTORSince Jan 2003

BOLDY, NICOLE

IndividualCORPORATE OFFICERSince Jul 2020

FREEMAN, ROBERT

IndividualCORPORATE OFFICERSince Jan 2012

KLYCZEK, MARK

IndividualCORPORATE OFFICERSince Apr 2020

SUTTLE, RAYMOND

IndividualCORPORATE OFFICERSince Jan 2012

WASON, HARRY

IndividualCORPORATE OFFICERSince Jan 2012

BOLDY, NICOLE

IndividualW-2 MANAGING EMPLOYEESince Jan 2009

HARRISON, MICHAEL

IndividualW-2 MANAGING EMPLOYEESince Sep 2022

KLYCZEK, MARK

IndividualW-2 MANAGING EMPLOYEESince Apr 2020

LUNDIN, DONALD

IndividualW-2 MANAGING EMPLOYEESince Mar 2021

WALTERS, ROBERT

IndividualW-2 MANAGING EMPLOYEESince Oct 2013

FULTON BANK, N.A.

Organization5% OR GREATER MORTGAGE INTERESTSince Mar 2013

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (24)

February 3, 2022Health10 deficiencies
0582EMinimal harm, Pattern

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

Resident Rights Deficiencies

Corrected Mar 18, 2022
0584DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Mar 18, 2022
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 18, 2022
0688DMinimal harm, Isolated

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.

Quality of Life and Care Deficiencies

Corrected Mar 18, 2022
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Mar 18, 2022
0692DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Mar 18, 2022
0761EMinimal harm, Pattern

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.

Pharmacy Service Deficiencies

Corrected Mar 18, 2022
0791DMinimal harm, Isolated

Provide or obtain dental services for each resident.

Quality of Life and Care Deficiencies

Corrected Mar 18, 2022
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Mar 18, 2022
0887DMinimal harm, Isolated

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.

Infection Control Deficiencies

Corrected Mar 18, 2022
January 25, 2019Health7 deficiencies2 severe
0609DMinimal harm, Isolated

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Mar 1, 2019
0610DMinimal harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Mar 1, 2019
0623DMinimal harm, Isolated

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Resident Rights Deficiencies

Corrected Mar 1, 2019
0644DMinimal harm, Isolated

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 1, 2019
0646DMinimal harm, Isolated

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 1, 2019
0656GActual harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 1, 2019
0689JImmediate jeopardy, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Mar 1, 2019
October 12, 2017Health7 deficiencies
0246DMinimal harm, Isolated

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Nov 13, 2017
0278DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Nov 13, 2017
0280DMinimal harm, Isolated

Allow residents the right to participate in the planning or revision of care and treatment.

Resident Assessment and Care Planning Deficiencies

Corrected Nov 13, 2017
0309DMinimal harm, Isolated

Provide necessary care and services to maintain or improve the highest well being of each resident .

Quality of Life and Care Deficiencies

Corrected Nov 13, 2017
0425DMinimal harm, Isolated

Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

Pharmacy Service Deficiencies

Corrected Nov 13, 2017
0441DMinimal harm, Isolated

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

Environmental Deficiencies

Corrected Nov 13, 2017
0518DMinimal harm, Isolated

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

Administration Deficiencies

Corrected Nov 13, 2017

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Frequently Asked Questions

What is the CareGrader rating for LANCASHIRE NURSING & REHABILITATION CENTER?

LANCASHIRE NURSING & REHABILITATION CENTER in KILMARNOCK, Virginia has a CareGrader grade of C (Average), with a composite score of 76 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for LANCASHIRE NURSING & REHABILITATION CENTER?

LANCASHIRE NURSING & REHABILITATION CENTER has an overall CMS star rating of 4 out of 5, a health inspection rating of 3/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does LANCASHIRE NURSING & REHABILITATION CENTER have?

LANCASHIRE NURSING & REHABILITATION CENTER has 24 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does LANCASHIRE NURSING & REHABILITATION CENTER have?

LANCASHIRE NURSING & REHABILITATION CENTER has 120 certified beds with approximately 92 current residents (77% occupancy). The facility is located at 287 SCHOOL STREET, KILMARNOCK, Virginia 22482. It is a for profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.