CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Lancaster Nursing and Rehabilitation
View the most recent health deficiencies and inspection results for Lancaster Nursing and Rehabilitation. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Lancaster Nursing and Rehabilitation. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-11-21 | 2025-11-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-01 | 2025-08-02 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2025-03-05 | 2025-04-14 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-02-21 | 2025-02-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-02-21 | 2025-02-22 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2024-10-10 | 2024-11-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-10-10 | 2024-10-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-10-10 | 2024-10-11 | Y |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-10-10 | 2024-10-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-10-10 | 2024-10-11 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-10-10 | 2024-10-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-10-10 | 2024-10-11 | Y |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2024-10-10 | 2024-10-11 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-10-10 | 2024-10-11 | Y |
| 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. | Health | 2024-10-10 | 2024-10-11 | Y |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-10-10 | 2024-10-11 | N |
| Provide activities to meet all resident's needs. | Health | 2024-10-10 | 2024-10-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-10 | 2024-10-11 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-10-10 | 2024-10-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-02 | 2024-05-24 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-05-02 | 2024-05-24 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-03 | 2024-04-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-03 | 2024-02-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-03 | 2024-02-28 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-29 | 2024-02-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-06 | 2023-12-29 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-20 | 2023-10-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-09-20 | 2023-10-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-20 | 2023-10-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-20 | 2023-10-31 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-09-20 | 2023-10-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-20 | 2023-10-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-20 | 2023-10-20 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-08-31 | 2023-10-06 | Y |
| 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. | Health | 2023-08-31 | 2023-10-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-27 | 2022-08-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-07-27 | 2022-08-17 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-07-27 | 2022-08-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-07-27 | 2022-08-17 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-07-27 | 2022-08-17 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-07-27 | 2022-08-17 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-07-27 | 2022-08-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-07-27 | 2022-08-17 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2022-07-27 | 2022-08-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-27 | 2022-08-17 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-07-27 | 2022-08-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-27 | 2022-08-15 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-07-27 | 2022-07-28 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2026-03-06 | Not Fixed | Y |