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D
Poor

LANCASHIRE NURSING & REHABILITATION CENTER

287 SCHOOL STREET · KILMARNOCK, VA 22482

8044351684 · For profit - Corporation

120 beds92.2 residents154 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
D
Poor
Total Staff
C
Below Standard
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

LANCASHIRE NURSING & REHABILITATION CENTER receives an overall staffing grade of D (Poor). With 2.9755 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.4968 HPRD, below the recommended 0.75. It is 0.92 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 21.98% compared to weekdays. The facility has low agency staff usage (2.1% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.9755 HPRD — needs 0.50 more hours per resident per day.
⚠️RN staffing (0.4968 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (2.1%) — mostly permanent, familiar staff
Total Nurse HPRD
2.9755hrs/resident/day▼ 0.92
CMS benchmark: 3.48
RN HPRD
0.4968hrs/resident/day▼ 0.19
Recommended: 0.75
Weekend Drop-off
21.98%
3.1726 weekday → 2.4752 weekend
⚠ Significant weekend reduction
Agency Staff
2.1%
0.29% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.5697hrs/resident/day
Direct care aides
LPN HPRD
0.7094hrs/resident/day
Licensed practical nurses
Consistency
0.4464std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Lancaster County Average-0.92 HPRD
3.90
02.98 HPRD
vs. Virginia State Average-0.85 HPRD
3.83
02.98 HPRD
vs. National Average-0.92 HPRD
3.90
02.98 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
LANCASHIRE NURSING & REHABILITATION CENTER ★
KILMARNOCK · This facility
—
D
2.97550.4968★★★★☆
RAPPAHANNOCK WESTMINSTER CANTERBURY
IRVINGTON
2.8 mi
A
4.81871.4458★★★★☆
WALTER REED NURSING & REHABILITATION CENTER
GLOUCESTER
22.1 mi
C
3.81290.4148★★★★★
THREE RIVERS HEALTH & REHAB CENTER
WEST POINT
25 mi
C
3.41510.5335★★★★☆
CARRINGTON PLACE OF TAPPAHANNOCK
TAPPAHANNOCK
30.3 mi
D
3.34370.318★☆☆☆☆
NASSAWADOX REHABILITATION AND NURSING
NASSAWADOX
32.8 mi
D
2.97940.3304★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
22
Total Deficiencies
$0
Fines Assessed
Feb 3, 2022Health
10 deficiencies cited
▼
Jan 25, 2019Health
5 deficiencies cited· Includes actual harm
▼
Oct 12, 2017Health
7 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.