Lancashire Post Acute

In the surveyor’s words

From the most serious findings on record at Lancashire Post Acute, in the surveyor’s own words.

• Actual harm, isolatedF686Feb 20, 2026

  Based on record review, interviews, and facility policy review, the facility failed to implement interventions to aid in the prevention and decline of pressure ulcers for one resident (Resident (R) R110) out of four residents reviewed for pressure ulcers. The facility's failure to implement pressure ulcer prevention interventions resulted in multiple pressure ulcers after admission, including one stage 4 and one stage 3 pressure ulcer, along with three unstageable pressure ulcers and has the potential for other residents to develop pressure ulcers.Findings include: Review of R110's Face Sheet located under the Face Sheet tab of the EMR, revealed he was admitted to the facility on [DATE] with diagnoses that included Alzheimer's disease, urinary incontinence, incontinence of feces,… […]

• No harm, potential for more than minimal, patternF677Feb 20, 2026

  Based on observations, interviews, record review, and review of the facility policy, the facility failed to ensure activities of daily living were provided for four residents (Residents (R)4, R18, R56, and R59) in a total sample of 32. The facility failed to provide showers per the shower schedule and resident preference for R4, R18, R56, and R59. This failure placed residents at risk for skin breakdown and a diminished quality of life.Findings include: 1. Review of the admission Record located in the Profile tab of the electronic medical record (EMR) revealed R4 was admitted to the facility on [DATE] with a diagnosis of a stroke. […]

• No harm, potential for more than minimal, patternF725Feb 20, 2026

  Based on observations, interviews, record reviews, and facility policy review, the facility failed to ensure sufficient staffing to meet the needs of the 108 residents in the facility. Six residents (Resident (R) 46, R56, R4, R18, R59 and R110), five Certified Nursing Assistants (CNA5, CNA7, CNA8, CNA10 and CNA17) and the Staff Coordinator voiced concerns regarding sufficient staffing. The facility exhibited multiple failures related to a lack of sufficient staffing throughout the survey which has the potential to affect the residents quality of life. […]

• No harm, potential for more than minimal, patternF880Feb 20, 2026

  Based on observations, interviews, and facility policy, the facility failed to perform hand hygiene between contact with residents while serving lunch trays for 28 of 108 residents in the facility and failed to remove gloves and perform hand hygiene prior to carrying bagged dirty linen in the hall. This failure had the potential to spread infection between residents.Findings include:During an observation on 02/17/26 from 12:29 PM until 1:28 PM, Certified Nurse Assistant (CNA) 4, CNA18, and the Assistant Director of Nursing (ADON)1 were serving lunch trays to residents. The staff assisted residents with sanitizing hand wipes prior to eating. […]

• No harm, potential for more than minimal, patternF582Feb 3, 2022

  Based on Staff interview and facility documentation review, the facility staff failed to complete a skilled nursing facility (SNF) Advanced Beneficiary Notice (ABN) for two residents, (Resident #32, and #53), in a sample of 3 ABN resident reviews. 1. For Resident #32, no SNF/ABN was signed prior to discharge from skilled services. 2. For Resident #53, no SNF/ABN was signed prior to discharge from skilled services. The findings included: 1. Resident #32 was initially admitted to the skilled nursing facility on 2-5-2020. The last Medicare covered day for the Resident's most recent stay was 9-3-2021. […]