Deficiency Index

Lancaster Health and Rehabilitation

Lancaster, South Carolina · CCN 425155

20 surveys since 2010, 5 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
82
Surveys
20
Harm or worse
5
Immediate jeopardy
1
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file14/20

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
142
Ownership
For profit - Limited Liability company
Chain
FUNDAMENTAL HEALTHCARE
County
Lancaster
Medicare-certified since
1986

CMS ratings

Overall
1
Health inspection
2
Staffing
1
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=19, floor 20).

Last survey on record

Jul 28, 2026

104 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.053.42
Registered-nurse hours per resident day0.31—
Annual nurse turnover54.7%43.8%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1372.2%E316.7%F211.1%
No harm, potential for minimalA—B—C—
CMS’s current file: 18 of the 82 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6412×

    Ensure each resident receives an accurate assessment.

  • F7612×

    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.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F6021×

    Protect each resident from the wrongful use of the resident's belongings or money.

  • F6251×

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

In the surveyor’s words

From the most serious findings on record at Lancaster Health and Rehabilitation, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Jul 28, 2026

    Based on review of facility policy, observation, and interview, the facility failed to ensure foods that are stored in the cooler/refrigerators and dry food storage were appropriately sealed, labeled, dated with a use by date and/or discarded after the manufacturer's expiration date, for 1 of 1 kitchen reviewed.Findings include:Review of the facility policy dated 10/15/2025, titled Food Safety in Receiving and Storage, revealed, Refrigerated Storage Guidelines . 12. Refrigerated, ready to eat Time/Temperature Control for Safety Foods (TCS) are properly covered. Labeled, dated with a use-by-date, and refrigerated immediately. […]

  • No harm, potential for more than minimal, widespreadF812Apr 4, 2024

    Based on observations, interviews, and facility policy review, the facility failed to properly label, store and discard expired foods in 1 of 1 kitchen. Findings include: Review of the facility's Cold Storage Chart revised on [DATE], revealed, references to food products with proper storage temperatures and length of storage for (opened, unopened, and cooked) foods, in the refrigerator and freezer. During an observation on [DATE] at 10:32 AM, an initial kitchen walkthrough with the Dietary Manager (DM) revealed the following: (1) one bag of iceberg lettuce discolored, opened not dated or labeled. […]

  • No harm, potential for more than minimal, widespreadF725Nov 16, 2021

    Based on record reviews and interviews, the facility did not ensure that appropriate competent staff was providing nursing related services to residents and assuring safety. A Licensed Practical Nurse (LPN)1 worked in the facility with an expired nursing license from [DATE] until [DATE]. Findings include: Interview with Administrator on [DATE] at 10:15 a.m. revealed LPN1 was working as a Nursing Assistant after the facility was notified that LPN1 license was expired. The Administrator stated that LPN1 was hired on [DATE]. Background check and Reference checks were done. LPN1 was licensed in Kentucky. Kentucky license verification check indicated that LPN1 license original issue date was [DATE] and the expiration date was [DATE]. […]

  • No harm, potential for more than minimal, patternF881May 8, 2025

    Based on interview, record review, Center for Disease Control (CDC) guidance and policy review, the facility failed to evaluate antibiotic usage for four of six residents (Resident (R)76, R53, R49, and R14) reviewed for antibiotic usage out of 27 sample residents. This failure had the potential to affect all 126 residents in the facility related to antibiotic usage. Findings include: Review of an undated, untitled CDC document located at http://uprevent.[NAME].com/2855wp/wp-content/uploads/2018/01/nh-hac_mcgreercriteriarevcomp_2012-1.pdf; revealed, The Core Elements of Antibiotic Stewardship for Nursing Homes indicated .Improving the use of antibiotics in healthcare to protect patients and reduce the threat of antibiotic resistance is a national priority .Antibiotic stewardship refers to… […]

  • No harm, potential for more than minimal, patternF602Dec 11, 2024

    Based on observation, resident interviews, staff interviews, and facility policy review, the facility failed to prevent misappropriation of narcotic medications 3 of 3 residents (R) reviewed, R1, R2, and R3. Findings included: Review of the facility's policy titled, Administration of Scheduled Controlled Medications, revised date 04/17/2024, revealed, Administration of Scheduled controlled substances will be consistent with the policies for general medication administration with the additional of logging all doses on a controlled drug receipt/record/disposition form for each controlled substance order. The following procedures included: 2. […]

Read 25 findings in full →The most serious and the most recent: 25 of 82 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 28, 2026Standard3 findings
  • Nov 19, 2025Complaint1 finding
  • May 8, 2025Standard1 finding
  • Dec 11, 2024Complaint1 finding
  • Apr 4, 2024Standard and complaint9 findings
  • May 20, 2022Standard3 findings
  • Nov 16, 2021Complaint1 finding
  • Dec 3, 2020Infection control1 finding
Show the 12 earlier surveys
  • Jun 24, 2020Infection control1 finding · 1 harm
  • Feb 1, 2019Standard8 findings · 3 harm
  • Jan 13, 2018Standard12 findings
  • Oct 24, 2017Complaint3 findings
  • Oct 13, 2016Standard11 findings
  • Jul 22, 2015Standard4 findings
  • Apr 25, 2014Standard and complaint4 findings
  • Jun 28, 2013—1 finding
  • Aug 1, 2012—8 findings · 1 harm
  • May 9, 2012—4 findings
  • Jun 22, 2011—5 findings
  • Dec 1, 2010—1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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