Home / South Carolina / Lancaster
Lancaster Health and Rehabilitation
2044 Pageland Hwy, Lancaster, SC 29720 · Lancaster County · (803) 285-7907
142 certified beds, about 130 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1986
Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 425155 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 28, 2026, inspectors cited 3 health deficiencies (the South Carolina average is 3.7, the national average 9.2).
None of its 15 health citations since April 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.05 hours per resident per day, against 3.84 across South Carolina and 3.86 nationally. Registered nurses accounted for 0.31 of those hours.
54.7% of nursing staff left within the year CMS measured (South Carolina average 45.9%).
CMS links it to Fundamental Healthcare, an affiliated group of 66 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
904/24
112/24
105/25
111/25
307/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 15 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
11D
2E
2F
Potential for minimal harm
0A
0B
0C
July 28, 2026Standard inspection · 3 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased 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.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview, record review, and review of facility policy, the facility failed to provide Resident (R)24 with Activities of Daily Living (ADL) Care, specifically fingernail care, for 1 of 1 resident reviewed for ADL care.
- D 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.
Inspectors wroteBased on review of facility policy, observation, interview, and record review, the facility failed to ensure expired medications were removed from the 100 Hall Medication Cart and discarded per facility policy. Specifically, Resident (R)109 had a medication card of Midodrine 5 mg that expired on 07/21/26 and was still on the medication cart on 07/27/26, for 1 of 5 medication carts reviewed for medication storage.
November 19, 2025Complaint inspection · 1 citation
- D Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspectors wroteBased on review of the facility policy, observation, interview, and record review, the facility failed to ensure that staff demonstrated the required competencies to provide safe tube-feeding management for 1 of 1 resident (Resident (R)5). Specifically, the facility failed to ensure that nursing staff possessed and demonstrated the necessary competencies to manage tube feedings safely. The lack of competency resulted in the tube feeding being administered while the resident was laying flat in a supine position. This failure resulted in the resident receiving tube feeding in a supine/flat position at zero (0) degrees, thereby placing the resident at risk for aspiration, abdominal distention, nausea, and avoidable discomfort.
May 8, 2025Standard inspection · 1 citation
- E Implement a program that monitors antibiotic use.
Inspectors wroteBased 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.
December 11, 2024Complaint inspection · 1 citation
- E Protect each resident from the wrongful use of the resident's belongings or money.
Inspectors wroteBased 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.
April 4, 2024Standard inspection, Complaint inspection · 9 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, interviews, and facility policy review, the facility failed to properly label, store and discard expired foods in 1 of 1 kitchen.
- D 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.
Inspectors wroteBased on review of facility policy, record review and interviews, the facility failed to ensure Resident (R)138 or her personal representative received a copy of the bed hold policy with bed hold rate and the duration of the bed hold in a timely manner for 1 of 5 residents reviewed for hospitalization.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, record review, interviews, and facility policy review, the facility failed to accurately code the Minimum Data Set (MDS) for 3 of 5 residents (Residents (R)102, R121, and R122) reviewed.
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on review of facility policy, record review, and interviews, the facility failed to ensure Resident (R)88, with mental illness, was screened and evaluated for a PASARR Level II. The facility further failed to ensure R102, with a diagnosis of Paranoid Schizophrenia, was screened and evaluated for a PASARR Level II for 2 of 4 residents reviewed with diagnosis that warrant screening and evaluation.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on review of facility policy, record review, observation and interview the facility failed to implement care plan interventions related to pressure ulcer prevention for Resident (R)19. The facility further failed to develop and implement care plan interventions for R65 for related to Activities of Daily Living (ADL) function and right sided limitations for 2 of 3 residents.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observations, interviews, record review, and facility policy review, the facility failed to ensure the nurse followed policy regarding dispensing controlled medication for 1 of 3 medication carts.
- D Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on observations, record reviews, interviews, and facility policy review, the facility failed to ensure Resident (R)122 received an audiology consult as needed per physician orders.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on review of facility policy, observations, record review, and interviews, the facility failed to follow a procedure during wound cleaning for Resident (R)103 and R121 to prevent the likelihood of infection for 2 of 3 residents reviewed with pressure ulcers.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, interviews, record reviews, and facility policy review, the facility failed to provide and document oxygen therapy for Resident (R)121 at the appropriate levels as ordered by the physician.
Fire safety inspections
1 fire safety citation on file: 1 on April 4, 2024.
Every fire safety citation1 citation
- E Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | South Carolina | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.05 | 3.84 | 3.86 |
| Registered nurses | 0.31 | 0.63 | 0.69 |
| All nursing staff on weekends | 2.73 | 3.33 | 3.42 |
| Nurse aides | 1.81 | ||
| Licensed practical nurses | 0.93 | ||
| Nursing staff turnover (share who left in a year) | 54.7% | 45.9% | 45.8% |
| Registered nurse turnover | 58.3% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.60 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.18 on weekdays and 2.73 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 19.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.95 in April to June 2025 to 3.05 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.05 | 0.31 | 3.18 | 2.73 | 19.9% | 0 of 90 | 130 |
| Oct to Dec 2025 | 2.99 | 0.27 | 3.13 | 2.65 | 19.5% | 0 of 92 | 135 |
| Jul to Sep 2025 | 2.87 | 0.29 | 3.00 | 2.54 | 21.7% | 0 of 92 | 131 |
| Apr to Jun 2025 | 2.95 | 0.29 | 3.08 | 2.61 | 23.4% | 0 of 91 | 132 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| South Carolina, Jan to Mar 2026 | 3.62 | 0.53 | 3.81 | 3.13 | 7.2% | 0.3% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | South Carolina | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 26.9 | 11.9 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.1 | 0.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.4 | 1.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.5 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 32.3 | 12.7 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.9 | 5.1 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 12.1 | 15.3 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 30.2 | 24.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.5 | 13.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.8 | 1.8 |
Owners and operators
Legal business name: LANCASTER HEALTH CARE LLC. CMS links this home to Fundamental Healthcare, a group of 66 nursing homes averaging 2.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Thi of South Carolina, LLC | 5% or greater direct ownership interest | Organization | 100% | 01/14/2015 |
| Skinner, Jeff | W-2 managing employee | Individual | 09/02/2016 | |
| Skinner, Jeff | Corporate officer | Individual | 09/02/2016 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on July 28, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on April 4, 2024: "Ensure each resident receives an accurate assessment."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on July 28, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on July 28, 2026: "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."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.73 hours per resident per day, below the South Carolina average of 3.33.
Other nursing homes nearby
- White Oak Manor - Lancaster Lancaster, 3.5 mi · 5 of 5 stars · 7 citations
- White Oak of Waxhaw Waxhaw, 14.2 mi · 5 of 5 stars · 0 citations
- Monroe Rehabilitation Center Monroe, 20.3 mi · 2 of 5 stars · 21 citations
- Jesse Helms Nursing Center Monroe, 20.8 mi · 5 of 5 stars · 5 citations
- Stratford Manor Health & Rehab Monroe, 21.7 mi · 3 of 5 stars · 20 citations
- Pavilion Health Center at Brightmore Charlotte, 22.7 mi · 2 of 5 stars · 31 citations
- Pruitthealth-Union Pointe Monroe, 23.6 mi · 1 of 5 stars · 27 citations
- Westminster Health & Rehab Center Rock Hill, 23.7 mi · 3 of 5 stars · 11 citations
South Carolina contacts for a concern about a nursing home
These are the official offices in South Carolina. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: South Carolina Department of Public Health, Healthcare Quality, Nursing Homes, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: South Carolina Long Term Care Ombudsman Program, Department on Aging, 1-800-868-9095. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: SC Survey and Certification Public CMS-2567 Search, where South Carolina publishes its own records on licensed homes.
Common questions
- What is Lancaster Health and Rehabilitation's Medicare star rating?
- CMS rates Lancaster Health and Rehabilitation 1 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Lancaster Health and Rehabilitation get at its last inspection?
- 3 health deficiencies at the standard inspection on July 28, 2026. The South Carolina average is 3.7.
- Has Lancaster Health and Rehabilitation been fined?
- CMS lists no fines in the last three years.
- Does Lancaster Health and Rehabilitation accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Lancaster Health and Rehabilitation?
- CMS lists 3 owners and managers, and links the home to Fundamental Healthcare. Legal business name: LANCASTER HEALTH CARE LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.