Landmark of Lancaster Rehabilitation and Nursing C
308 West Maple Avenue, Lancaster, KY 40444 · Garrard County · (859) 792-6844
96 certified beds, about 88 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1968
CMS Care Compare ratings, data as of September 1, 2026 · CCN 185065 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 4, 2025, inspectors cited 2 health deficiencies (the Kentucky average is 2.9, the national average 9.2).
None of its 9 health citations since May 2019 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 3.35 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 0.42 of those hours.
26.6% of nursing staff left within the year CMS measured (Kentucky average 46.4%).
CMS links it to Lyon Healthcare, an affiliated group of 12 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.
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 9 health citations on file.
December 4, 2025Standard inspection · 2 citations
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, record review, and review of the facility's policies and the Centers for Disease Control and Prevention (CDC) related to transmission-based precautions (TBP), the facility failed to follow CDC infection-prevention guidelines for droplet precautions by not ensuring doors to resident rooms on droplet precautions remained closed. This deficient practice had the potential to place all residents, staff, and visitors at risk for transmission of infectious respiratory pathogens. 1. Multiple observations on 12/03/2025 at 9:30 AM, 10:04 AM, 10:11 AM, and 10:30 AM, revealed the door to R88's room, identified as droplet precaution rooms, was open at least half way. CDC droplet precautions signage instructions indicated the room doors must remain closed. 3. [...]
- 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 observation, interview, record review, and facility policy, the facility failed to store drugs and biologicals in the proper storage conditions given by product instructions for 1 of 1 sampled resident, Resident (R )10.
July 12, 2024Standard inspection, Complaint inspection · 4 citations
- F Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, interview, and review of facility policy, the facility failed to ensure residents receive food and drink at a safe and appetizing temperature. Observation on 07/09/2024 at 12:50 PM, of the lunch test tray, revealed the following temperatures: milk 55.5 degrees Fahrenheit (F), juice 57 degrees F, and pureed pork tenderloin 110-degrees F. Point of service temperature for the pureed pork tenderloin was not hot enough; and point of service temperatures for the milk and juice were not cold enough, resulting in these temperatures being in the danger zone.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and review of facility policies, the facility failed to store, prepare, and serve food in accordance with professional standards for food service safety. Observation during the initial kitchen tour, on 07/09/2024 starting at 8:25 AM, revealed the reach in refrigerator contained a bottle of chocolate syrup, a container of cottage cheese, a one (1) pound bag of shredded cheddar cheese, two (2) 32 ounce containers of dairy drink, two (2) gallons of whole milk, one (1) box of cake mix, and a two (2) pound bag of powdered sugar which were all opened and were not labeled with the date opened. Also, there was a one (1) gallon jug of thousand island dressing and a quart of sour cream which were both opened and were not labeled with the date opened and both items were expired according to the manufacturer's expiration date. [...]
- E 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.
Inspectors wroteBased on observation, interview, and facility policy review, the facility failed to provide a safe, clean, comfortable, and homelike environment. Observation during initial tour of the facility, on 07/09/2024 from 8:30 AM until 9:55 AM, revealed resident room doors had scuff marks at the bottom of the doors; resident rooms and bathrooms had scuff marks on the floors; resident rooms had sticky floors, and there was a strong urine odor. This affected Rooms and/or bathrooms for PN9, PN10, PN12 PN13, PN14, PN15, PN16, and PN17. Additionally, observation on 07/09/2024 at 9:15 AM, of the flooring outside Room PN13, revealed the white tile and brown flooring was chipped at the entrance to the room.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, record review, and review of facility policies, it was determined the facility failed to establish and maintain an infection prevention and control program to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for one (1) 1 of 34 sampled residents, Resident (R)78 Observation on 07/09/2024 at 9:48 AM, revealed signage on R78's room door, stating Special Droplet/Contact Precautions. Further observation revealed State Registered Nurse Aide (SRNA)3 exited R78's room and removed her mask and gown in the hallway, and then carried the soiled mask and gown across the hall. [...]
March 15, 2024Complaint inspection · 1 citation
- D Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure food preferences were honored for one (1) of eight (8) sampled residents (Resident #8) related to his/her food dislikes and preferred food/drink requests.
May 30, 2019Standard inspection · 2 citations
- D 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.
Inspectors wroteBased on observation, interview, and review of facility policy, it was determined that the facility failed to ensure a safe, clean, comfortable, homelike environment for five (5) resident rooms. Observation of resident rooms PS2, PS4, and PS6 revealed a black substance on the wall beneath the air conditioner unit. Observation of room E15 on 05/30/19 at 10:45 AM revealed a heavily soiled area with loose tile and a hole in the wall under the packaged terminal air conditioner (PTAC) unit. Further observation of the PTAC unit in room E13 on 05/30/19 at 10:52 AM revealed it was heavily soiled, dirty, and in need of cleaning.
- D Post nurse staffing information every day.
Inspectors wroteBased on observation, interview, and record review, it was determined the facility failed to ensure daily staffing postings contained the total number of licensed and unlicensed nursing staff responsible for resident care per shift. Observation of the daily staff posting on 05/28/19, 05/29/19, and 05/30/19 revealed the facility posted the resident census and the total hours worked by each discipline, but failed to post the total number of staff working.
Fire safety inspections
8 fire safety citations on file: 2 on December 4, 2025, 6 on July 12, 2024.
Every fire safety citation8 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- D Install corridor and hallway doors that block smoke.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install an approved automatic sprinkler system.
- E Install corridor and hallway doors that block smoke.
- D Have power receptacles that are properly grounded.
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 | Kentucky | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.35 | 3.95 | 3.86 |
| Registered nurses | 0.42 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.00 | 3.49 | 3.42 |
| Nurse aides | 2.14 | ||
| Licensed practical nurses | 0.79 | ||
| Nursing staff turnover (share who left in a year) | 26.6% | 46.4% | 45.8% |
| Registered nurse turnover | 25.0% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.33 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 3.50 on weekdays and 3.00 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.26 in April to June 2025 to 3.35 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 | 3.35 | 0.42 | 3.50 | 3.00 | 0.0% | 0 of 90 | 88 |
| Oct to Dec 2025 | 3.47 | 0.45 | 3.60 | 3.13 | 0.0% | 0 of 92 | 91 |
| Jul to Sep 2025 | 3.26 | 0.35 | 3.38 | 2.94 | 0.0% | 0 of 92 | 94 |
| Apr to Jun 2025 | 3.26 | 0.34 | 3.37 | 2.98 | 0.0% | 0 of 91 | 89 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Kentucky, Jan to Mar 2026 | 3.85 | 0.71 | 4.04 | 3.40 | 3.2% | 0.1% 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.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Kentucky
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Kentucky, all employers | |||
| CNAs (nursing assistants) | $18.45 | $17.38 to $21.21 | 23,410 |
| LPNs and LVNs | $29.07 | $26.10 to $31.29 | 8,570 |
| Registered nurses | $38.96 | $36.38 to $46.73 | 50,300 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Kentucky | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 6.5 | 13.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.8 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.6 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.2 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 4.2 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.9 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.4 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.0 | 16.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.2 | 24.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.2 | 13.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.8 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 4.0 | 2.1 | 1.8 |
Owners and operators
Legal business name: LANDMARK OF LANCASTER REHABILITATION AND NURSING CENTER. CMS links this home to Lyon Healthcare, a group of 12 nursing homes averaging 1.8 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| A&m Healthcare Investments LLC | 5% or greater direct ownership interest | Organization | 100% | 05/01/2017 |
| Carr, Laura | W-2 managing employee | Individual | 10/26/2021 | |
| Meisels, Joseph | W-2 managing employee | Individual | 05/01/2017 |
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.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on July 12, 2024: "Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on December 4, 2025: "Provide and implement an infection prevention and control program."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on July 12, 2024: "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."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on December 4, 2025: "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 3.00 hours per resident per day, below the Kentucky average of 3.49.
Other nursing homes nearby
- Stanford Crossing Stanford, 7.4 mi · 1 of 5 stars · 22 citations
- Henson Park Health & Rehabilitation Danville, 9.6 mi · 1 of 5 stars · 30 citations
- Danville Centre for Health & Rehabilitation Danville, 10.4 mi · 1 of 5 stars · 19 citations
- The Terrace Nursing and Rehabilitation Center Berea, 16 mi · 3 of 5 stars · 3 citations
- Harrodsburg Health & Rehabilitation Center Harrodsburg, 16.6 mi · 3 of 5 stars · 6 citations
- Berea Health and Rehabilitation Berea, 16.7 mi · 3 of 5 stars · 7 citations
- Kenwood Health and Rehabilitation Center Richmond, 17.1 mi · 5 of 5 stars · 1 citation
- Madison Health and Rehabilitation Center Richmond, 17.1 mi · 1 of 5 stars · 9 citations
Kentucky contacts for a concern about a nursing home
These are the official offices in Kentucky. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Kentucky Office of Inspector General, Division of Health Care, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Kentucky State Long-Term Care Ombudsman Program, Nursing Home Ombudsman Agency of the Bluegrass, (800) 372-2991. 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: Kentucky OIG Nursing Home Inspection Findings, where Kentucky publishes its own records on licensed homes.
Common questions
- What is Landmark of Lancaster Rehabilitation and Nursing C's Medicare star rating?
- CMS rates Landmark of Lancaster Rehabilitation and Nursing C 2 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Landmark of Lancaster Rehabilitation and Nursing C get at its last inspection?
- 2 health deficiencies at the standard inspection on December 4, 2025. The Kentucky average is 2.9.
- Has Landmark of Lancaster Rehabilitation and Nursing C been fined?
- CMS lists no fines in the last three years.
- Does Landmark of Lancaster Rehabilitation and Nursing C 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 Landmark of Lancaster Rehabilitation and Nursing C?
- CMS lists 3 owners and managers, and links the home to Lyon Healthcare. Legal business name: LANDMARK OF LANCASTER REHABILITATION AND NURSING CENTER.
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.