D

LANCASTER HEALTH SERVICES

1350 S MADISON ST, LANCASTER, WI 53813
Score: 41 / 100

CMS data shows Lancaster Health Services earning a D grade with a score of 41/100, placing it below most facilities in Wisconsin. Prospective residents and families should carefully review the specific areas of concern detailed below.

Staffing at Lancaster Health Services is near the national average, with 3.80 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 18 deficiencies at Lancaster Health Services, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function..

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.80 3.8 Average
Registered Nurses (RN) 0.70 0.7 Average
Licensed Practical Nurses (LPN) 0.79 0.7 Above Average
Certified Nursing Assistants (CNA) 2.31 2.4 Average
Weekend Total Nursing 3.33 3.8 Below Average
Weekend RN Hours 0.48 0.7 Below Average

🔍 Inspection & Deficiency History

18
Total Deficiencies
Aug 18, 2025
Most Recent Inspection
⚪ 1 Minor 🟠 16 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0605 Severity J
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    Aug 18, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0812 Severity F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Aug 18, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0804 Severity E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    Aug 18, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0578 Severity D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and
    Aug 18, 2025 · Resident Rights Deficiencies
  • Tag 0657 Severity D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    Aug 18, 2025 · Resident Assessment and Care Planning Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 3.5% 4.5% Better
Falls with major injury 5.6% 3.0% Worse
On antipsychotic medication 38.2% 14.5% Worse
Urinary tract infections 0.7% 2.5% Better
ADL decline (daily activities) 17.4% 14.0% Worse
Excessive weight loss 2.5% 7.5% Better
New/worsened incontinence 29.8% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $21,645

How This Grade Was Calculated

This facility's grade of D is based on a score of 41 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -2 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
50
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Aug 18, 2025
Deficiencies (Cycle 1)
7