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
🏥 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
View recent deficiencies (5 shown)
- Tag 0605 Severity JPrevent 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 FProcure 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 EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.Aug 18, 2025 · Nutrition and Dietary Deficiencies
- Tag 0578 Severity DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, andAug 18, 2025 · Resident Rights Deficiencies
- Tag 0657 Severity DDevelop 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
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