Lancashire Hall

2829 LITITZ PIKE
Lancaster, PA 17601
(717) 569-3211
General
Ratings
Deficiencies
Resident Stats
Staff Stats
Certified Beds: 240
Number of Residents: 224
Percent of Occupied Beds: 93%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital? No
Multi Nursing Home Ownership? Yes
Resident and Family Councils? Resident
Continuing Care Retirement Community? No
Quality Indicator Survey? No
Special Focus Facility? No
Overall: 1 Star Overall Rating
Health Inspection: 1 Star Health Inspection Rating
Nurse Staffing: 2 Star Nurse Staffing Rating
Quality Measures: 3 Star Quality Measures Rating
RN Only: 2 Star RN Only Rating
Date Type Category Deficiency Scope Level of Harm Date of Correction
20071102 Health Resident Rights Deficiencies Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. Isolated Minimal harm or potential for actual harm 20071126
20071102 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Isolated Actual harm 20071226
20071102 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Actual harm 20071126
20071102 Health Quality Care Deficiencies Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated Minimal harm or potential for actual harm 20071126
20071102 Health Administration Deficiencies Be administered in a way that leads to the highest possible level of well being for each resident. Isolated Minimal harm or potential for actual harm 20071126
20071211 Health Quality Care Deficiencies Give the right treatment and services to residents who have mental or social problems adjusting. Isolated Minimal harm or potential for actual harm 20071218
20080104 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Minimal harm or potential for actual harm 20080213
20080104 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Minimal harm or potential for actual harm 20080213
20080104 Health Mistreatment Deficiencies Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. Isolated Minimal harm or potential for actual harm 20080213
20080115 Health Environmental Deficiencies Have a program to keep infection from spreading. Isolated Minimal harm or potential for actual harm 20080213
20080204 Health Resident Rights Deficiencies Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. Isolated Minimal harm or potential for actual harm 20080213
20080506 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Pattern Minimal harm or potential for actual harm 20080528
20080506 Health Quality Care Deficiencies Give professional services that follow each resident's written care plan. Isolated Minimal harm or potential for actual harm 20080528
20080506 Health Mistreatment Deficiencies 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Isolated Minimal harm or potential for actual harm 20080528
20080627 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Minimal harm or potential for actual harm 20080731
20080627 Health Environmental Deficiencies Provide needed housekeeping and maintenance. Isolated Minimal harm or potential for actual harm 20080731
20080627 Health Nutrition and Dietary Deficiencies Store, cook, and give out food in a safe and clean way. Pattern Minimal harm or potential for actual harm 20080731
20080903 Health Environmental Deficiencies Make sure that the nursing home area is safe, easy to use, clean and comfortable. Isolated Minimal harm or potential for actual harm 20080930
20090123 Health Resident Rights Deficiencies Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. Isolated Minimal harm or potential for actual harm 20090209
20090227 Health Quality Care Deficiencies Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated Actual harm 20090309
20090403 Health Quality Care Deficiencies Give professional services that follow each resident's written care plan. Isolated Minimal harm or potential for actual harm 20090422
20090427 Health Quality Care Deficiencies Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated Minimal harm or potential for actual harm 20090522
20090804 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Minimal harm or potential for actual harm 20090908
20090804 Health Environmental Deficiencies Have a program to keep infection from spreading. Isolated Minimal harm or potential for actual harm 20091013
20090804 Health Administration Deficiencies Keep accurate and appropriate medical records. Isolated Minimal harm or potential for actual harm 20090908
20090804 Health Resident Rights Deficiencies Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. Isolated Minimal harm or potential for actual harm 20090908
20090812 Health Nutrition and Dietary Deficiencies Hire a qualified dietician. Isolated Minimal harm or potential for actual harm 20090921
20090812 Health Resident Assessment Deficiencies Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. Isolated Minimal harm or potential for actual harm 20090921
20100217 Health Quality Care Deficiencies Give professional services that follow each resident's written care plan. Isolated Minimal harm or potential for actual harm 20100416
20100217 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Minimal harm or potential for actual harm 20100416
20100217 Health Administration Deficiencies Keep accurate and appropriate medical records. Isolated Minimal harm or potential for actual harm 20100511
20100217 Health Environmental Deficiencies Make sure that the nursing home area is safe, easy to use, clean and comfortable. Pattern Minimal harm or potential for actual harm 20100416
20100311 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Minimal harm or potential for actual harm 20100416
20100625 Health Resident Rights Deficiencies Help and prepare each resident for a safe and easy discharge and transfer from the nursing home. Isolated Minimal harm or potential for actual harm 20100730
20100722 Health Resident Assessment Deficiencies Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. Isolated Minimal harm or potential for actual harm 20100806
20100810 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Minimal harm or potential for actual harm 20100820
  Value Notes
Percent of long-stay residents given influenza vaccination during the flu season: 89
Percent of long-stay residents who were assessed and given pneumococcal vaccination: 92
Percent of long-stay residents whose need for help with daily activities has increased: 28
Percent of long-stay residents who have moderate to severe pain: 5
Percent of high-risk long-stay residents who have pressure sores: 6
Percent of low-risk long-stay residents who have pressure sores: 1
Percent of long-stay residents who were physically restrained: 1
Percent of long-stay residents who are more depressed or anxious: 24
Percent of low-risk long-stay residents who lose control of their bowels or bladder: 51
Percent of long-stay residents who have/had a catheter inserted and left in their bladder: 2
Percent of long-stay residents who spend most of their time in bed or in a chair: 5
Percent of long-stay residents whose ability to move about in and around their room got worse: 18
Percent of long-stay residents who had a urinary tract infection: 4
Percent of long-stay residents who lose too much weight: 8
Percent of short-stay residents given influenza vaccination during the flu season: 71
Percent of short-stay residents who were assessed and given pneumococcal vaccination: 85
Percent of short-stay residents who have delirium: 0
Percent of short-stay residents who had moderate to severe pain: 28
Percent of short-stay residents who have pressure sores: 10
# of Residents: 224
# RN Hours per Resident: 0.45
# LPN Hours per Resident: 1.03
# CNA Hours per Resident: 2.26
Total Staff Hours per Resident: 1.48