Landmark of Lancaster Rehabilitation and Nursing C
308 West Maple Avenue, Lancaster, KY 40444 · Garrard County · 96 certified beds · avg 88 residents/day · certified since Jun 20, 1968
Part of chain: LYON HEALTHCARE (11 facilities, chain avg rating 1.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (9)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Dec 4, 2025 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Dec 4, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jul 12, 2024 | F · Potential for harm, facility-wide | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint |
| Jul 12, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint |
| Jul 12, 2024 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jul 12, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Mar 15, 2024 | D · Potential for harm, one-off | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. · from a complaint |
| May 30, 2019 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| May 30, 2019 | D · Potential for harm, one-off | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (4 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 2 | 0 | D |
| 2024 | 5 | 0 | F |
| 2025 | 2 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Kentucky avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.97 | 3.71 | 3.95 | bottom 19% in Kentucky; bottom 13% in the U.S. |
| Registered Nurse hours | 0.37 | 0.74 | 0.69 | bottom 10% in Kentucky; bottom 18% in the U.S. |
| Weekend total nurse staffing | 2.66 | 3.27 | 3.50 | bottom 22% in Kentucky; bottom 15% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.17 | 0.53 | 0.48 | bottom 5% in Kentucky; bottom 8% in the U.S. |
| Total nursing staff turnover (%) | 26.6 | 46.4 | 45.8 | top 4% in Kentucky; top 9% in the U.S. |
| RN turnover (%) | 25.0 | 41.8 | 42.9 | top 16% in Kentucky; top 20% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.35, RN 0.42, weekend 3.00. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 4/5 · short-stay residents: 1/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| A&m Healthcare Investments LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 05/01/2017 |
| Carr, Laura | Individual | W-2 Managing Employee | NOT APPLICABLE | 10/26/2021 |
| Meisels, Joseph | Individual | W-2 Managing Employee | NOT APPLICABLE | 05/01/2017 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "How do you track each resident's food allergies and preferences, and what happens if they don't like what's served?"
- "Where do you post your daily staffing numbers, and can I see today's?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Stanford Crossing | 7.4 mi | Stanford, KY | ★☆☆☆☆ | 1/5 | SFF |
| Henson Park Health & Rehabilitation | 9.6 mi | Danville, KY | ★☆☆☆☆ | 1/5 | |
| Danville Centre for Health & Rehabilitation | 10.4 mi | Danville, KY | ★☆☆☆☆ | 1/5 | |
| The Terrace Nursing and Rehabilitation Center | 16.0 mi | Berea, KY | ★★★★☆ | 5/5 | |
| Harrodsburg Health & Rehabilitation Center | 16.6 mi | Harrodsburg, KY | ★★★☆☆ | 3/5 | |
| Berea Health and Rehabilitation | 16.7 mi | Berea, KY | ★★★☆☆ | 4/5 | |
| Kenwood Health and Rehabilitation Center | 17.1 mi | Richmond, KY | ★★★★★ | 5/5 | |
| Madison Health and Rehabilitation Center | 17.1 mi | Richmond, KY | ★☆☆☆☆ | 3/5 | |
| Rockcastle Health & Rehabilitation Center | 17.5 mi | Brodhead, KY | ★★☆☆☆ | 2/5 | |
| Thomson-Hood Veterans Center | 17.9 mi | Wilmore, KY | ★★★★★ | 4/5 | |
| Nicholasville Nursing and Rehabilitation | 18.3 mi | Nicholasville, KY | ★☆☆☆☆ | 2/5 | |
| Telford Terrace | 18.5 mi | Richmond, KY | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 185065.