Federal inspection record · CMS data as of October 1, 2026
Lancashire Post Acute
287 School Street, Kilmarnock, VA · (804) 435-1684
- Certified beds
- 120
- Residents per day
- 106
- Ownership
- For-Profit
- Chain
- Marquis Health Services
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 1, 2000
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Virginia.
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Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Virginia homes
Lancashire Post Acute carries 72 inspection points. That is fewer than 45% of Virginia's 287 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Virginia: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–16 pts
- 4★ 16–45 pts
- 3★ 45–76.5 pts
- 2★ 76.5–168.75 pts
- 1★ over 168.75 pts
Bars show every rated home in Virginia by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
28 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (3)
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Everything else, by area of care
Quality of Life and Care7E
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide or obtain dental services for each resident.
Resident Assessment and Care Planning6D
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Infection Control4E
- E
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Provide and implement an infection prevention and control program.
- D
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Resident Rights4E
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- E
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- 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.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Respond appropriately to all alleged violations.
Nursing and Physician Services1E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Pharmacy Service1E
- E
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.
Inspection history
2026-02-20
13 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2022-02-03
10 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2019-01-25
5 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 45 min of nursing staff time a day, 36 min of it from a registered nurse.
This home
2 h 45 min
Virginia average
3 h 53 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 59% of nursing staff and 33% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$26,189 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-02-20 | Fine | $26,189 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.1 pts better | 0.3 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better | 1.1 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.4 pts better | 98.6% | 91.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.7 pts better | 99.0% | 93.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts worse | 3.9% | 3.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms15.6 pts worse | 36.1% | 20.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.3 pts worse | 6.6% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication13.8 pts worse | 34.5% | 20.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication11.6 pts worse | 25.8% | 14.2% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.8 pts worse | 19.0% | 14.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased10.6 pts worse | 25.1% | 14.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better | 0.0% | 0.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.3 pts better | 0.3% | 1.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.4 pts better | 17.9% | 21.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.9 pts better | 1.5% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.9 pts better | 86.1% | 74.2% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.4 pts worse | 14.9% | 11.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts worse | 1.6% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine9.3 pts better | 82.6% | 73.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission10.1 pts better | 11.9% | 22.0% | 23.4% |
·
Who owns and runs it
32 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Buckley, Erik | Managing Control - Governing Body · Individual | 0% | 5 facilities |
| Buckley, Erik | Adp Of The SNF · Individual | 0% | 5 facilities |
| Flagler, Osher | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 48 facilities |
| Healthcare Services Group Inc | Operational/Managerial Control · Organization | 0% | 30 facilities |
| Healthcare Services Group Inc | Adp Of The SNF · Organization | 0% | 30 facilities |
| Hovland, William | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hovland, William | Adp Of The SNF · Individual | 0% | 1 facilities |
| Kahanow, Aviva | Indirect Ownership Interest · Individual | 0% | 47 facilities |
| Levovitz, Tzvi | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 43 facilities |
| Marquis Limited LLC | Operational/Managerial Control · Organization | 0% | 82 facilities |
| Marquis Limited LLC | Adp Of The SNF · Organization | 0% | 82 facilities |
| Nfr 2020 Irrv Tr | Adp Of The SNF · Organization | 0% | 76 facilities |
| Payne, Amy | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Payne, Amy | Corporate Director · Individual | 0% | 1 facilities |
| Payne, Amy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Payne, Amy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Posen, Mindee | Operational/Managerial Control · Individual | 0% | 88 facilities |
| Quinto Nexgen LLC | Adp Of The SNF · Organization | 0% | 50 facilities |
| Rokeach, Fraide | Indirect Ownership Interest · Individual | 0% | 45 facilities |
| Rokowsky, Yitzchok | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 50 facilities |
| Rsbrmk Holdings LLC | Adp Of The SNF · Organization | 0% | 74 facilities |
| Sk Nexgen Tr | Adp Of The SNF · Organization | 0% | 51 facilities |
| Truist Bank | 5% Or Greater Security Interest · Organization | 0% | 77 facilities |
| Tryko Nexgen Holdings LLC | Adp Of The SNF · Organization | 0% | 50 facilities |
| Uak 2020 Irrv Tr | Adp Of The SNF · Organization | 0% | 74 facilities |
| Ukr Nexgen LLC | Adp Of The SNF · Organization | 0% | 51 facilities |
| Virginia Health Rehabilitation Agency, LLC | Operational/Managerial Control · Organization | 0% | 7 facilities |
| Virginia Health Rehabilitation Agency, LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
| Viroja, Yogesh | Managing Control - Governing Body · Individual | 0% | 63 facilities |
| Viroja, Yogesh | Adp Of The SNF · Individual | 0% | 63 facilities |
| Yk Nexgen Tr | Adp Of The SNF · Organization | 0% | 52 facilities |
| Yr Nexgen Tr | Adp Of The SNF · Organization | 0% | 52 facilities |
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Fire safety
4 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress2D
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke1D
- D
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems1D
- D
Have proper power supply for life support equipment.
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Other homes nearby
-
Rappahannock Westminster Canterbury
Irvington, VA
★★★★★- Worst citation, 3 yrs
- none
- Nursing / resident / day
- 5 h 9 min
- Fines
- $0
-
Dockside Health & Rehab Center
Locust Hill, VA · Saber Healthcare Group
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 32 min
- Fines
- $14,740
-
Riverside Lifelong Health & Rehabilitation Saluda
Saluda, VA · Riverside Health System
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 8 min
- Fines
- $46,745