Lancashire Post Acute — nursing home in Kilmarnock, VA

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 120 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 105.6 CMS, MDS-derived
CMS Certification Number: 495345
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Apr 1, 2000
Ownership type: For profit - Limited Liability company
Operator (legal business name): Lancashire Operator LLC
CMS chain: Marquis Health Services 90 facilities
Phone: (804) 435-1684
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Feb 20, 2026

Citations

32

28 health · 4 fire

Harm or worse

3

1 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G2	H·	I·
Potential harm	D24	E5	F·
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

1

$26,189

Payment denials

0

Latest

Feb 20, 2026

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 495345
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 120
First approved: Apr 1, 2000
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Virginia.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Feb 20, 2026	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Feb 20, 2026	Health	Health Standard	13	Actual harm	—	Open →
Feb 3, 2022	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Feb 3, 2022	Health	Health Standard	10	Potential harm	—	Open →
Jan 25, 2019	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Jan 25, 2019	Health	Health Standard	5	Immediate jeopardy	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Feb 20, 2026	Civil money penalty (fine)	$26,189	—	495345\|Fine\|137448

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G2	H·	I·
Potential harm	D24	E5	F·
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction
Feb 20, 2026	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Mar 31, 2026
Feb 20, 2026	K-0222	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. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 9, 2026
Feb 20, 2026	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 9, 2026
Feb 20, 2026	F-0552	Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 31, 2026
Feb 20, 2026	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 31, 2026
Feb 20, 2026	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 31, 2026
Feb 20, 2026	F-0640	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 31, 2026
Feb 20, 2026	F-0644	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 31, 2026
Feb 20, 2026	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 31, 2026
Feb 20, 2026	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Mar 31, 2026
Feb 20, 2026	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 31, 2026
Feb 20, 2026	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 31, 2026
Feb 20, 2026	F-0725	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected Mar 31, 2026
Feb 20, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Mar 31, 2026
Feb 20, 2026	F-0883	Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Mar 31, 2026
Feb 3, 2022	K-0222	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. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 28, 2022
Feb 3, 2022	K-0915	Have proper power supply for life support equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 28, 2022
Feb 3, 2022	F-0582	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Mar 18, 2022
Feb 3, 2022	F-0584	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 18, 2022
Feb 3, 2022	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 18, 2022
Feb 3, 2022	F-0688	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. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 18, 2022
Feb 3, 2022	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 18, 2022
Feb 3, 2022	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 18, 2022
Feb 3, 2022	F-0761	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. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Mar 18, 2022
Feb 3, 2022	F-0791	Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 18, 2022
Feb 3, 2022	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Mar 18, 2022
Feb 3, 2022	F-0887	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. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Mar 18, 2022
Jan 25, 2019	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Corrected Mar 1, 2019
Jan 25, 2019	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Mar 1, 2019
Jan 25, 2019	F-0623	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 1, 2019
Jan 25, 2019	F-0644	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 1, 2019
Jan 25, 2019	F-0646	Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 1, 2019

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 2.8

Staffingstate 2.5

Quality measuresstate 4

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing2.76

State avg 3.88US avg 3.90

Registered nurse (RN)0.59

State avg 0.71US avg 0.69

Licensed practical nurse0.62

State avg 1.03US avg 0.86

Nurse aide1.55

State avg 2.14US avg 2.35

Weekend total nurse2.18

State avg 3.35US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.43 (case-mix index 1.59).

Staff turnover

Total nursing staff turnover58.9%

State avg 47.5%US avg 45.3%

Registered nurse turnover33.3%

State avg 46.5%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Feb 20, 2026
Cycle 1 health score: 80
Total weighted score: 72

Operating entity

Lancashire Operator LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Marquis Health Services

90 facilities in 9 states. CMS chain ID 336.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3

Ownership disclosures

Disclosures

32

Organizations

13

Individuals

16

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Aviva Kahanow	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Sep 10, 2025
Fraide Rokeach	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Sep 10, 2025

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Aviva Kahanow	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Sep 10, 2025
Fraide Rokeach	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Sep 10, 2025
Osher Flagler	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Aug 21, 2025
Tzvi Levovitz	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Sep 9, 2025
Yitzchok Rokowsky	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Aug 21, 2025
Erik Buckley	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Sep 22, 2025
Amy Payne	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Sep 10, 2025
Yogesh Viroja	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Sep 10, 2025
Healthcare Services Group Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 10, 2025
Marquis Limited LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 10, 2025
Virginia Health Rehabilitation Agency, LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 10, 2025
William Hovland	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 10, 2025
Amy Payne	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 10, 2025
Mindee Posen	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 10, 2025
Amy Payne	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Sep 11, 2025
Truist Bank	Organization	Mortgage / security interest	5% OR GREATER SECURITY INTEREST	not provided	Sep 10, 2025
Healthcare Services Group Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Sep 9, 2025
Marquis Limited LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Sep 8, 2025
Nfr 2020 Irrv Tr	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Sep 15, 2025
Quinto Nexgen LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Sep 15, 2025
Rsbrmk Holdings LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Sep 15, 2025
Sk Nexgen Tr	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Sep 15, 2025
Tryko Nexgen Holdings LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Sep 15, 2025
Uak 2020 Irrv Tr	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Sep 15, 2025
Ukr Nexgen LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Sep 15, 2025
Virginia Health Rehabilitation Agency, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Sep 9, 2025
Yk Nexgen Tr	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Sep 15, 2025
Yr Nexgen Tr	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Sep 15, 2025
Erik Buckley	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Sep 22, 2025
William Hovland	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Sep 10, 2025
Amy Payne	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Sep 10, 2025
Yogesh Viroja	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Sep 10, 2025

Same chain in Virginia

All 89 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Woodbine Rehabilitation & Healthcare Center 2729 King St, Alexandria, VA 22302 CCN 495019	307	May 5, 2023	20	—
Alexandria Rehabilitation and Healthcare Center 900 Virginia Avenue, Alexandria, VA 22302 CCN 495203	111	Apr 3, 2024	442 harm	—
Chelsea Rehabilitation and Healthcare Center 2715 Dogtown Road, Goochland, VA 23063 CCN 495236Abuse icon	84	Dec 10, 2024	441 harm	$10k
Westmoreland Rehabilitation & Healthcare Center 2400 Mckinney Boulevard, Colonial Beach, VA 22443 CCN 495268	66	Aug 20, 2026	701 harm2 open	$28k
Canterbury Rehabilitation and Healthcare Center 1776 Cambridge Drive, Richmond, VA 23238 CCN 495272Abuse icon	183	Jul 2, 2026	1424 IJ2 harm	$437k
Walter Reed Post Acute 7602 Meredith Drive, Gloucester, VA 23061 CCN 495276	181	Aug 22, 2024	221 harm	—
Atlantic View Post Acute 540 Aberthaw Avenue, Newport News, VA 23601 CCN 495286	154	Jul 9, 2026	381 harm	—
Marcella Post Acute 305 Marcella Road, Hampton, VA 23666 CCN 495305Abuse icon	180	May 20, 2026	572 harm	$39k

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 287 School Street, Kilmarnock, VA 22482
ZIP: 22482
County: Lancaster County FIPS 51103
State: Virginia
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Rappahannock Westminster Canterbury 132 Lancaster Drive, Irvington, VA 22480 CCN 495160	4.5 km	42		Aug 10, 2023	161 IJ	—
Dockside Health & Rehab Center 74 Mizpah Road, Locust Hill, VA 23092 CCN 495422	16.1 km	94		May 31, 2024	431 IJ1 harm	$15k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	495345	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	495345	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 495345

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction