Lancaster Health and Rehab: Staff Competency Gaps - SC
A nonverbal resident at Lancaster Health and Rehabilitation, identified in inspection records as R5, was receiving a tube feeding when inspectors discovered him lying completely flat on his back. The head of his bed had not been elevated. His feeding pump was still running.
The finding came during a complaint inspection on November 19, 2025.
A licensed practical nurse, LPN1, told inspectors she believed an agency certified nursing assistant who had cared for R5 at the end of the first shift had repositioned him, lowered the bed, and left without raising his head back up. She said she could not say exactly how long he had been lying that way.
Another CNA, identified as CNA1, described the standard process: when repositioning a resident on a tube feeding, staff place the pump on hold, lower the head of the bed, complete the repositioning or change, and then raise the bed back up and restart the pump. CNA1 said she had not yet made her rounds to R5's room when other staff told her what the surveyors had found.
The Director of Nursing told inspectors that nurses carry primary responsibility for tube feeding management, that CNAs are expected to round every two hours, and that nonverbal residents are supposed to be under constant supervision.
R5 was nonverbal. He could not call for help or adjust his own position. The staff member who lowered his bed was gone. The CNA assigned to his unit had not yet reached his room. The two people who found him lying flat were federal inspectors, not the people responsible for his care.
CMS rated the violation at the minimal harm level.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Lancaster Health and Rehabilitation from 2025-11-19 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 5, 2026 · Our methodology
Lancaster Health and Rehabilitation in Lancaster, SC was cited for violations during a health inspection on November 19, 2025.
The head of his bed had not been elevated.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.