Lancaster Health And Rehabilitation
Lancaster Health and Rehabilitation in Lancaster, SC — inspection on November 19, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
she believed the agency Certified Nursing Assistant (CNA), last seen with the resident, may have repositioned the resident while providing care and left without elevating his head.
Although she was unable to definitively state when R5 was laid supine, LPN1 further explained that it is expected that all CNAs round every two (2) hours.
During an interview on 11/19/25 at approximately 4:45 PM, CNA1 revealed when changing or adjusting residents with tube feedings, the feeding pump is placed on hold, head of the bed lowered, the bed is adjusted and/or the resident is changed as needed, and then the head of the bed and feeding pump are turned back on. CNA1 reports 1st shift CNA changed R5 at the end of the 1st shift. CNA1 stated she had not made her rounds yet to R5's room; however, she was made aware of the head of bed not being elevated during tube feed by other staff after being discovered by two surveyors.During an interview on 11/19/25 at approximately 4:55 PM, the Director of Nursing (DON) revealed nurses are responsible for tube feeding management.
Administration enters orders, and nursing staff are expected to check rates and flush tube feeding, as appropriate.
Additionally, CNAs are expected to round every two (2) hours, and nonverbal residents are under constant supervision.
The DON further stated that CNAs hold tube feeding while residents are being repositioned.
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