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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasLancaster Nursing & Rehabilitation

Lancaster Nursing & Rehabilitation

1515 N Elm St, Lancaster, TX 751349722276066
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
4/5
Quality
2/5
Beds
120
certified
2 fine(s) totaling $55,760

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 120 certified beds with an average of 41.1 residents per day (34% occupancy)

• Last health inspection found 17 deficiencies (inspected Oct 10, 2024)

• Has been fined a total of $55,760 across 2 fine(s)

• Total nursing staff: 3.47 hours per resident per day

• Staff turnover rate: 60.4% (high)

• Part of the Creative Solutions in Healthcare chain (149 facilities)

Lancaster Nursing & Rehabilitation is a 1-star Medicare and Medicaid certified nursing home in Lancaster, Texas with 120 certified beds. It has been operating since 1999. The facility scored below average compared to Texas facilities.

Beds
120
Avg Residents/Day
41.1
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Oct 12, 1999
Sprinklers
Yes
Council
Resident
County
Dallas
Last Inspection
Oct 10, 2024
Deficiencies (Cycle 1)
17
Weighted Score
191.5
Infection Citations
2

Deficiency Citations (36)

F0644Potential for Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey: Nov 21, 2025Corrected: NoCycle: 1
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Aug 1, 2025Corrected: NoCycle: 1
F0622Potential for Harm

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Survey: Mar 5, 2025Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Feb 21, 2025Corrected: NoCycle: 1
F0725Potential for Harm

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey: Feb 21, 2025Corrected: NoCycle: 1
F0679Potential for Harm

Provide activities to meet all resident's needs.

Survey: Oct 10, 2024Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Oct 10, 2024Corrected: NoCycle: 1
F0851Minimal Harm

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Survey: Oct 10, 2024Corrected: NoCycle: 1
F0584Potential for Harm

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.

Survey: Oct 10, 2024Corrected: NoCycle: 1
F0585Potential for Harm

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Survey: Oct 10, 2024Corrected: NoCycle: 1
F0603Potential for Harm

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

Survey: Oct 10, 2024Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Oct 10, 2024Corrected: NoCycle: 1
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Oct 10, 2024Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Oct 10, 2024Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Oct 10, 2024Corrected: NoCycle: 1
F0758Potential for Harm

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Survey: Oct 10, 2024Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Oct 10, 2024Corrected: NoCycle: 1
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: May 2, 2024Corrected: NoCycle: 2
F0725Immediate Jeopardy

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey: May 2, 2024Corrected: NoCycle: 2
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Apr 3, 2024Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Feb 3, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 3, 2024Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Sep 20, 2023Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Sep 20, 2023Corrected: NoCycle: 2
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Jan 29, 2024Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Dec 6, 2023Corrected: NoCycle: 3
F0584Potential for Harm

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.

Survey: Aug 31, 2023Corrected: NoCycle: 3
F0919Potential for Harm

Make sure that a working call system is available in each resident's bathroom and bathing area.

Survey: Aug 31, 2023Corrected: NoCycle: 3
F0636Potential for Harm

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Survey: Jul 27, 2022Corrected: NoCycle: 3
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Jul 27, 2022Corrected: NoCycle: 3

+ 6 more deficiencies

Total Fines
$55,760
Number of Fines
2
Payment Denials
0
Total Penalties
2

Penalty History

FineMay 2, 2024
$20,074
FineAug 1, 2025
$35,686

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.76 hrs
National avg: 2.35 hrs
LPN0.85 hrs
National avg: 0.86 hrs
RN0.86 hrs
National avg: 0.68 hrs
Total Nursing3.47 hrs
National avg: 3.89 hrs
Weekend Total3.13 hrs
National avg: 0.00 hrs
Physical Therapist0.08 hrs
National avg: 0.07 hrs
Total Turnover
60.4%
RN Turnover
20.0%
Administrators Left
2

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (9)

NameRoleTypeOwnership %Since
CREATIVE SOLUTIONS IN HEALTHCARE INCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJul 1, 2024
LANCASTER I ENTERPRISES, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJul 1, 2024
BLAKE, GARYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 1, 2024
BLAKE, MALISAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 1, 2024
CLANTON, AUSTONOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 1, 2024
EAMIGUEL, CHRISTOPHEROPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 1, 2024
HUGGINS, LINDAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 1, 2024
WILLIG, ZACHARYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 1, 2024
HUGGINS, LINDACORPORATE DIRECTORIndividualN/AJul 1, 2024

Nearby Nursing Homes

All Texas facilities

Avir at Lancaster

Lancaster, TX · 110 beds

For profit$39,757 in finesAbuse
Health
Staffing
Quality
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Millbrook Healthcare and Rehabilitation Center

Lancaster, TX · 124 beds

For profit$13,565 in fines
Health
Staffing
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Windsor Gardens

Lancaster, TX · 150 beds

For profit$13,877 in fines
Health
Staffing
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2.7 mi

Frequently Asked Questions

What is the CMS rating for Lancaster Nursing & Rehabilitation?▾
Lancaster Nursing & Rehabilitation has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 4/5, and quality measures rating of 2/5. This facility is rated below average.
Has Lancaster Nursing & Rehabilitation had any health inspection violations?▾
Lancaster Nursing & Rehabilitation had 17 deficiency citations in its most recent health inspection (Oct 10, 2024). The facility has been fined a total of $55,760 across 2 fine(s). It also has 2 infection control citation(s).
What are the staffing levels at Lancaster Nursing & Rehabilitation?▾
Lancaster Nursing & Rehabilitation provides 3.47 total nursing staff hours per resident per day, including 0.86 RN hours, 0.85 LPN hours, and 1.76 nurse aide hours. The total staff turnover rate is 60.4%.
How many beds does Lancaster Nursing & Rehabilitation have?▾
Lancaster Nursing & Rehabilitation has 120 certified beds with an average of 41.1 residents per day, resulting in approximately 34% occupancy. The facility is For profit - Limited Liability company owned and is part of the Creative Solutions in Healthcare chain.
Are there other nursing homes near Lancaster Nursing & Rehabilitation?▾
Yes, there are 3 other nursing homes in Lancaster, Texas with an average rating of 1.8/5. You can compare all facilities on the Lancaster nursing homes page.

Part of Creative Solutions in Healthcare

This chain operates 149 facilities. View all →