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HomeTexasMillbrook Healthcare and Rehabilitation Center

Millbrook Healthcare and Rehabilitation Center

1850 W Pleasant Run Rd, Lancaster, TX 751469722751900WebsiteGoogle Maps
4.7on Google(187 reviews)
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
3/5
Staffing
1/5
Quality
4/5
Beds
124
certified
1 fine(s) totaling $13,565

How Millbrook Healthcare and Rehabilitation Center Compares in Texas

Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
2/5
TX average
2.7/5
Below state average
Health inspection rating
3/5
TX average
2.8/5
Close to state average
Staffing rating
1/5
TX average
1.9/5
Below state average
Nursing hours per resident
3.08 hrs/day
TX average
3.39 hrs/day
Below state average
RN hours per resident
0.12 hrs/day
TX average
0.43 hrs/day
Below state average
Staff turnover
69.7%
TX average
55.3%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 2/5 overall CMS rating is below the Texas average of 2.7/5.
Reported nursing time is 3.08 hours per resident per day, below the state average of 3.39.
Reported RN time is 0.12 hours per resident per day, below the state average of 0.43.
Staff turnover is 69.7%, higher than the Texas average of 55.3%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
7
deficiency citations
Inspected Jan 10, 2024
Most recent cycle
11
deficiency citations
Inspected Feb 11, 2025
The most recent cycle recorded 4 more deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Dallas County 65+
290,461
11.2% of county
County Population
2,604,053
Dallas County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Millbrook Healthcare and Rehabilitation Center is a 2-star Medicare and Medicaid certified nursing home in Lancaster, Texas with 124 certified beds. It has been operating since 2008. Its overall CMS rating is 2 out of 5.

Beds
124
Avg Residents/Day
78.1
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jul 25, 2008
Sprinklers
Yes
Council
Resident
County
Dallas
Last Inspection
Feb 11, 2025
Deficiencies (Cycle 1)
11
Weighted Score
83.0
Infection Citations
0

Deficiency Citations (22)

F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Dec 3, 2025Corrected: NoCycle: 1
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: Dec 2, 2025Corrected: 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: Dec 2, 2025Corrected: NoCycle: 1
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Dec 1, 2025Corrected: NoCycle: 1
F0628Potential for Harm

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Survey: Sep 9, 2025Corrected: NoCycle: 1
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Feb 11, 2025Corrected: NoCycle: 1
F0812Potential for Harm

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

Survey: Feb 11, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 11, 2025Corrected: NoCycle: 1
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Feb 11, 2025Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Feb 11, 2025Corrected: NoCycle: 1
F0677Potential for Harm

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

Survey: Feb 11, 2025Corrected: NoCycle: 1
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: May 7, 2025Corrected: 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: May 7, 2025Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: May 7, 2025Corrected: NoCycle: 2
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 11, 2024Corrected: NoCycle: 2
F0850Potential for Harm

Hire a qualified full-time social worker in a facility with more than 120 beds.

Survey: Jan 10, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jan 10, 2024Corrected: NoCycle: 2
F0880Immediate Jeopardy

Provide and implement an infection prevention and control program.

Survey: Nov 29, 2023Corrected: NoCycle: 3
F0756Potential for Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey: Oct 19, 2022Corrected: NoCycle: 3
F0812Potential for Harm

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

Survey: Oct 19, 2022Corrected: NoCycle: 3
F0842Potential for Harm

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

Survey: Oct 19, 2022Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Oct 19, 2022Corrected: NoCycle: 3
Total Fines
$13,565
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineNov 29, 2023
$13,565

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

Nurse Aide1.80 hrs
National avg: 2.32 hrs
LPN1.16 hrs
National avg: 0.86 hrs
RN0.12 hrs
National avg: 0.69 hrs
Total Nursing3.08 hrs
National avg: 3.86 hrs
Weekend Total2.76 hrs
National avg: 0.00 hrs
Physical Therapist0.27 hrs
National avg: 0.07 hrs
Total Turnover
69.7%
RN Turnover
0.0%
Administrators Left
0

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

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (12)

NameRoleTypeOwnership %Since
MADISON, KRISTENMANAGING CONTROL - GOVERNING BODYIndividualN/ADec 1, 2023
SHARMA, NEERAJMANAGING CONTROL - GOVERNING BODYIndividualN/ASep 4, 2024
BURNAM, SOONCORPORATE OFFICERIndividualN/ADec 1, 2023
HOOPER, GRADYCORPORATE OFFICERIndividualN/ADec 1, 2023
KEETCH, CHADCORPORATE OFFICERIndividualN/AMar 1, 2011
BLUEBONNET HEALTHCARE, INC.OPERATIONAL/MANAGERIAL CONTROLOrganizationN/ADec 1, 2023
MADISON, KRISTENOPERATIONAL/MANAGERIAL CONTROLIndividualN/ADec 1, 2023
SHARMA, NEERAJOPERATIONAL/MANAGERIAL CONTROLIndividualN/ASep 4, 2024
BLUEBONNET HEALTHCARE, INC.ADP OF THE SNFOrganizationN/AOct 27, 2025
ENSIGN SERVICES INCADP OF THE SNFOrganizationN/AApr 18, 2022
MADISON, KRISTENADP OF THE SNFIndividualN/ADec 1, 2023
SHARMA, NEERAJADP OF THE SNFIndividualN/ASep 4, 2024

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Millbrook Healthcare and Rehabilitation Center and nearby alternatives.

All Texas facilities
Millbrook Healthcare and Rehabilitation Center
Lancaster, TXCurrent facility
CMS
2/5
Health
3/5
Staffing
1/5
Recorded fines: $13,565
Windsor Gardens
Lancaster, TX4,224 ft
CMS
2/5
Health
2/5
Staffing
1/5
Recorded fines: $13,877
Avir at Lancaster
Lancaster, TX1.7 mi
CMS
2/5
Health
2/5
Staffing
3/5
Recorded fines: $49,281
Lancaster Nursing & Rehabilitation
Lancaster, TX2.0 mi
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $56,554
Desoto Nursing & Rehabilitation Center
Desoto, TX3.4 mi
CMS
3/5
Health
3/5
Staffing
1/5
Recorded fines: $12,740
Five Points Nursing and Rehabilitation
Desoto, TX3.8 mi
CMS
2/5
Health
3/5
Staffing
1/5
Recorded fines: $8,514
Park Village Healthcare and Rehabilitation
Desoto, TX3.9 miAbuse flag
CMS
2/5
Health
1/5
Staffing
1/5
Recorded fines: $221,389
FacilityDistanceCMSHealthStaffingRecorded fines
Millbrook Healthcare and Rehabilitation Center
Lancaster, TX · Current facility
—2/53/51/5$13,565
Windsor Gardens
Lancaster, TX
4,224 ft2/52/51/5$13,877
Avir at Lancaster
Lancaster, TX
1.7 mi2/52/53/5$49,281
Lancaster Nursing & Rehabilitation
Lancaster, TX
2.0 mi1/51/51/5$56,554
Desoto Nursing & Rehabilitation Center
Desoto, TX
3.4 mi3/53/51/5$12,740
Five Points Nursing and Rehabilitation
Desoto, TX
3.8 mi2/53/51/5$8,514
Park Village Healthcare and Rehabilitation
Desoto, TX
3.9 mi2/51/51/5$221,389

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Millbrook Healthcare and Rehabilitation Center?▾
Millbrook Healthcare and Rehabilitation Center has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 1/5, and quality measures rating of 4/5. This facility is rated below average.
How much does Millbrook Healthcare and Rehabilitation Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). Millbrook Healthcare and Rehabilitation Center participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Millbrook Healthcare and Rehabilitation Center had any health inspection violations?▾
Millbrook Healthcare and Rehabilitation Center had 11 deficiency citations in its most recent health inspection (Feb 11, 2025). The current CMS dataset records 1 fine(s) totaling $13,565.
What are the staffing levels at Millbrook Healthcare and Rehabilitation Center?▾
Millbrook Healthcare and Rehabilitation Center provides 3.08 total nursing staff hours per resident per day, including 0.12 RN hours, 1.16 LPN hours, and 1.80 nurse aide hours. The total staff turnover rate is 69.7%.
How many beds does Millbrook Healthcare and Rehabilitation Center have?▾
Millbrook Healthcare and Rehabilitation Center has 124 certified beds with an average of 78.1 residents per day, resulting in approximately 63% occupancy. The facility is For profit - Limited Liability company owned and is part of the The Ensign Group chain.
Are there other nursing homes near Millbrook Healthcare and Rehabilitation Center?▾
Yes. This page lists 6 nearby nursing homes in Texas, including 3 in Lancaster. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Millbrook Healthcare and Rehabilitation Center?▾
On Google Maps, Millbrook Healthcare and Rehabilitation Center has a rating of 4.7 out of 5 based on 187 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 2/5.

Part of The Ensign Group

This chain operates 346 facilities. View all →