CMS data snapshot: July 2026
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.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
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.
Hire a qualified full-time social worker in a facility with more than 120 beds.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| MADISON, KRISTEN | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Dec 1, 2023 |
| SHARMA, NEERAJ | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Sep 4, 2024 |
| BURNAM, SOON | CORPORATE OFFICER | Individual | N/A | Dec 1, 2023 |
| HOOPER, GRADY | CORPORATE OFFICER | Individual | N/A | Dec 1, 2023 |
| KEETCH, CHAD | CORPORATE OFFICER | Individual | N/A | Mar 1, 2011 |
| BLUEBONNET HEALTHCARE, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Dec 1, 2023 |
| MADISON, KRISTEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Dec 1, 2023 |
| SHARMA, NEERAJ | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Sep 4, 2024 |
| BLUEBONNET HEALTHCARE, INC. | ADP OF THE SNF | Organization | N/A | Oct 27, 2025 |
| ENSIGN SERVICES INC | ADP OF THE SNF | Organization | N/A | Apr 18, 2022 |
| MADISON, KRISTEN | ADP OF THE SNF | Individual | N/A | Dec 1, 2023 |
| SHARMA, NEERAJ | ADP OF THE SNF | Individual | N/A | Sep 4, 2024 |
Compare CMS ratings and recorded fines for Millbrook Healthcare and Rehabilitation Center and nearby alternatives.
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.
This chain operates 346 facilities. View all →