Nursing home
Lancaster Nursing & Rehabilitation
1515 N Elm St, Lancaster, TX 75134 · Map
For profit - Limited Liability company · Part of Creative Solutions In Healthcare (149 facilities) · 120 certified beds
Lancaster Nursing & Rehabilitation is a Medicare-certified nursing home in Lancaster, Texas. CMS rates it 1 out of 5 stars overall (4/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.47 hours per resident per day, above the Texas average of 3.40. Its most recent inspection on Oct 10, 2024 cited 15 deficiencies.
- 2 fines totaling $55,760In CMS records: 2 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Lancaster Nursing & Rehabilitation compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.47 | 3.40 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.86 | 0.44 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 1.76 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 60.4% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 15.0 | 9.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 2 fines totaling $55,760, 2 total penalties.
What inspectors found at Lancaster Nursing & Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Minimal
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Resident Rights Deficiencies · Mar 6, 2026 · Full report (PDF) - Potential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Nov 21, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Aug 1, 2025 · Full report (PDF) - Potential 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.
Resident Rights Deficiencies · Mar 5, 2025 · Full report (PDF) - Potential 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.
Nursing and Physician Services Deficiencies · Feb 21, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Feb 21, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Oct 10, 2024 · Full report (PDF) - Potential 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.
Pharmacy Service Deficiencies · Oct 10, 2024 · Full report (PDF) - Potential for harm
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Oct 10, 2024 · Full report (PDF) - Potential 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.
Resident Rights Deficiencies · Oct 10, 2024 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Oct 10, 2024 · Full report (PDF) - Potential for harm
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Oct 10, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1515 N Elm St
Lancaster, TX 75134 - CMS certification #
- 675810
- Ownership
- For profit - Limited Liability company
- Certified beds
- 120
- Avg residents/day
- 41.1
- Provider type
- Medicare and Medicaid
- First certified
- 1999-10-12
- Chain
- Creative Solutions In Healthcare (149 facilities)
- Setting
- Urban
Part of Creative Solutions In Healthcare
Creative Solutions In Healthcare operates 149 nursing facilities across the United States. View all Creative Solutions In Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Lancaster Nursing & Rehabilitation using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Crescent Medical Center Lancaster, Lancaster. 2.9 miles away, straight line. CMS overall hospital rating: 2 of 5 stars. Location approximate.
- Nearest Medicare nursing home
- Avir at Lancaster, Lancaster. 0.3 miles away, straight line.
- Nearest home health agency office
- Divine Home Health Agency LLC, Lancaster. 2.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 1.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 75134 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Lancaster Dialysis, Lancaster, 2.7 miles away, straight line (CMS rating 3 of 5 stars)
Regional Dialysis Center Of Lancaster LLC, Lancaster, 2.9 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Usrc Premier Lancaster, Lancaster, 3.3 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 48 Medicare hospices tell CMS they serve ZIP code 75134.
Harbor Hospice Of Dallas, L.P., office in Desoto, 7.1 miles away, straight line
Heart To Heart Hospice Of Dallas, LLC, office in Dallas, 7.4 miles away, straight line
Bristol Hospice - North Central Texas, office in Waxahachie, 12.7 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Physician Associates Of Southwest Dallas, Dallas. 7.1 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane very low, inland flooding relatively low, wildfire very low, tornado relatively moderate, heat wave relatively high, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Lancaster Nursing & Rehabilitation a good nursing home?
CMS gives Lancaster Nursing & Rehabilitation an overall rating of 1 out of 5 stars, including 4/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Lancaster Nursing & Rehabilitation staffed?
Lancaster Nursing & Rehabilitation reports 3.47 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Lancaster Nursing & Rehabilitation had inspection problems?
Its most recent CMS inspection cited 15 deficiencies.
How many beds does Lancaster Nursing & Rehabilitation have?
Lancaster Nursing & Rehabilitation is certified for 120 beds.