For profit - Limited Liability company ·
120 certified beds ·
Medicare and Medicaid
· Part of Creative Solutions In Healthcare (149 facilities)
1
Overall CMS Rating
★☆☆☆☆
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 $55,760 in CMS records.
2 total penalties
Not SLA EnrolledThis facility hasn't enrolled in resident survey verification. Learn about enrollment →
CMS Quality Ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars = highest quality.
Overall Rating
★☆☆☆☆ 1/5
Health Inspections
★☆☆☆☆ 1/5
Staffing
★★★★☆ 4/5
Quality Measures
★★☆☆☆ 2/5
Long-Stay QM
★★☆☆☆ 2/5
Short-Stay QM
No data
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
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.
3.47
Total Nurse Hrs/Resident/Day
0.86
RN Hrs/Resident/Day
0.85
LPN Hrs/Resident/Day
1.76
Aide Hrs/Resident/Day
3.13
Weekend Nurse Hrs/Resident/Day
Staff Turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is ~60%.
Total Nursing Staff
60.4%
Registered Nurses
20.0%
Administrator Changes2 in last year
Recent Health Inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Oct 10, 2024
Most Recent Inspection Date
15
Total Deficiencies Found
151
Health Inspection Score
2
Number of Fines
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
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
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
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
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
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
Potential for harm
Provide and implement an infection prevention and control program.Infection Control Deficiencies · Oct 10, 2024
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
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
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
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
Potential for harm
Provide activities to meet all resident's needs.Quality of Life and Care Deficiencies · Oct 10, 2024
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
149
Facilities Nationwide
Creative Solutions In Healthcare operates 149 nursing facilities across the United States.
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.
Lancaster Nursing & Rehabilitation reports 3.47 total nurse hours per resident per day, compared with the Texas average of 3.40.
Its most recent CMS inspection cited 15 deficiencies.
Lancaster Nursing & Rehabilitation is certified for 120 beds.
Admissions at Lancaster Nursing & Rehabilitation
For admissions, availability and rehab questions, call (972) 227-6066. If a parent is leaving the hospital, the hospital discharge planner can also check which nursing homes have a bed.
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