Nursing HomeInspections

Lancaster Nursing & Rehabilitation

Nursing home in Lancaster, TX

Medicare & Medicaid certified1★ overall (CMS)

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Public-record details

Address
1515 N Elm St, Lancaster, TX 75134
Phone
(972) 227-6066
Listed under
For-profit
Medicare CCN
675810
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measures rating
3 of 5
Certified beds
120
Average residents per day
57
Ownership
For-profit, limited Liability company
Legal business name
Lancaster I Enterprises, LLC
Chain
Creative Solutions in Healthcare (150 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Oct 12, 1999
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 675810. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Jan 8, 2026. CMS lists 32 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 20, 2023 to Mar 6, 2026): 22 from complaint inspections, 3 at the “actual harm” level or higher, including 3 at “immediate jeopardy”.

InspectionCitationSeverity
Mar 6, 2026Post 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…
Resident Rights · complaint inspection		C
Potential for minimal harm, widespread
Jan 8, 2026PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jan 8, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jan 8, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jan 8, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Jan 8, 2026Provide activities to meet all resident's needs.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Nov 21, 2025Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 1, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated
Mar 5, 2025Not 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 · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 21, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 21, 2025Provide 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 · complaint inspection		E
Potential for more than minimal harm, pattern
Oct 10, 2024Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration		C
Potential for minimal harm, widespread

Showing the 12 most recent of 32. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $56,554 in the last three years.

Aug 1, 2025Fine: $36,480
May 2, 2024Fine: $20,074

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.48 hours
Registered nurse (RN) time per resident per day
0.48 hours
Nurse aide time per resident per day
2.19 hours
Total nurse staffing on weekends
2.81 hours
Nursing staff turnover (yearly)
52%
RN turnover (yearly)
63%
Administrators who left in the past year
3

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Lancaster

Millbrook Healthcare and Rehabilitation Center1850 W Pleasant Run Rd · Lancaster, TX 75146 · (972) 275-1900 · For-profit27 health citations in 3 inspection cycles · last standard inspection Apr 23, 2026 · $13,565 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)
Windsor Gardens2535 W Pleasant Run · Lancaster, TX 75146 · (972) 228-8029 · For-profit27 health citations in 3 inspection cycles · last standard inspection Jan 15, 2026 · $13,877 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)
Avir at Lancaster1241 Westridge Ave · Lancaster, TX 75146 · (972) 227-5110 · Government-owned30 health citations in 3 inspection cycles · last standard inspection Jan 15, 2026 · $42,851 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

All 4 in Lancaster →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error