Lancaster Nursing & Rehabilitation
Nursing home in Lancaster, TX
Medicare & Medicaid certified1★ overall (CMS)
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
- 1 of 5
- Staffing rating
- 1 of 5
- Quality measures rating
- 2 of 5
- Certified beds
- 120
- Average residents per day
- 54
- Ownership
- For-profit, limited Liability company
- Legal business name
- Lancaster I Enterprises, LLC
- Chain
- Creative Solutions in Healthcare (149 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
Inspection record
Most recent standard health inspection: Jan 8, 2026. CMS lists 34 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 31, 2023 to Mar 6, 2026): 24 from complaint inspections, 3 at the “actual harm” level or higher, including 3 at “immediate jeopardy”.
| Inspection | Citation | Severity |
|---|---|---|
| Mar 6, 2026 | 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… | C |
| Jan 8, 2026 | PASARR screening for Mental disorders or Intellectual Disabilities | D |
| Jan 8, 2026 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| Jan 8, 2026 | Provide safe and appropriate respiratory care for a resident when needed. | D |
| Jan 8, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| Jan 8, 2026 | Provide activities to meet all resident's needs. | E |
| Nov 21, 2025 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D |
| Aug 1, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| Mar 5, 2025 | 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. | D |
| Feb 21, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| Feb 21, 2025 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E |
| Oct 10, 2024 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | C |
Fines and payment denials
CMS records 2 fines totalling $56,554 in the last three years.
| Aug 1, 2025 | Fine: $36,480 |
| May 2, 2024 | Fine: $20,074 |
Staffing
- Total nurse staffing per resident per day
- 3.30 hours
- Registered nurse (RN) time per resident per day
- 0.50 hours
- Nurse aide time per resident per day
- 1.91 hours
- Total nurse staffing on weekends
- 2.84 hours
- Nursing staff turnover (yearly)
- 93%
- RN turnover (yearly)
- 100%
- Administrators who left in the past year
- 2
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.