nursing home in Lampasas, TX

Lily Springs Rehabilitation and Healthcare Center

901 Central Texas Exp, Lampasas, TX 76550 · (512) 556-8827

★★★★★1
Much below average
CMS overall star rating
  • Health inspections★★★★★1
  • Staffing★★★★★2
  • Quality measures★★★★★3

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Lily Springs Rehabilitation and Healthcare Center at a glance

Lily Springs Rehabilitation and Healthcare Center is a 116-bed for-profit nursing home in Lampasas, Texas (Lampasas County).

CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.

Residents receive about 3.5 hours of nursing care per day (0.5 of them from registered nurses), close to the state average of 3.4 hours.

Its most recent standard health inspection (June 24, 2026) found 11 health citations. The Texas average is 9.4.

Federal regulators fined it 3 times in the past three years, totaling $86,207.

Nursing staff turnover is 57.6% per year (state average 55.3%).

Facility details

Type
Nursing home
Ownership
For Profit - Corporation
Beds
116
Certified for
Medicare and Medicaid
Chain / affiliated entity
Nexion Health
Medicare-certified since
July 16, 1990
Resident/family council
Resident
County
Lampasas County
CMS Certification Number
455889

Ratings

MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)1 / 52.7 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)1 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)2 / 51.9 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)3 / 53.7 / 53.6 / 5Worse
Long-stay quality rating (higher is better)2 / 54 / 53.8 / 5Worse
Short-stay (rehab) quality rating (higher is better)4 / 53.2 / 53.3 / 5Better

Staffing

This facility3.53 hrsTexas average3.39 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.53 hrs3.39 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.53 hrs0.43 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)2.25 hrs2.01 hrs2.32 hrsAverage
Weekend nurse staff hours per resident per day (higher is better)3.22 hrs2.98 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)57.6%55.3%45.8%Worse
Registered nurse turnover (yearly) (lower is better)66.7%54.6%42.9%Worse
Administrators who left in the past year (lower is better)111Worse

Inspections

This facility11Texas average9U.S. average9
Health citations in the most recent inspection: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)1199Worse
Citations from complaint investigations (latest cycle) (lower is better)543Worse
Weighted health inspection score ⓘ (lower is better)164.310280.6Worse

Penalties

This facility3Texas average1U.S. average1
Fines in the past 3 years: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)311Worse
Total fines in the past 3 years (lower is better)$86,207$44,141$30,972Worse
All federal penalties in the past 3 years (lower is better)321Worse

Size

MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Certified beds116113107
Average residents per day687686
Occupancy58.3%67.6%80.9%

Long-stay residents

This facility2.9%Texas average3.3%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)2.9%3.3%3.2%Better
Long-stay residents with pressure ulcers (lower is better)2.4%3.8%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)8.5%9.6%15.4%Better
Long-stay residents with a urinary tract infection (lower is better)1.3%0.8%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0.3%0.3%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)37.2%15.8%13.9%Worse
Long-stay residents whose walking worsened (lower is better)33.9%14%14.1%Worse
Long-stay residents who lose too much weight (lower is better)5.3%3%5.2%Average
Long-stay residents with depressive symptoms (lower is better)0%2.4%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)19.1%18%19.5%Average
Long-stay residents with new or worse incontinence (lower is better)14.7%13.4%19%Better
Long-stay residents given a flu vaccine (higher is better)95.2%98%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)85.9%96.6%93.6%Worse

Short-stay residents

This facility0%Texas average1.5%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)0%1.5%1.6%Better
Short-stay residents given a flu vaccine (higher is better)37.8%88%79.8%Worse
Short-stay residents given a pneumonia vaccine (higher is better)45.9%88.9%82%Worse

Inspection citations

State inspectors cited this home for 52 health deficiencies and 7 fire safety deficiencies in the inspection records CMS currently publishes. 6 citations involved actual harm, including 4 rated "immediate jeopardy".

DateCitationSeverityStatus
June 24, 2026
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
E
Potential harm, pattern
Corrected July 25, 2026
June 24, 2026
Standard
Have policies on smoking.
Environmental Deficiencies · Tag F0926
E
Potential harm, pattern
Corrected July 15, 2026
June 24, 2026
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected July 15, 2026
June 24, 2026
Standard
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Tag F0583
E
Potential harm, pattern
Corrected July 15, 2026
June 24, 2026
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected July 15, 2026
June 24, 2026
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected July 15, 2026
June 24, 2026
Standard
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights Deficiencies · Tag F0577
C
No harm, widespread
Corrected July 15, 2026
May 19, 2026
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected June 19, 2026
January 7, 2026
Complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights Deficiencies · Tag F0557
D
Potential harm, isolated
Corrected January 31, 2026
November 26, 2025
Complaint
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
D
Potential harm, isolated
Corrected December 5, 2025
November 26, 2025
Complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected December 5, 2025
November 19, 2025
Complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights Deficiencies · Tag F0557
D
Potential harm, isolated
Corrected December 5, 2025
August 22, 2025
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected September 18, 2025
July 10, 2025
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected July 11, 2025
May 5, 2025
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
E
Potential harm, pattern
Corrected May 30, 2025
May 5, 2025
Fire safety
Install an approved automatic sprinkler system.
Smoke Deficiencies · Tag K0351
D
Potential harm, isolated
Corrected May 30, 2025
May 5, 2025
Fire safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies · Tag K0355
D
Potential harm, isolated
Corrected May 30, 2025
May 5, 2025
Fire safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies · Tag K0741
D
Potential harm, isolated
Corrected May 30, 2025
May 5, 2025
Fire safety
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0929
D
Potential harm, isolated
Corrected May 30, 2025
May 5, 2025
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
J
Immediate jeopardy, isolated
Corrected May 6, 2025
May 5, 2025
Standard
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Tag F0679
E
Potential harm, pattern
Corrected May 6, 2025
May 5, 2025
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected May 6, 2025
May 5, 2025
Standard
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Quality of Life and Care Deficiencies · Tag F0741
E
Potential harm, pattern
Corrected May 6, 2025
May 5, 2025
Standard
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
D
Potential harm, isolated
Corrected May 6, 2025
May 5, 2025
Standard
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected May 6, 2025
May 5, 2025
Standard
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607
D
Potential harm, isolated
Corrected May 6, 2025
April 12, 2025
Complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
D
Potential harm, isolated
Corrected April 13, 2025
March 3, 2025
Complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care Deficiencies · Tag F0678
J
Immediate jeopardy, isolated
Corrected March 4, 2025
March 3, 2025
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
J
Immediate jeopardy, isolated
Corrected March 4, 2025
March 3, 2025
Complaint
Employ staff that are licensed, certified, or registered in accordance with state laws.
Administration Deficiencies · Tag F0839
E
Potential harm, pattern
Corrected March 4, 2025
March 3, 2025
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected March 4, 2025
March 3, 2025
Complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected March 4, 2025
March 3, 2025
Complaint
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Tag F0883
D
Potential harm, isolated
Corrected March 4, 2025
October 8, 2024
Complaint
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
Resident Rights Deficiencies · Tag F0620
E
Potential harm, pattern
Corrected November 1, 2024
October 8, 2024
Complaint
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.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected November 1, 2024
August 21, 2024
Complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected September 6, 2024
August 21, 2024
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected September 6, 2024
August 21, 2024
Complaint
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.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected September 6, 2024
July 19, 2024
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected August 8, 2024
June 13, 2024
Complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
G
Actual harm, isolated
Corrected July 14, 2024
June 13, 2024
Complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
E
Potential harm, pattern
Corrected July 14, 2024
June 13, 2024
Complaint
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies · Tag F0688
D
Potential harm, isolated
Corrected July 14, 2024
April 4, 2024
Complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
G
Actual harm, isolated
Corrected April 5, 2024
April 4, 2024
Complaint
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.
Pharmacy Service Deficiencies · Tag F0761
E
Potential harm, pattern
Corrected April 5, 2024
April 4, 2024
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected April 5, 2024
April 4, 2024
Complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected April 5, 2024
March 19, 2024
Complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
K
Immediate jeopardy, pattern
Corrected April 12, 2024
January 31, 2024
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
E
Potential harm, pattern
Corrected August 23, 2024
January 31, 2024
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
E
Potential harm, pattern
Corrected March 8, 2024
January 31, 2024
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected March 8, 2024
January 31, 2024
Complaint
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 · Tag F0725
E
Potential harm, pattern
Corrected March 8, 2024
January 31, 2024
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
E
Potential harm, pattern
Corrected March 8, 2024
January 31, 2024
Standard
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.
Resident Rights Deficiencies · Tag F0584
E
Potential harm, pattern
Corrected March 8, 2024
January 31, 2024
Standard
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Tag F0919
D
Potential harm, isolated
Corrected March 8, 2024
January 31, 2024
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected March 8, 2024
January 31, 2024
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected March 8, 2024
January 31, 2024
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected March 8, 2024
January 31, 2024
Standard
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 · Tag F0758
D
Potential harm, isolated
Corrected March 8, 2024
January 31, 2024
Standard
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies · Tag F0637
D
Potential harm, isolated
Corrected March 8, 2024

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 3 federal penalties in the past three years, including $86,207 in fines.

DatePenaltyAmount / length
April 12, 2025Fine$8,281
March 3, 2025Fine$42,563
March 19, 2024Fine$35,363

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
NEXION HEALTH OF OHI INC
Organization
5% or greater direct ownership interest100%01/09/2020
BOLT, BRETTON
Individual
5% or greater indirect ownership interest—03/01/2020
KIRLEY, FRANCIS
Individual
5% or greater indirect ownership interest—03/01/2020
NEXION HEALTH, INC.
Organization
5% or greater indirect ownership interest—01/09/2020
NEXION HEALTH LEASING, INC.
Organization
5% or greater indirect ownership interest—01/09/2020
HERDRICH, WILLIAM
Individual
corporate directorNOT APPLICABLE03/01/2020
KIRLEY, FRANCIS
Individual
corporate directorNOT APPLICABLE03/01/2020
LEE, BRIAN
Individual
corporate directorNOT APPLICABLE03/01/2020
RINER, MEERA
Individual
corporate directorNOT APPLICABLE03/01/2020
KIRLEY, FRANCIS
Individual
corporate officerNOT APPLICABLE03/01/2020
LEE, BRIAN
Individual
corporate officerNOT APPLICABLE03/01/2020
RINER, MEERA
Individual
corporate officerNOT APPLICABLE03/01/2020
KIRLEY, FRANCIS
Individual
operational/managerial controlNOT APPLICABLE03/01/2020
MASSOODI, HOSHEM
Individual
operational/managerial controlNOT APPLICABLE03/01/2020
NEXION HEALTH, INC.
Organization
operational/managerial controlNOT APPLICABLE01/09/2020
NEXION HEALTH LEASING, INC.
Organization
operational/managerial controlNOT APPLICABLE01/09/2020
MASSOODI, HOSHEM
Individual
w-2 managing employeeNOT APPLICABLE03/01/2020

Other nursing homes near Lily Springs Rehabilitation and Healthcare Center

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    ★★★★★1Much below average
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  5. Avir at Burnet

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Frequently asked questions

What is Lily Springs Rehabilitation and Healthcare Center's rating?

Lily Springs Rehabilitation and Healthcare Center has 1 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.

How many inspection citations did Lily Springs Rehabilitation and Healthcare Center receive?

Its most recent standard health inspection found 11 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.

Does Lily Springs Rehabilitation and Healthcare Center accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Lily Springs Rehabilitation and Healthcare Center?

It is for profit - corporation and part of Nexion Health. The ownership section on this page lists the owners and managers reported to CMS.

Where is Lily Springs Rehabilitation and Healthcare Center and how do I contact it?

Lily Springs Rehabilitation and Healthcare Center is at 901 Central Texas Exp, Lampasas, TX 76550. Phone: (512) 556-8827.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.