nursing home in Lancaster, TX
Lancaster Nursing & Rehabilitation
1515 N Elm St, Lancaster, TX 75134 · (972) 227-6066
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★1
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Lancaster Nursing & Rehabilitation at a glance
Lancaster Nursing & Rehabilitation is a 120-bed for-profit nursing home in Lancaster, Texas (Dallas 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 3.3 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 (January 8, 2026) found 7 health citations. The Texas average is 9.4.
Federal regulators fined it 2 times in the past three years, totaling $56,554.
Nursing staff turnover is 92.5% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 120
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Creative Solutions in Healthcare
- Medicare-certified since
- October 12, 1999
- Resident/family council
- Resident
- County
- Dallas County
- CMS Certification Number
- 675810
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 4 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.30 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.50 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.91 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.84 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 92.5% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 100% | 54.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 2 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 7 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 123 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $56,554 | $44,141 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 2 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 120 | 113 | 107 | |
| Average residents per day | 54 | 76 | 86 | |
| Occupancy | 44.7% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 0.6% | 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) | 16.7% | 9.6% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.6% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 23.3% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 34% | 14% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 3.4% | 3% | 5.2% | Better |
| 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) | 14.7% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 14.1% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 98.2% | 96.6% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents given a pneumonia vaccine (higher is better) | 96.1% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 32 health deficiencies and 11 fire safety deficiencies in the inspection records CMS currently publishes. 3 citations involved actual harm, including 3 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 6, 2026 Complaint | 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 · Tag F0575 | C No harm, widespread | Deficient, Provider has no plan of correction |
| January 8, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected February 16, 2026 |
| January 8, 2026 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 February 16, 2026 |
| January 8, 2026 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected February 16, 2026 |
| January 8, 2026 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected February 16, 2026 |
| January 8, 2026 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | E Potential harm, pattern | Corrected February 3, 2026 |
| January 8, 2026 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected February 3, 2026 |
| January 8, 2026 Standard | 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 February 3, 2026 |
| January 8, 2026 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected February 3, 2026 |
| January 8, 2026 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 | D Potential harm, isolated | Corrected February 3, 2026 |
| November 21, 2025 Complaint | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected November 22, 2025 |
| August 1, 2025 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 | J Immediate jeopardy, isolated | Corrected August 2, 2025 |
| March 5, 2025 Complaint | 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 · Tag F0622 | D Potential harm, isolated | Corrected April 14, 2025 |
| February 21, 2025 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 February 22, 2025 |
| February 21, 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 February 22, 2025 |
| October 10, 2024 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | E Potential harm, pattern | Corrected October 10, 2024 |
| October 10, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected November 5, 2024 |
| October 10, 2024 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 | E Potential harm, pattern | Corrected October 11, 2024 |
| October 10, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected October 11, 2024 |
| October 10, 2024 Complaint | 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 | E Potential harm, pattern | Corrected October 11, 2024 |
| October 10, 2024 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | E Potential harm, pattern | Corrected October 11, 2024 |
| October 10, 2024 Complaint | 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 · Tag F0585 | E Potential harm, pattern | Corrected October 11, 2024 |
| October 10, 2024 Complaint | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0603 | E Potential harm, pattern | Corrected October 11, 2024 |
| October 10, 2024 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected October 11, 2024 |
| October 10, 2024 Complaint | 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 | D Potential harm, isolated | Corrected October 11, 2024 |
| October 10, 2024 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 October 11, 2024 |
| October 10, 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 October 11, 2024 |
| October 10, 2024 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 October 11, 2024 |
| October 10, 2024 Standard | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Tag F0851 | C No harm, widespread | Corrected October 11, 2024 |
| May 2, 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 | K Immediate jeopardy, pattern | Corrected May 24, 2024 |
| May 2, 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 | K Immediate jeopardy, pattern | Corrected May 24, 2024 |
| April 3, 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 April 26, 2024 |
| February 3, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected February 28, 2024 |
| February 3, 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 February 28, 2024 |
| January 29, 2024 Complaint · Infection control | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | E Potential harm, pattern | Corrected February 16, 2024 |
| December 6, 2023 Complaint · Infection control | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected December 29, 2023 |
| September 20, 2023 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected October 31, 2023 |
| September 20, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected October 31, 2023 |
| September 20, 2023 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 | F Potential harm, widespread | Corrected October 20, 2023 |
| September 20, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | D Potential harm, isolated | Corrected October 31, 2023 |
| September 20, 2023 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | D Potential harm, isolated | Corrected October 31, 2023 |
| September 20, 2023 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 October 20, 2023 |
| September 20, 2023 Standard | 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 | E Potential harm, pattern | Corrected October 20, 2023 |
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 2 federal penalties in the past three years, including $56,554 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| August 1, 2025 | Fine | $36,480 |
| May 2, 2024 | Fine | $20,074 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BLAKE, GARY Individual | adp of the snf | NOT APPLICABLE | 07/01/2024 |
| BLAKE, MALISA Individual | adp of the snf | NOT APPLICABLE | 07/01/2024 |
| CLANTON, AUSTON Individual | adp of the snf | NOT APPLICABLE | 07/01/2024 |
| CREATIVE SOLUTIONS IN HEALTHCARE INC Organization | adp of the snf | NOT APPLICABLE | 07/01/2024 |
| EAMIGUEL, CHRISTOPHER Individual | adp of the snf | NOT APPLICABLE | 07/01/2024 |
| HUGGINS, LINDA Individual | adp of the snf | NOT APPLICABLE | 07/01/2024 |
| SILVA, PHILLIP Individual | adp of the snf | NOT APPLICABLE | 04/09/2025 |
| STAPLETON, LILLIAN Individual | adp of the snf | NOT APPLICABLE | 04/09/2025 |
| WILLIG, ZACHARY Individual | adp of the snf | NOT APPLICABLE | 07/01/2024 |
| HUGGINS, LINDA Individual | corporate director | NOT APPLICABLE | 07/01/2024 |
| HONOR X ENTERPRISES, LLC Organization | direct ownership interest | NOT APPLICABLE | 07/01/2024 |
| BLAKE, GARY Individual | indirect ownership interest | NOT APPLICABLE | 07/01/2024 |
| BLAKE, MALISA Individual | indirect ownership interest | NOT APPLICABLE | 07/01/2024 |
| BLAKE, GARY Individual | operational/managerial control | NOT APPLICABLE | 07/01/2024 |
| BLAKE, MALISA Individual | operational/managerial control | NOT APPLICABLE | 07/01/2024 |
| CLANTON, AUSTON Individual | operational/managerial control | NOT APPLICABLE | 07/01/2024 |
| CREATIVE SOLUTIONS IN HEALTHCARE INC Organization | operational/managerial control | NOT APPLICABLE | 07/01/2024 |
| EAMIGUEL, CHRISTOPHER Individual | operational/managerial control | NOT APPLICABLE | 07/01/2024 |
| HUGGINS, LINDA Individual | operational/managerial control | NOT APPLICABLE | 07/01/2024 |
| LANCASTER I ENTERPRISES, LLC Organization | operational/managerial control | NOT APPLICABLE | 07/01/2024 |
| WILLIG, ZACHARY Individual | operational/managerial control | NOT APPLICABLE | 07/01/2024 |
Other nursing homes near Lancaster Nursing & Rehabilitation
Avir at Lancaster
1241 Westridge Ave, Lancaster, TX 75146 · under 1 mi
Government · 110 beds · Part of Avir Health Group
★★★★★1Much below averageMillbrook Healthcare and Rehabilitation Center
1850 W Pleasant Run Rd, Lancaster, TX 75146 · 2 mi
For-profit · 124 beds · Part of The Ensign Group
★★★★★1Much below averageWindsor Gardens
2535 W Pleasant Run, Lancaster, TX 75146 · 2.7 mi
For-profit · 150 beds · Part of Cantex Continuing Care
★★★★★2Below averageDesoto Nursing & Rehabilitation Center
1101 North Hampton Road, Desoto, TX 75115 · 5.4 mi
For-profit · 110 beds · Part of Creative Solutions in Healthcare
★★★★★3AverageFive Points Nursing and Rehabilitation
1901 North Hampton Road, Desoto, TX 75115 · 5.6 mi
For-profit · 120 beds · Part of Creative Solutions in Healthcare
★★★★★2Below averagePark Village Healthcare and Rehabilitation
207 E Parkerville Rd, Desoto, TX 75115 · 5.7 mi
For-profit · 150 beds · Part of The Ensign Group
- Abuse citation
★★★★★2Below average
Frequently asked questions
What is Lancaster Nursing & Rehabilitation's rating?
Lancaster Nursing & Rehabilitation 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 Lancaster Nursing & Rehabilitation receive?
Its most recent standard health inspection found 7 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Lancaster Nursing & Rehabilitation 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 Lancaster Nursing & Rehabilitation?
It is for profit - limited liability company and part of Creative Solutions in Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Lancaster Nursing & Rehabilitation and how do I contact it?
Lancaster Nursing & Rehabilitation is at 1515 N Elm St, Lancaster, TX 75134. Phone: (972) 227-6066.
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.