All states › Texas › Lancaster › Lancaster Nursing & Rehabilitation
1515 N Elm St Lancaster, TX 75134 · Dallas County
All 4 nursing homes in Lancaster, TX (4 take Medicaid)
CMS certification number 675810 · See this home on Medicare Care Compare
Is Lancaster Nursing & Rehabilitation a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Lancaster Nursing & Rehabilitation as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.48 hours per resident per day at Lancaster Nursing & Rehabilitation, above the Texas median of 3.30 (US median: 3.72). About 0.48 of those hours are from registered nurses. On weekends it falls to 2.81 hours, 19% below its all-week average. Ask how weekends are staffed. 52.3% of nursing staff left within a year (Texas median 50.2%). 3 administrators left in the past year.
About this nursing home
Paying for care at Lancaster Nursing & Rehabilitation: Medicare and Medicaid
Lancaster Nursing & Rehabilitation is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on January 8, 2026 and found 5 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 32 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: 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.
What the inspections found
Over the last three years, inspectors issued 32 citations at Lancaster Nursing & Rehabilitation across 13 inspection dates, 22 of them from complaint investigations. 3 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on August 1, 2025 (complaint inspection). The most common areas cited were quality of life and care (9) and resident rights (5). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level K, May 2, 2024). 3 citations were under CMS's abuse, neglect and exploitation rules.
March 6, 2026 · 1 citation · includes complaint inspection
CPost 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.
January 8, 2026 · 5 citations
EProvide activities to meet all resident's needs.
DPASARR screening for Mental disorders or Intellectual Disabilities
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
November 21, 2025 · 1 citation · includes complaint inspection
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
August 1, 2025 · 1 citation, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
March 5, 2025 · 1 citation · includes complaint inspection
DNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
February 21, 2025 · 2 citations · includes complaint inspection
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
October 10, 2024 · 12 citations · includes complaint inspection
EHonor 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.
EProtect each resident from separation (from other residents, his/her room, or confinement to his/her room).
EProvide activities to meet all resident's needs.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EImplement 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.
EProvide and implement an infection prevention and control program.
DHonor 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.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
May 2, 2024 · 2 citations, includes immediate jeopardy · includes complaint inspection
KEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
KProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
April 3, 2024 · 1 citation · includes complaint inspection
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
February 3, 2024 · 2 citations · includes complaint inspection
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide and implement an infection prevention and control program.
January 29, 2024 · 1 citation · includes complaint inspection
EReasonably accommodate the needs and preferences of each resident.
December 6, 2023 · 1 citation · includes complaint inspection
DProvide and implement an infection prevention and control program.
September 20, 2023 · 2 citations
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Questions to ask on a tour of Lancaster Nursing & Rehabilitation
- Inspectors cited the home at the immediate-jeopardy level on May 2, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on October 10, 2024. How are staff trained, and how are concerns reported?
- There were 2 infection-control citations. Who leads infection prevention, and what is the current outbreak policy?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Weekend staffing is 19% below the all-week average. Who is on duty on Saturday nights?
- Several administrators left in the past year. What has changed for residents since then?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $56,554 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Aug 1, 2025 | Fine | $36,480 |
| May 2, 2024 | Fine | $20,074 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 2/5 | 1/5 | 3/5 |
| August 2026 | 1/5 | 1/5 | 1/5 | 2/5 |
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Location
Hospitals near Lancaster Nursing & Rehabilitation
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
2.8 mi
Crescent Medical Center Lancaster LancasterEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 40m for patients treated and sent home
- 6.1 mi
-
6.2 mi
Dallas VA Medical Center (VA North Texas Healthcare System) DallasEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 20m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Compare Lancaster Nursing & Rehabilitation with the 3 closest homes side by side ›
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- Millbrook Healthcare and Rehabilitation Center · Lancaster · 2 stars · 2.0 mi
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Affiliation comes from CMS's affiliated-entity data, October 2026. All 150 Creative Solutions In Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.