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Lancaster Nursing & Rehabilitation

All states › Texas › Lancaster › Lancaster Nursing & Rehabilitation

1515 N Elm St Lancaster, TX 75134 · Dallas County

(972) 227-6066

All 4 nursing homes in Lancaster, TX (4 take Medicaid)

Accepts Medicare Accepts Medicaid 120 certified beds For profit

CMS certification number 675810 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

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. Inspectors issued 32 citations in the last three years. CMS imposed 2 penalties, including $56,554 in fines, in that time.

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.

Nursing care per resident per day 3.48 hours
Above the Texas median of 3.30 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.48 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.81 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 52.3% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 62.5% a year Share of registered nurses who left over a year.
Administrators who left 3 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds120
Residents per day 57 About 47% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceOctober 1999
Part of a chainCreative Solutions In Healthcare
Legal business nameLANCASTER I ENTERPRISES, LLC

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.

Potential for minimal harm · Resident Rights Deficiencies · Tag F0575 · Complaint inspection · Deficient, Provider has no plan of correction

January 8, 2026 · 5 citations

EProvide activities to meet all resident's needs.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0679 · Deficient, Provider has date of correction (Feb 3, 2026)

DPASARR screening for Mental disorders or Intellectual Disabilities

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0645 · Deficient, Provider has date of correction (Feb 3, 2026)

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (Feb 3, 2026)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Feb 3, 2026)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Feb 3, 2026)

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.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0644 · Complaint inspection · Deficient, Provider has date of correction (Nov 22, 2025)

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.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Aug 2, 2025)

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0622 · Complaint inspection · Deficient, Provider has date of correction (Apr 14, 2025)

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.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0725 · Complaint inspection · Deficient, Provider has date of correction (Feb 22, 2025)

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Complaint inspection · Deficient, Provider has date of correction (Feb 22, 2025)

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0585 · Complaint inspection · Deficient, Provider has date of correction (Oct 11, 2024)

EProtect each resident from separation (from other residents, his/her room, or confinement to his/her room).

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0603 · Complaint inspection · Deficient, Provider has date of correction (Oct 11, 2024)

EProvide activities to meet all resident's needs.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0679 · Deficient, Provider has date of correction (Oct 11, 2024)

EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Oct 11, 2024)

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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0758 · Complaint inspection · Deficient, Provider has date of correction (Oct 11, 2024)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Oct 11, 2024)

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Complaint inspection · Deficient, Provider has date of correction (Oct 11, 2024)

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Oct 11, 2024)

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Complaint inspection · Deficient, Provider has date of correction (Oct 11, 2024)

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Complaint inspection · Deficient, Provider has date of correction (Oct 11, 2024)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Complaint inspection · Deficient, Provider has date of correction (Oct 11, 2024)

CElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Potential for minimal harm · Administration Deficiencies · Tag F0851 · Deficient, Provider has date of correction (Oct 11, 2024)

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.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (May 24, 2024)

KProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Immediate jeopardy · Nursing and Physician Services Deficiencies · Tag F0725 · Complaint inspection · Deficient, Provider has date of correction (May 24, 2024)

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.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Complaint inspection · Deficient, Provider has date of correction (Apr 26, 2024)

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.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Complaint inspection · Deficient, Provider has date of correction (Feb 28, 2024)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Feb 28, 2024)

January 29, 2024 · 1 citation · includes complaint inspection

EReasonably accommodate the needs and preferences of each resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0558 · Complaint inspection · Infection control · Deficient, Provider has date of correction (Feb 16, 2024)

December 6, 2023 · 1 citation · includes complaint inspection

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Infection control · Deficient, Provider has date of correction (Dec 29, 2023)

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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Oct 20, 2023)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Oct 20, 2023)

Questions to ask on a tour of Lancaster Nursing & Rehabilitation

  1. 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?
  2. CMS cited the home under its abuse and neglect rules on October 10, 2024. How are staff trained, and how are concerns reported?
  3. There were 2 infection-control citations. Who leads infection prevention, and what is the current outbreak policy?
  4. CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  5. Weekend staffing is 19% below the all-week average. Who is on duty on Saturday nights?
  6. Several administrators left in the past year. What has changed for residents since then?
  7. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  8. 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.

DateTypeAmount or length
Aug 1, 2025 Fine $36,480
May 2, 2024 Fine $20,074

Rating history

CMS monthOverallInspectionStaffingQuality
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.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Avir at Lancaster Lancaster · 0.3 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 3/5 110 beds · Medicaid
Millbrook Healthcare and Rehabilitation Center Lancaster · 2.0 mi away ★★☆☆☆ Inspection 2/5 · Staffing 1/5 124 beds · Medicaid
Windsor Gardens Lancaster · 2.7 mi away ★★☆☆☆ Inspection 2/5 · Staffing 2/5 150 beds · Medicaid
Desoto Nursing & Rehabilitation Center Desoto · 5.4 mi away ★★☆☆☆ Inspection 3/5 · Staffing 1/5 110 beds · Medicaid
Five Points Nursing and Rehabilitation Desoto · 5.6 mi away ★★☆☆☆ Inspection 3/5 · Staffing 1/5 120 beds · Medicaid

More nursing homes near Lancaster Nursing & Rehabilitation ›   All nursing homes in Lancaster ›

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Other Creative Solutions In Healthcare nursing homes in Texas

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.

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https://www.nursinghomesineachstate.com/texas/lancaster/lancaster-nursing-and-rehabilitation/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.