All states › Texas › Lancaster › Millbrook Healthcare and Rehabilitation Center
1850 W Pleasant Run Rd Lancaster, TX 75146 · Dallas County
All 4 nursing homes in Lancaster, TX (4 take Medicaid)
CMS certification number 676188 · See this home on Medicare Care Compare
Is Millbrook Healthcare and Rehabilitation Center 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 Millbrook Healthcare and Rehabilitation Center as of October 2026.
CMS rates it 2 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 3.09 hours per resident per day at Millbrook Healthcare and Rehabilitation Center, below the Texas median of 3.30 (US median: 3.72). About 0.19 of those hours are from registered nurses. On weekends it falls to 2.71 hours, 13% below its all-week average. 67.1% of nursing staff left within a year (Texas median 50.2%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Millbrook Healthcare and Rehabilitation Center: Medicare and Medicaid
Millbrook Healthcare and Rehabilitation Center 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 April 23, 2026 and found 9 deficiencies, plus 4 from complaint inspections in the same period. In total, inspectors issued 27 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 27 citations at Millbrook Healthcare and Rehabilitation Center across 10 inspection dates, 11 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on November 29, 2023 (complaint inspection). The most common areas cited were resident rights (7) and infection control (4). The most serious was cited under the CMS rule to "provide and implement an infection prevention and control program" (tag F0880, level K, November 29, 2023). 1 citation was under CMS's abuse, neglect and exploitation rules.
April 23, 2026 · 9 citations
EHonor the resident's right to organize and participate in resident/family groups in the facility.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DAssure that each resident’s assessment is updated at least once every 3 months.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
December 3, 2025 · 1 citation · includes complaint inspection
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
December 2, 2025 · 2 citations · includes complaint inspection
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
December 1, 2025 · 1 citation · includes complaint inspection
EProvide safe and appropriate respiratory care for a resident when needed.
September 9, 2025 · 1 citation · includes complaint inspection
DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
May 7, 2025 · 3 citations · includes complaint inspection
DKeep residents' personal and medical records private and confidential.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure 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.
February 11, 2025 · 6 citations
EReasonably accommodate the needs and preferences of each resident.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DEnsure each resident receives an accurate assessment.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
October 11, 2024 · 1 citation · includes complaint inspection
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.
January 10, 2024 · 2 citations · includes complaint inspection
EHire a qualified full-time social worker in a facility with more than 120 beds.
DProvide and implement an infection prevention and control program.
November 29, 2023 · 1 citation, includes immediate jeopardy · includes complaint inspection
KProvide and implement an infection prevention and control program.
Questions to ask on a tour of Millbrook Healthcare and Rehabilitation Center
- Inspectors cited the home at the immediate-jeopardy level on November 29, 2023 under the rule on infection control. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on April 23, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 67.1% a year. How many of the staff come from agencies?
- 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
1 penalty in the last three years, including $13,565 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Nov 29, 2023 | Fine | $13,565 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 2/5 | 1/5 | 5/5 |
| August 2026 | 1/5 | 2/5 | 1/5 | 4/5 |
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Location
Hospitals near Millbrook Healthcare and Rehabilitation Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.9 mi
Crescent Medical Center Lancaster LancasterEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 40m for patients treated and sent home
- 4.2 mi
- 5.2 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Millbrook Healthcare and Rehabilitation Center › All nursing homes in Lancaster ›
Compare Millbrook Healthcare and Rehabilitation Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Crestview Court · Cedar Hill · 5 stars · 8.6 mi
- Methodist Transitional Care Center-Desoto · Desoto · 3 stars · 4.0 mi
- The Laurenwood Nursing and Rehabilitation · Duncanville · 3 stars · 7.8 mi
- Southern Oaks Therapy and Living Center · Dallas · 3 stars · 8.0 mi
Other The Ensign Group nursing homes in Texas
- Grand Terrace Rehabilitation and Healthcare · McAllen · 5 stars
- River Pointe of Trinity Healthcare and Rehabilitation · Trinity · 5 stars
- Golden Palms Rehabilitation and Retirement · Harlingen · 5 stars
- Beacon Harbor Healthcare and Rehabilitation · Rockwall · 5 stars
- Crestwood Health and Rehabilitation Center · Wills Point · 5 stars
- Legend Oaks Healthcare and Rehabilitation - Ennis · Ennis · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 347 The Ensign Group 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.