Lancaster Nursing & Rehabilitation
1515 N Elm St · Lancaster, TX · 75134 · 9722276066
120 certified beds For profit - Limited Liability company Chain: Creative Solutions in Healthcare
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
94% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.47 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.68 | 0.55–0.75 |
| Weekend hours / resident-day | 2.91 | ≈ weekday level |
| Nursing turnover / year | 94% | median 45% |
| Fines (3-yr window) | 2 · $56,554 |
Inspection citations (37 in the current record)
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No harm found · C March 6, 2026 · found via 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.
Deficient, Provider has no plan of correction · Resident Rights
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Potential for harm · D November 21, 2025 · found via complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected November 22, 2025 · Resident Assessment and Care Planning
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Immediate jeopardy · J August 1, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 2, 2025 · Quality of Life and Care
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Potential for harm · D March 5, 2025 · found via 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.
Corrected April 14, 2025 · Resident Rights
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Potential for harm · D February 21, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 22, 2025 · Quality of Life and Care
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Potential for harm · E February 21, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected February 22, 2025 · Nursing and Physician Services
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Potential for harm · E October 10, 2024
Provide activities to meet all resident's needs.
Corrected October 11, 2024 · Quality of Life and Care
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Potential for harm · E October 10, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 11, 2024 · Quality of Life and Care
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Potential for harm · D October 10, 2024 · found via 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.
Corrected October 11, 2024 · Resident Rights
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Potential for harm · E October 10, 2024 · found via 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.
Corrected October 11, 2024 · Resident Rights
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Potential for harm · E October 10, 2024 · found via complaint
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Corrected October 11, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 10, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 11, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 10, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected October 11, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 10, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 11, 2024 · Quality of Life and Care
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Potential for harm · D October 10, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected October 11, 2024 · Pharmacy Service
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Potential for harm · E October 10, 2024 · found via 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.
Corrected October 11, 2024 · Pharmacy Service
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Potential for harm · E October 10, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected October 11, 2024 · Infection Control
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No harm found · C October 10, 2024
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected October 11, 2024 · Administration
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Immediate jeopardy · K May 2, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 24, 2024 · Quality of Life and Care
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Immediate jeopardy · K May 2, 2024 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected May 24, 2024 · Nursing and Physician Services
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Potential for harm · D April 3, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 26, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 3, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 28, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 3, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 28, 2024 · Infection Control
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Potential for harm · E January 29, 2024 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected February 16, 2024 · Resident Rights
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Potential for harm · D December 6, 2023 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 29, 2023 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 1, 2025 | Fine | $36,480 |
| May 2, 2024 | Fine | $20,074 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675810 · certified since October 12, 1999. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.