CareSentinel

Federal Nursing-Home Survey Record

Lily Springs Rehabilitation and Healthcare Center

CCN 455889 · 901 Central Texas Expwy, Lampasas, TX, 76550 · Operated within the NEXION HEALTH chain

Does Lily Springs Rehabilitation and Healthcare Center have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), Lily Springs Rehabilitation and Healthcare Center (CCN 455889), in Lampasas, TX, has federal inspection findings on its record. In its current inspection cycle, CMS cited the facility for 13 deficiencies; the most serious carries scope/severity J on CMS's A–L scale, a level CMS classifies as Immediate Jeopardy. The most recent federal survey on file is dated 2025-05-05. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $86,207 in civil money penalties on file against the facility. This page restates the federal record as published by CMS and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

The Federal Record

At its most recent federal inspection, CMS cited this facility for an Immediate Jeopardy deficiency.

Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with federal regulators (CMS).

Civil money penalties on file

$86,207

CMS has $86,207 in civil money penalties on file against this facility.

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 1  ·  CMS state average: 2.7

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2026-01-07
CURRENT CYCLE
F557S/S D

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

2025-11-26
CURRENT CYCLE
F558S/S D

Reasonably accommodate the needs and preferences of each resident.

2025-11-26
CURRENT CYCLE
F677S/S D

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

2025-11-19
CURRENT CYCLE
F557S/S D

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

2025-08-22
CURRENT CYCLE
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2025-07-10
CURRENT CYCLE
F880S/S E

Provide and implement an infection prevention and control program.

2025-05-05
CURRENT CYCLE
F689S/S J

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

2025-05-05
CURRENT CYCLE
F741S/S E

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

2025-05-05
CURRENT CYCLE
F880S/S E

Provide and implement an infection prevention and control program.

2025-05-05
CURRENT CYCLE
F679S/S E

Provide activities to meet all resident's needs.

2025-05-05
CURRENT CYCLE
F609S/S D

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

2025-05-05
CURRENT CYCLE
F558S/S D

Reasonably accommodate the needs and preferences of each resident.

2025-05-05
CURRENT CYCLE
F607S/S D

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

2025-04-12
HISTORICAL
F580S/S D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2025-03-03
HISTORICAL
F678S/S J

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

2025-03-03
HISTORICAL
F656S/S J

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2025-03-03
HISTORICAL
F839S/S E

Employ staff that are licensed, certified, or registered in accordance with state laws.

2025-03-03
HISTORICAL
F609S/S D

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

2025-03-03
HISTORICAL
F755S/S D

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

2025-03-03
HISTORICAL
F883S/S D

Develop and implement policies and procedures for flu and pneumonia vaccinations.

2024-10-08
HISTORICAL
F620S/S E

Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.

2024-10-08
HISTORICAL
F761S/S D

Ensure 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.

2024-08-21
HISTORICAL
F842S/S D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

2024-08-21
HISTORICAL
F761S/S D

Ensure 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.

2024-08-21
HISTORICAL
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2024-07-19
HISTORICAL
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2024-06-13
HISTORICAL
F550S/S G

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

2024-06-13
HISTORICAL
F677S/S E

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

2024-06-13
HISTORICAL
F688S/S D

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

2024-04-04
HISTORICAL
F550S/S G

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

2024-04-04
HISTORICAL
F761S/S E

Ensure 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.

2024-04-04
HISTORICAL
F689S/S D

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

2024-04-04
HISTORICAL
F677S/S D

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

2024-03-19
HISTORICAL
F686S/S K

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2024-01-31
HISTORICAL
F550S/S E

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

2024-01-31
HISTORICAL
F584S/S E

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.

2024-01-31
HISTORICAL
F677S/S E

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

2024-01-31
HISTORICAL
F880S/S E

Provide and implement an infection prevention and control program.

2024-01-31
HISTORICAL
F725S/S E

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

2024-01-31
HISTORICAL
F758S/S D

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.

2024-01-31
HISTORICAL
F641S/S D

Ensure each resident receives an accurate assessment.

2024-01-31
HISTORICAL
F637S/S D

Assess the resident when there is a significant change in condition

2024-01-31
HISTORICAL
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2024-01-31
HISTORICAL
F919S/S D

Make sure that a working call system is available in each resident's bathroom and bathing area.

2024-01-31
HISTORICAL
F761S/S D

Ensure 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.

2023-07-29
HISTORICAL
F623S/S D

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

2023-05-03
HISTORICAL
F689S/S J

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

2022-11-30
HISTORICAL
F947S/S E

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

2022-11-30
HISTORICAL
F804S/S E

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

2022-11-30
HISTORICAL
F806S/S E

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

2022-11-30
HISTORICAL
F812S/S E

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

2022-11-30
HISTORICAL
F814S/S E

Dispose of garbage and refuse properly.

2022-11-30
HISTORICAL
F880S/S E

Provide and implement an infection prevention and control program.

2022-11-30
HISTORICAL
F842S/S D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

2022-11-30
HISTORICAL
F644S/S D

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

2022-11-30
HISTORICAL
F761S/S D

Ensure 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.

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with federal regulators (CMS). Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Were you or a loved one harmed at Lily Springs Rehabilitation and Healthcare Center?

Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.

Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Step 1 of 3 · What happened

Your relationship to the resident
What happened? Select all that apply.

Physical injury

Skin & wounds

Medical & clinical

Safety & abuse

Loss

Something else

The resident is…