Lancaster Nursing & Rehabilitation

CCN 675810 · LANCASTER I ENTERPRISES, LLC · For profit - Limited Liability company · CREATIVE SOLUTIONS IN HEALTHCARE chain · 120 certified beds · Dallas · TX


Lancaster Nursing & Rehabilitation is a 120-bed nursing home in Lancaster, Texas. CMS has certified it for Medicare and Medicaid since 1999-10-12. It averages 53.6 residents a day.

What harm was found in the violations cited at Lancaster Nursing & Rehabilitation?

CMS lists 34 health-inspection deficiencies for Lancaster Nursing & Rehabilitation, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-03-06.

Survey dateTagDeficiencySeverity
2026-03-06F0575Post 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.C
2026-01-08F0679Provide activities to meet all resident's needs.E
2026-01-08F0645, F0677, F0695, F0755PASARR screening for Mental disorders or Intellectual Disabilities / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide safe and appropriate respiratory care for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2025-11-21F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D
2025-08-01F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2025-03-05F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.D
2025-02-21F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E
2025-02-21F0677Provide care and assistance to perform activities of daily living for any resident who is unable.D
2024-10-10F0585, F0603, F0679, F0689, F0758, F0880Honor 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. / Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). / Provide activities to meet all resident's needs. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. / Provide and implement an infection prevention and control program.E
2024-10-10F0584, F0609, F0610, F0677, F0755Honor 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2024-10-10F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.C
2024-05-02F0689, F0725Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.K
2024-04-03F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-02-03F0656, F0880Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide and implement an infection prevention and control program.D
2024-01-29F0558Reasonably accommodate the needs and preferences of each resident.E
2023-12-06F0880Provide and implement an infection prevention and control program.D
2023-09-20F0755, F0812Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2023-08-31F0919Make sure that a working call system is available in each resident's bathroom and bathing area.E
2023-08-31F0584Honor 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.D

Why was Lancaster Nursing & Rehabilitation fined 2 times?

DateTypeAmount
2025-08-01Fine$36,480
2024-05-02Fine$20,074

How is Lancaster Nursing & Rehabilitation staffed relative to the TX average?

MeasureThis facilityTX average
Total nurse staffing hours per resident per day3.303313.38539
Total nursing staff turnover (%)92.555.3
Average number of residents per day53.675.8

Who owns Lancaster Nursing & Rehabilitation, and what chain is it in?

Lancaster Nursing & Rehabilitation is registered with CMS as For profit - Limited Liability company, operates under the legal business name LANCASTER I ENTERPRISES, LLC and belongs to the CREATIVE SOLUTIONS IN HEALTHCARE chain.

RoleOwnerAssociation date
DIRECT OWNERSHIP INTERESTHONOR X ENTERPRISES, LLCsince 07/01/2024
INDIRECT OWNERSHIP INTERESTBLAKE, GARY, BLAKE, MALISAsince 07/01/2024
CORPORATE DIRECTORHUGGINS, LINDAsince 07/01/2024
OPERATIONAL/MANAGERIAL CONTROLCREATIVE SOLUTIONS IN HEALTHCARE INC, LANCASTER I ENTERPRISES, LLC, BLAKE, GARY, BLAKE, MALISA, CLANTON, AUSTON, EAMIGUEL, CHRISTOPHER, HUGGINS, LINDA, WILLIG, ZACHARYsince 07/01/2024
ADP OF THE SNFCREATIVE SOLUTIONS IN HEALTHCARE INC, BLAKE, GARY, BLAKE, MALISA, CLANTON, AUSTON, EAMIGUEL, CHRISTOPHER, HUGGINS, LINDA, SILVA, PHILLIP, STAPLETON, LILLIAN, WILLIG, ZACHARYsince 04/09/2025

Were you or a family member harmed at Lancaster Nursing & Rehabilitation?