Millbrook Healthcare and Rehabilitation Center
Millbrook Healthcare and Rehabilitation Center is a 124-bed nursing home in Lancaster, Texas. CMS has certified it for Medicare and Medicaid since 2008-07-25. It averages 78.1 residents a day.
What harm was found in the violations cited at Millbrook Healthcare and Rehabilitation Center?
CMS lists 27 health-inspection deficiencies for Millbrook Healthcare and Rehabilitation Center, 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 2026-04-23.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-04-23 | F0565, F0656, F0812, F0880, F0921 | Honor the resident's right to organize and participate in resident/family groups in the facility. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E |
| 2026-04-23 | F0609, F0638, F0689, F0693 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Assure that each resident’s assessment is updated at least once every 3 months. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure 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. | D |
| 2025-12-03 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| 2025-12-02 | F0656, F0755 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
| 2025-12-01 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E |
| 2025-09-09 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D |
| 2025-05-07 | F0583, F0755, F0761 | Keep residents' personal and medical records private and confidential. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. | D |
| 2025-02-11 | F0558, F0812, F0880 | Reasonably accommodate the needs and preferences of each resident. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | E |
| 2025-02-11 | F0550, F0641, F0677 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure each resident receives an accurate assessment. / Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| 2024-10-11 | F0584 | 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. | D |
| 2024-01-10 | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | E |
| 2024-01-10 | F0880 | Provide and implement an infection prevention and control program. | D |
| 2023-11-29 | F0880 | Provide and implement an infection prevention and control program. | K |
Why was Millbrook Healthcare and Rehabilitation Center fined?
| Date | Type | Amount |
|---|---|---|
| 2023-11-29 | Fine | $13,565 |
How is Millbrook Healthcare and Rehabilitation Center staffed relative to the TX average?
| Measure | This facility | TX average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.07839 | 3.38539 |
| Total nursing staff turnover (%) | 69.7 | 55.3 |
| Average number of residents per day | 78.1 | 75.8 |
Who owns Millbrook Healthcare and Rehabilitation Center, and what chain is it in?
Millbrook Healthcare and Rehabilitation Center is registered with CMS as For profit - Limited Liability company, operates under the legal business name HAMILTON COUNTY HOSPITAL DISTRICT and belongs to the THE ENSIGN GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| MANAGING CONTROL - GOVERNING BODY | MADISON, KRISTEN, SHARMA, NEERAJ | since 09/04/2024 |
| CORPORATE OFFICER | BURNAM, SOON, HOOPER, GRADY, KEETCH, CHAD | since 03/01/2011 |
| OPERATIONAL/MANAGERIAL CONTROL | BLUEBONNET HEALTHCARE, INC., MADISON, KRISTEN, SHARMA, NEERAJ | since 09/04/2024 |
| ADP OF THE SNF | BLUEBONNET HEALTHCARE, INC., ENSIGN SERVICES INC, MADISON, KRISTEN, SHARMA, NEERAJ | since 04/18/2022 |
Were you or a family member harmed at Millbrook Healthcare and Rehabilitation Center?