Lily Springs Rehabilitation and Healthcare Center
Lily Springs Rehabilitation and Healthcare Center is a 116-bed nursing home in Lampasas, Texas. CMS has certified it for Medicare and Medicaid since 1990-07-16. It averages 67.6 residents a day.
What harm was found in the violations cited at Lily Springs Rehabilitation and Healthcare Center?
CMS lists 55 health-inspection deficiencies for Lily Springs Rehabilitation and Healthcare Center since 2022-11-30, 46 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 2026-05-19.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-05-19 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2026-01-07 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D |
| 2025-11-26 | F0558, F0677 | Reasonably accommodate the needs and preferences of each resident. / Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| 2025-11-19 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D |
| 2025-08-22 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2025-07-10 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2025-05-05 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2025-05-05 | F0679, F0741, F0880 | Provide activities to meet all resident's needs. / Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. / Provide and implement an infection prevention and control program. | E |
| 2025-05-05 | F0558, F0607, F0609 | Reasonably accommodate the needs and preferences of each resident. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2025-04-12 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D |
| 2025-03-03 | F0656, F0678 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J |
| 2025-03-03 | F0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | E |
| 2025-03-03 | F0609, F0755, F0883 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
| 2024-10-08 | F0620 | 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. | E |
| 2024-10-08 | F0761 | 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 |
| 2024-08-21 | F0656, F0761, F0842 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2024-07-19 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2024-06-13 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | G |
| 2024-06-13 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E |
| 2024-06-13 | F0688 | 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. | D |
| 2024-04-04 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | G |
| 2024-04-04 | F0761 | 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. | E |
| 2024-04-04 | F0677, F0689 | Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-03-19 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | K |
| 2024-01-31 | F0550, F0584, F0677, F0725, F0880 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Provide and implement an infection prevention and control program. | E |
| 2024-01-31 | F0637, F0641, F0656, F0758, F0761, F0919 | Assess the resident when there is a significant change in condition / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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. / 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. / Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
| 2022-11-30 | F0804, F0806, F0812, F0814, F0880, F0947 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Dispose of garbage and refuse properly. / Provide and implement an infection prevention and control program. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E |
| 2022-11-30 | F0644, F0761, F0842 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
Why was Lily Springs Rehabilitation and Healthcare Center fined 3 times?
| Date | Type | Amount |
|---|---|---|
| 2025-04-12 | Fine | $8,281 |
| 2025-03-03 | Fine | $42,563 |
| 2024-03-19 | Fine | $35,363 |
How is Lily Springs Rehabilitation and Healthcare Center staffed?
| Measure | This facility | TX average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.53422 | 3.38539 |
| Total nursing staff turnover (%) | 57.6 | 55.3 |
| Average number of residents per day | 67.6 | 75.8 |
Who owns Lily Springs Rehabilitation and Healthcare Center, and what chain is it in?
Lily Springs Rehabilitation and Healthcare Center is registered with CMS as For profit - Individual, operates under the legal business name NEXION HEALTH AT LAMPASAS, INC. and belongs to the NEXION HEALTH chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | NEXION HEALTH OF OHI INC | since 01/09/2020 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NEXION HEALTH LEASING, INC., NEXION HEALTH, INC., BOLT, BRETTON, KIRLEY, FRANCIS | since 01/09/2020 |
| W-2 MANAGING EMPLOYEE | MASSOODI, HOSHEM | since 03/01/2020 |
| CORPORATE DIRECTOR | HERDRICH, WILLIAM, KIRLEY, FRANCIS, LEE, BRIAN, RINER, MEERA | since 03/01/2020 |
| CORPORATE OFFICER | KIRLEY, FRANCIS, LEE, BRIAN, RINER, MEERA | since 03/01/2020 |
| OPERATIONAL/MANAGERIAL CONTROL | NEXION HEALTH LEASING, INC., NEXION HEALTH, INC., KIRLEY, FRANCIS, MASSOODI, HOSHEM | since 01/09/2020 |
Were you or a family member harmed at Lily Springs Rehabilitation and Healthcare Center?