Texas › Dallas County › Lancaster
Lancaster Nursing & Rehabilitation
1515 N Elm St, Lancaster, TX 75134
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 120 beds, Lancaster Nursing & Rehabilitation serves Lancaster in Dallas County, Texas and has taken Medicare and Medicaid residents since 1999.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 1, staffing 1 and quality measures 2.
Inspectors recorded 34 health deficiencies across the three most recent survey cycles (8, 15, 11 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 28.3 per 100 beds, more than the state median of 22.5.
CMS lists 2 penalties in the period covered: fines totalling $57K.
Reported nurse staffing is 3.3 hours per resident per day (0.5 RN), close to the Texas median of 3.3; nursing staff turnover is 92.5%.
Compared with county, state and nation
| Measure | This facility | Dallas Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 34 | 28 | 25 | 28.7 |
| Citations per 100 beds | 28.3 | 22.0 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.3 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.5 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 92.5% | 55.5% | 52.1% | 45.8% |
| Fines listed | $56,554 | $25,390 | $16,801 | — |
County and state figures are medians across facilities (81 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 8 Jan 2026, 10 Oct 2024.
Severity mix: J ×1 K ×2 D ×17 E ×12 C ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 6 Mar 2026 | F0575 | 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. | C | Complaint investigation | Deficient, Provider has no plan of correction |
| 8 Jan 2026 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 3 Feb 2026 |
| 8 Jan 2026 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 3 Feb 2026 |
| 8 Jan 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 3 Feb 2026 |
| 8 Jan 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 3 Feb 2026 |
| 8 Jan 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 3 Feb 2026 |
| 21 Nov 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint investigation | 22 Nov 2025 |
| 1 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 2 Aug 2025 |
| 5 Mar 2025 | F0622 | 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. | D | Complaint investigation | 14 Apr 2025 |
| 21 Feb 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 22 Feb 2025 |
| 21 Feb 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 22 Feb 2025 |
| 10 Oct 2024 | F0585 | 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. | E | Complaint investigation | 11 Oct 2024 |
| 10 Oct 2024 | F0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | E | Complaint investigation | 11 Oct 2024 |
| 10 Oct 2024 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 11 Oct 2024 |
| 10 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 11 Oct 2024 |
| 10 Oct 2024 | F0758 | 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. | E | Complaint investigation | 11 Oct 2024 |
| 10 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 11 Oct 2024 |
| 10 Oct 2024 | 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 | Complaint investigation | 11 Oct 2024 |
| 10 Oct 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 11 Oct 2024 |
| 10 Oct 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 11 Oct 2024 |
| 10 Oct 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 11 Oct 2024 |
| 10 Oct 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 11 Oct 2024 |
| 10 Oct 2024 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | C | Standard survey | 11 Oct 2024 |
| 2 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Complaint investigation | 24 May 2024 |
| 2 May 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | K | Complaint investigation | 24 May 2024 |
| 3 Apr 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 26 Apr 2024 |
| 3 Feb 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 28 Feb 2024 |
| 3 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 28 Feb 2024 |
| 29 Jan 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint investigation | 16 Feb 2024 |
| 6 Dec 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 29 Dec 2023 |
| 20 Sep 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 20 Oct 2023 |
| 20 Sep 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 20 Oct 2023 |
| 31 Aug 2023 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Complaint investigation | 6 Oct 2023 |
| 31 Aug 2023 | 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 | Complaint investigation | 6 Oct 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 1 Aug 2025 | Fine | $36,480 | |
| 2 May 2024 | Fine | $20,074 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 92.5%, RNs 100.0%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 23.3% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.6% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.6% | 3.0% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 34.0% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.4% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.7% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Lancaster I Enterprises, Llc. Chain: Creative Solutions In Healthcare (149 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Honor X Enterprises, LLC | Direct ownership interest | NOT APPLICABLE | 07/01/2024 |
| Creative Solutions In Healthcare Inc | Operational/managerial control | NOT APPLICABLE | 07/01/2024 |
| Lancaster I Enterprises, LLC | Operational/managerial control | NOT APPLICABLE | 07/01/2024 |
| Creative Solutions In Healthcare Inc | Adp of the snf | NOT APPLICABLE | 07/01/2024 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Dallas County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Avir At Irving | Irving | 84 | 5 | 4 | 2 | 18 | 21.4 | — | 26 Feb 2026 |
| Brentwood Place One | Dallas | 120 | 5 | 5 | 1 | 15 | 12.5 | — | 9 Apr 2026 |
| C C Young Memorial Home | Dallas | 129 | 5 | 5 | 5 | 8 | 6.2 | — | 15 Jan 2026 |
| Cheyenne Medical Lodge | Mesquite | 139 | 5 | 4 | 2 | 20 | 14.4 | — | 16 Jun 2026 |
| Crestview Court | Cedar Hill | 125 | 5 | 4 | 2 | 21 | 16.8 | $17K | 14 Jun 2025 |
| Las Brisas Rehabilitation and Wellness Center | Irving | 128 | 5 | 5 | 2 | 10 | 7.8 | — | 8 Jan 2026 |
| Pure Health Transitional Care At Texas Health Pres | Dallas | 49 | 5 | 5 | 4 | 4 | 8.2 | — | 2 Jul 2025 |
| Ventana By Buckner | Dallas | 72 | 5 | 4 | 5 | 14 | 19.4 | — | 18 Mar 2026 |
All 81 facilities in Dallas County
Questions and answers
How many deficiencies has Lancaster Nursing & Rehabilitation been cited for?
34 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Lancaster Nursing & Rehabilitation been fined?
Yes. CMS lists fines totalling $57K in the period covered.
How does staffing at Lancaster Nursing & Rehabilitation compare?
Reported total nurse staffing is 3.3 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Lancaster Nursing & Rehabilitation?
It is part of the Creative Solutions In Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Honor X Enterprises, LLC, Creative Solutions In Healthcare Inc and Lancaster I Enterprises, LLC. Individual owners and managers are not listed on this site.
When was Lancaster Nursing & Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 6 Mar 2026; the most recent standard health survey was 8 Jan 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.