Lily Springs Rehabilitation and Healthcare CenterCMS ratings, inspections and fines
- Address
- 901 Central Texas Exp, Lampasas, TX 76550
- CCN
- 455889
- Ownership type
- For-profit, individual
- Certified beds
- 116
- Chain
- Nexion Health
- Residents per day
- 68
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Lily Springs Rehabilitation and Healthcare Center an overall rating of 1 of 5 stars. The last standard survey was on 5 May 2025. The latest survey cycle has 13 health citations. The median for nursing homes in Texas is 8. CMS lists 3 fines with a total of $86,207 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Lampasas County median | Texas median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 1.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 1.0 | 2.0 | 2.9 |
| Quality measure rating | 3 | 2.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 3 homes in the county, 1,177 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Texas median |
|---|---|---|---|
| Cycle 1 (latest) | 5 May 2025 | 13 | 8 |
| Cycle 2 | 31 Jan 2024 | 24 | 8 |
| Cycle 3 | No date | 18 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | L0 | ||
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 13 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 19 May 2026 | 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 | 19 Jun 2026 |
| 7 Jan 2026 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint investigation | 31 Jan 2026 |
| 26 Nov 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 5 Dec 2025 |
| 26 Nov 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 5 Dec 2025 |
| 19 Nov 2025 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint investigation | 5 Dec 2025 |
| 22 Aug 2025 | 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 | 18 Sep 2025 |
| 5 May 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 6 May 2025 |
| 5 May 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 6 May 2025 |
| 5 May 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 6 May 2025 |
| 5 May 2025 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 6 May 2025 |
| 5 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Standard survey | 6 May 2025 |
| 5 May 2025 | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | E | Standard survey | 6 May 2025 |
| 5 May 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 6 May 2025 |
Survey cycle 2: 24 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 10 Jul 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 11 Jul 2025 |
| 12 Apr 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 13 Apr 2025 |
| 3 Mar 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 4 Mar 2025 |
| 3 Mar 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | J | Complaint investigation | 4 Mar 2025 |
| 3 Mar 2025 | F0678 | 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 | Complaint investigation | 4 Mar 2025 |
| 3 Mar 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 4 Mar 2025 |
| 3 Mar 2025 | F0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | E | Complaint investigation | 4 Mar 2025 |
| 3 Mar 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Complaint investigation | 4 Mar 2025 |
| 8 Oct 2024 | 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 | Complaint investigation | 1 Nov 2024 |
| 8 Oct 2024 | 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 | Complaint investigation | 1 Nov 2024 |
| 21 Aug 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 | 6 Sep 2024 |
| 21 Aug 2024 | 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 | Complaint investigation | 6 Sep 2024 |
| 21 Aug 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 | 6 Sep 2024 |
| 31 Jan 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 8 Mar 2024 |
| 31 Jan 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. | E | Standard survey | 8 Mar 2024 |
| 31 Jan 2024 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 8 Mar 2024 |
| 31 Jan 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 8 Mar 2024 |
| 31 Jan 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 | Standard survey | 8 Mar 2024 |
| 31 Jan 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 8 Mar 2024 |
| 31 Jan 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. | E | Complaint investigation | 8 Mar 2024 |
| 31 Jan 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. | D | Standard survey | 8 Mar 2024 |
| 31 Jan 2024 | 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 | Standard survey | 8 Mar 2024 |
| 31 Jan 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 8 Mar 2024 |
| 31 Jan 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 8 Mar 2024 |
Survey cycle 3: 18 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 19 Jul 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 | 8 Aug 2024 |
| 13 Jun 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | G | Complaint investigation | 14 Jul 2024 |
| 13 Jun 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 14 Jul 2024 |
| 13 Jun 2024 | 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 | Complaint investigation | 14 Jul 2024 |
| 4 Apr 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | G | Complaint investigation | 5 Apr 2024 |
| 4 Apr 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 5 Apr 2024 |
| 4 Apr 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 5 Apr 2024 |
| 4 Apr 2024 | 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 | Complaint investigation | 5 Apr 2024 |
| 19 Mar 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | K | Complaint investigation | 12 Apr 2024 |
| 30 Nov 2022 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 27 Dec 2022 |
| 30 Nov 2022 | 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 | Standard survey | 27 Dec 2022 |
| 30 Nov 2022 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 27 Dec 2022 |
| 30 Nov 2022 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Standard survey | 27 Dec 2022 |
| 30 Nov 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 27 Dec 2022 |
| 30 Nov 2022 | F0814 | Dispose of garbage and refuse properly. | E | Standard survey | 27 Dec 2022 |
| 30 Nov 2022 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 27 Dec 2022 |
| 30 Nov 2022 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 27 Dec 2022 |
| 30 Nov 2022 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Standard survey | 27 Dec 2022 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 12 Apr 2025 | Fine | $8,281 | |
| 3 Mar 2025 | Fine | $42,563 | |
| 19 Mar 2024 | Fine | $35,363 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Texas median | Texas average (CMS) |
|---|---|---|---|
| All nurse staff | 3.53 | 3.30 | 3.39 |
| Registered nurses (RN) | 0.53 | 0.40 | 0.43 |
| Licensed practical nurses (LPN) | 0.75 | 0.95 | |
| Nurse aides | 2.25 | 2.00 | |
| All nurse staff, weekends | 3.22 | 2.90 | 2.98 |
- Nurse staff turnover in a year
- 57.6%
- Nurse staff turnover, Texas median
- 52.1%
- RN turnover in a year
- 66.7%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 37.2% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.3% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.9% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 33.9% | 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 | 8.5% | 8.3% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, individual
- Chain
- Nexion Health (51 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Nexion Health of Ohi Inc | 5% or greater direct ownership interest | 100% | 9 Jan 2020 |
| Nexion Health Leasing, Inc. | 5% or greater indirect ownership interest | 9 Jan 2020 | |
| Nexion Health, Inc. | 5% or greater indirect ownership interest | 9 Jan 2020 | |
| Nexion Health Leasing, Inc. | Operational/managerial control | 9 Jan 2020 | |
| Nexion Health, Inc. | Operational/managerial control | 9 Jan 2020 |
The site shows organisations only. It does not show the names of persons.
Other homes in Lampasas County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Lampasas Nursing and Rehabilitation Center | Lampasas | 1 of 5 | 9 | $24,228 | 22 Jan 2026 | |
| Caraday of Lampasas | Lampasas | 3 of 5 | 3 | $16,426 | 26 Feb 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Texas Health and Human Services: complaint and incident intakeThe complaint page of the State Survey Agency for Texas, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Lily Springs Rehabilitation and Healthcare Center (CCN 455889). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/lily-springs-rehabilitation-and-healthcare-center-lampasas-tx-455889/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Lily Springs Rehabilitation and Healthcare Center last inspected?
- The latest inspection with a citation in the CMS record was on 19 May 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 31 Jan 2024.
- Who operates Lily Springs Rehabilitation and Healthcare Center?
- The CMS record gives the ownership type as for-profit, individual. CMS lists the home in the chain Nexion Health. The CMS ownership file names Nexion Health Leasing, Inc. and Nexion Health, Inc. for operational or managerial control. This site does not show the names of persons.
- Is Lily Springs Rehabilitation and Healthcare Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 6 homes in Texas as Special Focus Facilities and 30 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.