525 W PLEASANT RUN RD STE 100, Lancaster, TX 75146
Assisted Living
Assisted living & personal care24-hour supervisionMedication management
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Medicare-certifiedSkilled Nursing
Lancaster Nursing & Rehabilitation
Lancaster, TexasMedicare inspection record
About Lancaster Nursing & Rehabilitation
Lancaster Nursing & Rehabilitation provides compassionate skilled nursing and rehabilitation care for seniors in Lancaster, Texas who need medical support during recovery or ongoing health management. Our team focuses on personalized healing and helping residents regain independence through therapeutic services and attentive nursing care.
Community at a glance
Capacity
120 residents
Location
Lancaster, TX
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
1515 N Elm St, Lancaster, Texas 75134
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on January 8, 2026, state inspectors cited 7 health deficiencies (the Texas average is 9.4).
Nurses and nurse aides spend 3 hours 18 minutes with each resident a day, about the same as the Texas average.
Medicare fined Lancaster Nursing & Rehabilitation 2 times in the last three years, $56,554 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 18 minutes |
| Registered nurse time per resident, per day | 30 minutesAbove the Texas average |
| Nursing staff who left in the past year | 93%Above the Texas average |
2 administrators have left the home in the past year.
Inspections
30 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
March 6, 2026 · Complaint investigation · 1 citation
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.
Minimal harm or risk, widespread (level C)Resident RightsFrom a complaintPlan to fix it accepted
January 8, 2026 · Standard inspection · 5 citations
Provide activities to meet all resident's needs.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Feb 3, 2026PASARR screening for Mental disorders or Intellectual Disabilities
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Feb 3, 2026Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 3, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Feb 3, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 3, 2026
November 21, 2025 · Complaint investigation · 1 citation+
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Nov 22, 2025
August 1, 2025 · Complaint investigation · 1 citation+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Aug 2, 2025
March 5, 2025 · Complaint investigation · 1 citation+
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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Apr 14, 2025
February 21, 2025 · Complaint investigation · 2 citations+
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesFrom a complaintCorrected Feb 22, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Feb 22, 2025
October 10, 2024 · Standard inspection · 12 citations+
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Oct 11, 2024Implement 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.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Oct 11, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Oct 11, 2024Provide activities to meet all resident's needs.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Oct 11, 2024Honor 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.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Oct 11, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlFrom a complaintCorrected Oct 11, 2024Respond appropriately to all alleged violations.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Oct 11, 2024Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Oct 11, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Oct 11, 2024Honor 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Oct 11, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Oct 11, 2024Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Minimal harm or risk, widespread (level C)AdministrationCorrected Oct 11, 2024
May 2, 2024 · Complaint investigation · 2 citations+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate danger to residents, a pattern (level K)Quality of Life and CareFrom a complaintCorrected May 24, 2024Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Immediate danger to residents, a pattern (level K)Nursing and Physician ServicesFrom a complaintCorrected May 24, 2024
April 3, 2024 · Complaint investigation · 1 citation+
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Apr 26, 2024
February 3, 2024 · Complaint investigation · 2 citations+
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Feb 28, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Feb 28, 2024
January 29, 2024 · Complaint investigation · 1 citation+
Reasonably accommodate the needs and preferences of each resident.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Feb 16, 2024
December 6, 2023 · Complaint investigation · 1 citation+
Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Dec 29, 2023
Fines and payment denials
2 fines totaling $56,554 in the last three years.
- August 1, 2025Fine: $36,480
- May 2, 2024Fine: $20,074
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- Lancaster I Enterprises, LLC
- Medicare-certified beds
- 120
- Average residents per day
- 54
- Accepts
- Medicare and Medicaid
- First certified
- October 12, 1999
- Part of a chain
- Creative Solutions in Healthcare, 149 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 675810
Location
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1515 N Elm StLancaster, TX 75134
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909 PEPPERIDGE CT, Lancaster, TX 75134
Assisted Living
Assisted living & personal care24-hour supervisionMedication management
Call for pricing
Prices not published
Questions about Lancaster Nursing & Rehabilitation
How did Lancaster Nursing & Rehabilitation do on its last inspection?+
State inspectors visited on January 8, 2026 and cited 7 health deficiencies, 2 of them from complaint investigations. The Texas average is 9.4.
How much nursing care does each resident get at Lancaster Nursing & Rehabilitation?+
Nurses and aides spend 3 hours 18 minutes with each resident per day, including 30 minutes from registered nurses. 93% of nursing staff left over the past year.
Has Lancaster Nursing & Rehabilitation been fined by Medicare?+
Yes. Medicare fined Lancaster Nursing & Rehabilitation 2 times in the last three years, totaling $56,554.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.