About Lancaster Nursing and Rehabilitation
Lancaster Nursing And Rehabilitation, located in Lancaster, TX, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Lancaster Nursing and Rehabilitation
Key Performance Indicators
- CMS Overall Rating 1 Stars
- Nursing Hours 3.47 hrs
- Safety Record Clean
Chain Affiliations & Network
This facility is part of the CREATIVE SOLUTIONS IN HEALTHCARE network. This chain operates 149 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Mixed Staffing Levels
Lancaster Nursing and Rehabilitation provides more care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 1 |
|
| Health Inspection | 1 |
|
| Quality Measures | 2 |
|
| Staffing | 1 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 147 | Oct 10, 2024 |
| Weighted Average | 184 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | N/A |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | N/A |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | N/A |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | N/A |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 30.7% |
| Percentage of long-stay residents who lose too much weight (QM404) | 3.6% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 0.6% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 1.3% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 0.0% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 1.3% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 98.1% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 95.7% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | N/A |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 39.5% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 14.9% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 100.0% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | N/A |
| Percentage of long-stay residents with pressure ulcers (QM479) | 3.4% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 18.9% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 13.3% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 3 complaints
- 2024: 15 complaints
- 2025: 5 complaints
- 2026: 1 complaint
- Total: 24 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Nov 22, 2025 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. |
| Aug 02, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Apr 14, 2025 | 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. |
| Feb 22, 2025 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. |
| Feb 22, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Oct 11, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Oct 11, 2024 | Provide and implement an infection prevention and control program. |
| Oct 11, 2024 | 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. |
| Oct 11, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Oct 11, 2024 | Respond appropriately to all alleged violations. |
| Oct 11, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Oct 11, 2024 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). |
| Oct 11, 2024 | 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. |
| Oct 11, 2024 | 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. |
| May 24, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| May 24, 2024 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. |
| Apr 26, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Feb 28, 2024 | Provide and implement an infection prevention and control program. |
| Feb 28, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Feb 16, 2024 | Reasonably accommodate the needs and preferences of each resident. |
| Dec 29, 2023 | Provide and implement an infection prevention and control program. |
| Oct 06, 2023 | Make sure that a working call system is available in each resident's bathroom and bathing area. |
| Oct 06, 2023 | 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. |
| Jun 21, 2026 | 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. |
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Owner & Operator Information
Business Entity
LANCASTER I ENTERPRISES, LLC
Ownership Structure
Management & Direction
- GARY BLAKE OPERATIONAL/MANAGERIAL CONTROL
- GARY BLAKE ADP OF THE SNF
- MALISA BLAKE OPERATIONAL/MANAGERIAL CONTROL
- MALISA BLAKE ADP OF THE SNF
- AUSTON CLANTON OPERATIONAL/MANAGERIAL CONTROL
- AUSTON CLANTON ADP OF THE SNF
- CREATIVE SOLUTIONS IN HEALTHCARE INC OPERATIONAL/MANAGERIAL CONTROL
- CREATIVE SOLUTIONS IN HEALTHCARE INC ADP OF THE SNF
- CHRISTOPHER EAMIGUEL ADP OF THE SNF
- CHRISTOPHER EAMIGUEL OPERATIONAL/MANAGERIAL CONTROL
- LINDA HUGGINS OPERATIONAL/MANAGERIAL CONTROL
- LINDA HUGGINS ADP OF THE SNF
- LINDA HUGGINS CORPORATE DIRECTOR
- LANCASTER I ENTERPRISES LLC OPERATIONAL/MANAGERIAL CONTROL
- PHILLIP SILVA ADP OF THE SNF
- LILLIAN STAPLETON ADP OF THE SNF
- ZACHARY WILLIG OPERATIONAL/MANAGERIAL CONTROL
- ZACHARY WILLIG ADP OF THE SNF
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Midtowne Meadows Health and Rehab | N/A | 4 |
| The Legacy Midtown Park | N/A | 5 |
| Pure Health Transitional Care at Texas Health Pres | N/A | 5 |
| Highland Meadows | N/A | 5 |
| Legend Oaks Healthcare and Rehabilitation - Ennis | N/A | 4 |
| C C Young Memorial Home | N/A | 5 |
| La Dora Nursing and Rehabilitation Center | N/A | 5 |
| Hurst Plaza Nursing and Rehab | N/A | 4 |
| Parkwood Village | N/A | 5 |
| Ventana By Buckner | N/A | 5 |
Related Analysis
Best Nursing Homes in Lancaster, TX
Compare Lancaster Nursing and Rehabilitation to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Lancaster Nursing and Rehabilitation directly at 9722276066. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.