Lily Springs Rehabilitation and Healthcare Center
Nursing Home · Lampasas, TX
CMS certification number455889
Contact & location
901 Central Texas ExpLampasas, TX 76550
Lampasas County
- Phone
- (512) 556-8827
- ZIP code
- 76550 – all care providers
Facility details
- Certified beds
- 116
- Residents per day
- 67.6 (58% occupied)
- Ownership
- For profit - Individual
- Legal name
- Nexion Health at Lampasas, INC.
- Chain
- Nexion Health (51 facilities, avg 2.2★)
- Medicare certified since
- July 16, 1990
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.53 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.53 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 0.75 (state 0.95 · U.S. 0.86)
- Nurse aides
- 2.25 (state 2.00 · U.S. 2.32)
- Weekend total
- 3.22 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 57.6 (state 55.3 · U.S. 45.8)%
- RN turnover
- 66.7 (state 54.6 · U.S. 42.9)%
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- May 5, 2025
- Health deficiencies (last cycle)
- 13.0 (state 9.3 · U.S. 9.3)
- From complaints
- 6
- Citations on record (3 years)
- 55 health · 12 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-05-19 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-19 |
| 2026-01-07 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. F0557 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-31 |
| 2025-11-26 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-05 |
| 2025-11-26 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-05 |
| 2025-11-19 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. F0557 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-05 |
| 2025-08-22 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-18 |
| 2025-07-10 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-07-11 |
| 2025-05-05 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
J Immediate jeopardy to resident health or safety |
Corrected 2025-05-06 |
| 2025-05-05 | Provide activities to meet all resident's needs. F0679 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-05-06 |
| 2025-05-05 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. F0741 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-05-06 |
| 2025-05-05 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-05-06 |
| 2025-05-05 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-06 |
| 2025-05-05 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-06 |
| 2025-05-05 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-06 |
| 2025-04-12 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-13 |
| 2025-03-03 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2025-03-04 |
| 2025-03-03 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. F0678 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2025-03-04 |
| 2025-03-03 | Employ staff that are licensed, certified, or registered in accordance with state laws. F0839 · Administration Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-03-04 |
| 2025-03-03 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-04 |
| 2025-03-03 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-04 |
| 2025-03-03 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-04 |
| 2024-10-08 | 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. F0620 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-11-01 |
| 2024-10-08 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-01 |
| 2024-08-21 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-06 |
| 2024-08-21 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-06 |
| 2024-08-21 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-06 |
| 2024-07-19 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-08 |
| 2024-06-13 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-07-14 |
| 2024-06-13 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-14 |
| 2024-06-13 | 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. F0688 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-14 |
| 2024-04-04 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-04-05 |
| 2024-04-04 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-05 |
| 2024-04-04 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-05 |
| 2024-04-04 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-05 |
| 2024-03-19 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2024-04-12 |
| 2024-01-31 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-08 |
| 2024-01-31 | 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. F0584 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-08 |
| 2024-01-31 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-08 |
| 2024-01-31 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-08 |
| 2024-01-31 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-08 |
| 2024-01-31 | Assess the resident when there is a significant change in condition F0637 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-08 |
| 2024-01-31 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-08 |
| 2024-01-31 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-08 |
| 2024-01-31 | 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. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-08 |
| 2024-01-31 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-08 |
| 2024-01-31 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919 · Environmental Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-08 |
| 2022-11-30 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2022-12-27 |
| 2022-11-30 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2022-12-27 |
| 2022-11-30 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2022-12-27 |
| 2022-11-30 | Dispose of garbage and refuse properly. F0814 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2022-12-27 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
3 penalties in the last three years, including $86,207 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-04-12 | Fine | $8,281 |
| 2025-03-03 | Fine | $42,563 |
| 2024-03-19 | Fine | $35,363 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Nexion Health of Ohi INC (organization) | 5%+ Direct Ownership Interest · 100% | |
| Bolt, Bretton (individual) | 5%+ Indirect Ownership Interest | |
| Kirley, Francis (individual) | 5%+ Indirect Ownership Interest | |
| Nexion Health Leasing, INC. (organization) | 5%+ Indirect Ownership Interest | |
| Nexion Health, INC. (organization) | 5%+ Indirect Ownership Interest | |
| Herdrich, William (individual) | Corporate Director · NOT APPLICABLE | |
| Kirley, Francis (individual) | Corporate Director · NOT APPLICABLE | |
| Lee, Brian (individual) | Corporate Director · NOT APPLICABLE | |
| Riner, Meera (individual) | Corporate Director · NOT APPLICABLE | |
| Kirley, Francis (individual) | Corporate Officer · NOT APPLICABLE | |
| Lee, Brian (individual) | Corporate Officer · NOT APPLICABLE | |
| Riner, Meera (individual) | Corporate Officer · NOT APPLICABLE | |
| Kirley, Francis (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Massoodi, Hoshem (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Nexion Health Leasing, INC. (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Nexion Health, INC. (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Massoodi, Hoshem (individual) | W-2 Managing Employee · NOT APPLICABLE |
Frequently asked questions
What is the rating of Lily Springs Rehabilitation and Healthcare Center?
Lily Springs Rehabilitation and Healthcare Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does Lily Springs Rehabilitation and Healthcare Center have?
It has 116 certified beds and cares for about 68 residents per day.
Has Lily Springs Rehabilitation and Healthcare Center been fined?
Yes. CMS lists 3 penalties totaling $86,207 in the last three years.
Who owns Lily Springs Rehabilitation and Healthcare Center?
It is part of Nexion Health and is classified as for profit - individual. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Lily Springs Rehabilitation and Healthcare Center?
(512) 556-8827. The facility is located at 901 Central Texas Exp, Lampasas, TX 76550.
Other nursing homes in Lampasas
-
Caraday of Lampasas
Nursing Home · Lampasas, TX · 76 beds
★★★ -
Lampasas Nursing and Rehabilitation Center
Nursing Home · Lampasas, TX · 68 beds
★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.