Lancaster Nursing & Rehabilitation
Nursing Home · Lancaster, TX
CMS certification number675810
Contact & location
1515 N Elm StLancaster, TX 75134
Dallas County
- Phone
- (972) 227-6066
- ZIP code
- 75134 – all care providers
Facility details
- Certified beds
- 120
- Residents per day
- 53.6 (45% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Lancaster I Enterprises, LLC
- Chain
- Creative Solutions in Healthcare (149 facilities, avg 2.1★)
- Medicare certified since
- October 12, 1999
- 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
- 3.30 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.50 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 0.89 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.91 (state 2.00 · U.S. 2.32)
- Weekend total
- 2.84 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 92.5 (state 55.3 · U.S. 45.8)%
- RN turnover
- 100.0 (state 54.6 · U.S. 42.9)%
- Administrators who left
- 2 in the last year
Inspections
- Last standard inspection
- January 8, 2026
- Health deficiencies (last cycle)
- 8.0 (state 9.3 · U.S. 9.3)
- From complaints
- 3
- Infection control citations
- 2
- Citations on record (3 years)
- 34 health · 11 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-03-06 | 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. F0575 · Resident Rights Deficiencies · complaint inspection |
C No actual harm, potential for minimal harm |
Deficient, Provider has no plan of correction |
| 2026-01-08 | 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 2026-02-03 |
| 2026-01-08 | PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-03 |
| 2026-01-08 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-03 |
| 2026-01-08 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-03 |
| 2026-01-08 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-03 |
| 2025-11-21 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-11-22 |
| 2025-08-01 | 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 |
J Immediate jeopardy to resident health or safety |
Corrected 2025-08-02 |
| 2025-03-05 | 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. F0622 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-14 |
| 2025-02-21 | 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 2025-02-22 |
| 2025-02-21 | 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 2025-02-22 |
| 2024-10-10 | 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. F0585 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-10-11 |
| 2024-10-10 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). F0603 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-10-11 |
| 2024-10-10 | 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 2024-10-11 |
| 2024-10-10 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2024-10-11 |
| 2024-10-10 | 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 · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-10-11 |
| 2024-10-10 | 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 2024-10-11 |
| 2024-10-10 | 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 · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-10-11 |
| 2024-10-10 | 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 2024-10-11 |
| 2024-10-10 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-10-11 |
| 2024-10-10 | 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 2024-10-11 |
| 2024-10-10 | 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 2024-10-11 |
| 2024-10-10 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. F0851 · Administration Deficiencies |
C No actual harm, potential for minimal harm |
Corrected 2024-10-11 |
| 2024-05-02 | 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 |
K Immediate jeopardy to resident health or safety |
Corrected 2024-05-24 |
| 2024-05-02 | 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 |
K Immediate jeopardy to resident health or safety |
Corrected 2024-05-24 |
| 2024-04-03 | 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 2024-04-26 |
| 2024-02-03 | 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 |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-28 |
| 2024-02-03 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-28 |
| 2024-01-29 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-16 |
| 2023-12-06 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-29 |
| 2023-09-20 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-10-20 |
| 2023-09-20 | 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 2023-10-20 |
| 2023-08-31 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919 · Environmental Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-10-06 |
| 2023-08-31 | 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 · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-06 |
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
2 penalties in the last three years, including $56,554 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-08-01 | Fine | $36,480 |
| 2024-05-02 | Fine | $20,074 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Blake, Gary (individual) | Administrator · NOT APPLICABLE | |
| Blake, Malisa (individual) | Administrator · NOT APPLICABLE | |
| Clanton, Auston (individual) | Administrator · NOT APPLICABLE | |
| Creative Solutions in Healthcare INC (organization) | Administrator · NOT APPLICABLE | |
| Eamiguel, Christopher (individual) | Administrator · NOT APPLICABLE | |
| Huggins, Linda (individual) | Administrator · NOT APPLICABLE | |
| Silva, Phillip (individual) | Administrator · NOT APPLICABLE | |
| Stapleton, Lillian (individual) | Administrator · NOT APPLICABLE | |
| Willig, Zachary (individual) | Administrator · NOT APPLICABLE | |
| Huggins, Linda (individual) | Corporate Director · NOT APPLICABLE | |
| Honor X Enterprises, LLC (organization) | Direct Ownership Interest · NOT APPLICABLE | |
| Blake, Gary (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Blake, Malisa (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Blake, Gary (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Blake, Malisa (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Clanton, Auston (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Creative Solutions in Healthcare INC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Eamiguel, Christopher (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Huggins, Linda (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Lancaster I Enterprises, LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Willig, Zachary (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Lancaster Nursing & Rehabilitation?
Lancaster Nursing & Rehabilitation 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 Lancaster Nursing & Rehabilitation have?
It has 120 certified beds and cares for about 54 residents per day.
Has Lancaster Nursing & Rehabilitation been fined?
Yes. CMS lists 2 penalties totaling $56,554 in the last three years.
Who owns Lancaster Nursing & Rehabilitation?
It is part of Creative Solutions in Healthcare and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Lancaster Nursing & Rehabilitation?
(972) 227-6066. The facility is located at 1515 N Elm St, Lancaster, TX 75134.
Other nursing homes in Lancaster
-
Avir at Lancaster
Nursing Home · Lancaster, TX · 110 beds
★★ -
Windsor Gardens
Nursing Home · Lancaster, TX · 150 beds
★★ -
Millbrook Healthcare and Rehabilitation Center
Nursing Home · Lancaster, TX · 124 beds
★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.