Public Record
Lancaster Nursing & Rehabilitation
Operated by Creative Solutions In Healthcare
From CMS
Facility profile
- CMS overall rating
- 1 / 5
- Certified beds
- 120
- Avg. residents per day
- 46
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Health citations
- 37
- Fire safety findings
- 12
- Inspections on file
- 17
- Last inspection
- 2026-03-06
*CMS
*CMS
*CMS
*CMS
Citations
37 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0575Generalno actual harm
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.
- 0644Generalpotential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- 0689Seriousimmediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0622Generalpotential for harm
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.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0725Generalpotential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- 0609Generalpotential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- 0603Generalpotential for harm
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
- 0585Generalpotential for harm
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.
- 0851Generalno actual harm
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- 0679Generalpotential for harm
Provide activities to meet all resident's needs.
- 0758Generalpotential for harm
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.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0584Generalpotential for harm
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.
- 0610Generalpotential for harm
Respond appropriately to all alleged violations.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0689Seriousimmediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0725Seriousimmediate jeopardy
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0558Generalpotential for harm
Reasonably accommodate the needs and preferences of each resident.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0584Generalpotential for harm
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.
- 0919Generalpotential for harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0810Generalpotential for harm
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
- 0759Generalpotential for harm
Ensure medication error rates are not 5 percent or greater.
- 0727Generalpotential for harm
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0657Generalpotential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- 0636Generalpotential for harm
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspection1 deficiency
- Inspection1 deficiency
675810 11/21/2025 Lancaster Nursing & Rehabilitation 1515 N Elm St Lancaster, TX 75134 F 0644 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Coordinate assessments with the pre-admission screening and resident review program; and referring for services as…
Read full statement of deficiencies - Inspection1 deficiency
675810 08/01/2025 Lancaster Nursing & Rehabilitation 1515 N Elm St Lancaster, TX 75134 F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent…
Read full statement of deficiencies - Inspection1 deficiency
675810 03/05/2025 Lancaster Nursing & Rehabilitation 1515 N Elm St Lancaster, TX 75134 F 0622 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific…
Read full statement of deficiencies - Inspection2 deficiencies
675810 02/21/2025 Lancaster Nursing & Rehabilitation 1515 N Elm St Lancaster, TX 75134 F 0677 Provide care and assistance to perform activities of daily living for any resident who is unable. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED…
Read full statement of deficiencies - Inspection12 deficiencies
675810 10/10/2024 Lancaster Nursing & Rehabilitation 1515 N Elm St Lancaster, TX 75134 F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to…
Read full statement of deficiencies - View inspection reportInspectionFire Safety2 deficiencies
- Inspection2 deficiencies
675810 05/02/2024 Lancaster Nursing & Rehabilitation 1515 N Elm St Lancaster, TX 75134 F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Some Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent…
Read full statement of deficiencies - Inspection1 deficiency
675810 04/03/2024 Lancaster Nursing & Rehabilitation 1515 N Elm St Lancaster, TX 75134 F 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance…
Read full statement of deficiencies - Inspection2 deficiencies
675810 02/03/2024 Lancaster Nursing & Rehabilitation 1515 N Elm St Lancaster, TX 75134 F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that…
Read full statement of deficiencies
Showing the 10 most recent inspections. 7 earlier inspections are also on record.
Ownership
Creative Solutions In Healthcare
149nursing homes nationwide, in CMS records
FAQ
Questions and answers
- What is Lancaster Nursing & Rehabilitation?
- Lancaster Nursing & Rehabilitation is a Medicare- and Medicaid-certified nursing home in Lancaster, TX, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 675810.
- What is the CMS rating for Lancaster Nursing & Rehabilitation?
- Lancaster Nursing & Rehabilitation has a CMS overall rating of 1 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Lancaster Nursing & Rehabilitation have?
- Lancaster Nursing & Rehabilitation is certified for 120 beds. It serves an average of 46 residents per day.
- How many citations does Lancaster Nursing & Rehabilitation have?
- Lancaster Nursing & Rehabilitation has 37 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Lancaster Nursing & Rehabilitation last inspected?
- Lancaster Nursing & Rehabilitation was last inspected on March 6, 2026. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
/nursing-home/675810-lancaster-nursing-rehabilitation