The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
Nursing home report
Lancaster Nursing & Rehabilitation
Lancaster, TX · Medicare-certified · 120 beds
Needs attention
For-profitChain member
1 of 5 overall
Lancaster Nursing & Rehabilitation has a 1-star overall rating, with 1-star health inspection and staffing ratings and 2-star quality measures. It also has a recent federal penalty, $56,554 in fines over the last 24 months, and reported nurse staffing of 3.47 hours per resident per day, below the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
3.467 hrs/resident/day
Quality measures
Last inspection: March 6, 2026Penalties, last 24 months: $56,554recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.467.
Staffing detail
- Registered nurses
- 0.68
- Licensed practical nurses
- 1.00
- Nurse aides
- 1.79
- Weekend nursing
- 2.91
Hours per resident per day.
Total staff turnover: 94%
Registered nurse turnover: 71%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
13.3%Worsening
Residents with a fall causing major injury
1.2%Improving
Residents with pressure ulcers (bedsores)
3.4%Improving
Residents with a urinary tract infection
1.3%Improving
Residents who lost too much weight
3.6%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
30.7%Improving
Residents whose ability to walk got worse
39.5%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
14.9%Worsening
Residents with a long-term catheter
0.6%Worsening
Residents with new or worsening incontinence
18.9%Improving
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
98.1%Worsening
Short-stay residents given the pneumonia vaccine
95.7%Steady
What the inspectors found
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited May 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: K
The home failed to provide activities that met all residents’ needs. Cited October 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 679 — 42 CFR §483.24 — S/S: E
The home failed to protect residents’ right to complain without fear and did not ensure grievances were handled promptly. Cited October 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 585 — 42 CFR §483.10 — S/S: E
The home failed to protect residents from being separated from others or confined to their rooms. Cited October 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 603 — 42 CFR §483.12 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $36,480 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $20,074 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $56,554 in total fines.
- $36,480
Federal fine
Aug 1, 2025
- $20,074
Federal fine
May 2, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.3 stars avg
- Occupancy
- 46 residents on an average day (38% of 120 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 26 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.