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Nursing home report

Lily Springs Rehabilitation and Healthcare Center

Lampasas, TX · Medicare-certified · 116 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall

Lily Springs Rehabilitation and Healthcare Center has a 1 out of 5 overall rating, with a 1-star health inspection rating and 2-star staffing rating. It reported 3.53 nurse staffing hours per resident per day, below the 4.1 federal benchmark, and had $50,844 in fines in the last 24 months plus a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.5342 hrs/resident/day

Quality measures

Last inspection: May 19, 2026Penalties, last 24 months: $50,844recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5342.

Staffing detail

Registered nurses
0.53
Licensed practical nurses
0.75
Nurse aides
2.25
Weekend nursing
3.22

Hours per resident per day.

Total staff turnover: 58%
Registered nurse turnover: 67%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

9.7%10%No change

Residents with a fall causing major injury

1.7%3.1%Worsening

Residents with pressure ulcers (bedsores)

3.4%2.2%Improving

Residents with a urinary tract infection

1.8%0%Improving

Residents who lost too much weight

0%6.5%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

44.4%23.8%Improving

Residents whose ability to walk got worse

33.9%

Long-stay residents on antianxiety or sleep medication

12.2%30.4%Worsening

Short-stay residents newly given an antipsychotic

0%

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

19.9%8.3%Improving

Residents with depressive symptoms

0%0%No change

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

95.2%

Long-stay residents given the pneumonia vaccine

91.4%78.5%Worsening

Short-stay residents given the seasonal flu vaccine

37.8%

Short-stay residents given the pneumonia vaccine

35.3%70.3%Improving

What the inspectors found

The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited March 2024 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: K

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited March 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: J

The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited March 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J

The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited June 2024 — isolated incident, actual harm.

View the original federal record

F-Tag 550 — 42 CFR §483.10(a) — S/S: G

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  6. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  7. PENALTY

    A federal fine of $8,281 was recorded.

  8. PENALTY

    A federal fine of $42,563 was recorded.

Penalties & enforcement

On record with Medicare: 3 fines · $86,207 in total fines.

  • Federal fine

    Apr 12, 2025

    $8,281
  • Federal fine

    Mar 3, 2025

    $42,563
  • Federal fine

    Mar 19, 2024

    $35,363

Operator & ownership

Recent ownership change · Mar 1, 2020

Now operated by Lily Springs Rehabilitation and Healthcare Center, previously Spring Oaks Nursing and Rehabilitation.

Ownership
For profit - Individual
Chain
Part of NEXION HEALTH · 53 homes · 2.3 stars avg
Occupancy
67.6 residents on an average day (58% of 116 beds)
Resident voice
Resident council
Medicare history
Certified for 36 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.