GoodStanding

Nursing home report

Millbrook Healthcare and Rehabilitation Center

Lancaster, TX · Medicare-certified · 124 beds

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

Millbrook Healthcare and Rehabilitation Center in Lancaster, TX has an overall rating of 1 out of 5 stars, with very low staffing (1 star) and reported nurse staffing below the federal benchmark (3.08 vs 4.1 hours per resident day). It has no fines in the last 24 months, but it has the lowest overall rating and recent inspection citations in infection control, resident rights, and care planning.

Facility ratings

Health inspections

Staffing

3.0784 hrs/resident/day

Quality measures

Last inspection: April 23, 2026Penalties, last 24 months: $0lowest overall rating

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0784.

Staffing detail

Registered nurses
0.12
Licensed practical nurses
1.16
Nurse aides
1.80
Weekend nursing
2.76

Hours per resident per day.

Total staff turnover: 70%

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

0%0%No change

Residents with a fall causing major injury

3.1%1.4%Improving

Residents with pressure ulcers (bedsores)

1.9%1.8%No change

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

1.8%4.8%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

25.6%5%Improving

Residents whose ability to walk got worse

—21%—

Long-stay residents on antianxiety or sleep medication

7.1%4.5%Improving

Short-stay residents newly given an antipsychotic

0%0%No change

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

15.2%17.4%Worsening

Residents with depressive symptoms

3.9%6.1%Worsening

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

—100%—

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

—90.9%—

Short-stay residents given the pneumonia vaccine

86.2%100%Improving

What the inspectors found

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited November 2023 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: K

The home failed to protect residents’ right to organize and take part in resident and family groups. Cited April 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 565 — 42 CFR §483.10 — S/S: E

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 April 2026 — limited pattern, potential for harm.

View the original federal record

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

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: E

The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited April 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 921 — 42 CFR §483.90 — S/S: E

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 9 health deficiencies.

    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

Penalties & enforcement

On record with Medicare: 1 fine · $13,565 in total fines.

  • Federal fine

    Nov 29, 2023

    $13,565

Operator & ownership

Recent ownership change · Dec 1, 2023

Now operated by Hamilton County Hospital District, previously Bluebonnet Healthcare, INC..

Ownership
For profit - Limited Liability company
Chain
Part of THE ENSIGN GROUP · 344 homes · 3.2 stars avg
Occupancy
78.1 residents on an average day (63% of 124 beds)
Resident voice
Resident council
Medicare history
Certified for 18 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.