Nursing home report
Lancaster, TX · Medicare-certified · 124 beds
Millbrook Healthcare and Rehabilitation Center in Lancaster, TX has an overall rating of 2 out of 5 stars. Its staffing rating is low at 1 out of 5 stars, with reported nurse staffing of 3.27 hours per resident per day below the 4.1-hour federal benchmark; the facility has no fines in the last 24 months, but recent inspection citations included infection control, care planning, and pharmaceutical services issues.
Health inspections
Staffing
3.274 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.274.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
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.
F-Tag 880 — 42 CFR §483.80(a) — S/S: K
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 December 2025 — limited pattern, potential for harm.
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited December 2025 — limited pattern, potential for harm.
F-Tag 755 — 42 CFR §483.45 — S/S: E
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited December 2025 — limited pattern, potential for harm.
F-Tag 695 — 42 CFR §483.25(i) — S/S: E
The nursing home failed to reasonably accommodate each resident’s needs and preferences. Cited February 2025 — limited pattern, potential for harm.
F-Tag 558 — 42 CFR §483.10 — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
Health inspection found 2 health deficiencies.
Health inspection found 1 health deficiency.
On record with Medicare: 1 fine · $13,565 in total fines.
Federal fine
Nov 29, 2023
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.
