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Nursing homeFAID #14276

Lancaster Nursing & Rehabilitation

1515 N ELM ST, LANCASTER, TX, 75134
(972) 227-6066
120 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing2/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
120
CMS facility ID
675810
Care type
Nursing home
County
Dallas
Facility name
Lancaster Nursing & Rehabilitation
Street address
1515 N ELM ST
City / state / ZIP
Lancaster, TX 75134
Phone
(972) 227-6066

Lancaster Nursing & Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Lancaster, Texas. It is licensed for 120 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 19 senior care facilities in Lancaster and 1,178 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Lancaster Nursing & Rehabilitation 45 times across 22 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $56,554 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Creative Solutions In Healthcare
Ownership type
For profit - Limited Liability company

Registered owners & officers

Blake, Gary
Indirect owner · Operational control · Additional disclosable party — since 2024
Blake, Malisa
Indirect owner · Operational control · Additional disclosable party — since 2024
Clanton, Auston
Operational control · Additional disclosable party — since 2024
Creative Solutions In Healthcare Inc
Operational control · Additional disclosable party — since 2024
Eamiguel, Christopher
Operational control · Additional disclosable party — since 2024
Honor X Enterprises, Llc
Direct owner — since 2024
Huggins, Linda
Director · Operational control · Additional disclosable party — since 2024
Lancaster I Enterprises, Llc
Operational control — since 2024
Silva, Phillip
Additional disclosable party — since 2025
Stapleton, Lillian
Additional disclosable party — since 2025
Willig, Zachary
Operational control · Additional disclosable party — since 2024

Regulatory standing

Federal court records
4 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1999-10-12
CMS overall rating
1 of 5 stars
Health deficiencies
8 at the last standard inspection
Federal fines
$56,554 total
Last standard inspection
2026-01-08
Nurse staffing
3.3 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$186 per day (≈ $5,650/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
91% Medicaid · 2% Medicare · 7% private/other
Occupancy
38% (fiscal year 2023)
Vs. state median
33% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
120
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.
2026-03-06Health inspectionComplaint-triggered1 citation
F-0575
C · No harm foundFrom a complaint
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.
2026-01-08Health inspection5 citations
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2026-02-03
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-02-03
F-0679
E · No harm found
Provide activities to meet all resident's needs.
Corrected 2026-02-03
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-02-03
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-02-03
15 earlier / fire-safety inspections (39 citations)
2025-11-21Health inspectionComplaint-triggered1 citation
F-0644
D · No harm foundFrom a complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-11-22
2025-08-01Health inspectionComplaint-triggered1 citation
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-08-02
2025-03-05Health inspectionComplaint-triggered1 citation
F-0622
D · No harm foundFrom a complaint
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.
Corrected 2025-04-14
2025-02-21Health inspectionComplaint-triggered2 citations
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-02-22
F-0725
E · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-02-22
2024-10-10Health inspectionComplaint-triggered12 citations
F-0584
D · No harm foundFrom a complaint
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.
Corrected 2024-10-11
F-0585
E · No harm foundFrom a complaint
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.
Corrected 2024-10-11
F-0603
E · No harm foundFrom a complaint
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Corrected 2024-10-11
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-10-11
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2024-10-11
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-10-11
F-0679
E · No harm found
Provide activities to meet all resident's needs.
Corrected 2024-10-11
F-0689
E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-11
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-10-11
F-0758
E · No harm foundFrom a complaint
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.
Corrected 2024-10-11
F-0851
C · No harm found
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2024-10-11
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-10-11
2024-05-02Health inspectionComplaint-triggered2 citations
F-0689
K · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-24
F-0725
K · Immediate jeopardyFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-05-24
2024-04-03Health inspectionComplaint-triggered1 citation
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-04-26
2024-02-03Health inspectionComplaint-triggered2 citations
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-02-28
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-02-28
2024-01-29Health inspectionComplaint-triggeredInfection control1 citation
F-0558
E · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-02-16
2023-12-06Health inspectionComplaint-triggeredInfection control1 citation
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2023-12-29
2023-09-20Health inspection2 citations
F-0755
E · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-10-20
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-10-20
2023-08-31Health inspectionComplaint-triggered2 citations
F-0584
D · No harm foundFrom a complaint
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.
Corrected 2023-10-06
F-0919
E · No harm foundFrom a complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2023-10-06
2026-01-08Fire-safety inspection4 citations
K-0211
D · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2026-02-16
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2026-02-16
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2026-02-16
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2026-02-16
2024-10-10Fire-safety inspection2 citations
K-0293
E · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2024-10-10
K-0324
E · No harm found
Provide properly protected cooking facilities.
Corrected 2024-11-05
2023-09-20Fire-safety inspection5 citations
K-0363
F · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2023-10-31
K-0372
F · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-10-31
K-0374
D · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-10-31
K-0712
D · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-10-31
K-0741
F · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-10-20

Federal penalties

2025-08-01Fine$36,480
2024-05-02Fine$20,074
Total fines$56,554
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 675810.
What people say on Google.
3.523 ratings on Google
★★★★★Brittany Jones · 2026-04-24 · via Google

“I had a great experience with Lancaster Nursing and Rehabilitation Center. The staff are attentive, compassionate, and truly care about the well-being of their residents. They go above and beyond to make sure everyone is comfortable, safe, and treated with dignity. The facility is clean and well-maintained, and communication from the team is consistent and helpful. It’s clear that they take pride…”

★★★★★Kevin Oliver · 2025-06-18 · via Google

“When I took a tour of this facility, I was at ease because it was very clean and didn’t smell at all. The staff was extremely helpful and the admissions person, Lillian was very helpful either way the process for my mother. Now that she has been there almost two weeks, the staff have taken great care of her. I constantly get updates and I visit when I can. Mom seemed in good spirits and well taken…”

★★★★★Melissa Contreras · 2025-07-09 · via Google

“My mother knows is in the Lancaster Nursing Rehabilitation Center. So far we've had a great experience with the facility and the staff. The administration office Mrs. Lillian & the accounting office.They have wonderful communicate . They check on my mother-in-law. And any concerns or any issues that I might have they are always answered or taken care of. Also the nursing staff and the AIDS are ve…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 45 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered