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Lancaster Nursing & Rehabilitation

1515 N Elm St, Lancaster, TX 75134 · 9722276066 · 120 certified beds

Overall★☆☆☆☆ 1/5
Health inspections★☆☆☆☆ 1/5
Staffing★☆☆☆☆ 1/5
Quality measures★★☆☆☆ 2/5

Ownership group

Per CMS filings, this facility is affiliated with Creative Solutions in Healthcare, a group operating 149 facilities in 1 states. Group record: average rating 2.2/5, 19 abuse citation icons, 7 facilities on the Special Focus list, $8,699,455 in federal fines. This facility rates below its group average (2.2/5).

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Staffing (hours per resident per day)

Total nurse staffing: 3.30 (Texas median: 3.27). RN hours: 0.50. Weekend total: 2.84. Nursing staff turnover: 92%.

Inspection deficiencies

All-time on record: 37 deficiency citations, including 3 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-03-06Post 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. CcomplaintDeficient, Provider has no plan of correction
2025-11-21Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Dcomplaintcorrected 2025-11-22
2025-08-01Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Jcomplaintcorrected 2025-08-02
2025-03-05Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Dcomplaintcorrected 2025-04-14
2025-02-21Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Ecomplaintcorrected 2025-02-22
2025-02-21Provide care and assistance to perform activities of daily living for any resident who is unable. Dcomplaintcorrected 2025-02-22
2024-10-10Honor 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. Ecomplaintcorrected 2024-10-11
2024-10-10Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). Ecomplaintcorrected 2024-10-11
2024-10-10Provide activities to meet all resident's needs. EHealthcorrected 2024-10-11
2024-10-10Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. EHealthcorrected 2024-10-11
2024-10-10Implement 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. Ecomplaintcorrected 2024-10-11
2024-10-10Provide and implement an infection prevention and control program. Ecomplaintcorrected 2024-10-11
2024-10-10Honor 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. Dcomplaintcorrected 2024-10-11
2024-10-10Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Dcomplaintcorrected 2024-10-11
2024-10-10Respond appropriately to all alleged violations. Dcomplaintcorrected 2024-10-11
2024-10-10Provide care and assistance to perform activities of daily living for any resident who is unable. Dcomplaintcorrected 2024-10-11
2024-10-10Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Dcomplaintcorrected 2024-10-11
2024-10-10Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. CHealthcorrected 2024-10-11
2024-05-02Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Kcomplaintcorrected 2024-05-24
2024-05-02Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Kcomplaintcorrected 2024-05-24
2024-04-03Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Dcomplaintcorrected 2024-04-26
2024-02-03Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Dcomplaintcorrected 2024-02-28
2024-02-03Provide and implement an infection prevention and control program. Dcomplaintcorrected 2024-02-28
2024-01-29Reasonably accommodate the needs and preferences of each resident. Ecomplaintcorrected 2024-02-16
2023-12-06Provide and implement an infection prevention and control program. Dcomplaintcorrected 2023-12-29
2023-09-20Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. EHealthcorrected 2023-10-20
2023-09-20Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. EHealthcorrected 2023-10-20
2023-08-31Make sure that a working call system is available in each resident's bathroom and bathing area. Ecomplaintcorrected 2023-10-06
2023-08-31Honor 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. Dcomplaintcorrected 2023-10-06

Federal penalties

DateTypeAmount
2025-08-01Fine$36,480
2024-05-02Fine$20,074

Ownership & control records (CMS filings)

NameRoleType%Since
HONOR X ENTERPRISES, LLCDirect Ownership InterestOrganizationNOT APPLICABLEsince 07/01/2024
BLAKE, GARYIndirect Ownership InterestIndividualNOT APPLICABLEsince 07/01/2024
BLAKE, MALISAIndirect Ownership InterestIndividualNOT APPLICABLEsince 07/01/2024
HUGGINS, LINDACorporate DirectorIndividualNOT APPLICABLEsince 07/01/2024
CREATIVE SOLUTIONS IN HEALTHCARE INCOperational/Managerial ControlOrganizationNOT APPLICABLEsince 07/01/2024
LANCASTER I ENTERPRISES, LLCOperational/Managerial ControlOrganizationNOT APPLICABLEsince 07/01/2024
BLAKE, GARYOperational/Managerial ControlIndividualNOT APPLICABLEsince 07/01/2024
BLAKE, MALISAOperational/Managerial ControlIndividualNOT APPLICABLEsince 07/01/2024
CLANTON, AUSTONOperational/Managerial ControlIndividualNOT APPLICABLEsince 07/01/2024
EAMIGUEL, CHRISTOPHEROperational/Managerial ControlIndividualNOT APPLICABLEsince 07/01/2024
HUGGINS, LINDAOperational/Managerial ControlIndividualNOT APPLICABLEsince 07/01/2024
WILLIG, ZACHARYOperational/Managerial ControlIndividualNOT APPLICABLEsince 07/01/2024

Compare nearby (Dallas County)

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 675810. Corrections: data@carerecords.org.