Nursing homes › Texas › Lancaster Nursing & Rehabilitation
1515 N Elm St, Lancaster, TX 75134 · 9722276066 · 120 certified beds
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).
Total nurse staffing: 3.30 (Texas median: 3.27). RN hours: 0.50. Weekend total: 2.84. Nursing staff turnover: 92%.
All-time on record: 37 deficiency citations, including 3 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-03-06 | 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. | C | complaint | Deficient, Provider has no plan of correction |
| 2025-11-21 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | complaint | corrected 2025-11-22 |
| 2025-08-01 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2025-08-02 |
| 2025-03-05 | 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. | D | complaint | corrected 2025-04-14 |
| 2025-02-21 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | complaint | corrected 2025-02-22 |
| 2025-02-21 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2025-02-22 |
| 2024-10-10 | 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. | E | complaint | corrected 2024-10-11 |
| 2024-10-10 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | E | complaint | corrected 2024-10-11 |
| 2024-10-10 | Provide activities to meet all resident's needs. | E | Health | corrected 2024-10-11 |
| 2024-10-10 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Health | corrected 2024-10-11 |
| 2024-10-10 | 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. | E | complaint | corrected 2024-10-11 |
| 2024-10-10 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2024-10-11 |
| 2024-10-10 | 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. | D | complaint | corrected 2024-10-11 |
| 2024-10-10 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-10-11 |
| 2024-10-10 | Respond appropriately to all alleged violations. | D | complaint | corrected 2024-10-11 |
| 2024-10-10 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2024-10-11 |
| 2024-10-10 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2024-10-11 |
| 2024-10-10 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | C | Health | corrected 2024-10-11 |
| 2024-05-02 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | complaint | corrected 2024-05-24 |
| 2024-05-02 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | K | complaint | corrected 2024-05-24 |
| 2024-04-03 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2024-04-26 |
| 2024-02-03 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2024-02-28 |
| 2024-02-03 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2024-02-28 |
| 2024-01-29 | Reasonably accommodate the needs and preferences of each resident. | E | complaint | corrected 2024-02-16 |
| 2023-12-06 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2023-12-29 |
| 2023-09-20 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Health | corrected 2023-10-20 |
| 2023-09-20 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2023-10-20 |
| 2023-08-31 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | complaint | corrected 2023-10-06 |
| 2023-08-31 | 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. | D | complaint | corrected 2023-10-06 |
| Date | Type | Amount |
|---|---|---|
| 2025-08-01 | Fine | $36,480 |
| 2024-05-02 | Fine | $20,074 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| HONOR X ENTERPRISES, LLC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 07/01/2024 |
| BLAKE, GARY | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 07/01/2024 |
| BLAKE, MALISA | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 07/01/2024 |
| HUGGINS, LINDA | Corporate Director | Individual | NOT APPLICABLE | since 07/01/2024 |
| CREATIVE SOLUTIONS IN HEALTHCARE INC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 07/01/2024 |
| LANCASTER I ENTERPRISES, LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 07/01/2024 |
| BLAKE, GARY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/01/2024 |
| BLAKE, MALISA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/01/2024 |
| CLANTON, AUSTON | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/01/2024 |
| EAMIGUEL, CHRISTOPHER | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/01/2024 |
| HUGGINS, LINDA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/01/2024 |
| WILLIG, ZACHARY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/01/2024 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 675810. Corrections: data@carerecords.org.