Nursing homes › Texas › Lily Springs Rehabilitation and Healthcare Center
901 Central Texas Expwy, Lampasas, TX 76550 · 5125568827 · 116 certified beds
Per CMS filings, this facility is affiliated with Nexion Health, a group operating 53 facilities in 3 states. Group record: average rating 2.3/5, 6 abuse citation icons, 2 facilities on the Special Focus list, $2,613,097 in federal fines. This facility rates below its group average (2.3/5).
Total nurse staffing: 3.53 (Texas median: 3.27). RN hours: 0.53. Weekend total: 3.22. Nursing staff turnover: 58%.
All-time on record: 56 deficiency citations, including 4 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-19 | 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 2026-06-19 |
| 2026-01-07 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | complaint | corrected 2026-01-31 |
| 2025-11-26 | Reasonably accommodate the needs and preferences of each resident. | D | complaint | corrected 2025-12-05 |
| 2025-11-26 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2025-12-05 |
| 2025-11-19 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | complaint | corrected 2025-12-05 |
| 2025-08-22 | 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 2025-09-18 |
| 2025-07-10 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2025-07-11 |
| 2025-05-05 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Health | corrected 2025-05-06 |
| 2025-05-05 | Provide activities to meet all resident's needs. | E | Health | corrected 2025-05-06 |
| 2025-05-05 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | E | Health | corrected 2025-05-06 |
| 2025-05-05 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-05-06 |
| 2025-05-05 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2025-05-06 |
| 2025-05-05 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Health | corrected 2025-05-06 |
| 2025-05-05 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Health | corrected 2025-05-06 |
| 2025-04-12 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2025-04-13 |
| 2025-03-03 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | J | complaint | corrected 2025-03-04 |
| 2025-03-03 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | complaint | corrected 2025-03-04 |
| 2025-03-03 | Employ staff that are licensed, certified, or registered in accordance with state laws. | E | complaint | corrected 2025-03-04 |
| 2025-03-03 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-03-04 |
| 2025-03-03 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2025-03-04 |
| 2025-03-03 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | complaint | corrected 2025-03-04 |
| 2024-10-08 | Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | E | complaint | corrected 2024-11-01 |
| 2024-10-08 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | complaint | corrected 2024-11-01 |
| 2024-08-21 | 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 2024-09-06 |
| 2024-08-21 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | complaint | corrected 2024-09-06 |
| 2024-08-21 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2024-09-06 |
| 2024-07-19 | 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 2024-08-08 |
| 2024-06-13 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | G | complaint | corrected 2024-07-14 |
| 2024-06-13 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | complaint | corrected 2024-07-14 |
| 2024-06-13 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | complaint | corrected 2024-07-14 |
| 2024-04-04 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | G | complaint | corrected 2024-04-05 |
| 2024-04-04 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | complaint | corrected 2024-04-05 |
| 2024-04-04 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2024-04-05 |
| 2024-04-04 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2024-04-05 |
| 2024-03-19 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | K | complaint | corrected 2024-04-12 |
| 2024-01-31 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Health | corrected 2024-03-08 |
| 2024-01-31 | 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. | E | Health | corrected 2024-03-08 |
| 2024-01-31 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Health | corrected 2024-03-08 |
| 2024-01-31 | 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 2024-03-08 |
| 2024-01-31 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-03-08 |
| Date | Type | Amount |
|---|---|---|
| 2025-04-12 | Fine | $8,281 |
| 2025-03-03 | Fine | $42,563 |
| 2024-03-19 | Fine | $35,363 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| NEXION HEALTH OF OHI INC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 01/09/2020 |
| NEXION HEALTH LEASING, INC. | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 01/09/2020 |
| NEXION HEALTH, INC. | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 01/09/2020 |
| BOLT, BRETTON | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 03/01/2020 |
| KIRLEY, FRANCIS | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 03/01/2020 |
| HERDRICH, WILLIAM | Corporate Director | Individual | NOT APPLICABLE | since 03/01/2020 |
| KIRLEY, FRANCIS | Corporate Director | Individual | NOT APPLICABLE | since 03/01/2020 |
| LEE, BRIAN | Corporate Director | Individual | NOT APPLICABLE | since 03/01/2020 |
| RINER, MEERA | Corporate Director | Individual | NOT APPLICABLE | since 03/01/2020 |
| KIRLEY, FRANCIS | Corporate Officer | Individual | NOT APPLICABLE | since 03/01/2020 |
| LEE, BRIAN | Corporate Officer | Individual | NOT APPLICABLE | since 03/01/2020 |
| RINER, MEERA | Corporate Officer | Individual | NOT APPLICABLE | since 03/01/2020 |
| NEXION HEALTH LEASING, INC. | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/09/2020 |
| NEXION HEALTH, INC. | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/09/2020 |
| KIRLEY, FRANCIS | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/01/2020 |
| MASSOODI, HOSHEM | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/01/2020 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 455889. Corrections: data@carerecords.org.