23.8/100
Poor
1515 N Elm St, Lancaster, TX 75134
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
3 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$56,554 in federal fines
CMS has fined this facility across 2 penalty action(s).
Nursing staff turnover of 93%
High turnover means residents rarely see the same caregiver twice. The national average is about 50%.
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: October 10, 2024 (1 year ago).
Resident Rights Deficiencies
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.
No actual harm, minimal potential
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate jeopardy to resident health or safety
Resident Rights Deficiencies
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.
No actual harm, potential for more than minimal harm
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
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.
No actual harm, potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
No actual harm, potential for more than minimal harm
Part of CREATIVE SOLUTIONS IN HEALTHCARE, which operates 149 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| HONOR X ENTERPRISES, LLC | Organization | DIRECT OWNERSHIP INTEREST | — |
| BLAKE, GARY | Individual | INDIRECT OWNERSHIP INTEREST | — |
| BLAKE, MALISA | Individual | INDIRECT OWNERSHIP INTEREST | — |
| HUGGINS, LINDA | Individual | CORPORATE DIRECTOR | — |
| CREATIVE SOLUTIONS IN HEALTHCARE INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| LANCASTER I ENTERPRISES, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| BLAKE, GARY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| BLAKE, MALISA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| CLANTON, AUSTON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| EAMIGUEL, CHRISTOPHER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| HUGGINS, LINDA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| WILLIG, ZACHARY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
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Lancaster Nursing & Rehabilitation holds an ElderGrade of F (23.8 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.30 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 3 of the 37 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Lancaster Nursing & Rehabilitation is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.