F

Lancaster Nursing & Rehabilitation

1515 N Elm St, Lancaster, TX 75134
Score: 20 / 100

Lancaster Nursing & Rehabilitation has received an F grade based on CMS data, with a score of 20/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Lancaster facility should carefully review its inspection history and quality metrics.

Staffing at Lancaster Nursing & Rehabilitation is near the national average, with 3.47 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 36 deficiencies at Lancaster Nursing & Rehabilitation, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed..

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.47 3.8 Average
Registered Nurses (RN) 0.86 0.7 Above Average
Licensed Practical Nurses (LPN) 0.85 0.7 Above Average
Certified Nursing Assistants (CNA) 1.76 2.4 Below Average
Weekend Total Nursing 3.13 3.8 Below Average
Weekend RN Hours 0.56 0.7 Below Average

🔍 Inspection & Deficiency History

36
Total Deficiencies
Nov 20, 2025
Most Recent Inspection
⚪ 1 Minor 🟠 32 Moderate 🔴 3 Serious
View recent deficiencies (5 shown)
  • Tag 0644 Severity D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    Nov 20, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0689 Severity J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Jul 31, 2025 · Quality of Life and Care Deficiencies
  • Tag 0622 Severity D
    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is tr
    Mar 4, 2025 · Resident Rights Deficiencies
  • Tag 0725 Severity E
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    Feb 20, 2025 · Nursing and Physician Services Deficiencies
  • Tag 0677 Severity D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    Feb 20, 2025 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 4.9% 4.5% Average
Falls with major injury 1.3% 3.0% Better
On antipsychotic medication 16.0% 14.5% Worse
Urinary tract infections 1.3% 2.5% Better
ADL decline (daily activities) 26.0% 14.0% Worse
Excessive weight loss 3.0% 7.5% Better
New/worsened incontinence 19.9% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $55,760

How This Grade Was Calculated

This facility's grade of F is based on a score of 20 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -5 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
120
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Oct 9, 2024
Deficiencies (Cycle 1)
15