D

Millbrook Healthcare and Rehabilitation Center

1850 W Pleasant Run Rd, Lancaster, TX 75146
Score: 41 / 100

Millbrook Healthcare And Rehabilitation Center faces challenges in its CMS ratings, earning a D grade with a score of 41/100. The facility ranks in the 45th percentile among Texas nursing homes, suggesting significant room for improvement.

With 3.16 total nurse hours per resident per day, Millbrook Healthcare And Rehabilitation Center falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.

Recent CMS inspections identified 22 deficiencies at Millbrook Healthcare And Rehabilitation Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights..

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.16 3.8 Below Average
Registered Nurses (RN) 0.15 0.7 Below Average
Licensed Practical Nurses (LPN) 1.12 0.7 Above Average
Certified Nursing Assistants (CNA) 1.89 2.4 Below Average
Weekend Total Nursing 2.63 3.8 Below Average
Weekend RN Hours 0.14 0.7 Below Average

🔍 Inspection & Deficiency History

22
Total Deficiencies
Dec 2, 2025
Most Recent Inspection
🟠 21 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0550 Severity D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    Dec 2, 2025 · Resident Rights Deficiencies
  • Tag 0656 Severity E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Dec 1, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0755 Severity E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    Dec 1, 2025 · Pharmacy Service Deficiencies
  • Tag 0695 Severity E
    Provide safe and appropriate respiratory care for a resident when needed.
    Nov 30, 2025 · Quality of Life and Care Deficiencies
  • Tag 0628 Severity D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    Sep 8, 2025 · Resident Rights 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 2.6% 4.5% Better
Falls with major injury 2.3% 3.0% Better
On antipsychotic medication 2.7% 14.5% Better
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 23.6% 14.0% Worse
Excessive weight loss 3.5% 7.5% Better
New/worsened incontinence 18.1% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $13,565

How This Grade Was Calculated

This facility's grade of D is based on a score of 41 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -1 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
124
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Feb 10, 2025
Deficiencies (Cycle 1)
14