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Lancaster Nursing & Rehabilitation, Lancaster, TX: 1 star rating, fined $56,554 across 2 fines

Lancaster Nursing & Rehabilitation in Lancaster, TX is owned by Honor X Enterprises, LLC, is rated 1 of 5 stars by Medicare, and was fined $56,554 across 2 fines in the three years to October 1, 2026. CMS lists 30 health citations from inspections in that time, the latest survey on March 6, 2026, and 3 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Texas
Address
1515 N Elm St, Lancaster, TX 75134
Overall rating
1 of 5 stars
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measure rating
3 of 5
Certified beds
120
Residents per day
56 on average
Ownership type
For profit, limited liability company
Legal business name
Lancaster I Enterprises, LLC
Chain
Creative Solutions in Healthcare, 150 facilities
Fines
$56,554 across 2 fines, three years to October 1, 2026
Payment denials
0
Health citations
30, of which 3 with actual harm or immediate jeopardy
Latest survey
March 6, 2026
CMS Certification Number
675810
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
August 1, 2025Fine$36,480Not listeddata.cms.gov
May 2, 2024Fine$20,074Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
March 6, 2026F575Post 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: widespread, minimal harm potentialNo plan of correctiondata.cms.gov
January 8, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 3, 2026data.cms.gov
January 8, 2026F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 3, 2026data.cms.gov
January 8, 2026F679Provide activities to meet all resident's needs.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 3, 2026data.cms.gov
January 8, 2026F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 3, 2026data.cms.gov
January 8, 2026F645PASARR screening for Mental disorders or Intellectual DisabilitiesD: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 3, 2026data.cms.gov
November 21, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 22, 2025data.cms.gov
August 1, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyCorrectedAugust 2, 2025data.cms.gov
March 5, 2025F622Not 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: isolated, no actual harm, potential for more than minimal harmCorrectedApril 14, 2025data.cms.gov
February 21, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 22, 2025data.cms.gov
February 21, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 22, 2025data.cms.gov
October 10, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 11, 2024data.cms.gov
October 10, 2024F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.C: widespread, minimal harm potentialCorrectedOctober 11, 2024data.cms.gov
October 10, 2024F758Implement 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: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 11, 2024data.cms.gov
October 10, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 11, 2024data.cms.gov
October 10, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 11, 2024data.cms.gov
October 10, 2024F679Provide activities to meet all resident's needs.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 11, 2024data.cms.gov
October 10, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 11, 2024data.cms.gov
October 10, 2024F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 11, 2024data.cms.gov
October 10, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 11, 2024data.cms.gov
October 10, 2024F603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 11, 2024data.cms.gov
October 10, 2024F585Honor 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: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 11, 2024data.cms.gov
October 10, 2024F584Honor 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: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 11, 2024data.cms.gov
May 2, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.K: pattern, immediate jeopardyCorrectedMay 24, 2024data.cms.gov
May 2, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K: pattern, immediate jeopardyCorrectedMay 24, 2024data.cms.gov
April 3, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 26, 2024data.cms.gov
February 3, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 28, 2024data.cms.gov
February 3, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 28, 2024data.cms.gov
January 29, 2024F558Reasonably accommodate the needs and preferences of each resident.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 16, 2024data.cms.gov
December 6, 2023F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 29, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 17 individual or personal trusts (2 owners, 6 managers, 1 officers, directors or trustees, 8 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Honor X Enterprises, LLCDirect ownerNot listedJuly 1, 2024data.cms.gov
Creative Solutions in Healthcare IncOperational or managerial controlNot listedJuly 1, 2024data.cms.gov
Lancaster I Enterprises, LLCOperational or managerial controlNot listedJuly 1, 2024data.cms.gov
Creative Solutions in Healthcare IncAdditional disclosable partyNot listedJuly 1, 2024data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.