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Data / Nursing homes / Texas / Millbrook Healthcare and Rehabilitation Center

Millbrook Healthcare and Rehabilitation Center, Lancaster, TX: 2 star rating, fined $13,565 across 1 fine

Millbrook Healthcare and Rehabilitation Center in Lancaster, TX is run by Hamilton County Hospital District, with no owner listed in the CMS ownership file, is rated 2 of 5 stars by Medicare, and was fined $13,565 across 1 fine in the three years to October 1, 2026. CMS lists 27 health citations from inspections in that time, the latest survey on April 23, 2026, and 1 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
1850 W Pleasant Run Rd, Lancaster, TX 75146
Overall rating
2 of 5 stars
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measure rating
5 of 5
Certified beds
124
Residents per day
78 on average
Ownership type
For profit, limited liability company
Legal business name
Hamilton County Hospital District
Chain
The Ensign Group, 347 facilities
Fines
$13,565 across 1 fine, three years to October 1, 2026
Payment denials
0
Health citations
27, of which 1 with actual harm or immediate jeopardy
Latest survey
April 23, 2026
CMS Certification Number
676188
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
November 29, 2023Fine$13,565Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
April 23, 2026F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 24, 2026data.cms.gov
April 23, 2026F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 24, 2026data.cms.gov
April 23, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 24, 2026data.cms.gov
April 23, 2026F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 24, 2026data.cms.gov
April 23, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 24, 2026data.cms.gov
April 23, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 24, 2026data.cms.gov
April 23, 2026F638Assure that each resident’s assessment is updated at least once every 3 months.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 24, 2026data.cms.gov
April 23, 2026F609Timely 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 harmCorrectedApril 24, 2026data.cms.gov
April 23, 2026F565Honor the resident's right to organize and participate in resident/family groups in the facility.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 24, 2026data.cms.gov
December 3, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 4, 2025data.cms.gov
December 2, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 3, 2025data.cms.gov
December 2, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 3, 2025data.cms.gov
December 1, 2025F695Provide safe and appropriate respiratory care for a resident when needed.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 2, 2025data.cms.gov
September 9, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 26, 2025data.cms.gov
May 7, 2025F761Ensure 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: isolated, no actual harm, potential for more than minimal harmCorrectedMay 23, 2025data.cms.gov
May 7, 2025F755Provide 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 harmCorrectedMay 23, 2025data.cms.gov
May 7, 2025F583Keep residents' personal and medical records private and confidential.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 23, 2025data.cms.gov
February 11, 2025F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 17, 2025data.cms.gov
February 11, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 17, 2025data.cms.gov
February 11, 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 17, 2025data.cms.gov
February 11, 2025F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 17, 2025data.cms.gov
February 11, 2025F558Reasonably accommodate the needs and preferences of each resident.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 17, 2025data.cms.gov
February 11, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 17, 2025data.cms.gov
October 11, 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 14, 2024data.cms.gov
January 10, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 5, 2024data.cms.gov
January 10, 2024F850Hire a qualified full-time social worker in a facility with more than 120 beds.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 5, 2024data.cms.gov
November 29, 2023F880Provide and implement an infection prevention and control program.K: pattern, immediate jeopardyCorrectedDecember 29, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 9 individual or personal trusts (4 managers, 3 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Bluebonnet Healthcare, Inc.Operational or managerial controlNot listedDecember 1, 2023data.cms.gov
Bluebonnet Healthcare, Inc.Additional disclosable partyNot listedOctober 27, 2025data.cms.gov
Ensign Services IncAdditional disclosable partyNot listedApril 18, 2022data.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.