Lancaster Nursing & Rehabilitation
Nursing Home · 1515 N Elm St, Lancaster, TX 75134 · 9722276066
C-
graded on 75% of our rubric
Why you can trust this grade. HearthGrades is independent and free to use. Every grade is computed from public CMS and state records on a fixed, published rubric — safety inspections, staffing, clinical outcomes, enforcement and financial stability. This provider was graded on 75% of that rubric. No facility can pay to change its grade or where it appears, and we take no money from the providers we grade. See the full methodology.
Scores by dimension
| Dimension | Score | Data confidence |
|---|---|---|
| Safety & compliance | 1.0 / 5 | high |
| Staffing | 1.9 / 5 | high |
| Clinical outcomes | 2.4 / 5 | high |
| Enforcement | 2.9 / 5 | high |
| Financial stability | 3.1 / 5 | med |
Key facts
| Care type | Nursing Home |
| Beds | 120 |
| Ownership | For Profit - Limited Liability Company |
| Operator | Lancaster I Enterprises, Llc |
| Chain size | 149 facilities |
| Certified since | 1999-10-12 |
| CMS overall star | 1 / 5 |
| Accepts Medicaid | Yes |
Inspection & enforcement record
- Health-inspection citations: 3 immediate jeopardy · 0 actual harm · 32 potential for harm · 2 minor
- Federal fines: $56,554 · payment denials: 0 · penalty actions: 2
Recent inspection findings
The 8 most recent health-inspection deficiencies on file with CMS, newest first. Severity is the CMS scope/severity scale (A–L); G and above mean actual harm or immediate jeopardy. "Corrected" shows the date the facility certified the fix.
| Date | Finding | Severity | Status |
|---|---|---|---|
| 2026-03-06 | 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. (Resident Rights Deficiencies, tag 0575) | C | open |
| 2025-11-21 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Resident Assessment and Care Planning Deficiencies, tag 0644) | D | corrected 2025-11-22 |
| 2025-08-01 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Quality of Life and Care Deficiencies, tag 0689) | J · immediate jeopardy | corrected 2025-08-02 |
| 2025-03-05 | 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. (Resident Rights Deficiencies, tag 0622) | D | corrected 2025-04-14 |
| 2025-02-21 | Provide care and assistance to perform activities of daily living for any resident who is unable. (Quality of Life and Care Deficiencies, tag 0677) | D | corrected 2025-02-22 |
| 2025-02-21 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Nursing and Physician Services Deficiencies, tag 0725) | E | corrected 2025-02-22 |
| 2024-10-10 | Provide activities to meet all resident's needs. (Quality of Life and Care Deficiencies, tag 0679) | E | corrected 2024-10-11 |
| 2024-10-10 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Quality of Life and Care Deficiencies, tag 0689) | E | corrected 2024-10-11 |
Staffing
Nurse hours per resident per day (CMS Payroll-Based Journal) — the strongest objective predictor of care. "Expected" is what CMS's case-mix model says this facility's resident acuity calls for.
- Total nurse staffing: 3.47 hrs/resident/day (expected 4.01 for this facility's resident acuity — below expected) (US median 3.69 · TX 3.27)
- Registered-nurse staffing: 0.68 hrs/resident/day (expected 0.70 for this facility's resident acuity — below expected) (US median 0.58)
- Breakdown: nurse aide 1.79 · LPN 1.00 hrs/resident/day
- Weekend total staffing: 2.91 hrs/resident/day (expected 3.56 for this facility's resident acuity — below expected)
- Annual nursing-staff turnover: 94.2% · RN turnover 71.4% (US median 45.3% · lower is better)
- Resident acuity (nursing case-mix index): 1.44 (1.0 ≈ national average; higher = more care-intensive residents)
Clinical outcomes — the measures behind the score
The 7 CMS MDS quality measures (2025Q1-2025Q4) driving this facility's clinical score — the same measures behind the CMS QM star. All are adverse-event rates: lower is better. Worst first. The quarterly column shows the four most recent quarters (Q1→Q4); benchmarks are the national percentile and the TX state median.
| Measure | 4-qtr avg | Quarterly (Q1→Q4) | Benchmark |
|---|---|---|---|
| Percentage of long-stay residents whose ability to walk independently worsened (long stay) | 39.5% | · → 32.2 → 61.3 → 25.2 | worse than 98% of US homes · TX median 13% |
| Percentage of long-stay residents whose need for help with daily activities has increased (long stay) | 30.7% | 50 → 11.8 → 36.1 → 25.7 | worse than 96% of US homes · TX median 14.8% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (long stay) | 0.6% | 0 → 0 → 0 → 2.3 | worse than 59% of US homes · TX median 0% |
| Percentage of long-stay residents with a urinary tract infection (long stay) | 1.3% | 5.3 → 0 → 0 → 0 | worse than 57% of US homes · TX median 0.3% |
| Percentage of long-stay residents who received an antipsychotic medication (long stay) | 13.3% | · → 18.2 → 19 → · | worse than 50% of US homes · TX median 8.1% |
| Percentage of long-stay residents with pressure ulcers (long stay) | 3.4% | 5.5 → 3.1 → 2.4 → 2.6 | better than 65% of US homes · TX median 3.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury (long stay) | 1.3% | 2.6 → 0 → 2.4 → 0 | better than 80% of US homes · TX median 3% |
What this costs
- This facility's reported avg daily charge: not computable from its filing — reported figures fail plausibility checks
- Payer mix (resident days): 52% Medicaid · 9% Medicare · 39% other/private
- Texas median (quoted rates): $185/day semi-private · $250/day private (national: $315 · $355)
- Accepts Medicaid: yes
- This facility's quoted rate: not public. This facility's quoted private rate isn't published by any federal or state source. Medicare covers short rehab stays (up to 100 days, copays after day 20); long-term stays are private pay until savings spend down to Medicaid. How to get the real number →
Market medians: CareScout Cost of Care Survey 2025 (collected July–November 2025), state-level — individual providers vary widely around a median. Facility-level prices aren't published by any government source; how to get a real quote.
Hospitals serving Dallas County
Hospitals in the same county — those with an emergency department first, then by CMS hospital star rating. Useful for transfers and emergencies.
| Hospital | City | ER | CMS star | Type |
|---|---|---|---|---|
| Baylor Scott & White Heart & Vascular Hospital - Dallas | Dallas | Yes | 5★ | Acute care |
| Baylor Scott & White Medical Center at Irving | Irving | Yes | 5★ | Acute care |
| Baylor Scott and White Medical Center Lake Pointe | Rowlett | Yes | 4★ | Acute care |
| Baylor University Medical Center | Dallas | Yes | 4★ | Acute care |
| Medical City Las Colinas | Irving | Yes | 4★ | Acute care |
| Methodist Hospital for Surgery | Addison | Yes | 4★ | Acute care |
Compare nearby
- A C C Young Memorial Home · Dallas
- A Pure Health Transitional Care At Texas Health Pres · Dallas
- A- Ventana By Buckner · Dallas
- B+ San Remo · Richardson
- B+ Remington Transitional Care Of Richardson · Richardson
- B+ Presbyterian Village North Special Care Ctr · Dallas
Full interactive report card → Facility's own website ↗ CMS Care Compare ↗
Source: CMS Provider Information + Health Deficiencies + Penalties (as of 2026-05). Part of our Dallas County nursing homes coverage. Spot an error? Tell us.