Lancaster Nursing & Rehabilitation – Lancaster, TX

CMS Verified | 2026-03-01

Lancaster Nursing & Rehabilitation

1515 N Elm St, Lancaster, TX 75134
(972) 227-6066
120 beds
All Lancaster facilities
1.0*
Overall
1.0*
Health Inspection
2.0*
Quality Care
4.0*
Staffing
56.89
Score /100
#12888
National Rank

#12888
of 14703 facilities
National
12.4% position
#1030
of 1177 in TX
State Rank
#73
of 82 in Dallas
County Rank
#4
of 4 in Lancaster
City Rank
#1
of 1 in ZIP 75134
ZIP Rank






About Lancaster Nursing & RehabilitationLancaster Nursing & Rehabilitation is located at 1515 N Elm St, Lancaster, TX, reachable at (972) 227-6066. This For profit – Limited Liability company facility operates 120.0 certified beds and serves an average of 41 residents per day. It is part of the Creative Solutions In Healthcare network (149 facilities nationwide). Medicare and Medicaid services have been provided since 1999-10-12. The facility currently holds a poor (1-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Facility

Lancaster Nursing & Rehabilitation

Address

1515 N Elm St, Lancaster, TX 75134

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 120 Certified Beds
  • Ownership: For profit – Limited Liability company
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: CREATIVE SOLUTIONS IN HEALTHCARE

Quick Verdict

Overall Quality
❌ Poor (1★) overall rating
Health Inspection
❌ Poor (1★) health inspection
Staffing
✅ Above Average (4★) staffing rating
Quality of Care
⚠️ Below Average (2★) quality of care
Compliance
❌ 21 fine(s) over 5 years
5-Year Trend
➡️ Stable over 5 years
56.89
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#12888 of 14703 nationally – #1030 of 1177 in Texas

Who Is This Facility Best For?

Lancaster Nursing & Rehabilitation may be considered for families with limited options in Lancaster, TX, but its lower CMS ratings suggest careful due diligence is warranted. Above-average staffing levels make it a good option for residents needing intensive nursing care.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

1 / 5
Health Inspection

1 / 5
Staffing Rating

4 / 5
Quality Measures (QM)

2 / 5
Long-Stay QM Rating

2 / 5
Short-Stay QM Rating

N/A

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightLancaster Nursing & Rehabilitation currently provides 3 hours 28 minutes of total nurse staffing per resident per day, including 52 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 4 out of 5 reflects strong nurse coverage. RN hours per resident have increased from 8 min/day (2022) to 52 min/day (2026), a positive sign of investment in skilled nursing. Total nursing staff turnover is high at 60.4%, which can affect care continuity.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 28 minutes
Nurse Aide Hours1 hour 45 minutes
Licensed Practical Nurse (LPN) Hours51 minutes
Registered Nurse (RN) Hours52 minutes
Physical Therapist Hours5 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours3 hours 8 minutes
Weekend Registered Nurse (RN) Hours33 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryIn the current reporting period, the facility received 2 fine(s) totaling $55,760. 7 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 2
Total Fines Amount $55760.0
Payment Denials 0
Total Penalties 2
Abuse Flag on Record N
Total Weighted Health Survey Score 185.5 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#12,888
of 14,703
National
Bottom 12%
#1,030
TX State
Bottom 12% in TX
#73
of 82
️ Dallas County
#73 of 82
#4
of 4
️ Lancaster
#4 of 4
#1
of 1
ZIP 75134
Best in ZIP

Nationally, Lancaster Nursing & Rehabilitation ranks 12888th out of 14,703 facilities (composite score: 56.9/100), placing it in the bottom 25% nationwide. Within TX, it ranks 1030th out of 1,177 nursing homes. In Lancaster, it ranks 4th out of 4 facilities. For 2026 staffing: total nurse hours rank #9,347 nationally and RN hours rank #3,031 nationally (#47 in TX).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 2.91 #12,259 / 14,703 #865 / 1,177 ⚠️ Bottom 25%
2023 3.28 #9,716 / 14,703 #509 / 1,177 Below average
2024 2.99 #12,559 / 14,703 #772 / 1,177 ⚠️ Bottom 25%
2025 2.84 #13,541 / 14,703 #999 / 1,177 ⚠️ Bottom 10%
2026 3.47 #9,347 / 14,703 #338 / 1,177 Below average

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 0.13 #13,975 / 14,703 #1,093 / 1,177 ⚠️ Bottom 5%
2023 0.22 #13,261 / 14,703 #863 / 1,177 ⚠️ Bottom 10%
2024 0.15 #13,980 / 14,703 #1,050 / 1,177 ⚠️ Bottom 5%
2025 0.37 #11,418 / 14,703 #556 / 1,177 ⚠️ Bottom 25%
2026 0.86 #3,031 / 14,703 #47 / 1,177 Top 25%

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Lancaster Nursing & Rehabilitation is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1999-10-12. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (972) 227-6066 or your local Medicaid office to verify current eligibility.

Lancaster Nursing & Rehabilitation holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 1 out of 5 stars. This is made up of three components: Health Inspection (1★), Staffing (4★), and Quality of Resident Care (2★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 56.9/100, placing it #12888 of 14703 facilities nationally and #1030 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Lancaster Nursing & Rehabilitation receives a reported average of 3 hours 28 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 52 minutes; Licensed Practical Nurse (LPN) — 51 minutes; Nurse Aide — 1 hour 45 minutes. On weekends, total nurse staffing is 3 hours 8 minutes per resident per day. The CMS Staffing Rating for this facility is 4 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 60.4%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 2 fine(s) totaling $55,760. 7 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 2 fine(s) totaling $55,760, and 0 Medicare payment denial(s). Total penalties: 2. The Total Weighted Health Survey Score is 185.5 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Lancaster Nursing & Rehabilitation ranks 12888th out of 14,703 facilities (composite score: 56.9/100), placing it in the bottom 25% nationwide. Within TX, it ranks 1030th out of 1,177 nursing homes. In Lancaster, it ranks 4th out of 4 facilities. For 2026 staffing: total nurse hours rank #9,347 nationally and RN hours rank #3,031 nationally (#47 in TX). Our composite quality score of 56.9/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Lancaster, visit: https://nursinghomesnearme.org/texas/lancaster/

Contact and Location

ADR
Address

1515 N Elm St, Lancaster, TX 75134
Get directions on Google Maps

TEL
LLC
Legal Name

LANCASTER I ENTERPRISES, LLC

MAP
Browse by Location

All Texas ·
Dallas County ·
Lancaster ·
ZIP 75134

Facility Details

Number of Certified Beds 120
Average Residents / Day 41 (34% occupancy)
Ownership Type For profit – Limited Liability company
Provider Type Medicare and Medicaid
County Dallas County, TX
City Lancaster, TX
ZIP Code 75134
Approved Since October 12, 1999
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 675810
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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