Lancaster Nursing & Rehabilitation
1515 NORTH ELM STREET, Lancaster, TX, 75134-3241
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Creative Solutions In Healthcare
- Certified beds
- 120 · avg 41 residents/day
- Total nursing staff turnover
- 60.4% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 20% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $55,760 total
- Infection control citations
- 2
State licensing & capacity
- License number
- 312132
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 34 Medicare-only · 86 Medicaid/Medicare
- Current license effective
- July 1, 2027
- Current license expires
- July 1, 2030
- Initial license date
- January 1, 1979
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Lancaster I Enterprises, Llc (FOR-PROFIT CORPORATION)
- Operator / manager
- Creative Solutions In Healthcare, Inc
- Administrator
- Victoria Cisse
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.7 / 5.
Disclosed owners (11 on record)
- Lillian Stapleton
Adp of The Snf · since 2025
- Phillip e Silva
Adp of The Snf · since 2025
- Auston Clanton
Operational/managerial Control · since 2024
- Christopher Eamiguel
Operational/managerial Control · since 2024
- Creative Solutions in Healthcare Inc
Operational/managerial Control · 100% · since 2024
- Gary r Blake
Adp of The Snf · since 2024
+ 5 additional owners on the federal record.
Recent change of ownership
July 2024 (1 year ago) · acquired from Lancaster Ltc Partners Inc
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 36)
- D0644·Nov 21, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- J0689·Aug 1, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0622·Mar 5, 2025Complaint
Resident Rights Deficiencies
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.
- E0725·Feb 21, 2025Complaint
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- D0677·Feb 21, 2025Complaint
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E0880·Oct 10, 2024Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0758·Oct 10, 2024Complaint
Pharmacy Service Deficiencies
Implement 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 li…
- D0755·Oct 10, 2024Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Federal penalties
By year
- 20251 fine · $36K
- 20241 fine · $20K
Most recent events
- Aug 1, 2025Fine · $36K
- May 2, 2024Fine · $20K
Largest single fine on record: $36K.
Fire-safety citations
12 Life-Safety-Code citations on file. Most recent: Oct 10, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Lancaster Nursing & Rehabilitation is a 120-bed nursing home in Lancaster, Dallas County, managed by Creative Solutions In Healthcare. CMS rates it 1 star overall, with a 1-star health inspection rating and a 2-star quality-of-care rating — despite a 4-star staffing rating. Two CMS fines totaling $55,760 have been assessed. Only about 41 of 120 beds are currently occupied, a notably low figure for a licensed facility.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 4 stars — roughly the top 9% of Texas nursing homes on staffing. Each resident receives about 208 minutes of nursing care per day, above the Texas threshold for a 4-star-staffing facility (241 minutes is the 4-star floor, and 208 falls just below it, though the rating itself reflects CMS's own calculation). RN turnover is exceptionally low: about 2 in 10 registered nurses left in the past year, below the state's 25th-percentile cutoff — better than roughly three-quarters of nursing homes in Texas.
Two administrators have left in the past year. That kind of leadership churn affects how consistently care policies are set and followed, regardless of the frontline staffing picture.
CMS fines here total $55,760 across two citations — about 2.7 times the Texas median fine amount of $20,699, and roughly 30% of Texas facilities have no fines at all. The 1-star health inspection rating and 2-star quality-of-care rating sit alongside these fines in the record.
The facility is operating at roughly 34% of its licensed 120 beds — about 41 residents on a typical day. That level of low occupancy, paired with 1-star inspection and quality ratings and elevated fines, is a combination that warrants direct questions about what is driving it.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Cause of 1-star inspection rating
Ask what specific deficiencies drove the 1-star health inspection result and what corrective steps have been completed since.
Two administrators in one year
Two administrators left in the past 12 months — ask who is currently in the role, how long they have been in place, and whether another change is anticipated.
Details on the two CMS fines
Two fines totaling $55,760 are on record — ask what each citation was for and whether the underlying issues have been formally resolved with CMS.
Why occupancy is so low
Only about 41 of 120 beds are filled — ask whether the low census reflects a recent admission pause, discharge patterns, or another specific reason.
Quality scores versus staffing rating
Staffing rates 4 stars but quality of care rates 2 stars — ask how the facility monitors whether adequate staffing is translating into resident outcomes.
Family Council availability
The facility has a Resident Council but no Family Council on record — ask whether families have a structured forum to raise concerns and how those concerns are tracked.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.