Lancaster Nursing & Rehabilitation
1515 N Elm St, Lancaster, TX, 75134
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Order the reportFederal 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 June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Creative Solutions In Healthcare
- Certified beds
- 120 · avg 46 residents/day
- Total nursing staff turnover
- 94.2% — higher than most Texas nursing homesTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 71.4% — higher than most Texas nursing homesTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 3 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $56,554 total
- Infection control citations
- 2
Medicare certification
- CMS Certification Number
- 675810
- Certified beds
- 120 beds · avg 46 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Lancaster I Enterprises, Llc
- Chain affiliation
- Creative Solutions In Healthcare
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.3 / 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
Operational/managerial Control · since 2024
+ 5 additional owners on the federal record.
Recent change of ownership
July 2024 (2 years 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 May 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 37)
- C0575·Mar 6, 2026Complaint
Resident Rights Deficiencies
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.
- 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…
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 Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Lancaster Nursing & Rehabilitationinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.