Lancaster Nursing & Rehabilitation: Staffing, Turnover, and Inspection Record
Lancaster Nursing & Rehabilitation is a 120-bed for-profit nursing home in Lancaster, Texas, part of Creative Solutions in Healthcare. In the CMS August 2026 release it reported 1.91 nurse aide hours per resident per day, 5% below the Texas average of 2.00, and 92.5% nursing staff turnover (Texas average 55.3%).
Lancaster Nursing & Rehabilitation
1515 N Elm StLancaster, TX 75134
Dallas County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Lancaster Nursing & Rehabilitation, nurse aides logged 1.91 hours per resident per day, 5% below the Texas average. With about 54 residents a day, that works out to roughly 102 aide hours a day, or about 13 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 14% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.91 | 2.00 | 2.32 |
| Licensed practical nurses | 0.89 | 0.95 | 0.86 |
| Registered nurses | 0.50 | 0.43 | 0.69 |
| All nursing staff | 3.30 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.84 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
92.5% of nursing staff at Lancaster Nursing & Rehabilitation left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 100.0%. 2 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jan 8, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 8 health deficiencies (Texas average 9.3). CMS lists 2 fines totaling $56,554 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Aug 1, 2025 | Fine | $36,480 |
| May 2, 2024 | Fine | $20,074 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Lancaster Nursing & Rehabilitation holds 1 of 5 overall; the Texas average is 2.6.
About Lancaster Nursing & Rehabilitation
- Ownership: For profit - Limited Liability company
- Chain: Creative Solutions in Healthcare, 149 homes
- Legal name: Lancaster I Enterprises, LLC
- Medicare and Medicaid certified since: Oct 12, 1999
- Councils: resident council
- Area: urban
Nursing homes near Lancaster Nursing & Rehabilitation
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Avir at Lancaster Lancaster | 0.3 | 110 | 1.83 | 3.36 | 63.2% | 2 | $42,851 |
| Millbrook Healthcare and Rehabilitation Center Lancaster | 2.0 | 124 | 1.80 | 3.08 | 69.7% | 1 | $13,565 |
| Windsor Gardens Lancaster | 2.7 | 150 | 1.91 | 3.43 | 55.5% | 2 | $13,877 |
| Desoto Nursing & Rehabilitation Center Desoto | 5.4 | 110 | 1.84 | 2.96 | 96.6% | 3 | $8,281 |
| Five Points Nursing and Rehabilitation Desoto | 5.6 | 120 | 1.86 | 3.03 | 91.0% | 2 | None |
| Park Village Healthcare and Rehabilitation Desoto · abuse citation | 5.7 | 150 | 1.71 | 3.05 | — | 2 | $221,389 |
| Methodist Transitional Care Center-Desoto LLC Desoto | 6.0 | 100 | 2.34 | 4.34 | 54.6% | 3 | $27,993 |
| Red Oak Health and Rehabilitation Center Red Oak | 6.0 | 144 | 1.80 | 2.93 | 68.9% | 3 | $12,035 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
Explore next
Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.