Lancaster Nursing & Rehabilitation
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 22 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Above-median deficiencies (15 vs median 8.0)
- High staff turnover (60%)
Bottom 25% in Texas · Meets national RN staffing standard · Above average staffing · Worst in CREATIVE SOLUTIONS IN HEALTHCARE chain · $55,760 in fines
What this means for your family
The facility's recent reviews show a much more positive trend regarding cleanliness and administrative communication. However, families must remain vigilant regarding nursing response times, as historical patterns of delayed assistance during emergencies and hygiene neglect are significant concerns.
Google Reviews
Google Reviews
22 reviews on Google“Families may find comfort in the facility's cleanliness and the helpfulness of the administrative staff, particularly Mrs. Lillian. However, there are serious, recurring allegations of neglect, including delayed responses to medical emergencies and poor hygiene management.”
Quality Themes
Tap a score for detailsStrengths
- Clean and odor-free environment
- Helpful and communicative administration
- Friendly and kind nursing staff
Concerns
- Delayed response to emergency calls and resident needs (mentioned by 3 reviewers)
- Issues with resident hygiene and incontinence care (mentioned by 2 reviewers)
- Medication management errors
Rating Trends
Tap a year to see what changed
Distribution · 22 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1I noticed some families have mentioned how communicative and helpful the administration team is; how do you keep families updated on a loved one's daily progress?
- 2What specific protocols do you have in place to ensure medication is administered accurately and on schedule every day?
- 3How does the nursing staff prioritize responding to call lights, especially during busy shifts or overnight hours?
- 4Can you tell me more about the routine for personal hygiene and incontinence care to ensure residents always feel clean and comfortable?
- 5What kind of daily activities or social programs are available to keep residents engaged and active within the community?
- 6Could you describe the dining experience, specifically regarding how much variety and nutritional balance is provided in the daily meal plans?
Personalized based on this facility's data
Key Review Excerpts
“When I took a tour of this facility, I was at ease because it was very clean and didn’t smell at all. The staff was extremely helpful and the admissions person, Lillian was very helpful either way the process for my mother.”
“Have a client stay there took them over 2 1/2 hours to respond to several emergency calls from his bed! I called the front desk stating that my clients (who is oxygen depen5) oxygen machine was failing multiple times and took them over 1 hour to get it solved!”
“My Mother who was only in the center for 48 hours, She was put in a diaper and was even told to do her business in that. She would ring for someone to put her on the bedside commode and it would take an hour for someone to come and assist.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 15 measures
8
measures
2
measures
5
measures
Residents whose walking got worse
Residents needing more daily help over time
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for pneumonia
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows concerning patterns with families filing frequent complaints triggering 23 of the 48 deficiencies found across 13 surveys. Recurring problems involve accident prevention and safety hazards, nursing staffing levels, and infection control. While all violations show correction dates, the persistent nature of safety issues and repeated complaint-driven inspections suggests ongoing care quality challenges that families should carefully investigate before placement decisions.
Mar 6, 2026Complaint1
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.
Nov 21, 2025Complaint1
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Aug 1, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Mar 5, 2025Complaint1
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.
Feb 21, 2025Complaint2
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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Oct 10, 2024Routine5
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Provide properly protected cooking facilities.
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Federal Penalties
Fine
Aug 1, 2025
$36,480
Fine
May 2, 2024
$20,074
Ownership & Operations
Who Operates This Facility
Lancaster I Enterprises, LLC
for profit
CREATIVE SOLUTIONS IN HEALTHCARE, INC
VICTORIA CISSE
Chain Affiliation
Creative Solutions in Healthcare
149 facilities nationwide
Chain avg rating: 2.7/5 · Rank 142 of 148 (Worst)
Ownership & Management
Owners
Honor X Enterprises, LLC
Owner · Organization
Blake, Gary
Owner (parent company)
Blake, Malisa
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
22 reviews from families & visitors
Official Website
Visit lancasternursingcare.com
Medicare data downloads
Original nursing home datasets
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