Lily Springs Rehabilitation and Healthcare Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 79 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 (20 vs median 8.0)
- High staff turnover (59%)
- High RN turnover (62%)
Bottom 25% in Texas · Below recommended RN staffing · Above average staffing · Worst in NEXION HEALTH chain · $100,728 in fines
What this means for your family
This facility offers an exceptionally warm and caring environment with highly praised social workers and administrative staff. However, families should exercise extreme caution regarding medication management and closely monitor the responsiveness of nursing staff during off-hours, as recent reviews indicate significant lapses in care and communication.
Google Reviews
Google Reviews
79 reviews analyzed“Lily Springs is highly regarded by many families for its warm, family-like atmosphere and a compassionate social work and administrative team. However, some families have reported serious concerns regarding medication management, communication lapses, and the noise levels within the new secure memory care unit.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive nursing staff
- Supportive social work and administrative leadership
- Clean and well-maintained facility
- Engaging resident activities and programs
Concerns
- Issues with medication management and unauthorized changes (mentioned by 2 reviewers)
- Loud and unruly environment in the memory care unit
- Inconsistent communication with family members (mentioned by 2 reviewers)
- Neglect regarding hygiene and basic care needs (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
The owner uses highly repetitive, templated responses for negative reviews, almost exclusively directing complainants to a specific VP of Compliance via a phone number. Positive reviews receive more personalized, warm acknowledgments.
Questions for Your Tour
- 1It is wonderful to see how clean and well-maintained the facility looks; how do you ensure this level of care is consistent across all resident rooms?
- 2With the nursing staff being so highly praised for their compassion, what specific protocols do you have in place to ensure medication changes are always communicated clearly to the family?
- 3How do you manage the environment in the memory care unit to ensure it remains a calm and peaceful space for residents?
- 4We would love to hear more about the daily activities and programs available to keep residents engaged and socialized.
- 5How does the clinical team handle medical emergencies or sudden changes in a resident's health after regular business hours?
- 6What is the process for keeping family members updated on a loved one's daily care and any changes in their condition?
Personalized based on this facility's data
Key Review Excerpts
“The staff took care of everything, the only thing I had to do was to collect his personal belongings and walk away.”
“The secure unit is loud and unruly. I witnessed patients striking caregivers and throwing plates/cups/foods”
“The social worker Chelsea is phenomenal at this facility! She delivers top notch care and services to those she engages with!”
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 · 17 measures
8
measures
6
measures
3
measures
Residents needing more daily help over time
Residents whose walking got worse
Residents with depression symptoms
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows concerning patterns with families filing 30 complaints that triggered federal inspections, resulting in 68 total deficiencies across 18 surveys. The most recurring problems involve medication management, resident rights violations, and care planning failures. Issues persist across multiple years, with recent violations in 2025 and 2026 including failure to report suspected abuse and inadequate daily living assistance. While the facility reports correcting deficiencies, the high volume of family complaints suggests ongoing quality concerns that warrant careful consideration during your visit.
Jan 7, 2026Complaint1
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Nov 26, 2025Complaint2
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Nov 19, 2025Complaint1
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Aug 22, 2025Complaint1
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Jul 10, 2025Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
May 5, 2025Routine12
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Federal Penalties
Fine
Apr 12, 2025
$8,281
Fine
Mar 3, 2025
$42,563
Fine
Mar 19, 2024
$35,363
Ownership & Operations
Who Operates This Facility
Nexion Health at Lampasas, INC
for profit
NEXION HEALTH AT LAMPASAS, INC
MARTHA PADDIE
Chain Affiliation
Nexion Health
52 facilities nationwide
Chain avg rating: 2.9/5 · Rank 22 of 26 (Worst)
Ownership & Management
Owners
Nexion Health of Ohi INC
Owner · Organization
Nexion Health Leasing, INC.
Owner (parent company) · Organization
Nexion Health, INC.
Owner (parent company) · Organization
Bolt, Bretton
Owner (parent company)
Kirley, Francis
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
79 reviews from families & visitors
Official Website
Visit nexion-health.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 4 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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