Avir at Lancaster
Lancaster · 0.3 mi · 110 beds
Citations0Substantiated0
Lancaster Nursing & Rehabilitation
1515 N Elm St, Lancaster, TX, 75134
Nursing home120 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 15 deficiencies against Lancaster Nursing & Rehabilitation in Lancaster, Texas at its most recent standard inspection on 2024-10-10, 12 of them arising from complaints. 3 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 2 times, totalling $56,554. Medicare rates it 1 out of 5 overall.
1 / 5Medicare overall rating
120certified beds
15deficiencies at the last inspection
3immediate-jeopardy findings on record
0actual-harm findings on record
2federal fines, $56,554
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.3
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.32
Potential for minimal harmThe least serious band.2
Most recentCDJDEDEEEEEEDDDDDCKK
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
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.
Resident Rights Deficiencies · F0575 · 2026-03-06 · from a complaint · No actual harm, potential for minimal harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · F0644 · 2025-11-21 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2025-08-01 · from a complaint · Immediate jeopardy to resident health or safety
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.
Resident Rights Deficiencies · F0622 · 2025-03-05 · from a complaint · No actual harm, potential for more than minimal harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · F0725 · 2025-02-21 · from a complaint · No actual harm, potential for more than minimal harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · F0677 · 2025-02-21 · from a complaint · No actual harm, potential for more than minimal harm
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights Deficiencies · F0585 · 2024-10-10 · from a complaint · No actual harm, potential for more than minimal harm
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0603 · 2024-10-10 · from a complaint · No actual harm, potential for more than minimal harm
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · F0679 · 2024-10-10 · standard survey · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2024-10-10 · standard survey · No actual harm, potential for more than minimal harm
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 limited.
Pharmacy Service Deficiencies · F0758 · 2024-10-10 · from a complaint · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2024-10-10 · from a complaint · No actual harm, potential for more than minimal harm
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · F0584 · 2024-10-10 · from a complaint · No actual harm, potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2024-10-10 · from a complaint · No actual harm, potential for more than minimal harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0610 · 2024-10-10 · from a complaint · No actual harm, potential for more than minimal harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · F0677 · 2024-10-10 · from a complaint · No actual harm, potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2024-10-10 · from a complaint · No actual harm, potential for more than minimal harm
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies · F0851 · 2024-10-10 · standard survey · No actual harm, potential for minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2024-05-02 · from a complaint · Immediate jeopardy to resident health or safety
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · F0725 · 2024-05-02 · from a complaint · Immediate jeopardy to resident health or safety
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below1 of 5
Health inspectionBased on the last three inspection cycles1 of 5
StaffingNurse hours per resident, adjusted for how sick residents are1 of 5
Quality measuresResident outcomes reported by the home2 of 5
Nurse hours per resident per dayReported by the home to CMS3.30331
Nursing staff turnoverShare of nursing staff who left in a year92.5%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS2
Total fined$56,554
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one2
Ownership
Who owns Lancaster Nursing & Rehabilitation
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| HONOR X ENTERPRISES, LLC | Organization | NOT APPLICABLE | since 07/01/2024 |
| BLAKE, GARY | Individual | NOT APPLICABLE | since 07/01/2024 |
| BLAKE, MALISA | Individual | NOT APPLICABLE | since 07/01/2024 |
| HUGGINS, LINDA | Individual | NOT APPLICABLE | since 07/01/2024 |
| CREATIVE SOLUTIONS IN HEALTHCARE INC | Organization | NOT APPLICABLE | since 07/01/2024 |
| LANCASTER I ENTERPRISES, LLC | Organization | NOT APPLICABLE | since 07/01/2024 |
| BLAKE, GARY | Individual | NOT APPLICABLE | since 07/01/2024 |
| BLAKE, MALISA | Individual | NOT APPLICABLE | since 07/01/2024 |
| CLANTON, AUSTON | Individual | NOT APPLICABLE | since 07/01/2024 |
| EAMIGUEL, CHRISTOPHER | Individual | NOT APPLICABLE | since 07/01/2024 |
| HUGGINS, LINDA | Individual | NOT APPLICABLE | since 07/01/2024 |
| WILLIG, ZACHARY | Individual | NOT APPLICABLE | since 07/01/2024 |
Part of the CREATIVE SOLUTIONS IN HEALTHCARE group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Millbrook Healthcare and Rehabilitation Center
Lancaster · 1.9 mi · 124 beds
Citations0Substantiated0
Windsor Gardens
Lancaster · 2.7 mi · 150 beds
Citations0Substantiated0
Desoto Nursing & Rehabilitation Center
Desoto · 5.3 mi · 110 beds
Citations0Substantiated0
Five Points Nursing and Rehabilitation
Desoto · 5.5 mi · 120 beds
Citations0Substantiated0
Park Village Healthcare and Rehabilitation
Desoto · 5.6 mi · 150 beds
Citations0Substantiated0
Contact
Ask Lancaster Nursing & Rehabilitation a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 675810.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction