Complaint Investigation

Lily Springs Rehabilitation And Healthcare Center

August 22, 2025 · Lampasas, TX · 901 Central Texas Expwy

Citations 1

CMS Rating 1/5

Beds 116

Provider ID 455889

Healthcare Facility

Lily Springs Rehabilitation And Healthcare Center

Lampasas, TX · View full profile →

Inspection Summary

Lily Springs Rehabilitation and Healthcare Center in Lampasas, TX — inspection on August 22, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0656

Resident Assessment and Care Planning Deficiencies

Potential for More Than Minimal Harm

Review of Facility Care Plans, Comprehensive Person-Centered dated January 2023 reflected policy statement A comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is developed and implemented for each resident.

The comprehensive person-centered care plan will include measurable objective and time frames, describe the services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychological well-being, describe serviced that would otherwise be provided for the above, but are not provided due to the resident exercising his or her rights, including the right to refuse treatment.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?

F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.

Were these violations corrected?

Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.

How often do nursing home inspections happen?

CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.

What should families do about these violations?

Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Lampasas, TX, (5) Report new concerns to state authorities.

Where can I see the full inspection report?

Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Lily Springs Rehabilitation and Healthcare Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

Lily Springs Rehabilitation And Healthcare Center

Inspection Findings

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