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Millbrook Healthcare And Rehabilitation Center

πŸ“ 1850 W Pleasant Run Rd, Lancaster, TX 75146 πŸ“ž (972) 275-1900 πŸ›οΈ 124 beds

Inspection History Overview

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 2 penalties totaling $15,000

$15,000
Oct 19, 2022

Fine

$15,000
Aug 2, 2022

Fine

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Health Violations by Year

2025 9 violations

Tag 0583 D May 7, 2025

Keep residents' personal and medical records private and confidential.

βœ“ Corrected: May 23, 2025
Tag 0755 D May 7, 2025

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: May 23, 2025
Tag 0761 D May 7, 2025

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

βœ“ Corrected: May 23, 2025
Tag 0550 D Feb 11, 2025

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Feb 17, 2025
Tag 0558 E Feb 11, 2025

Reasonably accommodate the needs and preferences of each resident.

βœ“ Corrected: Feb 17, 2025
Tag 0641 D Feb 11, 2025

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Feb 17, 2025
Tag 0677 D Feb 11, 2025

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Feb 17, 2025
Tag 0812 E Feb 11, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Feb 17, 2025
Tag 0880 E Feb 11, 2025

Provide and implement an infection prevention and control program.

βœ“ Corrected: Feb 17, 2025

2024 1 violations

Tag 0880 D Jan 10, 2024

Provide and implement an infection prevention and control program.

βœ“ Corrected: Feb 5, 2024
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2023 3 violations

Tag 0880 K Nov 29, 2023

Provide and implement an infection prevention and control program.

βœ“ Corrected: Dec 29, 2023
Tag 0580 K Feb 10, 2023

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Feb 11, 2023
Tag 0757 K Feb 10, 2023

Ensure each resident’s drug regimen must be free from unnecessary drugs.

βœ“ Corrected: Feb 11, 2023

2022 9 violations

Tag 0756 E Oct 19, 2022

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

βœ“ Corrected: Oct 22, 2022
Tag 0812 E Oct 19, 2022

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Oct 22, 2022
Tag 0842 D Oct 19, 2022

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Oct 22, 2022
Tag 0880 D Oct 19, 2022

Provide and implement an infection prevention and control program.

βœ“ Corrected: Oct 22, 2022
Tag 0812 E Aug 2, 2022

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Aug 28, 2022
Tag 0880 D Aug 2, 2022

Provide and implement an infection prevention and control program.

βœ“ Corrected: Aug 28, 2022
Tag 0655 D Jun 21, 2022

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

βœ“ Corrected: Jul 1, 2022
Tag 0689 G May 12, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: May 12, 2022
Tag 0812 E Feb 9, 2022

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Mar 6, 2022
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2021 4 violations

Tag 0644 D Nov 3, 2021

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

βœ“ Corrected: Nov 30, 2021
Tag 0657 D Sep 1, 2021

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Sep 3, 2021
Tag 0812 F Sep 1, 2021

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Sep 3, 2021
Tag 0689 D Apr 28, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2020 1 violations

Tag 0880 E Nov 17, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Dec 17, 2020
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2019 14 violations

Tag 0880 D Sep 4, 2019

Provide and implement an infection prevention and control program.

βœ“ Corrected: Sep 20, 2019
Tag 0914 D Sep 4, 2019

Provide bedrooms that don't allow residents to see each other when privacy is needed.

βœ“ Corrected: Sep 20, 2019
Tag 0689 D Jul 2, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Jul 5, 2019
Tag 0609 D Jun 21, 2019

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Jul 19, 2019
Tag 0693 D Jun 21, 2019

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

βœ“ Corrected: Jul 19, 2019
Tag 0755 D Jun 21, 2019

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Jul 19, 2019
Tag 0812 F Jun 21, 2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Jul 19, 2019
Tag 0814 F Jun 21, 2019

Dispose of garbage and refuse properly.

βœ“ Corrected: Jul 19, 2019
Tag 0842 D Jun 21, 2019

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Jul 19, 2019
Tag 0925 F Jun 21, 2019

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

βœ“ Corrected: Jul 19, 2019
Tag 0565 E May 10, 2019

Honor the resident's right to organize and participate in resident/family groups in the facility.

βœ“ Corrected: May 16, 2019
Tag 0677 E May 10, 2019

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: May 16, 2019
Tag 0693 D May 10, 2019

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

βœ“ Corrected: May 16, 2019
Tag 0550 D Apr 11, 2019

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Apr 20, 2019

2018 9 violations

Tag 0645 C Jul 20, 2018

PASARR screening for Mental disorders or Intellectual Disabilities

βœ“ Corrected: Aug 17, 2018
Tag 0755 F Jul 20, 2018

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Aug 17, 2018
Tag 0804 E Jul 20, 2018

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

βœ“ Corrected: Aug 20, 2018
Tag 0805 E Jul 20, 2018

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

βœ“ Corrected: Aug 20, 2018
Tag 0812 F Jul 20, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Aug 20, 2018
Tag 0880 E Jul 20, 2018

Provide and implement an infection prevention and control program.

βœ“ Corrected: Aug 17, 2018
Tag 0925 F Jul 20, 2018

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

βœ“ Corrected: Jul 20, 2018
Tag 0812 F Mar 7, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Mar 20, 2018
Tag 0908 E Mar 7, 2018

Keep all essential equipment working safely.

βœ“ Corrected: Mar 20, 2018
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2017 6 violations

Tag 0371 F Oct 10, 2017

Store, cook, and serve food in a safe and clean way.

βœ“ Corrected: Oct 20, 2017
Tag 0283 F Jun 15, 2017

Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay.

βœ“ Corrected: Jul 15, 2017
Tag 0315 E Jun 15, 2017

Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.

βœ“ Corrected: Jul 15, 2017
Tag 0371 E Jun 15, 2017

Store, cook, and serve food in a safe and clean way.

βœ“ Corrected: Jul 15, 2017
Tag 0425 E Jun 15, 2017

Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

βœ“ Corrected: Jul 15, 2017
Tag 0514 E Apr 26, 2017

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

βœ“ Corrected: May 19, 2017
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