Inspection History Overview

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Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

December 1, 2025 Complaint Investigation

September 9, 2025 Complaint Investigation

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.

✓ 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.

✓ 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.

✓ 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.

✓ Corrected: Feb 17, 2025
Tag 0558 E Feb 11, 2025

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Feb 17, 2025
Tag 0641 D Feb 11, 2025

Ensure each resident receives an accurate assessment.

✓ 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.

✓ 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.

✓ Corrected: Feb 17, 2025
Tag 0880 E Feb 11, 2025

Provide and implement an infection prevention and control program.

✓ Corrected: Feb 17, 2025

2024 1 violations

Tag 0880 D Jan 10, 2024

Provide and implement an infection prevention and control program.

✓ Corrected: Feb 5, 2024

2023 3 violations

Tag 0880 K Nov 29, 2023

Provide and implement an infection prevention and control program.

✓ 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.

✓ Corrected: Feb 11, 2023
Tag 0757 K Feb 10, 2023

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

✓ 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.

✓ 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.

✓ 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.

✓ Corrected: Oct 22, 2022
Tag 0880 D Oct 19, 2022

Provide and implement an infection prevention and control program.

✓ 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.

✓ Corrected: Aug 28, 2022
Tag 0880 D Aug 2, 2022

Provide and implement an infection prevention and control program.

✓ 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

✓ 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.

✓ 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.

✓ Corrected: Mar 6, 2022

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.

✓ 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.

✓ 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.

✓ 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.

✓ Corrected: Dec 17, 2020

2019 14 violations

Tag 0880 D Sep 4, 2019

Provide and implement an infection prevention and control program.

✓ 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.

✓ 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.

✓ 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.

✓ 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.

✓ 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.

✓ 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.

✓ Corrected: Jul 19, 2019
Tag 0814 F Jun 21, 2019

Dispose of garbage and refuse properly.

✓ 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.

✓ 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.

✓ 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.

✓ 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.

✓ 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.

✓ 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.

✓ Corrected: Apr 20, 2019

2018 9 violations

Tag 0645 C Jul 20, 2018

PASARR screening for Mental disorders or Intellectual Disabilities

✓ 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.

✓ Corrected: Aug 17, 2018
Tag 0804 E Jul 20, 2018

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

✓ 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.

✓ 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.

✓ Corrected: Aug 20, 2018
Tag 0880 E Jul 20, 2018

Provide and implement an infection prevention and control program.

✓ 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.

✓ 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.

✓ Corrected: Mar 20, 2018
Tag 0908 E Mar 7, 2018

Keep all essential equipment working safely.

✓ Corrected: Mar 20, 2018

2017 6 violations

Tag 0371 F Oct 10, 2017

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

✓ 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.

✓ 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.

✓ Corrected: Jul 15, 2017
Tag 0371 E Jun 15, 2017

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

✓ 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.

✓ Corrected: Jul 15, 2017
Tag 0514 E Apr 26, 2017

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

✓ Corrected: May 19, 2017
🏥 Facility Summary

Millbrook Healthcare and Rehabilitation Center is a 1-star nursing home in Lancaster, TX with 124 beds.

Most recent inspection: Data not available. No current violations on record.

📞 9722751900
📍 1850 W Pleasant Run Rd, Lancaster, TX
💵 Accepts Medicare and Medicaid
Data source: Centers for Medicare & Medicaid Services (CMS). Facility information updated daily. Star ratings range from 1 (much below average) to 5 (much above average).

Frequently Asked Questions About Millbrook Healthcare and Rehabilitation Center

What violations has Millbrook Healthcare and Rehabilitation Center received?
Millbrook Healthcare and Rehabilitation Center has 0 health and safety violation(s) documented by CMS inspections. All violation data comes from official Medicare inspection reports and is updated regularly from government sources.
What is the quality rating of Millbrook Healthcare and Rehabilitation Center?
Millbrook Healthcare and Rehabilitation Center has a 1-star rating out of 5 from CMS. This rating indicates the facility may have quality concerns that should be investigated further. The rating is based on health inspections, staffing levels, and quality measures.
When was Millbrook Healthcare and Rehabilitation Center last inspected?
Inspection reports are documented by state survey agencies and the Centers for Medicare & Medicaid Services (CMS). Reports typically lag 2-3 months behind the actual inspection date. Visit the facility's full profile page for detailed violation information and inspection history.
Is Millbrook Healthcare and Rehabilitation Center safe?
Safety at Millbrook Healthcare and Rehabilitation Center should be evaluated based on multiple factors: the facility's CMS rating, recent violation history, and personal visits. We recommend reviewing the complete inspection history, speaking with current residents and families, consulting healthcare professionals, and visiting in person before making placement decisions.
How do I contact Millbrook Healthcare and Rehabilitation Center?
Phone: 9722751900. Address: 1850 W Pleasant Run Rd, Lancaster, TX. For visiting hours and admission information, call the facility directly.
What services does Millbrook Healthcare and Rehabilitation Center offer?
Millbrook Healthcare and Rehabilitation Center is a skilled nursing facility with 124 beds. The facility accepts Medicare and Medicaid. For specific services like rehabilitation, memory care, or short-term recovery, contact the facility directly.
What are better facilities near Lancaster, TX?
Compare Millbrook Healthcare and Rehabilitation Center with other nursing homes in Lancaster, TX on our facilities page. Filter by star rating, bed count, and recent inspection results to find the best match for your needs.