Complaint Investigation

Millbrook Healthcare And Rehabilitation Center

September 9, 2025 · Lancaster, TX · 1850 W Pleasant Run Rd

Citations 1

CMS Rating 2/5

Beds 124

Provider ID 676188

Healthcare Facility

Millbrook Healthcare And Rehabilitation Center

Lancaster, TX · View full profile →

Inspection Summary

Millbrook Healthcare and Rehabilitation Center in Lancaster, TX — inspection on September 9, 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

FF0628

Resident Rights Deficiencies

Potential for More Than Minimal Harm

why she didn't do it or how she missed it.

Record review of the facility's Discharge Process policy, latest revision dated 07/2015, stated the following: It is the policy of this facility that the Social Service Designee and/or Case Manager, with consultation from the Interdisciplinary Team, shall provide a discharge planning service and process, for each resident admitted , that identifies and evaluates the resident's needs and assists him/her in moving from one environment to another.

The purpose of discharge planning is to ensure that each resident has a planned program of continuing care, which meets his/her post discharge plan of needs.

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 Lancaster, 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 Millbrook Healthcare and Rehabilitation Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

Millbrook Healthcare And Rehabilitation Center

Inspection Findings

Frequently Asked Questions

More Reports