Millbrook Healthcare and Rehabilitation Center

1850 W Pleasant Run Rd, Lancaster, TX 75146 · CCN 676188 · 124 certified beds · Data as of 2026-07-01

CMS overall2 of 5CMS inspections3 of 5CMS staffing1 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

22 citation(s) appear in this facility's record, none at CMS's actual-harm or immediate-jeopardy levels in the last three years.

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Serious inspection findings

2023-11-29 — IMMEDIATE JEOPARDY (tag F0880, severity K)

Infection Control Deficiencies · correction not recorded in CMS data

Provide and implement an infection prevention and control program.

Staffing, from payroll records

Nursing hours / resident / day

2.43

state median 2.67

Weekend staffing gap

−10%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.04

registered nurses only

Contract (agency) staff

share of all nursing hours

Days with zero RN hours reported

with residents present

Nursing staff turnover

70%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

1 enforcement action(s), totaling $13,565 in fines.

Date	Type	Amount
2023-11-29	Fine	$13,565

Ownership

Ownership type: For profit - Limited Liability company. Part of the THE ENSIGN GROUP chain.

Other facilities under the same ownership, with their CMS overall ratings:

THE HEALTHCARE CENTER OF EASTVIEW (BIRMINGHAM, AL) — CMS overall2 of 5
Polaris Extended Care (ANCHORAGE, AK) — CMS overall2 of 5
THE HEALTH CENTER AT RESEARCH PARK (HUNTSVILLE, AL) — CMS overall1 of 5
POLARIS TRANSITIONAL CARE (ANCHORAGE, AK) — CMS overall3 of 5
Desert Terrace Healthcare Center (PHOENIX, AZ) — CMS overall3 of 5
PUEBLO SPRINGS REHABILITATION CENTER (TUCSON, AZ) — CMS overall2 of 5
CASAS ADOBES POST ACUTE REHAB CENTER (TUCSON, AZ) — CMS overall3 of 5
MISSION PALMS POST ACUTE (MESA, AZ) — CMS overall5 of 5

Full citation history

By severity: Potential for more than minimal harm: 21 · Immediate jeopardy: 1

Survey date	Tag	Category	Severity	Corrected
2025-12-03	F0550	Resident Rights Deficiencies	D	not recorded
2025-12-02	F0656	Resident Assessment and Care Planning Deficiencies	E	not recorded
2025-12-02	F0755	Pharmacy Service Deficiencies	E	not recorded
2025-12-01	F0695	Quality of Life and Care Deficiencies	E	not recorded
2025-09-09	F0628	Resident Rights Deficiencies	D	not recorded
2025-05-07	F0583	Resident Rights Deficiencies	D	not recorded
2025-05-07	F0755	Pharmacy Service Deficiencies	D	not recorded
2025-05-07	F0761	Pharmacy Service Deficiencies	D	not recorded
2025-02-11	F0550	Resident Rights Deficiencies	D	not recorded
2025-02-11	F0558	Resident Rights Deficiencies	E	not recorded
2025-02-11	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-02-11	F0677	Quality of Life and Care Deficiencies	D	not recorded
2025-02-11	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2025-02-11	F0880	Infection Control Deficiencies	E	not recorded
2024-10-11	F0584	Resident Rights Deficiencies	D	not recorded
2024-01-10	F0850	Administration Deficiencies	E	not recorded
2024-01-10	F0880	Infection Control Deficiencies	D	not recorded
2023-11-29	F0880	Infection Control Deficiencies	K	not recorded
2022-10-19	F0756	Pharmacy Service Deficiencies	E	not recorded
2022-10-19	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2022-10-19	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2022-10-19	F0880	Infection Control Deficiencies	D	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Millbrook Healthcare and Rehabilitation Center, Lancaster” at medicare.gov/care-compare.