For profit - Corporation · 116 certified beds · CMS number 455889
Lily Springs Rehabilitation and Healthcare Center, Lampasas, TX
CMS records 52 health deficiencies at Lily Springs Rehabilitation and Healthcare Center in Lampasas, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jun 24, 2026. The highest severity cited is K (immediate jeopardy to resident health or safety). 4 citations were at the immediate jeopardy level. CMS lists 3 fines totaling $86,207 in the last three years.
- 52deficiencies, 3 cycles (TX median 25)
- 11in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $86,207fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Lily Springs Rehabilitation and Healthcare Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Lily Springs Rehabilitation and Healthcare Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (11 deficiencies)
Standard inspection Jun 24, 2026. CMS counts 11 health deficiencies and 1 fire safety deficiency in this cycle.
Jun 24, 2026 · Standard inspection
6 deficiencies, highest E
F926 · Smoking policies
Requirement cited (CMS): Have policies on smoking.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 15, 2026
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 15, 2026
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 15, 2026
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 15, 2026
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 15, 2026
F577 · Seeing inspection results
Requirement cited (CMS): Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- Severity
- C No actual harm, potential for minimal harm, widespread
- Status
- Correction date Jul 15, 2026
May 19, 2026 · Complaint inspection
1 deficiency, highest D
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 19, 2026
Jan 7, 2026 · Complaint inspection
1 deficiency, highest D
F557 · Respect and personal belongings
Requirement cited (CMS): Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 31, 2026
Nov 26, 2025 · Complaint inspection
2 deficiencies, highest D
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 5, 2025
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 5, 2025
Nov 19, 2025 · Complaint inspection
1 deficiency, highest D
F557 · Respect and personal belongings
Requirement cited (CMS): Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 5, 2025
Previous cycle: 18 deficiencies (standard inspection May 5, 2025)
Standard inspection May 5, 2025. CMS counts 18 health deficiencies and 5 fire safety deficiencies in this cycle.
Aug 22, 2025 · Complaint inspection
1 deficiency, highest D
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 18, 2025
Jul 10, 2025 · Complaint inspection
1 deficiency, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 11, 2025
May 5, 2025 · Standard inspection
7 deficiencies, highest J
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 6, 2025
F741 · Staff skilled in behavioral health
Requirement cited (CMS): Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 6, 2025
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date May 6, 2025
F679 · Activities program
Requirement cited (CMS): Provide activities to meet all resident's needs.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 6, 2025
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 6, 2025
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 6, 2025
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 6, 2025
Apr 12, 2025 · Complaint inspection
1 deficiency, highest D
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 13, 2025
Mar 3, 2025 · Complaint inspection
6 deficiencies, highest J
F883 · Flu and pneumonia vaccines
Requirement cited (CMS): Develop and implement policies and procedures for flu and pneumonia vaccinations.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 4, 2025
F839 · Licensed and qualified staff
Requirement cited (CMS): Employ staff that are licensed, certified, or registered in accordance with state laws.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 4, 2025
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 4, 2025
F678 · CPR and basic life support
Requirement cited (CMS): Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Mar 4, 2025
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Mar 4, 2025
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 4, 2025
Oct 8, 2024 · Complaint inspection
2 deficiencies, highest E
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 1, 2024
F620 · Admissions policy rules
Requirement cited (CMS): Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 1, 2024
Earlier cycle: 23 deficiencies (standard inspection Jan 31, 2024)
Standard inspection Jan 31, 2024. CMS counts 23 health deficiencies and 1 fire safety deficiency in this cycle.
Aug 21, 2024 · Complaint inspection
3 deficiencies, highest D
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 6, 2024
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 6, 2024
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 6, 2024
Jul 19, 2024 · Complaint inspection
1 deficiency, highest D
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 8, 2024
Jun 13, 2024 · Complaint inspection
3 deficiencies, highest G
F688 · Range of motion and mobility
Requirement cited (CMS): Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 14, 2024
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 14, 2024
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date Jul 14, 2024
Apr 4, 2024 · Complaint inspection
4 deficiencies, highest G
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 5, 2024
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 5, 2024
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 5, 2024
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date Apr 5, 2024
Mar 19, 2024 · Complaint inspection
1 deficiency, highest K
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Apr 12, 2024
Jan 31, 2024 · Standard + complaint inspection
11 deficiencies, highest E
F919 · Working call system
Requirement cited (CMS): Make sure that a working call system is available in each resident's bathroom and bathing area.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 8, 2024
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 8, 2024
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 8, 2024
F758 · Psychotropic drug safeguards
Requirement cited (CMS): Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 8, 2024
F725 · Enough nursing staff every shift
Requirement cited (CMS): Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 8, 2024
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 8, 2024
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 8, 2024
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 8, 2024
F637 · Reassessment after a significant change
Requirement cited (CMS): Assess the resident when there is a significant change in condition
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 8, 2024
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 8, 2024
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 8, 2024
Tags cited in more than one inspection
9 tags cited on more than one inspection date at Lily Springs Rehabilitation and Healthcare Center; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F656 Comprehensive person-centered care plan | 7 | Jun 24, 2026; May 19, 2026; Aug 22, 2025; Mar 3, 2025; Aug 21, 2024; Jul 19, 2024; Jan 31, 2024 |
| F677 Help with daily care | 4 | Nov 26, 2025; Jun 13, 2024; Apr 4, 2024; Jan 31, 2024 |
| F761 Drug labeling and secure storage | 4 | Oct 8, 2024; Aug 21, 2024; Apr 4, 2024; Jan 31, 2024 |
| F880 Infection prevention and control program | 4 | Jun 24, 2026; Jul 10, 2025; May 5, 2025; Jan 31, 2024 |
| F550 Dignity and the right to exercise rights | 3 | Jun 13, 2024; Apr 4, 2024; Jan 31, 2024 |
| F557 Respect and personal belongings | 2 | Jan 7, 2026; Nov 19, 2025 |
| F558 Accommodating individual needs and preferences | 2 | Nov 26, 2025; May 5, 2025 |
| F609 Reporting suspected abuse and crimes | 2 | May 5, 2025; Mar 3, 2025 |
| F689 Accident prevention and supervision | 2 | May 5, 2025; Apr 4, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Apr 12, 2025 | Fine | $8,281 |
| Mar 3, 2025 | Fine | $42,563 |
| Mar 19, 2024 | Fine | $35,363 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.53 h (above the Texas median of 3.27 h)
- RN hours per resident per day
- 0.53 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 3.22 h
- Nursing staff turnover
- 57.6% (Texas median 52.1%)
- Administrators who left
- 1
- CMS overall rating
- 1 of 5
- Health inspection rating
- 1 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 3 of 5
CMS figures for Lily Springs Rehabilitation and Healthcare Center, copied as published; Texas medians are ours.
Facility details
- Address
- 901 Central Texas Exp, Lampasas, TX 76550
- Phone
- (512) 556-8827
- County
- Lampasas
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Nexion Health
- Certified beds
- 116
- Average residents per day
- 67.6
- In Medicare/Medicaid since
- Jul 16, 1990
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How are a resident's goals and preferences written into the care plan? (F656, cited 7 times)
- How often do residents who need help get assistance with bathing, grooming, and mouth care? (F677, cited 4 times)
- How are medications stored and secured on each unit? (F761, cited 4 times)
- How do staff track and report infections among residents? (F880, cited 4 times)
Other nursing homes in Lampasas and the same chain
- Lampasas Nursing and Rehabilitation Center
Lampasas · 17 deficiencies - Caraday of Lampasas
Lampasas · 14 deficiencies - Terrell Healthcare Center
Terrell · 93 deficiencies - North Star Ranch Rehabilitation and Healthcare Cen
Bonham · 61 deficiencies - Duncanville Healthcare and Rehabilitation Center
Duncanville · 58 deficiencies - Village Creek Rehabilitation and Nursing Center
Lumberton · 38 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.