Millbrook Healthcare And Rehabilitation Center
1850 W Pleasant Run Rd, Lancaster, TX 75146 · Dallas County
For-profit · 124 certified beds · 63% occupancy · (972) 275-1900
The U.S. government (CMS) rates Millbrook Healthcare And Rehabilitation Center 2 out of 5 stars overall — below average. Its nurse staffing is 6% below the Texas median. Inspectors cited it for 1 immediate-jeopardy finding in recent inspection cycles.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality — and the number pay-to-play referral sites rarely show you.
3.08 nurse hours per resident per day. 6% below the Texas median of 3.27.
Nursing staff turnover: 69.7%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited — the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0656 · Dec 2, 2025ComplaintCorrected Dec 3, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0755 · Dec 2, 2025ComplaintCorrected Dec 3, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
- Potential for harmTag F0695 · Dec 1, 2025ComplaintCorrected Dec 2, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
- Potential for harmTag F0558 · Feb 11, 2025Corrected Feb 17, 2025
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
- Potential for harmTag F0812 · Feb 11, 2025Corrected Feb 17, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0880 · Feb 11, 2025Corrected Feb 17, 2025
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0550 · Dec 3, 2025ComplaintCorrected Dec 4, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
- Potential for harmTag F0628 · Sep 9, 2025ComplaintCorrected Sep 26, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies
- Potential for harmTag F0550 · Feb 11, 2025Corrected Feb 17, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
- Potential for harmTag F0641 · Feb 11, 2025Corrected Feb 17, 2025
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Showing the 10 most recent and serious of 22 findings. See the full inspection history on Medicare.gov.
Ownership
Part of the The Ensign Group chain (346 facilities), chain average overall rating 3.2★.