Millbrook Healthcare And Rehabilitation Center

1850 W Pleasant Run Rd, Lancaster, TX 75146 9722751900

Overall Rating

★☆☆☆☆ Poor 1 out of 5 stars

Key Metrics

Health Inspection 2/5
Staffing 1/5
Quality Measures 4/5
Certified Beds 124
Avg Residents/Day 80.3
Total Penalties 1
Total Fines $13,565

Penalty History

Date Type Fine
Nov 29, 2023 Fine $13,565

Recent Health Citations

Citation Dec 3, 2025

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Scope/Severity: D
Citation Dec 2, 2025

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Scope/Severity: E
Citation Dec 2, 2025

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Scope/Severity: E
Citation Dec 1, 2025

Provide safe and appropriate respiratory care for a resident when needed.

Scope/Severity: E
Citation Sep 9, 2025

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Scope/Severity: D

Staffing Detail

RN Hours/Resident/Day
0.15
Total Nurse Hours/Resident/Day
3.16
CNA Hours/Resident/Day
1.89
Weekend Nurse Hours
2.63

Turnover Rates

Total Nurse Turnover 65.8%
Admin Turnover 0.0%

Quality Measures

Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

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