Lily Springs Rehabilitation and Healthcare Center
901 Central Texas Expwy · Lampasas, TX · 76550 · 5125568827
116 certified beds For profit - Individual Chain: Nexion Health
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $50,844 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
$50,844 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
64% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.49 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.39 | 0.55–0.75 |
| Weekend hours / resident-day | 3.14 | ≈ weekday level |
| Nursing turnover / year | 64% | median 45% |
| Fines (3-yr window) | 3 · $86,207 |
Inspection citations (55 in the current record)
-
Potential for harm · D January 7, 2026 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected January 31, 2026 · Resident Rights
-
Potential for harm · D November 26, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected December 5, 2025 · Resident Rights
-
Potential for harm · D November 26, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 5, 2025 · Quality of Life and Care
-
Potential for harm · D November 19, 2025 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected December 5, 2025 · Resident Rights
-
Potential for harm · D August 22, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 18, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E July 10, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected July 11, 2025 · Infection Control
-
Immediate jeopardy · J May 5, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 6, 2025 · Quality of Life and Care
-
Potential for harm · D May 5, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected May 6, 2025 · Resident Rights
-
Potential for harm · D May 5, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected May 6, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D May 5, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 6, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E May 5, 2025
Provide activities to meet all resident's needs.
Corrected May 6, 2025 · Quality of Life and Care
-
Potential for harm · E May 5, 2025
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected May 6, 2025 · Quality of Life and Care
-
Potential for harm · E May 5, 2025
Provide and implement an infection prevention and control program.
Corrected May 6, 2025 · Infection Control
-
Potential for harm · D April 12, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 13, 2025 · Resident Rights
-
Immediate jeopardy · J March 3, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 4, 2025 · Resident Assessment and Care Planning
-
Immediate jeopardy · J March 3, 2025 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected March 4, 2025 · Quality of Life and Care
-
Potential for harm · D March 3, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D March 3, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 4, 2025 · Pharmacy Service
-
Potential for harm · E March 3, 2025 · found via complaint
Employ staff that are licensed, certified, or registered in accordance with state laws.
Corrected March 4, 2025 · Administration
-
Potential for harm · D March 3, 2025 · found via complaint
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected March 4, 2025 · Infection Control
-
Potential for harm · E October 8, 2024 · found via complaint
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.
Corrected November 1, 2024 · Resident Rights
-
Potential for harm · D October 8, 2024 · found via complaint
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.
Corrected November 1, 2024 · Pharmacy Service
-
Potential for harm · D August 21, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 6, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D August 21, 2024 · found via complaint
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.
Corrected September 6, 2024 · Pharmacy Service
-
Potential for harm · D August 21, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 6, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 12, 2025 | Fine | $8,281 |
| March 3, 2025 | Fine | $42,563 |
| March 19, 2024 | Fine | $35,363 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455889 · certified since July 16, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.