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.

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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%.

Score breakdown

Inspection record 30% of score 24
Serious harm & abuse 20% 40
Staffing 20% 56
Federal penalties 15% 38
Trend 10% 85
Context 5% 100

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-day3.493.48 min · 4.1 strong
RN hours / resident-day0.390.55–0.75
Weekend hours / resident-day3.14≈ weekday level
Nursing turnover / year64%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

DateTypeAmount / length
April 12, 2025Fine$8,281
March 3, 2025Fine$42,563
March 19, 2024Fine$35,363

Family & resident reviews — a separate signal, never mixed into the score

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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.