Deficiency timeline
Lily Springs Rehabilitation and Healthcare Center
Dated inspection findings, penalties, and correction notes for this nursing home in Lampasas, TX. Newest events first.
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0656: Resident Assessment and Care Planning
Assessment & care planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Jun 19, 2026
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0557: Resident Rights
Resident rights
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected Jan 31, 2026
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0558: Resident Rights
Resident rights
Reasonably accommodate the needs and preferences of each resident.
Corrected Dec 5, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0677: Quality of Life and Care
Quality of life & care
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Dec 5, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0557: Resident Rights
Resident rights
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected Dec 5, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0656: Resident Assessment and Care Planning
Assessment & care planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Sep 18, 2025
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected Jul 11, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0609: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 6, 2025
- Class IImmediate jeopardy (J)cms
F0689: Quality of Life and Care
Quality of life & care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 6, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0679: Quality of Life and Care
Quality of life & care
Provide activities to meet all resident's needs.
Corrected May 6, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0741: Quality of Life and Care
Quality of life & care
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
- Class IIIPotential for more than minimal harm (E)cms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected May 6, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0558: Resident Rights
Resident rights
Reasonably accommodate the needs and preferences of each resident.
Corrected May 6, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0607: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected May 6, 2025
- Fine $8,281cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0580: Resident Rights
Resident rights
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected Apr 13, 2025
- Class IImmediate jeopardy (J)Complaint-relatedcms
F0678: Quality of Life and Care
Quality of life & care
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 Mar 4, 2025
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0839: Administration
Administration
Employ staff that are licensed, certified, or registered in accordance with state laws.
Corrected Mar 4, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0609: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Mar 4, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0755: Pharmacy Service
Pharmacy services
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Mar 4, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0883: Infection Control
Infection control
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected Mar 4, 2025
- Fine $42,563cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- Class IImmediate jeopardy (J)Complaint-relatedcms
F0656: Resident Assessment and Care Planning
Assessment & care planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Mar 4, 2025
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0620: Resident Rights
Resident rights
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 Nov 1, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0761: Pharmacy Service
Pharmacy services
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 Nov 1, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0656: Resident Assessment and Care Planning
Assessment & care planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Sep 6, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0761: Pharmacy Service
Pharmacy services
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 Sep 6, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0842: Resident Assessment and Care Planning
Assessment & care planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Sep 6, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0656: Resident Assessment and Care Planning
Assessment & care planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Aug 8, 2024
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0677: Quality of Life and Care
Quality of life & care
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Jul 14, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0688: Quality of Life and Care
Quality of life & care
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.
Corrected Jul 14, 2024
- Class IIActual harm (G)Complaint-relatedcms
F0550: Resident Rights
Resident rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected Jul 14, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0689: Quality of Life and Care
Quality of life & care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Apr 5, 2024
- Class IIActual harm (G)Complaint-relatedcms
F0550: Resident Rights
Resident rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected Apr 5, 2024
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0761: Pharmacy Service
Pharmacy services
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 Apr 5, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0677: Quality of Life and Care
Quality of life & care
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Apr 5, 2024
- Fine $35,363cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- Class IImmediate jeopardy (K)Complaint-relatedcms
F0686: Quality of Life and Care
Quality of life & care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Apr 12, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0637: Resident Assessment and Care Planning
Assessment & care planning
Assess the resident when there is a significant change in condition
Corrected Mar 8, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected Mar 8, 2024
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0725: Nursing and Physician Services
Nursing & physician services
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected Mar 8, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0584: Resident Rights
Resident rights
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.
Corrected Mar 8, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0550: Resident Rights
Resident rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected Mar 8, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0677: Quality of Life and Care
Quality of life & care
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Mar 8, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0761: Pharmacy Service
Pharmacy services
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 Mar 8, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0919: Environmental
Environment
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected Mar 8, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0641: Resident Assessment and Care Planning
Assessment & care planning
Ensure each resident receives an accurate assessment.
Corrected Mar 8, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0656: Resident Assessment and Care Planning
Assessment & care planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Mar 8, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0758: Pharmacy Service
Pharmacy services
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.
Corrected Mar 8, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0623: Resident Rights
Resident rights
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected Aug 16, 2023
- Class IIIPotential for more than minimal harm (E)cms
F0814: Nutrition and Dietary
Nutrition & dietary
Dispose of garbage and refuse properly.
Corrected Dec 27, 2022
- Class IIIPotential for more than minimal harm (E)cms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected Dec 27, 2022
- Class IIIPotential for more than minimal harm (E)cms
F0947: Nursing and Physician Services
Nursing & physician services
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected Dec 27, 2022
- Class IIIPotential for more than minimal harm (D)cms
F0644: Resident Assessment and Care Planning
Assessment & care planning
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected Dec 27, 2022
- Class IIIPotential for more than minimal harm (D)cms
F0761: Pharmacy Service
Pharmacy services
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 Dec 27, 2022
- Class IIIPotential for more than minimal harm (D)cms
F0842: Resident Assessment and Care Planning
Assessment & care planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Dec 27, 2022
- Class IIIPotential for more than minimal harm (E)cms
F0804: Nutrition and Dietary
Nutrition & dietary
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected Dec 27, 2022
- Class IIIPotential for more than minimal harm (E)cms
F0812: Nutrition and Dietary
Nutrition & dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Dec 27, 2022
- Class IIIPotential for more than minimal harm (E)cms
F0806: Nutrition and Dietary
Nutrition & dietary
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected Dec 27, 2022
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AHCA class rollups without individual citation dates appear as a single summary row. CMS nursing home deficiencies include survey date, tag, category, scope/severity, and fine amounts when published. Back to community profile