Lily Springs Rehabilitation and Healthcare Center

901 Central Texas Exp, Lampasas, TX 76550

Phone: 5125568827

CMS ratings and facility information

Lily Springs Rehabilitation and Healthcare Center is a Medicare-certified nursing facility in Lampasas, Lampasas County, Texas. CMS data for this profile was updated August 2026. Ratings and facility details can change; confirm current information with CMS and the facility.

CMS overall rating1 of 5 stars
Health inspection rating1 of 5
Staffing rating2 of 5
Quality measures rating3 of 5
Certified beds116
OwnershipFor profit - Individual
CMS certification number455889

Staffing

Total nurse hours per resident day3.53
RN hours per resident day0.53
Nurse aide hours per resident day2.25
Total nursing staff turnover percent57.6
RN turnover percent66.7

Resident outcome measures

MeasureValueUnitPeriod
Hospitalizations3.1events_per_1000_resident_days20250101-20251231
Emergency-department visits4.78events_per_1000_resident_days20250101-20251231
Falls with major injury2.9percent2025Q2-2026Q1
Pressure ulcers2.4percent2025Q2-2026Q1
Urinary tract infections1.27percent2025Q2-2026Q1
Antipsychotic medication use8.55percent2025Q2-2026Q1

Health inspection citations

Survey dateTagCitationSeverity
2025-05-050689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2025-05-050679Provide activities to meet all resident's needs.E
2025-05-050741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.E
2025-05-050880Provide and implement an infection prevention and control program.E
2025-05-050558Reasonably accommodate the needs and preferences of each resident.D
2025-05-050607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D
2025-05-050609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2024-01-310550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E
2024-01-310584Honor 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.E
2024-01-310677Provide care and assistance to perform activities of daily living for any resident who is unable.E
2024-01-310725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E
2024-01-310880Provide and implement an infection prevention and control program.E
2024-01-310637Assess the resident when there is a significant change in conditionD
2024-01-310641Ensure each resident receives an accurate assessment.D
2024-01-310656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2024-01-310758Implement 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.D
2024-01-310761Ensure 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.D
2024-01-310919Make sure that a working call system is available in each resident's bathroom and bathing area.D
2022-11-300804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2022-11-300806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.E
2022-11-300812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2022-11-300814Dispose of garbage and refuse properly.E
2022-11-300880Provide and implement an infection prevention and control program.E
2022-11-300947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.E
2022-11-300644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D
2022-11-300761Ensure 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.D
2022-11-300842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D

Penalties

DateTypeAmount
2025-04-12Fine,281
2025-03-03Fine,563
2024-03-19Fine,363

Ownership records

NameTypeRole
NEXION HEALTH OF OHI INCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST
NEXION HEALTH LEASING, INC.Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST
NEXION HEALTH, INC.Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST
BOLT, BRETTONIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST
KIRLEY, FRANCISIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST
MASSOODI, HOSHEMIndividualW-2 MANAGING EMPLOYEE
HERDRICH, WILLIAMIndividualCORPORATE DIRECTOR
KIRLEY, FRANCISIndividualCORPORATE DIRECTOR
LEE, BRIANIndividualCORPORATE DIRECTOR
RINER, MEERAIndividualCORPORATE DIRECTOR
KIRLEY, FRANCISIndividualCORPORATE OFFICER
LEE, BRIANIndividualCORPORATE OFFICER
RINER, MEERAIndividualCORPORATE OFFICER
NEXION HEALTH LEASING, INC.OrganizationOPERATIONAL/MANAGERIAL CONTROL
NEXION HEALTH, INC.OrganizationOPERATIONAL/MANAGERIAL CONTROL
KIRLEY, FRANCISIndividualOPERATIONAL/MANAGERIAL CONTROL
MASSOODI, HOSHEMIndividualOPERATIONAL/MANAGERIAL CONTROL

Compare nursing homes in Lampasas County, Texas.

Source: Centers for Medicare & Medicaid Services Care Compare data. Data snapshot: August 2026. Read Our Data & Methodology. This directory does not provide medical or legal advice.