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Millbrook Healthcare And Rehabilitation Center

  1. Skilled Nursing Home Facilities
  2. Texas
  3. Lancaster Skilled Nursing Home Facilities
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Reviews
Overall Rating 3.8 / 5.0 ★★★★★

  • Cheryl Dearborne
    ★★★★★ 2 weeks ago

    We moved from a facility in Houston, Texas in order to be closer to family. I have been very pleased with most aspects of my husband's care since he arrived. He has the perfect roommate, caring nurses and aids. Any issue I complained about was promptly attended to by the Administration and staff! It is a family atmosphere whenever I visit. The wound care professional is someone to which I would give the highest praises for her expertise!

  • Christopher Jeremiah
    ★★★★★ 3 months ago

    NOT a good facility!!!! Don't communicate well with the family unless you're asking questions all the time and they get annoyed when you question them. Not very secure, people walk in and out off the street and aren't question. My only regret is that my loved one wasn't moved out sooner! The rating on the website that are 5 star are mainly the employess that work there.....what does that tell you.....

  • J Morrow
    ★★★★★ 3 months ago

    Unless you have someone to stay with your love one 24-7, I would not recommend this place!

  • Sandra Ponce
    ★★★★★ 7 months ago

    I been here for 9years and I have always look forward in watching this facility improve every year. It's a great place to work and have elder grow and improve their wealth being.

  • Latasha English
    ★★★★★ 7 months ago

    I been at Millbrook for about 3 years. I really enjoy working with the elders and staff. Clean, nice, and friendly atmosphere

About Millbrook Healthcare And Rehabilitation Center

General Information

Legal Business NameNexion Health At Lancaster Inc
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJuly 25, 2008 (11 years)
Capacity124
Residents101
Percent Occupied81%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Millbrook Healthcare And Rehabilitation Center

Millbrook Healthcare And Rehabilitation Center was reviewed by Medicare to have a rating of 2 out of 5 stars.

About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Texas Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

October 10, 2017 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaintStore, cook, and serve food in a safe and clean way.

June 15, 2017 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionProvide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay.
ESomePotential for HarmComplaint+InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
ESomePotential for HarmHealth InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.

April 26, 2017 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.

October 17, 2015 - 4 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$59,930 fine

July 2, 2015 - 4 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$3,900 fine

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Millbrook Healthcare And Rehabilitation Center require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 10min
2hr 30min
ReportedExpected
CNA
40min
40min
ReportedExpected
LPN
45min
1hr 10min
ReportedExpected
RN
3hr 35min
4hr 20min
ReportedExpected
Total Nursing

This facility also provides approximately 25min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

73.7%
88.5%
87.8%
87.8%
93.1%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.5%
98.8%
97.7%
97.8%
92.0%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
36.4%
50.0%
52.3%
56.2%
49.5%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of low risk long-stay residents who lose control of their bowels or bladder
18.2%
14.8%
17.9%
18.4%
25.9%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of long-stay residents who received an antianxiety or hypnotic medication
37.3%
21.5%
20.6%
23.2%
20.7%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of long-stay residents whose ability to move independently worsened
12.0%
13.9%
13.8%
9.9%
16.8%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of long-stay residents who received an antipsychotic medication
31.0%
25.0%
19.5%
20.0%
18.7%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of long-stay residents whose need for help with daily activities has increased
6.3%
7.3%
5.8%
4.5%
5.8%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of long-stay residents who lose too much weight
0.0%
5.8%
5.6%
2.4%
6.2%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of high risk long-stay residents with pressure ulcers
6.0%
4.8%
2.2%
4.9%
4.8%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of long-stay residents who self-report moderate to severe pain
0.0%
0.0%
0.0%
0.0%
3.8%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of long-stay residents who have depressive symptoms
0.0%
0.0%
0.0%
0.0%
3.4%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of long-stay residents with a urinary tract infection
0.0%
1.2%
2.3%
2.2%
3.5%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of long-stay residents experiencing one or more falls with major injury
2.3%
0.0%
0.0%
0.7%
1.9%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.2%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

92.6%
91.4%
92.1%
82.8%
78.7%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
2.3%
65.5%
64.4%
64.4%
75.4%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
-
-
-
60.0%
Q4 2016Q1 2017Q2 2017Q3 2017TX
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
7.5%
5.4%
10.0%
23.3%
11.5%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of short-stay residents who self-report moderate to severe pain
2.8%
5.0%
6.4%
2.8%
2.7%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
1.1%
0.0%
0.0%
0.8%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of short-stay residents with pressure ulcers that are new or worsened



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