Lakewest Rehabilitation and Skilled Care
Lakewest Rehabilitation and Skilled Care is a 118-bed nursing home in Dallas, Texas. CMS has certified it for Medicare and Medicaid since 2011-05-05. It averages 89.9 residents a day.
What harm was found in the violations cited at Lakewest Rehabilitation and Skilled Care?
CMS lists 44 health-inspection deficiencies for Lakewest Rehabilitation and Skilled Care, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-04-17.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-04-17 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K |
| 2026-04-17 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E |
| 2026-03-05 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E |
| 2026-03-05 | F0656, F0695 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide safe and appropriate respiratory care for a resident when needed. | D |
| 2026-01-14 | F0677, F0688, F0880 | Provide care and assistance to perform activities of daily living for any resident who is unable. / 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. / Provide and implement an infection prevention and control program. | E |
| 2026-01-14 | F0576, F0656, F0684, F0685, F0690, F0825 | Ensure residents have reasonable access to and privacy in their use of communication methods. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Assist a resident in gaining access to vision and hearing services. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide or get specialized rehabilitative services as required for a resident. | D |
| 2025-08-06 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D |
| 2025-06-13 | F0761 | 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. | D |
| 2025-06-11 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J |
| 2025-06-11 | F0584 | 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. | D |
| 2025-05-13 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
| 2025-03-21 | F0686, F0880 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide and implement an infection prevention and control program. | E |
| 2025-03-21 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D |
| 2025-02-24 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E |
| 2025-02-24 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2024-11-07 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2024-11-07 | F0677, F0755, F0880 | Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide and implement an infection prevention and control program. | E |
| 2024-11-07 | F0687, F0692, F0804 | Provide appropriate foot care. / Provide enough food/fluids to maintain a resident's health. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D |
| 2024-09-04 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D |
| 2024-08-29 | F0607, F0610 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Respond appropriately to all alleged violations. | D |
| 2023-10-19 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2023-10-19 | F0656, F0661 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D |
| 2023-10-05 | F0584, F0756, F0761, F0880 | 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. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / Provide and implement an infection prevention and control program. | E |
| 2023-10-05 | F0557, F0755, F0812 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D |
Why was Lakewest Rehabilitation and Skilled Care fined 2 times?
| Date | Type | Amount |
|---|---|---|
| 2026-04-17 | Fine | $11,730 |
| 2025-06-11 | Fine | $14,069 |
How is Lakewest Rehabilitation and Skilled Care staffed relative to the TX average?
| Measure | This facility | TX average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.19687 | 3.38539 |
| Total nursing staff turnover (%) | 71.7 | 55.3 |
| Average number of residents per day | 89.9 | 75.8 |
Who owns Lakewest Rehabilitation and Skilled Care, and what chain is it in?
Lakewest Rehabilitation and Skilled Care is registered with CMS as Government - Hospital district, operates under the legal business name DALLAS COUNTY HOSPITAL DISTRICT and belongs to the MOMENTUM SKILLED SERVICES chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | DALLAS COUNTY HOSPITAL DISTRICT | since 03/31/2017 |
| 5% OR GREATER MORTGAGE INTEREST | CARETRUST REIT INC, CTR PARTNERSHIP LP | since 05/01/2019 |
| CORPORATE DIRECTOR | BRADLEY, SHANNAN | since 12/11/2023 |
| CORPORATE OFFICER | CASTANEDA, EDMUNDO, CERISE, FREDERICK | since 01/10/2022 |
| OPERATIONAL/MANAGERIAL CONTROL | NEXT GEN P, LLC, THREADGILL, SHARLYN | since 05/01/2019 |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | MARTEL, TYLER, THREADGILL, FORREST, THREADGILL, MORGAN | since 03/28/2025 |
| ADP OF THE SNF | CARETRUST REIT INC, CTR PARTNERSHIP LP, DOTI, ANTHONY, SHOULDERS, MARQUITA | since 01/01/2024 |
Were you or a family member harmed at Lakewest Rehabilitation and Skilled Care?