LAKESHORE VILLAGE NURSING AND REHABILITATION

CCN 675438 · FANNIN COUNTY HOSPITAL AUTHORITY · Government - Hospital district · EDURO HEALTHCARE chain · 151 certified beds · Mc Lennan · TX


LAKESHORE VILLAGE NURSING AND REHABILITATION is a 151-bed nursing home in WACO, Texas. CMS has certified it for Medicare and Medicaid since 1994-12-22. It averages 118.8 residents a day.

What harm was found in the violations cited at LAKESHORE VILLAGE NURSING AND REHABILITATION?

CMS lists 52 health-inspection deficiencies for LAKESHORE VILLAGE NURSING AND REHABILITATION, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is L; the most recent health inspection was 2026-04-22.

Survey dateTagDeficiencySeverity
2026-04-22F0644, F0812, F0880Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.E
2026-04-22F0732Post nurse staffing information every day.D
2026-03-03F0562Provide immediate access to any resident.F
2025-12-11F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-05-10F0580, F0692Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide enough food/fluids to maintain a resident's health.J
2025-02-20F0803, F0812Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2025-02-20F0557, F0558, F0561, F0806Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Reasonably accommodate the needs and preferences of each resident. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.E
2025-02-20F0677Provide care and assistance to perform activities of daily living for any resident who is unable.D
2024-09-10F0761Ensure 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.E
2024-08-21F0607, F0609Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2024-06-29F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2024-05-16F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2023-12-16F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.L
2023-12-16F0726, F0770, F0880Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. / Provide timely, quality laboratory services/tests to meet the needs of residents. / Provide and implement an infection prevention and control program.K
2023-12-16F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2023-12-16F0812, F0868Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyF
2023-12-16F0655, F0656, F0658, F0679, F0689, F0695, F0755, F0761, F0804, F0926Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide activities to meet all resident's needs. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Have policies on smoking.E
2023-12-16F0550, F0558, F0578, F0584, F0585, F0640, F0657, F0677, F0690, F0699, F0759, F0791, F0810, F0838, F0849Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Reasonably accommodate the needs and preferences of each resident. / Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / 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. / Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / 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 care or services that was trauma informed and/or culturally competent. / Ensure medication error rates are not 5 percent or greater. / Provide or obtain dental services for each resident. / Provide special eating equipment and utensils for residents who need them and appropriate assistance. / Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D

Why was LAKESHORE VILLAGE NURSING AND REHABILITATION fined 2 times?

DateTypeAmount
2025-05-10Fine$23,593
2023-12-16Fine$83,814

How is LAKESHORE VILLAGE NURSING AND REHABILITATION staffed relative to the TX average?

MeasureThis facilityTX average
Total nurse staffing hours per resident per day3.193843.38539
Total nursing staff turnover (%)52.155.3
Average number of residents per day118.875.8

Who owns LAKESHORE VILLAGE NURSING AND REHABILITATION, and what chain is it in?

LAKESHORE VILLAGE NURSING AND REHABILITATION is registered with CMS as Government - Hospital district, operates under the legal business name FANNIN COUNTY HOSPITAL AUTHORITY and belongs to the EDURO HEALTHCARE chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTFANNIN COUNTY HOSPITAL AUTHORITY, SANDERSON, CLARKsince 04/01/2022
CORPORATE DIRECTORSHEDDY, THERESAsince 09/01/2016
CORPORATE OFFICERSANDERSON, CLARKsince 10/29/2012
OPERATIONAL/MANAGERIAL CONTROLWACO NURSING AND REHAB CENTER LLC, BEWSEY, MICHAEL, SHEDDY, THERESAsince 09/01/2016

Were you or a family member harmed at LAKESHORE VILLAGE NURSING AND REHABILITATION?