LAKESHORE VILLAGE NURSING AND REHABILITATION
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 date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-04-22 | F0644, F0812, F0880 | Coordinate 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 |
| 2026-04-22 | F0732 | Post nurse staffing information every day. | D |
| 2026-03-03 | F0562 | Provide immediate access to any resident. | F |
| 2025-12-11 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2025-05-10 | F0580, F0692 | Immediately 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 |
| 2025-02-20 | F0803, F0812 | Ensure 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 |
| 2025-02-20 | F0557, F0558, F0561, F0806 | Honor 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 |
| 2025-02-20 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| 2024-09-10 | 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. | E |
| 2024-08-21 | F0607, F0609 | Develop 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 |
| 2024-06-29 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2024-05-16 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
| 2023-12-16 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | L |
| 2023-12-16 | F0726, F0770, F0880 | Ensure 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 |
| 2023-12-16 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2023-12-16 | F0812, F0868 | Procure 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 quarterly | F |
| 2023-12-16 | F0655, F0656, F0658, F0679, F0689, F0695, F0755, F0761, F0804, F0926 | Create 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 |
| 2023-12-16 | F0550, F0558, F0578, F0584, F0585, F0640, F0657, F0677, F0690, F0699, F0759, F0791, F0810, F0838, F0849 | Honor 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?
| Date | Type | Amount |
|---|---|---|
| 2025-05-10 | Fine | $23,593 |
| 2023-12-16 | Fine | $83,814 |
How is LAKESHORE VILLAGE NURSING AND REHABILITATION staffed relative to the TX average?
| Measure | This facility | TX average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.19384 | 3.38539 |
| Total nursing staff turnover (%) | 52.1 | 55.3 |
| Average number of residents per day | 118.8 | 75.8 |
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.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | FANNIN COUNTY HOSPITAL AUTHORITY, SANDERSON, CLARK | since 04/01/2022 |
| CORPORATE DIRECTOR | SHEDDY, THERESA | since 09/01/2016 |
| CORPORATE OFFICER | SANDERSON, CLARK | since 10/29/2012 |
| OPERATIONAL/MANAGERIAL CONTROL | WACO NURSING AND REHAB CENTER LLC, BEWSEY, MICHAEL, SHEDDY, THERESA | since 09/01/2016 |
Were you or a family member harmed at LAKESHORE VILLAGE NURSING AND REHABILITATION?