8707 Lakeside Parkway, San Antonio, TX 78245 · Bexar County · (210) 510-3200
118 certified beds, about 112 residents a day · Government - Hospital district · Medicare and Medicaid since 2012
CMS Care Compare ratings, data as of September 1, 2026 · CCN 676325 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on July 31, 2025, inspectors cited 4 health deficiencies (the Texas average is 9.4, the national average 9.2).
Of 23 health citations since April 2023, 3 were rated as actual harm or immediate jeopardy to residents (3 immediate jeopardy).
CMS lists 1 fine totaling $14,611 in the last three years; the largest was $14,611, and the latest is dated February 16, 2024.
Nurses and nurse aides worked 3.33 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.49 of those hours.
36.8% of nursing staff left within the year CMS measured (Texas average 55.3%).
CMS links it to The Ensign Group, an affiliated group of 344 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 23 health citations on file.
Inspectors wroteBased on observation, interview and record review the facility failed to develop and implement a comprehensive person-centered care plan that includes measurable objectives and time frames to meet a resident's medical and nursing needs to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 1 of 4 residents (Residents #2) reviewed for comprehensive care plans in that: The facility failed to care plan Resident #2's abductor wedge that was needed for her after hospitalization care. This failure could place residents at risk for not receiving care interventions.
Inspectors wroteBased on interviews and record reviews the facility failed to ensure, in accordance with accepted professional standards and practices, complete, accurately documented, readily accessible, and systemically organized medical records for each Resident, for 1 of 4 residents (Resident # 2) reviewed for accurate records. The facility failed to obtain an order Resident #2's physician for the use of the abductor wedge. This failure could place residents at risk for receiving care interventions without physicians' orders.
Inspectors wroteBased on observation, interviews and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen sanitation. 1. 1 container of an orange juice cup was sitting on top of a box of orange juice and was partially opened. 2. A box of graham cracker tart shells was open and the individual shells were not covered. 3. A box of vanilla ice cream cups was open, not dated and contained cups that had opened and spilled out into the cardboard box. 4. A box of strawberries in the freezer was open and the plastic wrap around the strawberries was torn, exposing the strawberries to the air. 5. An individually wrapped glazed donut was in a plastic baggie with smeared marks at the top where the Date and Contents line was located. 6. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents have a right to personal privacy for 1 of 6 residents (Resident #89) reviewed for privacy, in that: The facility failed on 7/30/2025 when CNA A and RA B did not completely close Resident #89's privacy curtain while providing incontinent care. This deficient practice could place residents at-risk of loss of dignity due to lack of privacy.
Inspectors wroteBased on interview and record review the facility failed to ensure the resident Minimum Data Set (MDS) assessment accurately reflected the resident's status for 2 (Resident #48 and Resident #84) of 5 residents reviewed for accuracy of assessments. 1. The facility failed to ensure Resident #48 was coded on his annual MDS assessment dated [DATE] as receiving an antipsychotic medication. 2. The facility failed to ensure Resident #84 was coded on his quarterly MDS assessment dated [DATE] as receiving an antipsychotic medication. This failure could place residents at risk for improper or incorrect care and services necessary for their physical, mental, and psychosocial well-being.
Inspectors wroteBased on observation, interviews, and record reviews, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable disease and infection for 1 of 6 residents (Resident #86) reviewed for infection control, in that: While providing colostomy care for Resident #86, LVN C failed to use proper infection control. These deficient practices could place residents at-risk for infection due to improper care practices.
Inspectors wroteBased on observations, interview and record review, the facility failed to ensure residents had the right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences except when to do so would endanger the health or safety of the residents for 1 of 3 residents (Resident # 15) reviewed for call light. The facility failed to ensure. Resident # 15's call light was within reach. This failure could place residents at risk of achieving independent functioning, dignity, and wellbeing.
Inspectors wroteBased on record review and interview, the facility failed to ensure the right to receive written notice of a room change before the change was made for 2 of 2 resident (Resident #41 & Resident #80) reviewed for resident room changes. The facility did not provide evidence that Resident #41 and Resident #80 was given a written notice of a room change before the resident was moved. This deficient practice could affect residents in the facility that are moved without required notification.
Inspectors wroteBased on interview and record review, the facility failed to demonstrate their response and rationale regarding the resident's council's grievances after group meetings concerning issues of resident care and life in the facility and provide a private space for residents' monthly council meetings for 1 of 1 resident council, in that: The facility failed to demonstrate their response and rationale for such response to the resident council's grievances. The facility failed to provide the resident council with a private space for their monthly meetings. This failure could place residents that participate in a resident council at risk of not having the right to their concerns and grievances followed through with.
Inspectors wroteBased on interviews and record reviews, the facility failed to develop a baseline care plan for each resident that includes the instructions needed to provide effective and person-centered care of the resident that meet professional standards of quality for 1 (Residents #451) of 8 residents reviewed for baseline care plans. Resident #451's baseline care plan, dated 06/18/24, did not reflect any interventions for focus of at risk for falls. This deficient practice could affect residents admitted to the facility and result in missed or inadequate care.
Inspectors wroteBased on observation, interview, and record review the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for 1 of 3 residents (Resident #28) reviewed for pharmacy services. Resident #28 was provided a medication, Prilosec, outside of the ordered time range. This failure could place residents at risk of not receiving the therapeutic effects of their prescribed medications.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure drugs and biologicals were stored in accordance with currently accepted professional principles for, 1 of 4 medication carts observed, in that: The Nurse Medication Cart in the 300 hall contained eleven loose medication pills. This failure could place residents who receive medications at risk for not receiving the intended therapeutic effects of medications.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to prepare puree food by methods that conserve nutritive value, flavor, and appearance for 1 of 1 kitchen observed for puree preparation. The facility failed to follow the puree diet recipe for Pureed Buttered [NAME] Bread for 06/20/24 lunch. This failure could affect residents on puree diet at risk of receiving inadequate diet that could affect their health.
Inspectors wroteBased on observation, interview, and record review the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents, staff, and the public for 1 of 32 residents (Resident #50) reviewed for safe comfortable environment. The facility failed to ensure Resident #50's room was free of two cracks in the floor, running the length of the room. This deficient practice could place residents at risk of falling due to a tripping hazard created from the floor crack.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to maintain an effective pest control program for 1 of 1 dining room for pests, in that: An unknown number of gnats were surrounding the beverage station (to include cranberry juice, water, coffee, mugs, and glasses) in the dining room for 06/18/24 lunch. This deficient practice could place residents at risk of residing in an environment with pests.
Inspectors wroteBased on interview and record review the facility failed to ensure the resident's right to be free from abuse for 3 of 5 residents (Resident #1, #2 and #3) reviewed for abuse: CNA A, as part of a CNA chat group, took a video recording of Resident #1, naked, in the shower having a bowel movement, with a close-up view of her exposed bottom with feces on it and he shared it with the chat group. CNA B, as part of a CNA chat group, took a digital picture of Resident #2, naked, in the shower with her back toward the camera and not aware of the photo and she shared it with the chat group. CNA C as part of a CNA chat group, took a photo of Resident #3 after he had fallen on the floor without pants on, and shared it with the chat group. The noncompliance was identified as PNC. The IJ began on February 5th and ended on February 6th 2024. [...]
Inspectors wroteBased on interviews and record reviews, The facility failed to develop and implement written policies and procedures to prohibit and prevent abuse, neglect and exploitation of residents and misappropriation of residents property for 3 residents (Residents #1, #2 and #3) out of 5 residents reviewed for abuse and neglect in that: CNA A, as part of a CNA chat group, took a video recording of Resident #1, naked, in the shower having a bowel movement, with a close-up view of her exposed bottom with feces on it and he shared it with the chat group. CNA B, as part of a CNA chat group, took a digital picture of Resident #2, naked, in the shower with her back toward the camera and not aware of the photo and she shared it with the chat group. CNA C as part of a CNA chat group, took a photo of Resident #3 after he had fallen on the floor without pants on, and shared it with the chat group. [...]
Inspectors wroteBased on interviews, and record reviews, the facility failed to report abuse immediately but no later than 2 hours after the incident for 3 of 3 residents (Residents #1, #2, and #3) reviewed for reporting abuse and neglect in that: CNA H was informed about the abuse of Residents #1, #2 and #3 by CNA F of text chat group and did not report it to the Administrator until February 5th at 06:00 a.m. (8 hours later). CNA F, as part of the CNA chat group, failed to report the phone of Resident #2. CNA D, as part of the CNA chat group, failed to report the video of Resident #1. CNA E, as part of the CNA chat group, failed to report the photos of Resident #2 and Resident #3. The noncompliance was identified as PNC. The IJ began on February 5th and ended on February 6th 2024. The facility had corrected the noncompliance before the survey began. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to obtain documentation that the resident's representative has been delegated the necessary authority to exercise the resident's rights and must verify that a court-appointed representative has the necessary authority for the decision-making at issue as determined by the court. For example, a court-appointed representative might have the power to make financial decisions, but not health care decisions. Additionally, the facility must make reasonable efforts to ensure that it has access to documentation of any change related to the delegation of rights, including a resident's revocation of delegated rights, to ensure that the resident's preferences, are being upheld for 1 of 5 residents (Resident #1) reviewed for resident representative rights. [...]
Inspectors wroteBased on interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident that included measurable objectives and timeframes to meet a resident's medical, nursing, mental and psychosocial needs for 1 of 5 residents (Resident #45) reviewed for care plans in that: Resident #45's comprehensive person-centered care plan indicated the resident was treated with medications for seizures when the resident was not This failure could place residents at risk of receiving inadequate interventions not individualized to their care needs.
Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen sanitation in that: The facility failed to remove expired thickening liquid found within 1 of 1 kitchen dry food storage and 1 of 1 nutrition room. This failure could place residents at risk for cross-contamination and foodborne illnesses.
Inspectors wroteBased on observation, interview and record review, the facility failed to maintain an Infection Control Program designed to help prevent the development and transmission of disease and infection to include sanitizing of medical equipment for 3 of 3 Residents (#64, #57, and #60) reviewed in that: 1. The MA did not sanitize the blood pressure cuff before or after use with Resident #64. 2. The MA did not sanitize the blood pressure cuff before or after use with Resident #57. 3. The MA did not sanitize the blood pressure cuff before or after use with Resident #60. The failure could affect residents who had their blood pressure taken in the facility and placed the residents at risk for cross-contamination and the spread of infection.
Inspectors wroteBased on interview and record review the facility failed to ensure that the binding arbitration agreement provided for the selection of a venue that is convenient to both parties for three of three residents (Residents #45, #53, and #57) reviewed for facility compliance with requirements for binding arbitration agreements. The facility failed to ensure that its arbitration agreement provided for the selection of a venue that is convenient for both parties for Residents #45, #53, #57. These failures put residents and their representatives at risk of being uninformed about their rights regarding binding arbitration and less able to defend their rights related to disputes, controversy or claims arising out of or related to the services to be performed by the nursing facility.
1 fire safety citation on file: 1 on July 31, 2025.
| Date | Penalty | Amount or length |
|---|---|---|
| February 16, 2024 | Fine | $14,611 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.33 | 3.39 | 3.86 |
| Registered nurses | 0.49 | 0.43 | 0.69 |
| All nursing staff on weekends | 2.69 | 2.98 | 3.42 |
| Nurse aides | 2.02 | ||
| Licensed practical nurses | 0.82 | ||
| Nursing staff turnover (share who left in a year) | 36.8% | 55.3% | 45.8% |
| Registered nurse turnover | 30.8% | 54.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.18 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.59 on weekdays and 2.69 on weekends, 25% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.47 in April to June 2025 to 3.33 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.33 | 0.49 | 3.59 | 2.69 | 0.0% | 0 of 90 | 112 |
| Oct to Dec 2025 | 3.43 | 0.46 | 3.68 | 2.77 | 0.0% | 0 of 92 | 110 |
| Jul to Sep 2025 | 3.46 | 0.52 | 3.73 | 2.78 | 0.0% | 0 of 92 | 108 |
| Apr to Jun 2025 | 3.47 | 0.50 | 3.78 | 2.70 | 0.0% | 0 of 91 | 112 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Texas, Jan to Mar 2026 | 3.33 | 0.40 | 3.50 | 2.93 | 2.2% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Texas, all employers | |||
| CNAs (nursing assistants) | $18.03 | $16.97 to $20.71 | 88,680 |
| LPNs and LVNs | $29.92 | $27.46 to $32.89 | 57,560 |
| Registered nurses | $46.14 | $38.06 to $50.53 | 271,380 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 8.7 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.6 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 5.8 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.2 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 4.7 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.9 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 1.6 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Lakeside Nursing and Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (44.5% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
44.5% this home
No different from the national rate
US median of homes 51.5% · Texas: 116 better, 50 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 42 eligible stays.
10.8% this home
No different from the national rate
US median of homes 10.7% · Texas: 0 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 94 eligible stays.
6.5% this home
No different from the national rate
US median of homes 7.1% · Texas: 4 better, 11 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 50 eligible stays.
70.0% this home
Median of homes: Texas57.3% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 70 residents counted.
0.9% this home
Median of homes: Texas0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 106 residents counted.
0.0% this home
Median of homes: Texas1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 106 residents counted.
93.3% this home
Median of homes: Texas98.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 30 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: WEST WHARTON COUNTY HOSPITAL DISTRICT. CMS links this home to The Ensign Group, a group of 344 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Alonzo, Carlos | Managing control - governing body | Individual | 10/01/2022 | |
| Atique, Rashid | Managing control - governing body | Individual | 03/06/2024 | |
| Burnam, Soon | Corporate officer | Individual | 12/03/2021 | |
| Keetch, Chad | Corporate officer | Individual | 03/01/2011 | |
| Thompson, Johnny | Corporate officer | Individual | 05/16/2024 | |
| Crystal Lake Healthcare, Inc. | Operational/managerial control | Organization | 10/01/2022 | |
| Alonzo, Carlos | Operational/managerial control | Individual | 10/01/2022 | |
| Atique, Rashid | Operational/managerial control | Individual | 03/06/2024 | |
| Crystal Lake Healthcare, Inc. | Adp of the SNF | Organization | 10/16/2025 | |
| The Ensign Group Inc | Adp of the SNF | Organization | 12/03/2021 | |
| Alonzo, Carlos | Adp of the SNF | Individual | 10/01/2022 | |
| Atique, Rashid | Adp of the SNF | Individual | 03/06/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.