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Home / Texas / Winnsboro

Lakeview Rehabilitation and Healthcare Center

502 E Coke Rd, Winnsboro, TX 75494 · Wood County · (903) 342-6951

60 certified beds, about 47 residents a day · Government - Hospital district · Medicare and Medicaid since 1992

Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 675051 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on February 11, 2026, inspectors cited 6 health deficiencies (the Texas average is 9.4, the national average 9.2).

Of 27 health citations since October 2023, 2 were rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $34,234 in the last three years; the largest was $34,234, and the latest is dated November 20, 2024.

Nurses and nurse aides worked 3.34 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.50 of those hours.

41.3% of nursing staff left within the year CMS measured (Texas average 55.3%).

CMS links it to Nexion Health, an affiliated group of 51 nursing homes.

Health inspections

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.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

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 27 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
2H
0I
Potential for more than minimal harm
21D
4E
0F
Potential for minimal harm
0A
0B
0C
April 23, 2026Complaint inspection · 1 citation
  1. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 6, 2026
    Inspectors wroteBased on observation and interview the facility failed to ensure all drugs were stored in a locked compartment, only accessible by authorized personnel, and labeled and dated correctly for 2 of 2 medication cart observed for medication storage and for medication labeling. The facility failed to ensure insulin was dated when opened on the medication/nurse cart for the East Hall. The facility failed to ensure that insulin was labeled with a resident name the medication/nurse cart for the [NAME] Hall. These failures could place residents at risk for not receiving drugs and biologicals as needed, not receiving the right medication, medications being used passed their effective or expiration date, and a drug diversion.
February 11, 2026Standard inspection · 6 citations
  1. E
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 13, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to implement its written policies and procedures to prohibit and prevent abuse, neglect, and exploitation of residents and misappropriation of resident property for 5 of 9 residents (Resident #7, Resident #13, Resident #25, Resident #34, and Resident #45) reviewed for abuse. 1. The facility failed to implement their policy when they did not complete incident reports after a resident-to-resident incident between Resident #34, Resident #13, and Resident #25 on 05/01/2025, and on 07/19/2025 for Resident #7. 2. The facility failed to implement their policy when they did not complete incident report after injury of unknown origin for Resident #45 on 07/31/25 and failed to document the training related to this incident. [...]
  2. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 13, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to store food in accordance with professional standards for 1 of 1 kitchen reviewed for food service safety. 1. The facility failed to seal, label and date a clear plastic bag of frozen chicken wings in freezer #1, and an opened box of egg rolls in Freezer #2. 2. The facility failed to label and date a clear plastic bag of frozen chicken parts in Freezer #1, and a bag of frozen cauliflower in Freezer #2. 3. The facility failed to label and date a clear plastic bag of sliced cheese and an open container of chicken base in Refrigerator #1. 4. The facility failed to keep a container identified as thickener sealed in dry storage room. These failures placed residents who ate food served by the kitchen at risk of cross contamination and food-borne illness. Findings Included: [...]
  3. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 13, 2026
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure residents assessments accurately reflected the resident's status for 2 of 14 residents (Residents #17 and #41) reviewed for accuracy of assessments. 1. The facility failed to accurately complete the MDS assessment to indicate Resident #17's tobacco use. 2. The facility failed to accurately complete the MDS assessment to indicate Resident #41's PASARR positive. These failures could place residents at risk of not receiving the appropriate care and services to maintain their highest level of well-being.
  4. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 13, 2026
    Inspectors wroteBased on interview, and record review, the facility failed to develop and implement a person-centered care plan for each resident that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that were identified in the comprehensive assessment for 1 of 14 residents (Resident #3) reviewed for comprehensive care plans in that: The facility failed to develop and implement a comprehensive person-centered care plan for Resident #3's EBP (enhance barrier precautions) due to G-tube (gastric-tube for feeding and medications). This failure could place residents at risk of not receiving the appropriate care, services or treatment needed in a timely manner.
  5. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 13, 2026
    Inspectors wroteBased on observation and interview the facility failed to ensure all drugs were stored in a locked compartment, only accessible by authorized personnel, and labeled and dated correctly for 1 of 27 residents (Resident #29) observed for medication storage. 1. The facility failed to ensure Resident #29 did not have a refresh plus eye drop ampule sitting on top of a covered bowl of cereal on top of his dresser. These failures could place residents at risk for not receiving drugs and biologicals as needed and injury.
  6. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 13, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to establish and 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 diseases and infections for 2 of 10 residents (Residents #3 and #31) observed for Infection Control. 1. The facility failed to implement EBP for Resident #3 during a G-tube medication administration on 02/10/2026. 2. The facility failed to implement EBP for Resident #31 during a wound care dressing change on 02/10/2026. These failures could place residents and staff at risk for cross-contamination and development of infections. Findings Included:1. [...]
November 20, 2024Standard inspection, Complaint inspection · 12 citations
  1. H
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · Actual harm, pattern · Corrected (the home has a date of correction) November 21, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to consult with the resident's physician when there was a significant change in the resident's physical and mental status that is, a deterioration in health, mental, or psychosocial status in either life-threatening conditions or clinical complications for 1 of 15 (Resident #19) residents reviewed for notification of change. The facility failed to ensure Resident #19's physician was notified of his increased pain following a wound debridement (removal of dead or unhealthy tissue from the wound to promote the healing process) by the Wound Care NP on 11/12/2024. This failure could place residents at risk for experiencing unnecessary pain, not receiving necessary treatments and medications, and a decreased quality of life.
  2. H
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · Actual harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 21, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure pain management was provided to residents who require such services, consistent with professional standards of practice for 1 of 3 residents (Resident #19) reviewed for pain. The facility failed to ensure Resident #19 received adequate pain management during wound care after he reported increased pain following a wound debridement (removal of dead or unhealthy tissue from the wound to promote the healing process) by the Wound Care NP on 11/12/2024. This failure could place residents at risk for experiencing unnecessary pain and a decreased quality of life.
  3. E
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 21, 2024
    Inspectors wroteBased on interview and record review the facility failed to ensure residents who require dialysis received such services, consistent with professional standards of practice, the comprehensive person-centered care plan and the residents' goals and preferences for 1 of 1 resident (Resident #13) reviewed for dialysis. The facility failed to keep ongoing communication with the dialysis facility for Resident #13 on 09/12/2024, 09/14/2024, 09/21/2024, 09/28/2024, 10/10/2024, 10/12/2024, 10/19/2024, 10/26/2024, 11/02/2024, and 11/09/2024. These failures could place residents at risk for complications and not receiving proper care and treatment to meet their needs.
  4. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 21, 2024
    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 safety in the facility's only kitchen. The facility failed to ensure: the toaster was clean. the fryer and oil were clean. An opened loaf of bread was labeled and stored properly. Opened enchilada sauce was stored properly. An opened box of corn dogs was stored properly. An opened box of bacon was stored properly. A container of leftover beans dated 11/13/2024 was discarded. An opened ½ gallon of chocolate milk with a best by date of 11/14/2024 was discarded. The temperature of the top freezer in the dining room was monitored. The top freezer did not have brown residue in it. These failures could place residents at risk for foodborne illness.
  5. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 21, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure each resident had the right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences for 1 of 15 residents (Resident #12) reviewed for reasonable accommodations. The facility failed to ensure Resident #12's call light was within reach while in bed. This failure could place residents at risk for a delay in assistance and decreased quality of life.
  6. D
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 21, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a safe, clean, and comfortable homelike environment for 1 of 2 dining rooms (back dining room) reviewed for cleanliness of the physical environment. The facility failed to ensure the windowsill in the back dining room was free of cobwebs, bugs, and dust from 11/18/24 to 11/20/24. This failure could place residents at risk for a decreased quality of life and an unsanitary environment.
  7. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 21, 2024
    Inspectors wroteBased on interview and record review the facility failed to ensure assessments accurately reflected the resident status for 1 of 15 residents (Resident # 13) reviewed for MDS assessment accuracy. The facility failed to ensure Resident # 13's dialysis treatments were accurately reflected on her Quarterly MDS assessment with an ARD of 10/28/2024. This failure could place residents at risk of not receiving care and services to meet their needs.
  8. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 21, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure each resident's person-centered comprehensive care plan was reviewed and revised by the interdisciplinary team after each assessment for 1 of 15 residents (Residents #29), reviewed for care plans. The facility failed to revise Resident #29's care plan to reflect the need for weekly weights and ensure plus three times a day for his weight loss. This failure could affect residents of the facility by not addressing their physical, mental, and psychosocial needs for each to attain or maintain their highest practicable physical, mental, and psychosocial outcome.
  9. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 21, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident who was incontinent of bladder received appropriate treatment and services to prevent urinary tract infections and to restore continence to the extent possible for 1 of 1 resident (Resident #198) reviewed for incontinence. The facility failed to ensure Resident #198 was provided prompt incontinent care on 11/18/24 when his bed sheets and clothing were wet up to his shoulders and were brown around the edges of the wet spots. These failures could place residents at risk for urinary tract infections, skin breakdown, and a decreased quality of life.
  10. D
    Provide care or services that was trauma informed and/or culturally competent.
    F699 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 21, 2024
    Inspectors wroteBased on interviews and record review, the facility failed to ensure that residents who are trauma survivors receive culturally competent, trauma-informed care in accordance with professional standards of practice and accounting for residents' experiences and preferences in order to eliminate or mitigate triggers that may cause re-traumatization of the resident for 1 of 2 residents (Resident #35) reviewed for trauma-informed care The facility failed to adequately assess Resident #35's history of trauma. This failure could place residents at an increased risk for severe psychological distress due to re-traumatization.
  11. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 21, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure that residents were free of significant medication errors for 2 of 6 residents (Resident #13 and Resident #41) reviewed for pharmacy services. The facility failed to ensure Resident #13's amlodipine (medication that lowers blood pressure) was not administered when her blood pressure was outside of the ordered parameters on 11/16/24. The facility failed to ensure Resident #41's carvedilol (medication that lowers blood pressure) was not administered when her blood pressure was outside of the ordered parameters on 11/09/24. These failures could place residents at risk of medical complications and not receiving the therapeutic effects of their medications.
  12. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 21, 2024
    Inspectors wroteBased on observation, interview, and record review 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 diseases and infections, for 1 of 1 linen cart reviewed for infection control. The facility failed to ensure Laundry Aide H completely covered the linen cart while delivering the residents clean clothing on 11/20/2024. This failure could place residents at risk for cross-contamination and the spread of infection.
October 11, 2023Standard inspection · 8 citations
  1. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 12, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to implement a comprehensive person-centered care plan for each resident, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs, for 2 of 3 (Resident #s 26 and 29) residents reviewed for care plans. The facility failed to ensure Resident #26's comprehensive care plan addressed that she required a daily application of a right hand splint. The facility failed to ensure Resident #29's comprehensive care plan addressed that she received Cymbalta (antidepressant), Trazodone (antidepressant), and Lorazepam (antianxiety). These failures could place residents at risk of not receiving necessary medications and services.
  2. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 12, 2023
    Inspectors wroteBased on interview and record review the facility failed to review and revise the person-centered care plan to reflect the current condition for 1 of 3 (Resident #38) residents reviewed for care plan revisions. The facility failed to ensure Resident #38's care plan was updated to reflect she was receiving Valium ([Diazepam] a medication used to relieve symptoms of anxiety and used off-labeled to treat insomnia) and discontinuation of anxiety medication of Lorazepam and Buspar. This deficient practice could affect residents by placing them at risk of not receiving appropriate interventions to meet their current needs.
  3. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 30, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents unable to carry out activities of daily living received the necessary services to maintain grooming and personal hygiene were provided for 2 of 3 residents (Resident #s 36 and 37) reviewed for ADLs. The facility failed to provide fingernail care for Resident #s 36 and 37. These failures could place residents at risk of not receiving services and care, infection, and a decreased quality of life.
  4. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 18, 2023
    Inspectors wroteBased on observation, interviews, and record reviews the facility failed to ensure that the resident environment remains as free of accident hazards as is possible and each resident receives adequate supervision and assistance devices to prevent accidents for 1 of 11 (Resident #30) residents reviewed for accidents hazards and supervision. The facility failed to secure and store a microwave. This failure could place residents at risk for injury.
  5. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 9, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that a resident who was incontinent of bladder received appropriate treatment and services, and an indwelling catheter is not used unless there is valid medical justification for catheterization and the catheter is discontinued as soon as clinically warranted for 1 of 2 residents (Resident #150) reviewed for urinary catheters. 1. Resident #150 had an indwelling urinary catheter since admission on [DATE] without a physician's order with an acceptable diagnosis for use. 2. The facility failed to ensure Resident #150's order for bladder training for Foley catheter removal was implemented. These deficient practices could affect residents who had urinary catheters at risk of not receiving care needed.
  6. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 6, 2023
    Inspectors wroteBased on interview and record review the facility failed to have target behavioral monitoring in place for behaviors associated with the use of psychotropic medications and documented in the clinical record for 2 of 5 residents reviewed for unnecessary psychotropic drugs (Resident #23 and Resident #150). 1. The facility failed to adequately monitor Resident #23's behaviors regarding his antidepressant and antianxiety medications. 2. The facility failed to adequately monitor Resident #150's behaviors regarding his antidepressant and antianxiety medications. These failures could place residents at risk of receiving unnecessary psychotropic medications with possible medication side effects, adverse consequences, decreased quality of life and dependence on unnecessary medications.
  7. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 13, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure all drugs were stored in a locked compartment, only accessible by authorized personnel for 1 of 2 medication carts and 1 of 1 medication room observed for medication storage. The facility failed to ensure the lock box that contained narcotic medications was permanently affixed to the refrigerator in the medication room. The facility did not ensure East Hall medication cart was secured and unable to be accessed by unauthorized personnel. These failures could place residents at risk for not receiving drugs and biologicals as needed, medications being used passed their effective or expiration date, and a drug diversion.
  8. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 9, 2023
    Inspectors wroteBased on observation, interview, and record review, 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 diseases and infections for 2 of 2 residents (Resident #150 and Resident #14) reviewed for infection control practices. The facility failed to ensure CNA E changed her gloves and performed hand hygiene while providing Peri-care and catheter care to Resident #150. The facility failed to ensure CNA H changed gloves or performed hand hygiene while providing incontinent care for Resident #14. These failures could place residents and staff at risk for cross contamination and the spread of infection.

Fire safety inspections

10 fire safety citations on file: 6 on February 11, 2026, 2 on November 20, 2024, 2 on October 11, 2023.

Every fire safety citation10 citations
  1. F
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · February 11, 2026 · Corrected (the home has a date of correction)
  2. F
    Provide emergency officials' contact information.
    E 31 · February 11, 2026 · Corrected (the home has a date of correction)
  3. F
    Establish staff and initial training requirements.
    E 37 · February 11, 2026 · Corrected (the home has a date of correction)
  4. E
    Have corridors or aisles that are unobstructed and are at least 8 feet in width.
    K 232 · February 11, 2026 · Corrected (the home has a date of correction)
  5. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · February 11, 2026 · Corrected (the home has a date of correction)
  6. C
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · February 11, 2026 · no revisit needed
  7. F
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · November 20, 2024 · Corrected (the home has a date of correction)
  8. C
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · November 20, 2024 · Waiver
  9. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · October 11, 2023 · Corrected (the home has a date of correction)
  10. C
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · October 11, 2023 · Waiver

Fines and payment denials

DatePenaltyAmount or length
November 20, 2024Fine $34,234

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeTexasUnited States
All nursing staff (RN, LPN and aides)3.343.393.86
Registered nurses0.500.430.69
All nursing staff on weekends2.942.983.42
Nurse aides1.75
Licensed practical nurses1.08
Nursing staff turnover (share who left in a year)41.3%55.3%45.8%
Registered nurse turnover28.6%54.6%42.9%
Administrators who left0

CMS expects 3.94 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

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 3.50 on weekdays and 2.94 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.44 in April to June 2025 to 3.34 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.340.503.502.94 2.2%0 of 9047
Oct to Dec 20253.350.513.572.79 0.3%0 of 9247
Jul to Sep 20253.210.523.402.73 0.2%0 of 9248
Apr to Jun 20253.440.573.652.90 1.2%0 of 9147
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Texas, Jan to Mar 20263.330.403.502.932.2%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

Staff pay at this home

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.

Official wage estimates for Texas

JobMedianMiddle halfEmployed
Texas, all employers
CNAs (nursing assistants)$18.03$16.97 to $20.7188,680
LPNs and LVNs$29.92$27.46 to $32.8957,560
Registered nurses$46.14$38.06 to $50.53271,380
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeTexasUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
16.815.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.00.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
5.93.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
18.814.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.73.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
6.09.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
21.025.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
13.712.312.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.82.21.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
4.32.11.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Lakeview Rehabilitation and Healthcare Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (58.5% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

58.5% 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. 34 eligible stays.

Potentially preventable readmissions

10.4% 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. 52 eligible stays.

Infections that led to a hospital stay

7.4% 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. 27 eligible stays.

Self-care and mobility at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

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. 17 residents counted.

Falls with major injury

0.0% 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. 29 residents counted.

New or worsened pressure ulcers

2.7% 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. 29 residents counted.

Medication list given at discharge

Not reported

CMS note: Newly certified nursing home with less than 12-15 months of data available or the nursing opened less than 6 months ago, and there were no data to submit or claims for this measure.

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.

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.

Owners and operators

Legal business name: WEST WHARTON COUNTY HOSPITAL DISTRICT. CMS links this home to Nexion Health, a group of 51 nursing homes averaging 2.2 stars overall.

NameRoleTypeShareSince
Jones, BeauW-2 managing employeeIndividual04/01/2021
Mak, DavidCorporate officerIndividual05/18/2021
Nexion Health at Winnsboro, IncOperational/managerial controlOrganization04/01/2021
Fallon, JohnOperational/managerial controlIndividual04/01/2021
Herdrich, WilliamOperational/managerial controlIndividual04/01/2021
Jones, BeauOperational/managerial controlIndividual04/01/2021
Kirley, FrancisOperational/managerial controlIndividual04/01/2021
Lee, BrianOperational/managerial controlIndividual04/01/2021
Mak, DavidOperational/managerial controlIndividual05/18/2021
Reid, JohnOperational/managerial controlIndividual04/01/2021
Riner, MeeraOperational/managerial controlIndividual04/01/2021

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.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 7 problems in this area, most recently on November 20, 2024: "Provide safe, appropriate pain management for a resident who requires such services."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on February 11, 2026: "Ensure each resident receives an accurate assessment."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on April 23, 2026: "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."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on February 11, 2026: "Provide and implement an infection prevention and control program."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.94 hours per resident per day, below the Texas average of 2.98.

Other nursing homes nearby

Texas contacts for a concern about a nursing home

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Common questions

What is Lakeview Rehabilitation and Healthcare Center's Medicare star rating?
CMS rates Lakeview Rehabilitation and Healthcare Center 3 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Lakeview Rehabilitation and Healthcare Center get at its last inspection?
6 health deficiencies at the standard inspection on February 11, 2026. The Texas average is 9.4.
Has Lakeview Rehabilitation and Healthcare Center been fined?
Yes. CMS lists 1 fine totaling $34,234 in the last three years.
Does Lakeview Rehabilitation and Healthcare Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Lakeview Rehabilitation and Healthcare Center?
CMS lists 11 owners and managers, and links the home to Nexion Health. Legal business name: WEST WHARTON COUNTY HOSPITAL DISTRICT.

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