D66

LAKEVIEW REHABILITATION & HEALTHCARE CENTER

Grade D 66/100 composite score

Government - Hospital district

CMS Star Ratings

Overall
2/5
Health Insp.
2/5
Quality
3/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

60

Ownership

Government - Hospital district

Total Fines

$47,253

Last Survey

N/A

502 EAST COKE RD, WINNSBORO, TX 75494
9033426951

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.52h
LPN
1.00h
CNA
1.70h
Total
3.22h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

WEST WHARTON COUNTY HOSPITAL DISTRICT

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Apr 2021

100%

NEXION HEALTH AT WINNSBORO, INC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Apr 2021

FALLON, JOHN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2021

HERDRICH, WILLIAM

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2021

JONES, BEAU

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2021

KIRLEY, FRANCIS

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2021

LEE, BRIAN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2021

MAK, DAVID

IndividualOPERATIONAL/MANAGERIAL CONTROLSince May 2021

REID, JOHN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2021

RINER, MEERA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2021

MAK, DAVID

IndividualCORPORATE OFFICERSince May 2021

JONES, BEAU

IndividualW-2 MANAGING EMPLOYEESince Apr 2021

Penalties & Fines (2)

$47,253total fines
DateTypeDescriptionAmount
Nov 20, 2024Fine$34,234
Aug 18, 2023Fine$13,019

Health Inspection Deficiencies (24)

November 20, 2024Health12 deficiencies2 severe
0558DMinimal harm, Isolated

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Nov 21, 2024
0580HActual harm, Pattern

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies

Corrected Nov 21, 2024
0584DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Nov 21, 2024
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Nov 21, 2024
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Nov 21, 2024
0690DMinimal harm, Isolated

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies

Corrected Nov 21, 2024
0698EMinimal harm, Pattern

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Nov 21, 2024
0699DMinimal harm, Isolated

Provide care or services that was trauma informed and/or culturally competent.

Quality of Life and Care Deficiencies

Corrected Nov 21, 2024
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Nov 21, 2024
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Nov 21, 2024
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Nov 21, 2024
0697HActual harm, Pattern

Provide safe, appropriate pain management for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Nov 21, 2024
October 11, 2023Health8 deficiencies
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Oct 12, 2023
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Oct 12, 2023
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Oct 30, 2023
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Oct 18, 2023
0690DMinimal harm, Isolated

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies

Corrected Nov 9, 2023
0758DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Nov 6, 2023
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Oct 13, 2023
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Nov 9, 2023
August 18, 2023Health4 deficiencies4 severe
0600JImmediate jeopardy, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

0604JImmediate jeopardy, Isolated

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

0607JImmediate jeopardy, Isolated

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

0609JImmediate jeopardy, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Frequently Asked Questions

What is the CareGrader rating for LAKEVIEW REHABILITATION & HEALTHCARE CENTER?

LAKEVIEW REHABILITATION & HEALTHCARE CENTER in WINNSBORO, Texas has a CareGrader grade of D (Below Average), with a composite score of 66.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for LAKEVIEW REHABILITATION & HEALTHCARE CENTER?

LAKEVIEW REHABILITATION & HEALTHCARE CENTER has an overall CMS star rating of 2 out of 5, a health inspection rating of 2/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does LAKEVIEW REHABILITATION & HEALTHCARE CENTER have?

LAKEVIEW REHABILITATION & HEALTHCARE CENTER has 24 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has LAKEVIEW REHABILITATION & HEALTHCARE CENTER been fined?

Yes. LAKEVIEW REHABILITATION & HEALTHCARE CENTER has $47,253 in total fines from CMS enforcement actions across 2 penalties.

How many beds does LAKEVIEW REHABILITATION & HEALTHCARE CENTER have?

LAKEVIEW REHABILITATION & HEALTHCARE CENTER has 60 certified beds with approximately 48 current residents (80% occupancy). The facility is located at 502 EAST COKE RD, WINNSBORO, Texas 75494. It is a government - hospital district facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.