Starfile / Texas

Lakeside Health and Wellness

110 N State Hwy 274, Kemp, TX 75143 · CCN 676497

Abuse icon

Inspection history vs Texas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$83,033

Number of fines

4

Number of penalties

4

Payment denials

0

Chain

Chain

ML HEALTHCARE

Facilities in chain

6

Chain avg overall

3.00 / 5

Inspection citations (59)6 immediate jeopardy2 actual harm

1. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2026-01-22 · Health · corrected 2026-02-09

   Potential for more than minimal harm

2. DF0583Keep residents' personal and medical records private and confidential.2026-01-22 · Health · corrected 2026-02-09

   Potential for more than minimal harm

3. DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2026-01-22 · Health · corrected 2026-02-09

   Potential for more than minimal harm

4. DF0641Ensure each resident receives an accurate assessment.2026-01-22 · Health · corrected 2026-02-09

   Potential for more than minimal harm

5. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2026-01-22 · Health · corrected 2026-02-09

   Potential for more than minimal harm

6. DF0685Assist a resident in gaining access to vision and hearing services.2026-01-22 · Health · corrected 2026-02-09

   Potential for more than minimal harm

7. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2026-01-22 · Health · corrected 2026-02-09

   Potential for more than minimal harm

8. HF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2026-01-22 · Health · corrected 2026-02-09

   Actual harm

9. DF0695Provide safe and appropriate respiratory care for a resident when needed.2026-01-22 · Health · corrected 2026-02-09

   Potential for more than minimal harm

10. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2026-01-22 · Health · corrected 2026-02-09

    Potential for more than minimal harm

11. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2026-01-22 · Health · corrected 2026-02-09

    Potential for more than minimal harm

12. DF0761Ensure 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.2026-01-22 · Health · corrected 2026-02-09

    Potential for more than minimal harm

13. DF0790Provide routine and 24-hour emergency dental care for each resident.2026-01-22 · Health · corrected 2026-02-09

    Potential for more than minimal harm

14. EF0803Ensure 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.2026-01-22 · Health · corrected 2026-02-09

    Potential for more than minimal harm

15. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2026-01-22 · Health · corrected 2026-02-09

    Potential for more than minimal harm

16. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2026-01-22 · Health · corrected 2026-02-09

    Potential for more than minimal harm

17. DF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2026-01-22 · Health · corrected 2026-02-09

    Potential for more than minimal harm

18. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2026-01-22 · Health · corrected 2026-02-09

    Potential for more than minimal harm

19. EF0880Provide and implement an infection prevention and control program.2026-01-22 · Health · corrected 2026-02-09

    Potential for more than minimal harm

20. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-11-19 · Health · corrected 2025-12-15

    Potential for more than minimal harm

21. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2025-11-19 · Health · corrected 2025-12-15

    Potential for more than minimal harm

22. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-11-19 · Health · corrected 2025-12-04

    Potential for more than minimal harm

23. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-11-19 · Health · corrected 2025-12-05

    Potential for more than minimal harm

24. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-11-19 · Health · corrected 2025-12-05

    Potential for more than minimal harm

25. DF0578Honor 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.2024-10-17 · Health · corrected 2024-11-15

    Potential for more than minimal harm

26. DF0583Keep residents' personal and medical records private and confidential.2024-10-17 · Health · corrected 2024-11-15

    Potential for more than minimal harm

27. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-10-17 · Health · corrected 2024-11-15

    Potential for more than minimal harm

28. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-10-17 · Health · corrected 2024-11-15

    Potential for more than minimal harm

29. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-10-17 · Health · corrected 2024-11-15

    Potential for more than minimal harm

30. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-10-17 · Health · corrected 2024-11-15

    Potential for more than minimal harm

31. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-10-17 · Health · corrected 2024-11-15

    Potential for more than minimal harm

32. HF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-10-17 · Health · corrected 2024-11-15

    Actual harm

33. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2024-10-17 · Health · corrected 2024-11-15

    Potential for more than minimal harm

34. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-10-17 · Health · corrected 2024-11-15

    Potential for more than minimal harm

35. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-10-17 · Health · corrected 2024-11-15

    Potential for more than minimal harm

36. EF0759Ensure medication error rates are not 5 percent or greater.2024-10-17 · Health · corrected 2024-11-15

    Potential for more than minimal harm

37. DF0760Ensure that residents are free from significant medication errors.2024-10-17 · Health · corrected 2024-11-15

    Potential for more than minimal harm

38. DF0761Ensure 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.2024-10-17 · Health · corrected 2024-11-15

    Potential for more than minimal harm

39. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-10-17 · Health · corrected 2024-11-15

    Potential for more than minimal harm

40. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-10-17 · Health · corrected 2024-11-15

    Potential for more than minimal harm

41. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2024-10-17 · Health · corrected 2024-11-15

    Potential for more than minimal harm

42. EF0880Provide and implement an infection prevention and control program.2024-10-17 · Health · corrected 2024-11-15

    Potential for more than minimal harm

43. DF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2024-10-17 · Health · corrected 2024-11-15

    Potential for more than minimal harm

44. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-09-20 · Health · corrected 2024-04-04

    Immediate jeopardy

45. JF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-09-20 · Health · corrected 2024-04-04

    Immediate jeopardy

46. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-07-18 · Health · corrected 2024-07-26

    Potential for more than minimal harm

47. DF0880Provide and implement an infection prevention and control program.2024-07-18 · Health · corrected 2024-07-26

    Potential for more than minimal harm

48. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-09-15 · Health · corrected 2023-09-18

    Potential for more than minimal harm

49. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-09-15 · Health · corrected 2023-10-16

    Potential for more than minimal harm

50. KF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-09-15 · Health · corrected 2023-09-18

    Immediate jeopardy

51. DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2023-09-15 · Health · corrected 2023-10-16

    Potential for more than minimal harm

52. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-09-15 · Health · corrected 2023-10-19

    Potential for more than minimal harm

53. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2023-09-15 · Health · corrected 2023-10-19

    Potential for more than minimal harm

54. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-09-15 · Health · corrected 2023-10-09

    Potential for more than minimal harm

55. KF0825Provide or get specialized rehabilitative services as required for a resident.2023-09-15 · Health · corrected 2023-10-19

    Immediate jeopardy

56. KF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2023-09-15 · Health · corrected 2023-10-19

    Immediate jeopardy

57. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2023-09-15 · Health · corrected 2023-10-19

    Potential for more than minimal harm

58. KF0880Provide and implement an infection prevention and control program.2023-09-15 · Health · corrected 2023-10-19

    Immediate jeopardy

59. DF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2023-09-15 · Health · corrected 2023-10-17

    Potential for more than minimal harm

Ownership

Other facilities in Kemp

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.