LAKEVIEW REHABILITATION & HEALTHCARE CENTER
502 EAST COKE RD, WINNSBORO, TX 75494 · CCN 675051
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- Government - Hospital district
- Certified beds
- 60
- Avg residents/day
- 48.4
- Phone
- 9033426951
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-11-20 | 12 | 9.1 | 9.5 | +2.9 worse |
| 2 | 2023-10-11 | 8 | 9.4 | 9.8 | -1.4 better |
| 3 | 2022-08-31 | 4 | 8.1 | 9.3 | -4.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 4 |
| Resident assessment and care planning | 2 |
| Resident rights | 3 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.21 | 37.0% |
| RN staffing (reported) | 0.52 | 0.0% |
| Total nurse staffing (adjusted) | 3.22 | — |
Fines & penalties
- Total fines
- $47,253
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Chain
- Chain
- NEXION HEALTH
- Facilities in chain
- 52
- Chain avg overall
- 2.30 / 5
Inspection citations (24)4 immediate jeopardy2 actual harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-11-20 · Health · corrected 2024-11-21
Potential for more than minimal harm
- HF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-11-20 · Health · corrected 2024-11-21
Actual harm
- DF0584Honor 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.2024-11-20 · Health · corrected 2024-11-21
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-11-20 · Health · corrected 2024-11-21
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-11-20 · Health · corrected 2024-11-21
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-11-20 · Health · corrected 2024-11-21
Potential for more than minimal harm
- HF0697Provide safe, appropriate pain management for a resident who requires such services.2024-11-20 · Health · corrected 2024-11-21
Actual harm
- EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-11-20 · Health · corrected 2024-11-21
Potential for more than minimal harm
- DF0699Provide care or services that was trauma informed and/or culturally competent.2024-11-20 · Health · corrected 2024-11-21
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-11-20 · Health · corrected 2024-11-21
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-11-20 · Health · corrected 2024-11-21
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-11-20 · Health · corrected 2024-11-21
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-10-11 · Health · corrected 2023-10-12
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-10-11 · Health · corrected 2023-10-12
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-10-11 · Health · corrected 2023-10-30
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-11 · Health · corrected 2023-10-18
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-10-11 · Health · corrected 2023-11-09
Potential for more than minimal harm
- DF0758Implement 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.2023-10-11 · Health · corrected 2023-11-06
Potential for more than minimal harm
- 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.2023-10-11 · Health · corrected 2023-10-13
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-10-11 · Health · corrected 2023-11-09
Potential for more than minimal harm
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-08-18 · Health
Immediate jeopardy
- JF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2023-08-18 · Health
Immediate jeopardy
- JF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-08-18 · Health
Immediate jeopardy
- JF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-08-18 · Health
Immediate jeopardy
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| WEST WHARTON COUNTY HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2021-04-01 |
| NEXION HEALTH AT WINNSBORO, INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-04-01 |
| FALLON, JOHN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-04-01 |
| HERDRICH, WILLIAM | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-04-01 |
| JONES, BEAU | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-04-01 |
| KIRLEY, FRANCIS | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-04-01 |
| LEE, BRIAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-04-01 |
| MAK, DAVID | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-05-18 |
| REID, JOHN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-04-01 |
| RINER, MEERA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-04-01 |
| MAK, DAVID | Individual | CORPORATE OFFICER | — | 2021-05-18 |
| JONES, BEAU | Individual | W-2 MANAGING EMPLOYEE | — | 2021-04-01 |
Other facilities in WINNSBORO
| Name | Overall | Beds |
|---|---|---|
| Avir at Winnsboro | ★☆☆☆☆ | 112 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.