Starfile

Starfile / Texas

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.

CycleInspection dateThis facilityTexas avgNational avgvs state
12024-11-20129.19.5+2.9 worse
22023-10-1189.49.8-1.4 better
32022-08-3148.19.3-4.1 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care4
Resident assessment and care planning2
Resident rights3
Nutrition and dietary1
Pharmacy service1
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.2137.0%
RN staffing (reported)0.520.0%
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

  1. DF0558Reasonably accommodate the needs and preferences of each resident.2024-11-20 · Health · corrected 2024-11-21

    Potential for more than minimal harm

  2. 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

  3. 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

  4. DF0641Ensure each resident receives an accurate assessment.2024-11-20 · Health · corrected 2024-11-21

    Potential for more than minimal harm

  5. 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

  6. 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

  7. HF0697Provide safe, appropriate pain management for a resident who requires such services.2024-11-20 · Health · corrected 2024-11-21

    Actual harm

  8. 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

  9. 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

  10. DF0760Ensure that residents are free from significant medication errors.2024-11-20 · Health · corrected 2024-11-21

    Potential for more than minimal harm

  11. 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

  12. DF0880Provide and implement an infection prevention and control program.2024-11-20 · Health · corrected 2024-11-21

    Potential for more than minimal harm

  13. 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

  14. 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

  15. 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

  16. 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

  17. 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

  18. 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

  19. 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

  20. DF0880Provide and implement an infection prevention and control program.2023-10-11 · Health · corrected 2023-11-09

    Potential for more than minimal harm

  21. 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

  22. JF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2023-08-18 · Health

    Immediate jeopardy

  23. JF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-08-18 · Health

    Immediate jeopardy

  24. JF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-08-18 · Health

    Immediate jeopardy

Ownership

OwnerTypeRolePercentSince
WEST WHARTON COUNTY HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2021-04-01
NEXION HEALTH AT WINNSBORO, INCOrganizationOPERATIONAL/MANAGERIAL CONTROL2021-04-01
FALLON, JOHNIndividualOPERATIONAL/MANAGERIAL CONTROL2021-04-01
HERDRICH, WILLIAMIndividualOPERATIONAL/MANAGERIAL CONTROL2021-04-01
JONES, BEAUIndividualOPERATIONAL/MANAGERIAL CONTROL2021-04-01
KIRLEY, FRANCISIndividualOPERATIONAL/MANAGERIAL CONTROL2021-04-01
LEE, BRIANIndividualOPERATIONAL/MANAGERIAL CONTROL2021-04-01
MAK, DAVIDIndividualOPERATIONAL/MANAGERIAL CONTROL2021-05-18
REID, JOHNIndividualOPERATIONAL/MANAGERIAL CONTROL2021-04-01
RINER, MEERAIndividualOPERATIONAL/MANAGERIAL CONTROL2021-04-01
MAK, DAVIDIndividualCORPORATE OFFICER2021-05-18
JONES, BEAUIndividualW-2 MANAGING EMPLOYEE2021-04-01

Other facilities in WINNSBORO

NameOverallBeds
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.