Lakewest Rehabilitation and Skilled Care
2450 Bickers St, Dallas, TX 75212 · CCN 676276
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- Government - Hospital district
- Certified beds
- 118
- Avg residents/day
- 91.6
- Phone
- 2148790888
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 | 2024-11-07 | 14 | 9.1 | 9.5 | +4.9 worse |
| 2 | 2023-10-05 | 12 | 9.4 | 9.8 | +2.6 worse |
| 3 | 2022-09-01 | 8 | 8.1 | 9.3 | -0.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 5 |
| Resident assessment and care planning | 1 |
| Resident rights | 1 |
| Nutrition and dietary | 2 |
| Pharmacy service | 3 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.26 | 69.9% |
| RN staffing (reported) | 0.16 | — |
| Total nurse staffing (adjusted) | 3.75 | — |
Fines & penalties
- Total fines
- $21,645
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- MOMENTUM SKILLED SERVICES
- Facilities in chain
- 10
- Chain avg overall
- 2.00 / 5
Inspection citations (34)
- DF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2026-01-14 · Health · corrected 2026-01-18
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-08-06 · Health · corrected 2025-09-04
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.2025-06-13 · Health · corrected 2025-06-16
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-05-13 · Health · corrected 2025-05-20
Potential for more than minimal harm
- EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-03-21 · Health · corrected 2025-04-16
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-03-21 · Health · corrected 2025-04-16
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-03-21 · Health · corrected 2025-04-16
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-02-24 · Health · corrected 2024-09-30
Potential for more than minimal harm
- EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-02-24 · Health · corrected 2025-03-24
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-11-07 · Health · corrected 2024-12-03
Potential for more than minimal harm
- DF0687Provide appropriate foot care.2024-11-07 · Health · corrected 2024-12-03
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2024-11-07 · Health · corrected 2024-12-03
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-11-07 · Health · corrected 2024-12-03
Potential for more than minimal harm
- DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-11-07 · Health · corrected 2024-12-03
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-11-07 · Health · corrected 2024-12-03
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-11-07 · Health · corrected 2024-12-03
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-09-04 · Health · corrected 2024-09-20
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-08-29 · Health · corrected 2024-09-18
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-08-29 · Health · corrected 2024-09-18
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.2023-10-19 · Health · corrected 2023-11-16
Potential for more than minimal harm
- DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2023-10-19 · Health · corrected 2023-11-16
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-10-19 · Health · corrected 2023-11-16
Potential for more than minimal harm
- DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2023-10-05 · Health · corrected 2023-10-26
Potential for more than minimal harm
- EF0584Honor 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.2023-10-05 · Health · corrected 2023-10-26
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-10-05 · Health · corrected 2023-10-26
Potential for more than minimal harm
- EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-10-05 · Health · corrected 2023-10-26
Potential for more than minimal harm
- EF0761Ensure 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.2023-10-05 · Health · corrected 2023-10-26
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-10-05 · Health · corrected 2023-10-26
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-10-05 · Health · corrected 2023-10-26
Potential for more than minimal harm
- EF0761Ensure 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.2023-06-13 · Health · corrected 2023-06-26
Potential for more than minimal harm
- DF0790Provide routine and 24-hour emergency dental care for each resident.2023-06-13 · Health · corrected 2023-06-26
Potential for more than minimal harm
- DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2023-06-13 · Health · corrected 2023-06-26
Potential for more than minimal harm
- DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2023-05-02 · Health · corrected 2023-05-26
Potential for more than minimal harm
- DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2023-04-20 · Health · corrected 2023-05-25
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| DALLAS COUNTY HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2017-03-31 |
| NEXT GEN P, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-05-01 |
| THREADGILL, SHARLYN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-05-01 |
| BRADLEY, SHANNAN | Individual | CORPORATE DIRECTOR | — | 2023-12-11 |
| CASTANEDA, EDMUNDO | Individual | CORPORATE OFFICER | — | 2022-01-10 |
| CERISE, FREDERICK | Individual | CORPORATE OFFICER | — | 2017-03-31 |
| CARETRUST REIT INC | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2019-05-01 |
| CTR PARTNERSHIP LP | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2019-05-01 |
Other facilities in Dallas
| Name | Overall | Beds |
|---|---|---|
| Southern Oaks Therapy and Living Center | ★★★★☆ | 150 |
| Fair Park Health & Rehabilitation Center | ★★★☆☆ | 114 |
| AVIR AT DALLAS | ★★☆☆☆ | 136 |
| Villages of Lake Highlands | ★★☆☆☆ | 126 |
| Treemont Healthcare and Rehabilitation Center | ★★☆☆☆ | 130 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.