Starfile

Starfile / Texas

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.

CycleInspection dateThis facilityTexas avgNational avgvs state
12024-11-07149.19.5+4.9 worse
22023-10-05129.49.8+2.6 worse
32022-09-0188.19.3-0.1 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care5
Resident assessment and care planning1
Resident rights1
Nutrition and dietary2
Pharmacy service3
Infection control2

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.2669.9%
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)

  1. 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

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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

  7. EF0880Provide and implement an infection prevention and control program.2025-03-21 · Health · corrected 2025-04-16

    Potential for more than minimal harm

  8. 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

  9. 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

  10. 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

  11. DF0687Provide appropriate foot care.2024-11-07 · Health · corrected 2024-12-03

    Potential for more than minimal harm

  12. DF0692Provide enough food/fluids to maintain a resident's health.2024-11-07 · Health · corrected 2024-12-03

    Potential for more than minimal harm

  13. 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

  14. 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

  15. 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

  16. EF0880Provide and implement an infection prevention and control program.2024-11-07 · Health · corrected 2024-12-03

    Potential for more than minimal harm

  17. 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

  18. 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

  19. DF0610Respond appropriately to all alleged violations.2024-08-29 · Health · corrected 2024-09-18

    Potential for more than minimal harm

  20. 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

  21. 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

  22. 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

  23. 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

  24. 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

  25. 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

  26. 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

  27. 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

  28. 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

  29. EF0880Provide and implement an infection prevention and control program.2023-10-05 · Health · corrected 2023-10-26

    Potential for more than minimal harm

  30. 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

  31. 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

  32. 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

  33. 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

  34. 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

OwnerTypeRolePercentSince
DALLAS COUNTY HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2017-03-31
NEXT GEN P, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2019-05-01
THREADGILL, SHARLYNIndividualOPERATIONAL/MANAGERIAL CONTROL2019-05-01
BRADLEY, SHANNANIndividualCORPORATE DIRECTOR2023-12-11
CASTANEDA, EDMUNDOIndividualCORPORATE OFFICER2022-01-10
CERISE, FREDERICKIndividualCORPORATE OFFICER2017-03-31
CARETRUST REIT INCOrganization5% OR GREATER MORTGAGE INTEREST2019-05-01
CTR PARTNERSHIP LPOrganization5% OR GREATER MORTGAGE INTEREST2019-05-01

Other facilities in Dallas

NameOverallBeds
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.