Elder Care Record

Texas › Bexar County › San Antonio

Lakeside Nursing and Rehabilitation Center

8707 Lakeside Parkway, San Antonio, TX 78245

CCN 676325 · Government, hospital district · 118 certified beds · chain The Ensign Group

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Lakeside Nursing and Rehabilitation Center is a Government, hospital district nursing home in San Antonio, Texas, certified for 118 beds and caring for about 112 residents a day.

CMS gives it 5 of 5 stars overall, above the Texas median of 3; the health inspection rating is 4, staffing 2 and quality measures 5.

Inspectors recorded 23 health deficiencies across the three most recent survey cycles (6, 9, 8 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 19.5 per 100 beds, about the same as the state median of 22.5.

CMS lists 1 penalty in the period covered: fines totalling $15K.

Reported nurse staffing is 3.3 hours per resident per day (0.5 RN), close to the Texas median of 3.3; nursing staff turnover is 36.8%.

23health deficiencies, 3 survey cycles3 at actual harm or worse
$15Kfines listed by CMS1 penalty in period
3.3nurse hours per resident per daystate median 3.3
95%occupancy (residents ÷ beds)112 residents a day

Compared with county, state and nation

MeasureThis facilityBexar Co. medianTexas medianUS average
Overall star rating5233.0
Health citations, 3 cycles23382528.7
Citations per 100 beds19.532.622.526.8
Total nurse hours per resident day3.33.33.33.9
RN hours per resident day0.50.40.40.7
Nursing staff turnover36.8%50.0%52.1%45.8%
Fines listed$14,611$15,616$16,801—

County and state figures are medians across facilities (62 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)6
Cycle 29
Cycle 38

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 31 Jul 2025, 21 Jun 2024.

Severity mix: K ×3 D ×18 E ×1 C ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
5 Jun 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation18 Jun 2026
5 Jun 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation18 Jun 2026
31 Jul 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey21 Aug 2025
31 Jul 2025F0583Keep residents' personal and medical records private and confidential.DStandard survey21 Aug 2025
31 Jul 2025F0641Ensure each resident receives an accurate assessment.DStandard survey21 Aug 2025
31 Jul 2025F0880Provide and implement an infection prevention and control program.DStandard survey21 Aug 2025
21 Jun 2024F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation17 Jul 2024
21 Jun 2024F0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.DStandard survey17 Jul 2024
21 Jun 2024F0565Honor the resident's right to organize and participate in resident/family groups in the facility.DStandard survey17 Jul 2024
21 Jun 2024F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey17 Jul 2024
21 Jun 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation17 Jul 2024
21 Jun 2024F0761Ensure 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.DStandard survey17 Jul 2024
21 Jun 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DStandard survey17 Jul 2024
21 Jun 2024F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DComplaint investigation17 Jul 2024
21 Jun 2024F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.DStandard survey17 Jul 2024
16 Feb 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.KComplaint investigation6 Feb 2024
16 Feb 2024F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.KComplaint investigation6 Feb 2024
16 Feb 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.KComplaint investigation6 Feb 2024
13 Sep 2023F0551Give the resident's representative the ability to exercise the resident's rights.DComplaint investigation6 Oct 2023
26 Apr 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey17 May 2023
26 Apr 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard survey17 May 2023
26 Apr 2023F0880Provide and implement an infection prevention and control program.DStandard survey17 May 2023
26 Apr 2023F0848Provide a neutral and fair arbitration process and agree to arbitrator and venue.CStandard survey17 May 2023

Penalties

DateTypeAmountDetail
16 Feb 2024Fine$14,611

Staffing

Total nursing3.33 h
Nurse aides2.02 h
LPN0.82 h
RN0.49 h
Weekend total2.69 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 36.8%, RNs 30.8%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay8.7%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.6%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay5.8%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay1.2%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay4.7%8.3%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: government, hospital district. Legal business name: West Wharton County Hospital District. Chain: The Ensign Group (342 facilities).

OrganisationRole in the CMS recordInterestSince
Crystal Lake Healthcare, Inc.Operational/managerial controlNOT APPLICABLE10/01/2022
Crystal Lake Healthcare, Inc.Adp of the snfNOT APPLICABLE10/16/2025
The Ensign Group IncAdp of the snfNOT APPLICABLE12/03/2021

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Bexar County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Army Residence CommunitySan Antonio915541819.8—5 Jun 2025
Coronado At Stone OakSan Antonio1125432421.4—28 Jan 2026
The Mission At Blue Skies of Texas EastSan Antonio805442531.3$17K8 Aug 2025
Morningside ManorSan Antonio1474332617.7$5K11 Apr 2026
Pecan Valley Rehabilitation and HealthcareSan Antonio1244412520.2—29 Apr 2026
Remington Transitional Care of San AntonioSan Antonio604332338.3—15 Dec 2025
San Pedro ManorSan Antonio1504323020.0$24K30 Apr 2026
St. Francis Nursing HomeSan Antonio1074432018.7—23 Jan 2026

All 62 facilities in Bexar County

Questions and answers

How many deficiencies has Lakeside Nursing and Rehabilitation Center been cited for?

23 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.

Has Lakeside Nursing and Rehabilitation Center been fined?

Yes. CMS lists fines totalling $15K in the period covered.

How does staffing at Lakeside Nursing and Rehabilitation Center compare?

Reported total nurse staffing is 3.3 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates Lakeside Nursing and Rehabilitation Center?

It is part of the The Ensign Group chain. Ownership type is government, hospital district. Organisations in the CMS ownership record include Crystal Lake Healthcare, Inc.. Individual owners and managers are not listed on this site.

When was Lakeside Nursing and Rehabilitation Center last inspected?

The most recent survey or investigation in the CMS record is dated 5 Jun 2026; the most recent standard health survey was 31 Jul 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.