Elder Care Record

Texas › Dallas County › Dallas

Lakewest Rehabilitation and Skilled Care

2450 Bickers St, Dallas, TX 75212

CCN 676276 · Government, hospital district · 118 certified beds · chain Momentum Skilled Services

CMS abuse iconLocated in a hospital
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.

Certified for 118 beds, Lakewest Rehabilitation and Skilled Care serves Dallas in Dallas County, Texas and has taken Medicare and Medicaid residents since 2011.

CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 1, staffing 1 and quality measures 4.

Inspectors recorded 44 health deficiencies across the three most recent survey cycles (15, 19, 10 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 37.3 per 100 beds, more than the state median of 22.5.

CMS lists 2 penalties in the period covered: fines totalling $26K.

Reported nurse staffing is 3.2 hours per resident per day (0.3 RN), close to the Texas median of 3.3; nursing staff turnover is 71.7%.

CMS flags that the facility carries the CMS abuse icon.

44health deficiencies, 3 survey cycles2 at actual harm or worse
$26Kfines listed by CMS2 penalties in period
3.2nurse hours per resident per daystate median 3.3
76%occupancy (residents ÷ beds)90 residents a day

Compared with county, state and nation

MeasureThis facilityDallas Co. medianTexas medianUS average
Overall star rating1233.0
Health citations, 3 cycles44282528.7
Citations per 100 beds37.322.022.526.8
Total nurse hours per resident day3.23.33.33.9
RN hours per resident day0.30.40.40.7
Nursing staff turnover71.7%55.5%52.1%45.8%
Fines listed$25,799$25,390$16,801—

County and state figures are medians across facilities (81 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)15
Cycle 219
Cycle 310

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 14 Jan 2026, 7 Nov 2024.

Severity mix: J ×1 K ×1 D ×24 E ×17 F ×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
17 Apr 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.KComplaint investigation18 Apr 2026
17 Apr 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint investigation18 Apr 2026
5 Mar 2026F0558Reasonably accommodate the needs and preferences of each resident.EComplaint investigation6 Mar 2026
5 Mar 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation6 Mar 2026
5 Mar 2026F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation6 Mar 2026
14 Jan 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey18 Jan 2026
14 Jan 2026F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.EStandard survey18 Jan 2026
14 Jan 2026F0880Provide and implement an infection prevention and control program.EStandard survey18 Jan 2026
14 Jan 2026F0576Ensure residents have reasonable access to and privacy in their use of communication methods.DComplaint investigation18 Jan 2026
14 Jan 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey18 Jan 2026
14 Jan 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey18 Jan 2026
14 Jan 2026F0685Assist a resident in gaining access to vision and hearing services.DStandard survey18 Jan 2026
14 Jan 2026F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey18 Jan 2026
14 Jan 2026F0825Provide or get specialized rehabilitative services as required for a resident.DStandard survey18 Jan 2026
6 Aug 2025F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DComplaint investigation4 Sep 2025
13 Jun 2025F0761Ensure 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.DComplaint investigation16 Jun 2025
11 Jun 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint investigation12 Jun 2025
11 Jun 2025F0584Honor 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.DComplaint investigation12 Jun 2025
13 May 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation20 May 2025
21 Mar 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EComplaint investigation16 Apr 2025
21 Mar 2025F0880Provide and implement an infection prevention and control program.EComplaint investigation16 Apr 2025
21 Mar 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation16 Apr 2025
24 Feb 2025F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EComplaint investigation24 Mar 2025
24 Feb 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation30 Sep 2024
7 Nov 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey3 Dec 2024
7 Nov 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation3 Dec 2024
7 Nov 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey3 Dec 2024
7 Nov 2024F0880Provide and implement an infection prevention and control program.EComplaint investigation3 Dec 2024
7 Nov 2024F0687Provide appropriate foot care.DComplaint investigation3 Dec 2024
7 Nov 2024F0692Provide enough food/fluids to maintain a resident's health.DStandard survey3 Dec 2024
7 Nov 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DStandard survey3 Dec 2024
4 Sep 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation20 Sep 2024
29 Aug 2024F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint investigation18 Sep 2024
29 Aug 2024F0610Respond appropriately to all alleged violations.DComplaint investigation18 Sep 2024
19 Oct 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint investigation16 Nov 2023
19 Oct 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation16 Nov 2023
19 Oct 2023F0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DComplaint investigation16 Nov 2023
5 Oct 2023F0584Honor 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.EStandard survey26 Oct 2023
5 Oct 2023F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard survey26 Oct 2023
5 Oct 2023F0761Ensure 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.EStandard survey26 Oct 2023
5 Oct 2023F0880Provide and implement an infection prevention and control program.EComplaint investigation26 Oct 2023
5 Oct 2023F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint investigation26 Oct 2023
5 Oct 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey26 Oct 2023
5 Oct 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard survey26 Oct 2023

Penalties

DateTypeAmountDetail
17 Apr 2026Fine$11,730
11 Jun 2025Fine$14,069

Staffing

Total nursing3.2 h
Nurse aides1.84 h
LPN1.09 h
RN0.26 h
Weekend total2.74 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 71.7%, RNs 60.0%; 2 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 Stay15.9%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 Stay0.6%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay0.6%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 Stay13.1%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.3%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay7.5%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: Dallas County Hospital District. Chain: Momentum Skilled Services (9 facilities).

OrganisationRole in the CMS recordInterestSince
Dallas County Hospital District5% or greater direct ownership interest100%03/31/2017
Caretrust Reit Inc5% or greater mortgage interestNOT APPLICABLE05/01/2019
Ctr Partnership LP5% or greater mortgage interestNOT APPLICABLE05/01/2019
Next Gen P, LLCOperational/managerial controlNOT APPLICABLE05/01/2019
Caretrust Reit IncAdp of the snfNOT APPLICABLE05/01/2019
Ctr Partnership LPAdp of the snfNOT APPLICABLE05/01/2019

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 Dallas County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Avir At IrvingIrving845421821.4—26 Feb 2026
Brentwood Place OneDallas1205511512.5—9 Apr 2026
C C Young Memorial HomeDallas12955586.2—15 Jan 2026
Cheyenne Medical LodgeMesquite1395422014.4—16 Jun 2026
Crestview CourtCedar Hill1255422116.8$17K14 Jun 2025
Las Brisas Rehabilitation and Wellness CenterIrving128552107.8—8 Jan 2026
Pure Health Transitional Care At Texas Health PresDallas4955448.2—2 Jul 2025
Ventana By BucknerDallas725451419.4—18 Mar 2026

All 81 facilities in Dallas County

Questions and answers

How many deficiencies has Lakewest Rehabilitation and Skilled Care been cited for?

44 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.

Has Lakewest Rehabilitation and Skilled Care been fined?

Yes. CMS lists fines totalling $26K in the period covered.

How does staffing at Lakewest Rehabilitation and Skilled Care compare?

Reported total nurse staffing is 3.2 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates Lakewest Rehabilitation and Skilled Care?

It is part of the Momentum Skilled Services chain. Ownership type is government, hospital district. Organisations in the CMS ownership record include Dallas County Hospital District and Next Gen P, LLC. Individual owners and managers are not listed on this site.

When was Lakewest Rehabilitation and Skilled Care last inspected?

The most recent survey or investigation in the CMS record is dated 17 Apr 2026; the most recent standard health survey was 14 Jan 2026.

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.