About Lakewest Rehabilitation and Skilled Care
Lakewest Rehabilitation And Skilled Care, located in Dallas, TX, is a government owned organization that accepts Medicare and Medicaid. It is located within a hospital setting.
Why Families Choose Lakewest Rehabilitation and Skilled Care
Key Performance Indicators
- CMS Overall Rating 1 Stars
- Nursing Hours 3.39 hrs
- Safety Record Clean
Chain Affiliations & Network
This facility is part of the MOMENTUM SKILLED SERVICES network. This chain operates 10 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Below Average Staffing
Lakewest Rehabilitation and Skilled Care provides less care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 1 |
|
| Health Inspection | 2 |
|
| Quality Measures | 4 |
|
| Staffing | 1 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 80 | Jan 14, 2026 |
| Weighted Average | 96 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 30.8% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 13.8% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 3.0% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 4.5% |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 17.4% |
| Percentage of long-stay residents who lose too much weight (QM404) | 2.0% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 0.0% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 0.6% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 0.7% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 0.3% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 96.8% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 92.5% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 0.0% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 12.6% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 19.0% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 100.0% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 93.8% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 2.4% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 16.3% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 8.4% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 9 complaints
- 2024: 7 complaints
- 2025: 7 complaints
- 2026: 4 complaints
- Total: 27 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Jan 18, 2026 | Ensure residents have reasonable access to and privacy in their use of communication methods. |
| Sep 04, 2025 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. |
| Jun 16, 2025 | Ensure 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. |
| May 20, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Apr 16, 2025 | Provide and implement an infection prevention and control program. |
| Apr 16, 2025 | Provide safe and appropriate respiratory care for a resident when needed. |
| Apr 16, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| Mar 24, 2025 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. |
| Dec 03, 2024 | Provide and implement an infection prevention and control program. |
| Dec 03, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Dec 03, 2024 | Provide appropriate foot care. |
| Sep 30, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Sep 20, 2024 | Provide safe and appropriate respiratory care for a resident when needed. |
| Sep 18, 2024 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. |
| Sep 18, 2024 | Respond appropriately to all alleged violations. |
| Nov 16, 2023 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Nov 16, 2023 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. |
| Nov 16, 2023 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Oct 26, 2023 | Provide and implement an infection prevention and control program. |
| Oct 26, 2023 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. |
| Jun 26, 2023 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. |
| Jun 26, 2023 | Provide routine and 24-hour emergency dental care for each resident. |
| Jun 26, 2023 | Ensure 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. |
| May 26, 2023 | Make sure that a working call system is available in each resident's bathroom and bathing area. |
| Jun 21, 2026 | Reasonably accommodate the needs and preferences of each resident. |
| Jun 21, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Jun 21, 2026 | Provide safe and appropriate respiratory care for a resident when needed. |
Nearby Hospitals
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Owner & Operator Information
Business Entity
DALLAS COUNTY HOSPITAL DISTRICT
Ownership Structure
- DALLAS COUNTY HOSPITAL DISTRICT Direct: 100%
Management & Direction
- SHANNAN BRADLEY CORPORATE DIRECTOR
- CARETRUST REIT INC ADP OF THE SNF
- EDMUNDO CASTANEDA CORPORATE OFFICER
- FREDERICK CERISE CORPORATE OFFICER
- CTR PARTNERSHIP LP ADP OF THE SNF
- ANTHONY DOTI ADP OF THE SNF
- TYLER MARTEL INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
- NEXT GEN P LLC OPERATIONAL/MANAGERIAL CONTROL
- MARQUITA SHOULDERS ADP OF THE SNF
- FORREST THREADGILL INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
- MORGAN THREADGILL INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
- SHARLYN THREADGILL OPERATIONAL/MANAGERIAL CONTROL
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Midtowne Meadows Health and Rehab | N/A | 4 |
| The Legacy Midtown Park | N/A | 5 |
| Pure Health Transitional Care at Texas Health Pres | N/A | 5 |
| Highland Meadows | N/A | 5 |
| C C Young Memorial Home | N/A | 5 |
| La Dora Nursing and Rehabilitation Center | N/A | 5 |
| Hurst Plaza Nursing and Rehab | N/A | 4 |
| Parkwood Village | N/A | 5 |
| Ventana By Buckner | N/A | 5 |
| Traymore Nursing Center | N/A | 4 |
Related Analysis
Best Nursing Homes in Dallas, TX
Compare Lakewest Rehabilitation and Skilled Care to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Lakewest Rehabilitation and Skilled Care directly at 2148790888. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.