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Nursing HomeMedicaid

Lakeview Rehabilitation and Healthcare Center

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

502 E Coke Rd, Winnsboro, TX 7549460 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.9/5

based on 58 Google reviews

5
4
3
2
1
Lakeview Rehabilitation and Healthcare Center Nursing Home in Winnsboro, TX — Street View
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What this means for your family

This facility is an excellent choice for rehabilitation and long-term care, particularly if you value a staff that treats residents like family. However, due to a specific and serious allegation regarding medication management, you should proactively ask the administration about their protocols for medication administration and how they handle nursing oversight.

Google Reviews

Google Reviews

58 reviews analyzed
Families considering Lakeview Rehabilitation and Healthcare Center can expect a highly compassionate environment where staff members are frequently praised for treating residents like family. While the facility excels in rehabilitation, physical therapy, and engaging resident activities, one extremely serious allegation regarding medication mismanagement and nursing conduct should be investigated during your visit.

Quality Themes

Tap a score for details
Food8.0Staff9.0Clean9.0Activities10.0Meds1.0MemoryN/AComms9.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Effective rehabilitation and physical therapy programs
  • Engaging resident activities and community events
  • Welcoming and family-oriented atmosphere

Concerns

  • Allegations of medication mismanagement and nursing misconduct

Rating Trends

Tap a year to see what changed

2345.02021(9)5.02022(17)4.72023(7)5.02024(11)5.02025(8)4.42026(9)

Distribution

5
52
4
1
3
0
2
0
1
1

How They Respond to Reviews

3%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1We've heard such wonderful things about the compassionate nursing staff and the family-oriented atmosphere here; how do you foster that sense of community among the 60 residents?
  • 2Could you walk us through the specific protocols your team uses to ensure medication is administered accurately and safely every day?
  • 3What kind of engaging activities or community events do you have planned for the residents to keep them active and social?
  • 4How does the nursing team handle medical emergencies or changes in a resident's condition during the overnight hours?
  • 5Since the rehabilitation and physical therapy programs are a highlight for many families, can you tell us more about how a personalized therapy plan is developed here?
  • 6What steps has the facility taken recently to address the recent health inspection findings and improve overall care standards?

Personalized based on this facility's data


Key Review Excerpts

If it had not for the excellent care I received at Lakeview, I know that I would never have walked again. I now live an independent life at home in Pine Mills, Texas.

Rehab patient · 2021★★★★★

The facility and patients are kept clean and everyone from nursing, therapy, housekeeping, social work, finance, wound care, kitchen staff and administration go above and beyond.

Long-term resident's family · 2025★★★★★

I am a physical therapist and have been in several nursing in the East Texas area. This facility is small and intimate. The staff is friendly and compassionate.

Professional/Industry peer · 2023★★★★★
Source: 58 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.51hrs
68%
Registered nurses for medical care
Total Nursing
3.35hrs
82%
All nurses + aides combined
Staff Turnover
42%
Lower is better (< 30% = good)
RN Turnover
14%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

13

measures

Worse Than Avg

3

measures

Mixed Results

1

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility28.8%
Worse than Avg
Here
28.8%
US
15.3%
TX
14.9%
Wood
12.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
Wood
11.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility11.9%
Better than Avg
Here
11.9%
US
19.4%
TX
14.2%
Wood
22.2%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility15.2%
Better than Avg
Here
15.2%
US
19.5%
TX
18.4%
Wood
25.3%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility5.9%
Better than Avg
Here
5.9%
US
15.4%
TX
9.4%
Wood
9.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility20.3%
Worse than Avg
Here
20.3%
US
14.4%
TX
16.1%
Wood
11.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility94.3%
Better than Avg
Here
94.3%
US
81.8%
TX
89.2%
Wood
79.3%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility85.7%
Mixed vs Avgs
Here
85.7%
US
79.7%
TX
88.0%
Wood
80.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Wood
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
2penalties
Near state avg (9.1)
5 complaint-triggered
$47,253 in fines

This facility has concerning patterns including serious abuse and neglect deficiencies that prompted family complaints in 2023, though these were corrected. Recent surveys show recurring issues with care planning, medication management, and infection control across multiple inspections. While most deficiencies have correction dates, the facility shows ongoing compliance struggles in core care areas that families should discuss during visits.

Feb 11, 2026Routine
12
0004ModerateCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0031ModerateCorrected

Emergency Preparedness Deficiencies

Provide emergency officials' contact information.

0037ModerateCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0607ModerateCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0232ModerateCorrected

Egress Deficiencies

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

0321ModerateCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0761MinorCorrected

Pharmacy Service Deficiencies

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.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0521Minor

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Nov 20, 2024Routine
13
0580ModerateCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0321ModerateCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0698ModerateCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0558MinorCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0584MinorCorrected

Resident Rights Deficiencies

Honor 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.

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0657MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0690MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0699MinorCorrected

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

0760MinorCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0521Minor

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Nov 20, 2024Complaint
1
0697ModerateCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

Oct 11, 2023Routine
10
0656MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0657MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0677MinorCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0689MinorCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0690MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0758MinorCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0761MinorCorrected

Pharmacy Service Deficiencies

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.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0353MinorCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0521Minor

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Aug 18, 2023Complaint
4
0600Severe

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0604Severe

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0607Severe

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0609Severe

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Federal Penalties

Fine

Nov 20, 2024

$34,234

Fine

Aug 18, 2023

$13,019

Ownership & Operations

Who Operates This Facility

Owner / Operator

West Wharton County Hospital District

Organization Type

for profit

Management Company

NEXION HEALTH AT WINNSBORO, INC

Administrator

BEAU JONES

Chain Affiliation

Chain Name

Nexion Health

Chain Size

52 facilities nationwide

Chain avg rating: 2.9/5 · Rank 19 of 26

Ownership & Management

Key personnel

Jones, BeauW-2 Managing EmployeeMak, DavidOfficer / DirectorNexion Health at Winnsboro, INCManagerFallon, JohnManagerHerdrich, WilliamManager
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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