Lakewest Rehabilitation and Skilled Care
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 67 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (14 vs median 8.0)
- High staff turnover (70%)
Bottom 25% in Texas · Critically understaffed (RN) · Worst in MOMENTUM SKILLED SERVICES chain · $21,645 in fines
What this means for your family
This facility offers strong rehabilitation and therapy services that have helped many patients return home. However, families must be extremely vigilant regarding hygiene and medication timing, as multiple reports indicate significant neglect and staffing shortages during off-hours.
Google Reviews
Google Reviews
67 reviews on Google“Families seeking rehabilitation services may find the therapy department and certain nursing staff highly effective for recovery. However, there are significant, recurring reports of neglect, including issues with hygiene, medication delays, and inadequate staffing levels, particularly during night and weekend shifts.”
Quality Themes
Tap a score for detailsStrengths
- Effective rehabilitation and therapy services
- Compassionate care from specific nursing staff
- Welcoming and friendly atmosphere for some residents
- Clean and well-maintained facility
Concerns
- Inadequate staffing and slow response times (mentioned by 4 reviewers)
- Neglect regarding hygiene and cleanliness of residents (mentioned by 3 reviewers)
- Unprofessional or aggressive attitude from management and nursing (mentioned by 3 reviewers)
- Medication administration delays (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 60 analyzed
How They Respond to Reviews
The owner provides personalized responses to positive reviews by acknowledging specific details like cleanliness or staff friendliness. For negative reviews, they use a professional tone to acknowledge concerns and attempt to move the conversation to a private channel for resolution.
Questions for Your Tour
- 1I noticed some families have shared great things about the rehab and therapy services here; could you tell me more about how the therapy team works with residents to reach their goals?
- 2With the recent health inspections, what specific steps is the facility taking to improve staffing levels and ensure more timely responses to resident needs?
- 3How does the nursing team manage medication schedules to ensure everything is administered accurately and on time?
- 4What is the facility's protocol for handling medical emergencies or sudden changes in a resident's condition during the night?
- 5I've heard some lovely things about the friendly atmosphere here; what kind of daily social activities or group events are available to keep residents engaged?
- 6How does the management team ensure consistent communication with families regarding their loved one's daily care and well-being?
Personalized based on this facility's data
Key Review Excerpts
“My husband and I had my mother in law with dementia at this facility. The staff was kind, helpful, knowledgeable and patient with her. She could be difficult at times, but they took good care of her.”
“I went to visit a friend there a few and saw that his room was very filthy, and he had been sitting in his mess for hours & was very thirsty- he said no one had checked in on him, and he accidentally dropped the nurse button after trying to call for help like 3 times.”
“The response times were on point with nursing and the staff. I will definitely recommend to anyone who needs care after hospitalization.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
14
measures
3
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents vaccinated for the flu
Residents whose walking got worse
Residents vaccinated for pneumonia
Residents who lost too much weight
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed 25 complaints against this facility, triggering most of the 37 deficiencies found across inspections, with recurring problems in medication management, infection control, and resident care. Issues span from serious concerns like abuse prevention and respiratory care to basic needs like food safety and pest control. While the facility corrects violations when cited, the pattern of repeated complaints and deficiencies across multiple care areas suggests ongoing quality concerns that families should carefully investigate before placement.
Mar 5, 2026Complaint3
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Jan 14, 2026Routine19
Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide 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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies
Install proper backup exit lighting.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
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.
Quality of Life and Care Deficiencies
Provide or get specialized rehabilitative services as required for a resident.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Jan 14, 2026Complaint1
Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
Aug 6, 2025Complaint1
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Jun 13, 2025Complaint1
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.
May 13, 2025Complaint1
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Federal Penalties
Fine
Jun 11, 2025
$14,069
Ownership & Operations
Who Operates This Facility
Dallas County Hospital District
for profit
NEXT GEN P LLC
JANE A BALDERAS
Chain Affiliation
Momentum Skilled Services
10 facilities nationwide
Chain avg rating: 2.0/5 · Rank 6 of 10 (Worst)
Ownership & Management
Owners
Dallas County Hospital District
Owner · Organization
Martel, Tyler
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Threadgill, Forrest
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Threadgill, Morgan
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
67 reviews from families & visitors
Official Website
Visit lakewestrehab.com
Medicare data downloads
Original nursing home datasets
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