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Nursing HomeMedicaid Investigative

Lakewest Rehabilitation and Skilled Care

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

2450 Bickers St, West Dallas · Dallas, TX 75212118 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.4/5

based on 67 Google reviews

5
4
3
2
1

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5/ 10
high Risk

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

Source: Medicare data

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 details
Food5.0Staff3.0Clean4.0Activities5.0Meds1.0Memory5.0Comms2.0Value5.0

Strengths

  • 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

234'16(4)'18(2)'21(9)'23(6)'25(6)'26(19)

Distribution · 60 analyzed

5
31
4
6
3
0
2
1
1
22

How They Respond to Reviews

83%response rate
Good

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.

Memory care family member · 2025★★★★★

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.

Visitor · 2024☆☆☆☆

The response times were on point with nursing and the staff. I will definitely recommend to anyone who needs care after hospitalization.

Rehab patient's family · 2023★★★★★
Source: 67 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.18hrs
24%
Registered nurses for medical care
Total Nursing
3.39hrs
83%
All nurses + aides combined
Staff Turnover
70%
Lower is better (< 30% = good)
RN Turnover
60%
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

14

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.7%
Better than Avg
Here
0.7%
US
12.1%
TX
2.5%
Dallas
2.0%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility8.4%
Better than Avg
Here
8.4%
US
15.4%
TX
9.4%
Dallas
10.8%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
TX
98.0%
Dallas
97.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility12.6%
Better than Avg
Here
12.6%
US
15.3%
TX
14.9%
Dallas
17.1%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility96.8%
Better than Avg
Here
96.8%
US
93.4%
TX
96.9%
Dallas
95.6%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility2.0%
Better than Avg
Here
2.0%
US
5.3%
TX
3.2%
Dallas
2.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility93.8%
Better than Avg
Here
93.8%
US
79.7%
TX
88.0%
Dallas
78.8%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility92.5%
Better than Avg
Here
92.5%
US
81.8%
TX
89.2%
Dallas
86.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Dallas
1.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

15deficiencies
1penalties
Well above state avg (9.1)
27 complaint-triggered
$21,645 in fines

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, 2026Complaint
3
0558Potential for harm · PatternCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0656Potential for harm · IsolatedCorrected

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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Jan 14, 2026Routine
19
0006Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0037Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0521Potential for harm · WidespreadCorrected

Services Deficiencies

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

0741Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0688Potential for harm · PatternCorrected

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0222Potential for harm · PatternCorrected

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.

0281Potential for harm · PatternCorrected

Egress Deficiencies

Install proper backup exit lighting.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

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

0656Potential for harm · IsolatedCorrected

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0685Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Assist a resident in gaining access to vision and hearing services.

0690Potential for harm · IsolatedCorrected

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.

0825Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or get specialized rehabilitative services as required for a resident.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Jan 14, 2026Complaint
1
0576Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure residents have reasonable access to and privacy in their use of communication methods.

Aug 6, 2025Complaint
1
0644Potential for harm · IsolatedCorrected

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, 2025Complaint
1
0761Potential for harm · IsolatedCorrected

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, 2025Complaint
1
0755Potential for harm · PatternCorrected

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

Owner / Operator

Dallas County Hospital District

Organization Type

for profit

Management Company

NEXT GEN P LLC

Administrator

JANE A BALDERAS

Chain Affiliation

Chain Name

Momentum Skilled Services

Chain Size

10 facilities nationwide

Chain avg rating: 2.0/5 · Rank 6 of 10 (Worst)

Ownership & Management

Owners

Dallas County Hospital District

Owner · Organization

100%

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

Caretrust Reit INC5% or Greater Mortgage InterestCtr Partnership Lp5% or Greater Mortgage InterestBradley, ShannanOfficer / DirectorCastaneda, EdmundoOfficer / DirectorCerise, FrederickOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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