Lakeside Health and Wellness

110 N State Hwy 274 · Kemp, TX · 75143 · 4302552199

124 certified beds For profit - Limited Liability company Chain: Ml Healthcare

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $162,963 in fines in the last 24 months.
  • Inspection results have improved across recent cycles.

Red flags

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

6 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

2 abuse-related citations at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

$162,963 in federal fines in the last 24 months

4 fines — CMS fines are reserved for verified, serious non-compliance.

Total nurse staffing below 3.0 hours per resident-day

2.95 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

74% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 27
Serious harm & abuse 20% 28
Staffing 20% 46
Federal penalties 15% 11
Trend 10% 75
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day2.953.48 min · 4.1 strong
RN hours / resident-day0.400.55–0.75
Weekend hours / resident-day2.66≈ weekday level
Nursing turnover / year74%median 45%
Fines (3-yr window)5 · $195,593

Inspection citations (59 in the current record)

  • Actual harm · H January 22, 2026

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

    Corrected February 9, 2026 · Quality of Life and Care

  • Potential for harm · D January 22, 2026

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected February 9, 2026 · Resident Rights

  • Potential for harm · D January 22, 2026

    Keep residents' personal and medical records private and confidential.

    Corrected February 9, 2026 · Resident Rights

  • Potential for harm · D January 22, 2026

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected February 9, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 22, 2026

    Ensure each resident receives an accurate assessment.

    Corrected February 9, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 22, 2026

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected February 9, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 22, 2026

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

    Corrected February 9, 2026 · Quality of Life and Care

  • Potential for harm · E January 22, 2026

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

    Corrected February 9, 2026 · Quality of Life and Care

  • Potential for harm · D January 22, 2026

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

    Corrected February 9, 2026 · Quality of Life and Care

  • Potential for harm · E January 22, 2026

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected February 9, 2026 · Pharmacy Service

  • Potential for harm · D January 22, 2026

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected February 9, 2026 · Pharmacy Service

  • Potential for harm · D January 22, 2026

    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.

    Corrected February 9, 2026 · Pharmacy Service

  • Potential for harm · D January 22, 2026

    Provide routine and 24-hour emergency dental care for each resident.

    Corrected February 9, 2026 · Quality of Life and Care

  • Potential for harm · E January 22, 2026

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Corrected February 9, 2026 · Nutrition and Dietary

  • Potential for harm · E January 22, 2026

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected February 9, 2026 · Nutrition and Dietary

  • Potential for harm · E January 22, 2026

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

    Corrected February 9, 2026 · Nutrition and Dietary

  • Potential for harm · D January 22, 2026

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    Corrected February 9, 2026 · Nutrition and Dietary

  • Potential for harm · E January 22, 2026

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected February 9, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E January 22, 2026

    Provide and implement an infection prevention and control program.

    Corrected February 9, 2026 · Infection Control

  • Potential for harm · D November 19, 2025 · found via complaint

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

    Corrected December 15, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D November 19, 2025 · found via complaint

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected December 15, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D November 19, 2025 · found via complaint

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

    Corrected December 4, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D November 19, 2025 · found via complaint

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

    Corrected December 5, 2025 · Quality of Life and Care

  • Potential for harm · D November 19, 2025 · found via complaint

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

    Corrected December 5, 2025 · Quality of Life and Care

  • Actual harm · H October 17, 2024

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

    Corrected November 15, 2024 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
January 22, 2026Fine$112,560
October 17, 2024Fine$16,801
September 20, 2024Fine$16,801
September 20, 2024Fine$16,801
September 15, 2023Fine$32,630

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676497 · certified since May 20, 2021. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.