Lakewest Rehabilitation and Skilled Care

2450 Bickers St · Dallas, TX · 75212 · 2148790888

118 certified beds Government - Hospital district Chain: Momentum Skilled Services Hospital-based

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection results have improved across recent cycles.

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Red flags

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

1 abuse-related citation at the actual-harm level

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

RN staffing in the bottom 10% nationally

0.18 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

70% 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 42
Serious harm & abuse 20% 60
Staffing 20% 43
Federal penalties 15% 58
Trend 10% 76
Context 5% 75

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

CMS ratings & staffing

Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.393.48 min · 4.1 strong
RN hours / resident-day0.180.55–0.75
Weekend hours / resident-day2.94≈ weekday level
Nursing turnover / year70%median 45%
Fines (3-yr window)2 · $25,389

Inspection citations (45 in the current record)

  • Immediate jeopardy · K April 17, 2026 · found via complaint

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

    Corrected April 18, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E April 17, 2026 · found via complaint

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

    Corrected April 18, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E March 5, 2026 · found via complaint

    Reasonably accommodate the needs and preferences of each resident.

    Corrected March 6, 2026 · Resident Rights

  • Potential for harm · D March 5, 2026 · found via complaint

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

    Corrected March 6, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D March 5, 2026 · found via complaint

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

    Corrected March 6, 2026 · Quality of Life and Care

  • Potential for harm · D January 14, 2026

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

    Corrected January 18, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E January 14, 2026

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

    Corrected January 18, 2026 · Quality of Life and Care

  • Potential for harm · D January 14, 2026

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

    Corrected January 18, 2026 · Quality of Life and Care

  • Potential for harm · D January 14, 2026

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

    Corrected January 18, 2026 · Quality of Life and Care

  • Potential for harm · E January 14, 2026

    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.

    Corrected January 18, 2026 · Quality of Life and Care

  • Potential for harm · D January 14, 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 January 18, 2026 · Quality of Life and Care

  • Potential for harm · D January 14, 2026

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

    Corrected January 18, 2026 · Quality of Life and Care

  • Potential for harm · E January 14, 2026

    Provide and implement an infection prevention and control program.

    Corrected January 18, 2026 · Infection Control

  • Potential for harm · D January 14, 2026 · found via complaint

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

    Corrected January 18, 2026 · Resident Rights

  • Potential for harm · D August 6, 2025 · found via complaint

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

    Corrected September 4, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D June 13, 2025 · found via complaint

    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 June 16, 2025 · Pharmacy Service

  • Potential for harm · E May 13, 2025 · found via complaint

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

    Corrected May 20, 2025 · Pharmacy Service

  • Potential for harm · E March 21, 2025 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected April 16, 2025 · Quality of Life and Care

  • Potential for harm · D March 21, 2025 · found via complaint

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

    Corrected April 16, 2025 · Quality of Life and Care

  • Potential for harm · E March 21, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected April 16, 2025 · Infection Control

  • Potential for harm · D February 24, 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 September 30, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E February 24, 2025 · found via complaint

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected March 24, 2025 · Environmental

  • Potential for harm · D November 7, 2024

    Provide enough food/fluids to maintain a resident's health.

    Corrected December 3, 2024 · Quality of Life and Care

  • Potential for harm · E November 7, 2024

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

    Corrected December 3, 2024 · Pharmacy Service

  • Potential for harm · D November 7, 2024

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

    Corrected December 3, 2024 · Nutrition and Dietary

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

Federal penalties

DateTypeAmount / length
April 17, 2026Fine$11,320
June 11, 2025Fine$14,069

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676276 · certified since May 5, 2011. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.