Lakeside Nursing and Rehabilitation Center — nursing home in San Antonio, TX

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 118 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 113.1 CMS, MDS-derived
CMS Certification Number: 676325
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Oct 12, 2012
Ownership type: Government - Hospital district
Operator (legal business name): West Wharton County Hospital District
CMS chain: The Ensign Group 347 facilities
Phone: (210) 510-3200
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

8

latest Jun 5, 2026

Citations

23

22 health · 1 fire

Harm or worse

3

3 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K3	L·
Actual harm	G·	H·	I·
Potential harm	D17	E2	F·
Minimal	A·	B·	C1

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

1

$14,611

Payment denials

0

Latest

Feb 16, 2024

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 676325
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 118
First approved: Oct 12, 2012
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Texas.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jun 5, 2026	Health	Health Complaint	2	Potential harm	—	Open →
Jul 31, 2025	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Jul 31, 2025	Health	Health Standard	4	Potential harm	—	Open →
Jun 21, 2024	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Jun 21, 2024	Health	Health Complaint, Health Standard	9	Potential harm	—	Open →
Feb 16, 2024	Health	Health Complaint	3	Immediate jeopardy	—	Open →
Apr 26, 2023	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Apr 26, 2023	Health	Health Standard	4	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Feb 16, 2024	Civil money penalty (fine)	$14,611	—	676325\|Fine\|112367

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K3	L·
Actual harm	G·	H·	I·
Potential harm	D17	E2	F·
Minimal	A·	B·	C1

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jun 5, 2026	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 18, 2026	Complaint
Jun 5, 2026	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 18, 2026	Complaint
Jul 31, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 7, 2025
Jul 31, 2025	F-0583	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 21, 2025
Jul 31, 2025	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 21, 2025
Jul 31, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Aug 21, 2025
Jul 31, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Aug 21, 2025
Jun 21, 2024	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 17, 2024	Complaint
Jun 21, 2024	F-0559	Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 17, 2024
Jun 21, 2024	F-0565	Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 17, 2024
Jun 21, 2024	F-0655	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 17, 2024
Jun 21, 2024	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jul 17, 2024	Complaint
Jun 21, 2024	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jul 17, 2024
Jun 21, 2024	F-0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Jul 17, 2024
Jun 21, 2024	F-0921	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 17, 2024	Complaint
Jun 21, 2024	F-0925	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 17, 2024
Feb 16, 2024	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	K · Immediate jeopardy Pattern	Past non-compliance Feb 6, 2024	Complaint
Feb 16, 2024	F-0607	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	K · Immediate jeopardy Pattern	Past non-compliance Feb 6, 2024	Complaint
Feb 16, 2024	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	K · Immediate jeopardy Pattern	Past non-compliance Feb 6, 2024	Complaint
Apr 26, 2023	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 17, 2023
Apr 26, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected May 17, 2023
Apr 26, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected May 17, 2023
Apr 26, 2023	F-0848	Provide a neutral and fair arbitration process and agree to arbitrator and venue. Administration Deficiencies · Administration & records	C · Minimal Widespread	Corrected May 17, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 2.8

Health inspectionsstate 2.8

Staffingstate 1.9

Quality measuresstate 3.8

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.28

State avg 3.42US avg 3.90

Registered nurse (RN)0.48

State avg 0.44US avg 0.69

Licensed practical nurse0.79

State avg 0.94US avg 0.86

Nurse aide2.00

State avg 2.03US avg 2.35

Weekend total nurse2.67

State avg 2.99US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.05 (case-mix index 1.51).

Staff turnover

Total nursing staff turnover42.2%

State avg 50.8%US avg 45.3%

Registered nurse turnover38.5%

State avg 49.8%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jul 31, 2025
Cycle 1 health score: 28
Total weighted score: 45

Operating entity

West Wharton County Hospital District

CMS legal business name of the certified provider. Operates 101 facilities.

VerifiedLinked by exact legal name

CMS chain

The Ensign Group

347 facilities in 17 states. CMS chain ID 507.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.3

Ownership disclosures

Disclosures

12

Organizations

2

Individuals

9

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Carlos Alonzo	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Oct 1, 2022
Rashid Atique	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Mar 6, 2024
Crystal Lake Healthcare, Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 1, 2022
Carlos Alonzo	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 1, 2022
Rashid Atique	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 6, 2024
Soon Burnam	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Dec 3, 2021
Chad Keetch	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Mar 1, 2011
Johnny Thompson	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	May 16, 2024
Crystal Lake Healthcare, Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 16, 2025
The Ensign Group Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 3, 2021
Carlos Alonzo	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2022
Rashid Atique	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Mar 6, 2024

Other facilities operated by West Wharton County Hospital District

All 100 →

Facility	Beds	Last inspection	Citations (window)	Fines
Buena Vida Nursing and Rehab-San Antonio 5027 Pecan Grove, San Antonio, TX 78222 CCN 455390SFF CandidateAbuse icon	222	Jul 24, 2026	595 IJ1 harm	$198k
Avir at Rose Trail 930 S Baxter, Tyler, TX 75701 CCN 455429SFF Candidate	172	Aug 14, 2026	639 IJ3 harm	$484k
Mesa Vista Inn Health Center 5756 North Knoll Drive, San Antonio, TX 78240 CCN 455444	144	Jul 2, 2026	531 IJ	$8,160
Avir at Petal Hill 900 S Baxter Ave, Tyler, TX 75701 CCN 455485Abuse icon	120	May 13, 2026	352 IJ	$26k
Sterling Hills Rehabilitation and Healthcare Cente 705 NE Georgia Ave, Sweetwater, TX 79556 CCN 455509	96	Mar 26, 2026	17	—
Amistad Nursing and Rehabilitation Center 200 Riverside Drive, Uvalde, TX 78801 CCN 455536	200	Aug 7, 2026	44	—
Mineral Wells Nursing & Rehabilitation 316 Southwest 25th Avenue, Mineral Wells, TX 76067 CCN 455570	109	Jun 24, 2026	19	—
Concho Health & Rehabilitation Center 613 Eaker St, Eden, TX 76837 CCN 455737	66	Aug 11, 2026	28	—

Same chain in Texas

All 346 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Richland Hills Rehabilitation and Healthcare Cente 3109 Kings Ct, Fort Worth, TX 76118 CCN 455576	92	May 28, 2026	401 harm	$8,190
Grand Terrace Rehabilitation and Healthcare 812 W. Houston Ave., Mcallen, TX 78501 CCN 455586	93	Jun 17, 2026	16	—
Alta Vista Rehabilitation and Healthcare 510 Paredes Line Rd, Brownsville, TX 78521 CCN 455625	100	May 1, 2026	281 IJ	—
Wellington Rehabilitation and Healthcare 1802 S 31st, Temple, TX 76504 CCN 455637	124	Aug 6, 2026	404 IJ	$32k
Golden Palms Rehabilitation and Retirement 2101 Treasure Hills Boulevard, Harlingen, TX 78550 CCN 455672	60	May 13, 2026	271 IJ1 harm	$16k
Park Village Healthcare and Rehabilitation 207 E Parkerville Rd, Desoto, TX 75115 CCN 455727Abuse icon	150	Aug 25, 2026	636 IJ2 harm2 open	$221k
Kirkwood Manor 2590 Loop 337 N, New Braunfels, TX 78130 CCN 455732	162	Jun 17, 2026	691 IJ	$29k
Timberwood Nursing and Rehabilitation Center 4001 Hwy 59 North, Livingston, TX 77351 CCN 455745	120	Jan 14, 2026	181 IJ	$8,021

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 8707 Lakeside Parkway, San Antonio, TX 78245
ZIP: 78245
County: Bexar County FIPS 48029
State: Texas
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Westover Hills Rehabilitation and Healthcare 9922 State Hwy. 151, San Antonio, TX 78251 CCN 676281	2.8 km	124	Jun 12, 2026	321 IJ1 harm	$20k
Windemere at Westover Hills 11106 Christus Hills, San Antonio, TX 78251 CCN 676402	3.3 km	112	Dec 19, 2025	282 IJ	$8,281
Legend Oaks Healthcare and Rehabilitation - West S 222 Bertetti Dr, San Antonio, TX 78227 CCN 676312	3.6 km	124	Jun 12, 2026	231 IJ	$8,632
Las Colinas of Westover 9738 Westover Hills Blvd, San Antonio, TX 78251 CCN 676328	4.5 km	140	Dec 5, 2025	454 IJ	$39k
The Mission at Blue Skies of Texas East 4949 Ravenswood Drive, San Antonio, TX 78227 CCN 676041	5.6 km	80	Aug 6, 2026	311 IJ1 harm	$17k
Silver Creek Nursing and Rehabilitation 9014 Timber Path, San Antonio, TX 78250 CCN 455652	6 km	120	Jul 2, 2025	28	—
Inspiration Hills Rehabilitation Center 1939 Bandera Rd, San Antonio, TX 78228 CCN 675138	9 km	134	Jun 4, 2026	42	—
Mystic Park Nursing and Rehabilitation Center 8503 Mystic Park, San Antonio, TX 78254 CCN 676012	10.1 km	119	Jul 2, 2026	362 IJ	$111k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	676325	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	676325	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 676325

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction