For profit - Limited Liability company · 140 certified beds · CMS number 455903
Lake Lodge Nursing & Rehabilitation, Lake Worth, TX
CMS records 30 health deficiencies at Lake Lodge Nursing & Rehabilitation in Lake Worth, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jan 8, 2026. The highest severity cited is J (immediate jeopardy to resident health or safety). 3 citations were at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 2 fines totaling $33,845 in the last three years.
- 30deficiencies, 3 cycles (TX median 25)
- 6in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $33,845fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Lake Lodge Nursing & Rehabilitation as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Lake Lodge Nursing & Rehabilitation may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (6 deficiencies)
Standard inspection Jan 8, 2026. CMS counts 6 health deficiencies and 7 fire safety deficiencies in this cycle.
Jul 21, 2026 · Complaint inspection
1 deficiency, highest E
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 22, 2026
Mar 31, 2026 · Complaint inspection
1 deficiency, highest D
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 14, 2026
Mar 11, 2026 · Complaint inspection
1 deficiency, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 1, 2026
Jan 8, 2026 · Standard inspection
2 deficiencies, highest F
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 30, 2026
F727 · RN coverage and director of nursing
Requirement cited (CMS): Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Jan 30, 2026
Sep 4, 2025 · Complaint inspection
1 deficiency, highest E
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 9, 2025
Previous cycle: 8 deficiencies (standard inspection Oct 17, 2024)
Standard inspection Oct 17, 2024. CMS counts 8 health deficiencies and 8 fire safety deficiencies in this cycle.
Apr 7, 2025 · Complaint inspection
1 deficiency, highest D
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 8, 2025
Mar 11, 2025 · Complaint inspection
1 deficiency, highest D
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 11, 2025
Feb 25, 2025 · Complaint inspection
1 deficiency, highest E
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 7, 2025
Oct 17, 2024 · Standard inspection
5 deficiencies, highest E
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 18, 2024
F759 · Medication error rate under 5 percent
Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 18, 2024
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 18, 2024
F700 · Bed rail safety
Requirement cited (CMS): Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 18, 2024
F565 · Resident and family councils
Requirement cited (CMS): Honor the resident's right to organize and participate in resident/family groups in the facility.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 18, 2024
Earlier cycle: 16 deficiencies (standard inspection Sep 8, 2023)
Standard inspection Sep 8, 2023. CMS counts 16 health deficiencies and 7 fire safety deficiencies in this cycle.
Jun 6, 2024 · Complaint inspection
1 deficiency, highest J
F777 · Ordering X-rays and reporting results
Requirement cited (CMS): Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection), May 15, 2024
May 23, 2024 · Complaint inspection
1 deficiency, highest D
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 13, 2024
Feb 29, 2024 · Complaint inspection
4 deficiencies, highest J
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Mar 1, 2024
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 1, 2024
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 1, 2024
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Mar 1, 2024
Nov 15, 2023 · Complaint inspection
1 deficiency, highest D
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 16, 2023
Oct 16, 2023 · Complaint inspection
3 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 17, 2023
- Found in
- infection control inspection
F725 · Enough nursing staff every shift
Requirement cited (CMS): Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 17, 2023
- Found in
- infection control inspection
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 17, 2023
- Found in
- infection control inspection
Sep 8, 2023 · Standard + complaint inspection
6 deficiencies, highest D
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 13, 2023
F692 · Nutrition and hydration
Requirement cited (CMS): Provide enough food/fluids to maintain a resident's health.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 13, 2023
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 13, 2023
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 13, 2023
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 13, 2023
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 13, 2023
Tags cited in more than one inspection
6 tags cited on more than one inspection date at Lake Lodge Nursing & Rehabilitation; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F880 Infection prevention and control program | 4 | Mar 11, 2026; Apr 7, 2025; Oct 16, 2023; Sep 8, 2023 |
| F583 Personal privacy and confidential records | 3 | Jul 21, 2026; Sep 4, 2025; Sep 8, 2023 |
| F609 Reporting suspected abuse and crimes | 2 | Mar 11, 2025; Feb 29, 2024 |
| F677 Help with daily care | 2 | Oct 16, 2023; Sep 8, 2023 |
| F684 Quality of care | 2 | Mar 31, 2026; Nov 15, 2023 |
| F761 Drug labeling and secure storage | 2 | Jan 8, 2026; Oct 17, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| May 23, 2024 | Fine | $15,956 |
| Feb 29, 2024 | Fine | $17,889 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.26 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.24 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.99 h
- Nursing staff turnover
- 93.0% (Texas median 52.1%)
- Administrators who left
- 2
- CMS overall rating
- 1 of 5
- Health inspection rating
- 2 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 3 of 5
CMS figures for Lake Lodge Nursing & Rehabilitation, copied as published; Texas medians are ours.
Facility details
- Address
- 3800 Marina Dr, Lake Worth, TX 76135
- Phone
- (817) 237-7231
- County
- Tarrant
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Chain (CMS)
- Creative Solutions in Healthcare
- Certified beds
- 140
- Average residents per day
- 69.8
- In Medicare/Medicaid since
- Nov 20, 1990
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How do staff track and report infections among residents? (F880, cited 4 times)
- How do staff protect residents' privacy during bathing, dressing, and treatments? (F583, cited 3 times)
- Who at the home is responsible for reporting incidents to the state? (F609, cited 2 times)
- How often do residents who need help get assistance with bathing, grooming, and mouth care? (F677, cited 2 times)
Other nursing homes in Lake Worth and the same chain
- Franklin Heights Nursing & Rehabilitation
El Paso · 76 deficiencies - St. Teresa Nursing & Rehab Center
El Paso · 75 deficiencies - Mountain View Health & Rehabilitation
El Paso · 72 deficiencies - Pleasant Springs Healthcare Center
Mount Pleasant · 66 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.