Government - Hospital district · 60 certified beds · CMS number 675051
Lakeview Rehabilitation and Healthcare Center, Winnsboro, TX
CMS records 27 health deficiencies at Lakeview Rehabilitation and Healthcare Center in Winnsboro, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Feb 11, 2026. The highest severity cited is H (actual harm (not immediate jeopardy)). CMS lists 1 fine totaling $34,234 in the last three years.
- 27deficiencies, 3 cycles (TX median 25)
- 7in the latest cycle (TX median 8)
- Hhighest severity · Actual harm
- $34,234fines, last 3 years
- 3CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Lakeview Rehabilitation and Healthcare Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Lakeview Rehabilitation and Healthcare Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (7 deficiencies)
Standard inspection Feb 11, 2026. CMS counts 7 health deficiencies and 6 fire safety deficiencies in this cycle.
Apr 23, 2026 · Complaint inspection
1 deficiency, highest D
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 May 6, 2026
Feb 11, 2026 · Standard inspection
6 deficiencies, highest E
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 Feb 13, 2026
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 13, 2026
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 Feb 13, 2026
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 Feb 13, 2026
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 Feb 13, 2026
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 13, 2026
Previous cycle: 12 deficiencies (standard inspection Nov 20, 2024)
Standard inspection Nov 20, 2024. CMS counts 12 health deficiencies and 2 fire safety deficiencies in this cycle.
Nov 20, 2024 · Standard + complaint inspection
12 deficiencies, highest H
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 Nov 21, 2024
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 21, 2024
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 21, 2024
F699 · Trauma-informed, culturally competent care
Requirement cited (CMS): Provide care or services that was trauma informed and/or culturally competent.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 21, 2024
F698 · Dialysis care
Requirement cited (CMS): Provide safe, appropriate dialysis care/services for a resident who requires such services.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 21, 2024
F697 · Pain management
Requirement cited (CMS): Provide safe, appropriate pain management for a resident who requires such services.
- Severity
- H Actual harm (not immediate jeopardy), pattern
- Status
- Correction date Nov 21, 2024
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 21, 2024
F657 · Care plan timing and team review
Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 21, 2024
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 Nov 21, 2024
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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 21, 2024
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- H Actual harm (not immediate jeopardy), pattern
- Status
- Correction date Nov 21, 2024
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 Nov 21, 2024
Earlier cycle: 8 deficiencies (standard inspection Oct 11, 2023)
Standard inspection Oct 11, 2023. CMS counts 8 health deficiencies and 2 fire safety deficiencies in this cycle.
Oct 11, 2023 · Standard inspection
8 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 Nov 9, 2023
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 13, 2023
F758 · Psychotropic drug safeguards
Requirement cited (CMS): Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 6, 2023
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 9, 2023
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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 18, 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 30, 2023
F657 · Care plan timing and team review
Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 12, 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 12, 2023
Tags cited in more than one inspection
7 tags cited on more than one inspection date at Lakeview Rehabilitation and Healthcare Center; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F761 Drug labeling and secure storage | 3 | Apr 23, 2026; Feb 11, 2026; Oct 11, 2023 |
| F880 Infection prevention and control program | 3 | Feb 11, 2026; Nov 20, 2024; Oct 11, 2023 |
| F641 Accurate resident assessments | 2 | Feb 11, 2026; Nov 20, 2024 |
| F656 Comprehensive person-centered care plan | 2 | Feb 11, 2026; Oct 11, 2023 |
| F657 Care plan timing and team review | 2 | Nov 20, 2024; Oct 11, 2023 |
| F690 Bladder, bowel, and catheter care | 2 | Nov 20, 2024; Oct 11, 2023 |
| F812 Food safety and sanitation | 2 | Feb 11, 2026; Nov 20, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Nov 20, 2024 | Fine | $34,234 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.34 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.50 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.94 h
- Nursing staff turnover
- 41.3% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 3 of 5
- Health inspection rating
- 3 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 4 of 5
CMS figures for Lakeview Rehabilitation and Healthcare Center, copied as published; Texas medians are ours.
Facility details
- Address
- 502 E Coke Rd, Winnsboro, TX 75494
- Phone
- (903) 342-6951
- County
- Wood
- Accepts
- Medicare and Medicaid
- Ownership
- Government - Hospital district
- Chain (CMS)
- Nexion Health
- Certified beds
- 60
- Average residents per day
- 46.6
- In Medicare/Medicaid since
- Jun 3, 1992
- 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 are medications stored and secured on each unit? (F761, cited 3 times)
- How do staff track and report infections among residents? (F880, cited 3 times)
- How does the home check that resident assessments match what staff actually observe? (F641, cited 2 times)
- How are a resident's goals and preferences written into the care plan? (F656, cited 2 times)
Other nursing homes in Winnsboro and the same chain
- Avir at Winnsboro
Winnsboro · 51 deficiencies - Terrell Healthcare Center
Terrell · 93 deficiencies - North Star Ranch Rehabilitation and Healthcare Cen
Bonham · 61 deficiencies - Duncanville Healthcare and Rehabilitation Center
Duncanville · 58 deficiencies - Lily Springs Rehabilitation and Healthcare Center
Lampasas · 52 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.