Lakeside Nursing and Rehabilitation Center

8707 Lakeside Parkway · San Antonio, TX · 78245 · 2105103200

118 certified beds Government - Hospital district Chain: The Ensign Group

  • Inspection results have improved across recent cycles.

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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

3 immediate-jeopardy citations in prior inspection cycles

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

3 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.

Score breakdown

Inspection record 30% of score 61
Serious harm & abuse 20% 62
Staffing 20% 60
Federal penalties 15% 74
Trend 10% 89
Context 5% 100

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

CMS ratings & staffing

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

Total nurse hours / resident-day3.433.48 min · 4.1 strong
RN hours / resident-day0.460.55–0.75
Weekend hours / resident-day2.77≈ weekday level
Nursing turnover / year46%median 45%
Fines (3-yr window)1 · $14,611

Inspection citations (21 in the current record)

  • Potential for harm · D July 31, 2025

    Keep residents' personal and medical records private and confidential.

    Corrected August 21, 2025 · Resident Rights

  • Potential for harm · D July 31, 2025

    Ensure each resident receives an accurate assessment.

    Corrected August 21, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E July 31, 2025

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

    Corrected August 21, 2025 · Nutrition and Dietary

  • Potential for harm · D July 31, 2025

    Provide and implement an infection prevention and control program.

    Corrected August 21, 2025 · Infection Control

  • Potential for harm · D June 21, 2024

    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

    Corrected July 17, 2024 · Resident Rights

  • Potential for harm · D June 21, 2024

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Corrected July 17, 2024 · Resident Rights

  • Potential for harm · D June 21, 2024

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected July 17, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D June 21, 2024

    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 July 17, 2024 · Pharmacy Service

  • Potential for harm · D June 21, 2024

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

    Corrected July 17, 2024 · Nutrition and Dietary

  • Potential for harm · D June 21, 2024

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

    Corrected July 17, 2024 · Environmental

  • Potential for harm · D June 21, 2024 · found via complaint

    Reasonably accommodate the needs and preferences of each resident.

    Corrected July 17, 2024 · Resident Rights

  • Potential for harm · D June 21, 2024 · found via complaint

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

    Corrected July 17, 2024 · Pharmacy Service

  • Potential for harm · D June 21, 2024 · found via complaint

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected July 17, 2024 · Environmental

  • Immediate jeopardy · K February 16, 2024 · found via complaint

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

    Corrected February 6, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · K February 16, 2024 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected February 6, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · K February 16, 2024 · found via complaint

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

    Corrected February 6, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D September 13, 2023 · found via complaint

    Give the resident's representative the ability to exercise the resident's rights.

    Corrected October 6, 2023 · Resident Rights

  • Potential for harm · D April 26, 2023

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

    Corrected May 17, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D April 26, 2023

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

    Corrected May 17, 2023 · Nutrition and Dietary

  • Potential for harm · D April 26, 2023

    Provide and implement an infection prevention and control program.

    Corrected May 17, 2023 · Infection Control

  • No harm found · C April 26, 2023

    Provide a neutral and fair arbitration process and agree to arbitrator and venue.

    Corrected May 17, 2023 · Administration

Federal penalties

DateTypeAmount / length
February 16, 2024Fine$14,611

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676325 · certified since October 12, 2012. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.