Lakeside Health and Wellness
Kemp, Texas · CCN 676497
10 surveys since 2021, 9 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 70
- Surveys
- 10
- Harm or worse
- 9
- Immediate jeopardy
- 6
Findings at the most serious level CMS records. 2 of these were recorded as past non-compliance — corrected before the survey.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 124
- Ownership
- For profit - Limited Liability company
- Chain
- ML HEALTHCARE
- County
- Kaufman
- Medicare-certified since
- 2021
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 1
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 377 for-profit facilities of 100–127 beds in Texas.
Last survey on record
Jan 22, 2026
291 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 2.66 | 3.25 |
| Registered-nurse hours per resident day | 0.38 | — |
| Annual nurse turnover | 75.4% | 54.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $123,567 across 4 penalties
- Abuse icon
- Flagged by CMS on Care Compare
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J23.4% | K46.8% | L— |
| Actual harm | G— | H23.4% | I— |
| No harm, potential for more than minimal | D3864.4% | E1322.0% | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F8804×
Provide and implement an infection prevention and control program.
- F6003×
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F6953×
Provide safe and appropriate respiratory care for a resident when needed.
- F7553×
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F8043×
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
In the surveyor’s words
From the most serious findings on record at Lakeside Health and Wellness, in the surveyor’s own words.
- Immediate jeopardy, patternF689Sep 15, 2023
Based on observation, interview, and record review, the facility lacked supervision to prevent accident hazards and failed to ensure that an environment was free from accident hazards for 3 of 6 residents reviewed for accident hazards. (Resident #249, Resident #42, and Resident #41). 1. The facility failed to ensure safety measures were in place to prevent Resident #249 and Resident #42 from obtaining an injury from hot coffee. 2. The facility failed to implement measures to prevent other coffee spills with burns. 3. The facility failed to monitor the temperatures of hot liquids served to residents. 4. The facility failed to identify residents at risk for coffee burns. 5. […]
- Immediate jeopardy, patternF825Sep 15, 2023
Based on observations, interviews, and record reviews the facility failed to provide specialized rehabilitative services such as but not limited to physical therapy, speech-language pathology, occupational therapy, respiratory therapy, and rehabilitative services for mental illness and intellectual disability, or services of a lesser intensity as set forth at S483.120(c) for 14 of 15 residents (Resident #33, Resident #28, Resident #6, Resident #8, Resident #100, Resident #17, Resident #45, Resident #149, Resident #15, Resident #2, Resident #41, Resident #27, Resident #12, and Resident #99) for residents observed for specialized rehabilitative services. The facility failed to provide Resident #33 with physician ordered physical therapy from the admitted [DATE]. […]
- Immediate jeopardy, patternF835Sep 15, 2023
Based on interviews, and record review, the facility failed to be administered in a manner that enabled it to use its resources effectively and efficiently to maintain the highest practicable well-being for 48 of 48 residents reviewed. The administrator failed to follow the abuse and neglect policy. The administrator failed to collaborate with the regional director of the rehab company to ensure therapy services were provided as ordered. The administrator failed to monitor the director of rehab services to ensure the proper staff were available to provide physical therapy as ordered by the physician. The IP failed to ensure interventions were put in place to prevent an increase in UTIs. An Immediate Jeopardy (IJ) situation was identified on 09/14/23. […]
- Immediate jeopardy, patternF880Sep 15, 2023
Based on observation, interview, and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent hospitalization related to infections for 1 of 13 residents reviewed (Resident #16) for urinary tract infection (an infection in any part of the urinary system) and 4 of 6 residents reviewed for (Resident #250, Resident #17, Resident#35 and Resident #9) infection control practices. *The facility had 13 urinary tract infections for the month of [DATE]. 7 of 13 residents had Escherichia coli (E. […]
- Immediate jeopardy, isolatedF600Sep 20, 2024
Based on interview and record review the facility failed to ensure residents were free from abuse for 1 of 7 residents (Resident #1) reviewed for resident abuse. 1.The facility failed to ensure Resident # 1, was free from physical abuse on 04/03/2024, when CNA A used excessive rubbing force across Resident #1's chest while providing a shower which resulted in a 5 cm superficial laceration (cut or tear in the skin) across her chest at the level of the 2-3rd rib with surrounding ecchymosis (bruising), tenderness, and closed fractures of the 2nd and 3rd rib. 2.The facility failed to protect Resident #1 by not ensuring CNA A did not continue to provide care to Resident #1 after the shower room incident on 04/03/2024. The non-compliance was identified as past non-compliance. […]
Read 28 findings in full →The most serious and the most recent: 28 of 70 on record.
Every survey on record
FindingsAt actual harm or above
- Jan 22, 2026Standard19 findings · 1 harm
- Nov 19, 2025Complaint5 findings
- Oct 17, 2024Standard and complaint19 findings · 1 harm
- Sep 20, 2024Complaint2 findings · 2 harm
- Jul 18, 2024Complaint2 findings
- Sep 15, 2023Standard and complaint12 findings · 4 harm
- Jul 21, 2022Standard6 findings
- Jan 23, 2022Infection control1 finding
Show the 2 earlier surveys
- Oct 20, 2021Infection control3 findings · 1 harm
- Jul 30, 2021Infection control1 finding
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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