Lakeside Nursing and Rehabilitation Center
San Antonio, Texas · CCN 676325
23 surveys since 2012. The first finding at harm level was recorded in 2017.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 116
- Surveys
- 23
- Harm or worse
- 8
- Immediate jeopardyall corrected before survey
- 8
Findings at the most serious level CMS records. All 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
- 118
- Ownership
- Government - Hospital district
- Chain
- THE ENSIGN GROUP
- County
- Bexar
- Medicare-certified since
- 2012
CMS ratings
- Overall
- 5
- Health inspection
- 4
- Staffing
- 2
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 104 government-run facilities of 100–127 beds in Texas.
Last survey on record
Jun 5, 2026
157 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 | 3.33 | 3.25 |
| Registered-nurse hours per resident day | 0.49 | — |
| Annual nurse turnover | 36.8% | 48.1% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $14,611 across 1 penalty
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 | J— | K313.0% | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1878.3% | E14.3% | F— |
| No harm, potential for minimal | A— | B— | C14.3% |
Most frequently cited here
In CMS’s current monthly file.
- F6562×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F8122×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F8802×
Provide and implement an infection prevention and control program.
- F5511×
Give the resident's representative the ability to exercise the resident's rights.
- F5581×
Reasonably accommodate the needs and preferences of each resident.
In the surveyor’s words
From the most serious findings on record at Lakeside Nursing and Rehabilitation Center, in the surveyor’s own words.
- Immediate jeopardy, patternF600Feb 16, 2024
Based on interview and record review the facility failed to ensure the resident's right to be free from abuse for 3 of 5 residents (Resident #1, #2 and #3) reviewed for abuse: CNA A, as part of a CNA chat group, took a video recording of Resident #1, naked, in the shower having a bowel movement, with a close-up view of her exposed bottom with feces on it and he shared it with the chat group. CNA B, as part of a CNA chat group, took a digital picture of Resident #2, naked, in the shower with her back toward the camera and not aware of the photo and she shared it with the chat group. CNA C as part of a CNA chat group, took a photo of Resident #3 after he had fallen on the floor without pants on, and shared it with the chat group. The noncompliance was identified as PNC. […]
- Immediate jeopardy, patternF607Feb 16, 2024
Based on interviews and record reviews, The facility failed to develop and implement written policies and procedures to prohibit and prevent abuse, neglect and exploitation of residents and misappropriation of residents property for 3 residents (Residents #1, #2 and #3) out of 5 residents reviewed for abuse and neglect in that: CNA A, as part of a CNA chat group, took a video recording of Resident #1, naked, in the shower having a bowel movement, with a close-up view of her exposed bottom with feces on it and he shared it with the chat group. CNA B, as part of a CNA chat group, took a digital picture of Resident #2, naked, in the shower with her back toward the camera and not aware of the photo and she shared it with the chat group. […]
- Immediate jeopardy, patternF609Feb 16, 2024
Based on interviews, and record reviews, the facility failed to report abuse immediately but no later than 2 hours after the incident for 3 of 3 residents (Residents #1, #2, and #3) reviewed for reporting abuse and neglect in that: CNA H was informed about the abuse of Residents #1, #2 and #3 by CNA F of text chat group and did not report it to the Administrator until February 5th at 06:00 a.m. (8 hours later). CNA F, as part of the CNA chat group, failed to report the phone of Resident #2. CNA D, as part of the CNA chat group, failed to report the video of Resident #1. CNA E, as part of the CNA chat group, failed to report the photos of Resident #2 and Resident #3. The noncompliance was identified as PNC. The IJ began on February 5th and ended on February 6th 2024. […]
- No harm, potential for more than minimal, widespreadF837Mar 2, 2023
Based on interview and record review, the facility failed to ensure the governing body appointed an administrator who was licensed by the State, where licensing is required; responsible for management of the facility; and reports to and is accountable to the governing body for 1 of 1 facility reviewed for the governing body, in that: The governing body did not appoint an administrator who was licensed by the state. This deficient practice could result in the facility not being managed in a responsible manner, which could affect the health and safety of all residents. The findings include: On 2/28/23 at 9:15 am, survey team conducted an entrance conference by interviewing the Operations Manager (Ops Mgr) and the DON. […]
- No harm, potential for more than minimal, patternF812Jul 31, 2025
Based on observation, interviews and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen sanitation. 1. 1 container of an orange juice cup was sitting on top of a box of orange juice and was partially opened. 2. A box of graham cracker tart shells was open and the individual shells were not covered. 3. A box of vanilla ice cream cups was open, not dated and contained cups that had opened and spilled out into the cardboard box. 4. A box of strawberries in the freezer was open and the plastic wrap around the strawberries was torn, exposing the strawberries to the air. 5. […]
Read 25 findings in full →The most serious and the most recent: 25 of 116 on record.
Every survey on record
FindingsAt actual harm or above
- Jun 5, 2026Complaint2 findings
- Jul 31, 2025Standard4 findings
- Jun 21, 2024Standard9 findings
- Feb 16, 2024Complaint3 findings · 3 harm
- Sep 13, 2023Complaint1 finding
- Apr 26, 2023Standard4 findings
- Mar 16, 2023Complaint1 finding
- Mar 2, 2023Complaint2 findings
Show the 15 earlier surveys
- Feb 23, 2022Complaint1 finding
- Feb 18, 2022Standard4 findings
- Feb 9, 2022Complaint2 findings
- Sep 16, 2020Complaint4 findings
- Jan 10, 2020Standard10 findings
- Oct 11, 2019Complaint1 finding
- Feb 1, 2019Standard7 findings
- Feb 16, 2018Complaint1 finding
- Dec 16, 2017Standard22 findings · 5 harm
- Nov 9, 2016Standard5 findings
- Oct 22, 2015Standard3 findings
- Apr 22, 2015Complaint1 finding
- Sep 10, 2014Standard6 findings
- Jul 3, 2013—20 findings
- Sep 20, 2012—3 findings
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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