Lakewest Rehabilitation and Skilled Care

Nursing Home · Dallas, TX

CMS overall rating 1/5 Abuse citation Government - Hospital district

CMS certification number676276
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

2450 Bickers St
Dallas, TX 75212
Dallas County
Phone
(214) 879-0888
ZIP code
75212 – all care providers

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Facility details

Certified beds
118
Residents per day
89.9 (76% occupied)
Ownership
Government - Hospital district
Legal name
Dallas County Hospital District
Chain
Momentum Skilled Services (9 facilities, avg 2.0★)
Medicare certified since
May 5, 2011
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.6
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 1.9
Quality measures★★★★★ 4/5
State avg 3.7
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.20 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.26 (state 0.43 · U.S. 0.69)
Licensed practical nurses
1.09 (state 0.95 · U.S. 0.86)
Nurse aides
1.84 (state 2.00 · U.S. 2.32)
Weekend total
2.74 (state 2.98 · U.S. 3.42)
Nursing staff turnover
71.7 (state 55.3 · U.S. 45.8)%
RN turnover
60.0 (state 54.6 · U.S. 42.9)%
Administrators who left
2 in the last year

Inspections

Last standard inspection
January 14, 2026
Health deficiencies (last cycle)
15.0 (state 9.3 · U.S. 9.3)
From complaints
7
Citations on record (3 years)
44 health · 13 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-04-17 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 K
Immediate jeopardy to resident health or safety		 Corrected 2026-04-18
2026-04-17 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-04-18
2026-03-05 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-03-06
2026-03-05 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-06
2026-03-05 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-06
2026-01-14 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-01-18
2026-01-14 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
F0688 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-01-18
2026-01-14 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-01-18
2026-01-14 Ensure residents have reasonable access to and privacy in their use of communication methods.
F0576 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-18
2026-01-14 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-18
2026-01-14 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-18
2026-01-14 Assist a resident in gaining access to vision and hearing services.
F0685 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-18
2026-01-14 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-18
2026-01-14 Provide or get specialized rehabilitative services as required for a resident.
F0825 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-18
2025-08-06 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-04
2025-06-13 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.
F0761 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-16
2025-06-11 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2025-06-12
2025-06-11 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.
F0584 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-12
2025-05-13 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-05-20
2025-03-21 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-04-16
2025-03-21 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-04-16
2025-03-21 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-16
2025-02-24 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-03-24
2025-02-24 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-09-30
2024-11-07 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-12-03
2024-11-07 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-12-03
2024-11-07 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-12-03
2024-11-07 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-12-03
2024-11-07 Provide appropriate foot care.
F0687 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-03
2024-11-07 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-03
2024-11-07 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-03
2024-09-04 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-09-20
2024-08-29 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-09-18
2024-08-29 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-09-18
2023-10-19 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-11-16
2023-10-19 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-16
2023-10-19 Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
F0661 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-16
2023-10-05 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.
F0584 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-10-26
2023-10-05 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-10-26
2023-10-05 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.
F0761 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-10-26
2023-10-05 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-10-26
2023-10-05 Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
F0557 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-10-26
2023-10-05 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-10-26
2023-10-05 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-10-26

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years, including $25,799 in fines.

DateTypeAmount
2026-04-17Fine$11,730
2025-06-11Fine$14,069

Ownership & management

NameRoleSince
Dallas County Hospital District (organization)5%+ Direct Ownership Interest · 100%
Caretrust Reit INC (organization)5%+ Mortgage Interest · NOT APPLICABLE
CTR Partnership LP (organization)5%+ Mortgage Interest · NOT APPLICABLE
Caretrust Reit INC (organization)Administrator · NOT APPLICABLE
CTR Partnership LP (organization)Administrator · NOT APPLICABLE
Doti, Anthony (individual)Administrator · NOT APPLICABLE
Shoulders, Marquita (individual)Administrator · NOT APPLICABLE
Bradley, Shannan (individual)Corporate Director · NOT APPLICABLE
Castaneda, Edmundo (individual)Corporate Officer · NOT APPLICABLE
Cerise, Frederick (individual)Corporate Officer · NOT APPLICABLE
Martel, Tyler (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Threadgill, Forrest (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Threadgill, Morgan (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Next Gen P, LLC (organization)Operational/managerial Control · NOT APPLICABLE
Threadgill, Sharlyn (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Lakewest Rehabilitation and Skilled Care?

Lakewest Rehabilitation and Skilled Care has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.

How many beds does Lakewest Rehabilitation and Skilled Care have?

It has 118 certified beds and cares for about 90 residents per day.

Has Lakewest Rehabilitation and Skilled Care been fined?

Yes. CMS lists 2 penalties totaling $25,799 in the last three years.

Who owns Lakewest Rehabilitation and Skilled Care?

It is part of Momentum Skilled Services and is classified as government - hospital district. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Lakewest Rehabilitation and Skilled Care?

(214) 879-0888. The facility is located at 2450 Bickers St, Dallas, TX 75212.

Other nursing homes in Dallas

Compare all nursing homes in Dallas, TX →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.