Lakeside Health and Wellness

110 N State Hwy 274, Kemp, TX 75143 · CCN 676497 · 124 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing1 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 2 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.

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Serious inspection findings

2026-01-22 — ACTUAL HARM (tag F0690, severity H)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

2024-10-17 — ACTUAL HARM (tag F0690, severity H)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

2024-09-20 — IMMEDIATE JEOPARDY (tag F0607, severity J)

Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data

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

2024-09-20 — IMMEDIATE JEOPARDY (tag F0600, severity J)

Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data

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

2023-09-15 — IMMEDIATE JEOPARDY (tag F0835, severity K)

Administration Deficiencies · correction not recorded in CMS data

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

2023-09-15 — IMMEDIATE JEOPARDY (tag F0880, severity K)

Infection Control Deficiencies · correction not recorded in CMS data

Provide and implement an infection prevention and control program.

2023-09-15 — IMMEDIATE JEOPARDY (tag F0689, severity K)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2023-09-15 — IMMEDIATE JEOPARDY (tag F0825, severity K)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide or get specialized rehabilitative services as required for a resident.

Staffing, from payroll records

Nursing hours / resident / day

2.27

state median 2.67

Weekend staffing gap

−1%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.24

registered nurses only

Contract (agency) staff

share of all nursing hours

Nursing staff turnover

75%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

4 enforcement action(s), totaling $178,792 in fines.

Date	Type	Amount
2026-01-22	Fine	$112,560
2024-10-17	Fine	$16,801
2024-09-20	Fine	$16,801
2023-09-15	Fine	$32,630

Ownership

Ownership type: For profit - Limited Liability company. Part of the ML HEALTHCARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

AUTUMN LEAVES NURSING AND REHAB INC (HENDERSON, TX) — CMS overall2 of 5
The Springs Healthcare and Rehabilitation (Cedar Park, TX) — CMS overall4 of 5
Cypress Pointe Health & Wellness (Houston, TX) — CMS overall3 of 5
Sylan Shores Health and Wellness (La Porte, TX) — CMS overall1 of 5
THE LODGE OF SAGINAW HEALTH AND WELLNESS (SAGINAW, TX) — CMS overall3 of 5

Full citation history

By severity: Actual harm: 2 · Potential for more than minimal harm: 51 · Immediate jeopardy: 6

Survey date	Tag	Category	Severity	Corrected
2026-01-22	F0550	Resident Rights Deficiencies	D	not recorded
2026-01-22	F0583	Resident Rights Deficiencies	D	not recorded
2026-01-22	F0605	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2026-01-22	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-01-22	F0644	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-01-22	F0685	Quality of Life and Care Deficiencies	D	not recorded
2026-01-22	F0689	Quality of Life and Care Deficiencies	E	not recorded
2026-01-22	F0690	Quality of Life and Care Deficiencies	H	not recorded
2026-01-22	F0695	Quality of Life and Care Deficiencies	D	not recorded
2026-01-22	F0755	Pharmacy Service Deficiencies	E	not recorded
2026-01-22	F0756	Pharmacy Service Deficiencies	D	not recorded
2026-01-22	F0761	Pharmacy Service Deficiencies	D	not recorded
2026-01-22	F0790	Quality of Life and Care Deficiencies	D	not recorded
2026-01-22	F0803	Nutrition and Dietary Deficiencies	E	not recorded
2026-01-22	F0804	Nutrition and Dietary Deficiencies	E	not recorded
2026-01-22	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2026-01-22	F0813	Nutrition and Dietary Deficiencies	D	not recorded
2026-01-22	F0842	Resident Assessment and Care Planning Deficiencies	E	not recorded
2026-01-22	F0880	Infection Control Deficiencies	E	not recorded
2025-11-19	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-11-19	F0602	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-11-19	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-11-19	F0684	Quality of Life and Care Deficiencies	D	not recorded
2025-11-19	F0695	Quality of Life and Care Deficiencies	D	not recorded
2024-10-17	F0578	Resident Rights Deficiencies	D	not recorded
2024-10-17	F0583	Resident Rights Deficiencies	D	not recorded
2024-10-17	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-10-17	F0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-10-17	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-10-17	F0655	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-10-17	F0677	Quality of Life and Care Deficiencies	D	not recorded
2024-10-17	F0690	Quality of Life and Care Deficiencies	H	not recorded
2024-10-17	F0693	Quality of Life and Care Deficiencies	D	not recorded
2024-10-17	F0695	Quality of Life and Care Deficiencies	D	not recorded
2024-10-17	F0755	Pharmacy Service Deficiencies	E	not recorded
2024-10-17	F0759	Pharmacy Service Deficiencies	E	not recorded
2024-10-17	F0760	Pharmacy Service Deficiencies	D	not recorded
2024-10-17	F0761	Pharmacy Service Deficiencies	D	not recorded
2024-10-17	F0804	Nutrition and Dietary Deficiencies	E	not recorded
2024-10-17	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2024-10-17	F0849	Administration Deficiencies	D	not recorded
2024-10-17	F0880	Infection Control Deficiencies	E	not recorded
2024-10-17	F0943	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-09-20	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	J	not recorded
2024-09-20	F0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	J	not recorded
2024-07-18	F0755	Pharmacy Service Deficiencies	D	not recorded
2024-07-18	F0880	Infection Control Deficiencies	D	not recorded
2023-09-15	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2023-09-15	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-09-15	F0689	Quality of Life and Care Deficiencies	K	not recorded
2023-09-15	F0773	Administration Deficiencies	D	not recorded
2023-09-15	F0804	Nutrition and Dietary Deficiencies	D	not recorded
2023-09-15	F0806	Nutrition and Dietary Deficiencies	D	not recorded
2023-09-15	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2023-09-15	F0825	Quality of Life and Care Deficiencies	K	not recorded
2023-09-15	F0835	Administration Deficiencies	K	not recorded
2023-09-15	F0849	Administration Deficiencies	D	not recorded
2023-09-15	F0880	Infection Control Deficiencies	K	not recorded
2023-09-15	F0940	Administration Deficiencies	D	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Lakeside Health and Wellness, Kemp” at medicare.gov/care-compare.