Lakeside Nursing and Rehabilitation Center

Name: Lakeside Nursing and Rehabilitation Center
Address: 8707 LAKESIDE PARKWAY, San Antonio, TX, 78245, US
Telephone: 2105103200

8707 Lakeside Parkway, San Antonio, TX 78245 · Bexar County · 118 certified beds · avg 112 residents/day · certified since Oct 12, 2012

Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)

4/5

Health inspection rating (on-site)

Serious findings on record

$14,611

Fines, last 3 years

3.05

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, repeated · Feb 16, 2024 · F-0600 · triggered by a complaint

The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.

Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.

Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.

Corrected: Feb 6, 2024 (Past Non-Compliance)

▲ Immediate jeopardy, repeated · Feb 16, 2024 · F-0607 · triggered by a complaint

The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.

Why it matters: Without working prevention policies, mistreatment is more likely to happen and less likely to be caught.

Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.

Corrected: Feb 6, 2024 (Past Non-Compliance)

▲ Immediate jeopardy, repeated · Feb 16, 2024 · F-0609 · triggered by a complaint

The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.

Why it matters: When incidents aren't reported promptly, abusers may continue harming residents and outside authorities can't step in.

Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.

Corrected: Feb 6, 2024 (Past Non-Compliance)

All citations in the current public record (23)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jun 5, 2026	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Jun 5, 2026	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Jul 31, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jul 31, 2025	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Jul 31, 2025	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jul 31, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jun 21, 2024	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint
Jun 21, 2024	D · Potential for harm, one-off	The facility did not honor residents' right to share a room with their spouse or a roommate of their choosing, or moved residents to a different room without written notice beforehand.
Jun 21, 2024	D · Potential for harm, one-off	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council.
Jun 21, 2024	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Jun 21, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Jun 21, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jun 21, 2024	D · Potential for harm, one-off	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Jun 21, 2024	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint
Jun 21, 2024	D · Potential for harm, one-off	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
Feb 16, 2024	▲ K · Immediate jeopardy, repeated	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Feb 16, 2024	▲ K · Immediate jeopardy, repeated	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
Feb 16, 2024	▲ K · Immediate jeopardy, repeated	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Sep 13, 2023	D · Potential for harm, one-off	The facility did not allow a resident's chosen representative — often a family member or someone with power of attorney — to exercise the resident's rights on their behalf. When a resident can't speak for themselves, their representative steps into that role. · from a complaint
Apr 26, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Apr 26, 2023	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Apr 26, 2023	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Apr 26, 2023	C · Minimal risk, facility-wide	The facility did not provide a neutral and fair arbitration process. Arbitration is a way of settling disputes outside of court, and if it's used, the facility must agree with the resident on a neutral arbitrator and a convenient location.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (9 → 4).

Year	Citations	Serious (G–L)	Worst severity that year
2023	5	0	D
2024	12	3	K ▲
2025	4	0	E
2026	2	0	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $14,611.

Date	Type	Amount / length
Feb 16, 2024	Fine	$14,611

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.05	3.46	3.95	bottom 26% in Texas; bottom 16% in the U.S.
Registered Nurse hours	0.45	0.44	0.69	top 35% in Texas; bottom 29% in the U.S.
Weekend total nurse staffing	2.46	3.04	3.50	bottom 13% in Texas; bottom 8% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.49	0.34	0.48	top 15% in Texas; top 34% in the U.S.
Total nursing staff turnover (%)	36.8	55.3	45.8	top 15% in Texas; top 28% in the U.S.
RN turnover (%)	30.8	54.6	42.9	top 19% in Texas; top 30% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.33, RN 0.49, weekend 2.69. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

Government - Hospital district

Owner / manager	Type	Role	Stake	Since
Alonzo, Carlos	Individual	Managing Control - Governing Body	NOT APPLICABLE	10/01/2022
Alonzo, Carlos	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2022
Alonzo, Carlos	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2022
Atique, Rashid	Individual	Managing Control - Governing Body	NOT APPLICABLE	03/06/2024
Atique, Rashid	Individual	Operational/Managerial Control	NOT APPLICABLE	03/06/2024
Atique, Rashid	Individual	ADP of the SNF	NOT APPLICABLE	03/06/2024
Burnam, Soon	Individual	Corporate Officer	NOT APPLICABLE	12/03/2021
Crystal Lake Healthcare, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	10/01/2022
Crystal Lake Healthcare, INC.	Organization	ADP of the SNF	NOT APPLICABLE	10/16/2025
Keetch, Chad	Individual	Corporate Officer	NOT APPLICABLE	03/01/2011
The Ensign Group INC	Organization	ADP of the SNF	NOT APPLICABLE	12/03/2021
Thompson, Johnny	Individual	Corporate Officer	NOT APPLICABLE	05/16/2024

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you keep residents' medical records accurate, complete, and secure?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you protect residents' privacy, both in their medical records and in day-to-day care?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Westover Hills Rehabilitation and Healthcare	1.8 mi	San Antonio, TX	★★★★☆	3/5
Windemere at Westover Hills	2.0 mi	San Antonio, TX	★★☆☆☆	3/5
Legend Oaks Healthcare and Rehabilitation - West S	2.3 mi	San Antonio, TX	★★★☆☆	3/5
Las Colinas of Westover	2.8 mi	San Antonio, TX	★★☆☆☆	2/5
The Mission at Blue Skies of Texas East	3.5 mi	San Antonio, TX	★★★★★	4/5
Silver Creek Nursing and Rehabilitation	3.7 mi	San Antonio, TX	★★★☆☆	4/5
Inspiration Hills Rehabilitation Center	5.6 mi	San Antonio, TX	★★★☆☆	3/5
Mystic Park Nursing and Rehabilitation Center	6.3 mi	San Antonio, TX	★★★☆☆	2/5
Mesa Vista Inn Health Center	6.5 mi	San Antonio, TX	★☆☆☆☆	2/5
Avir at San Knoll	6.5 mi	San Antonio, TX	★☆☆☆☆	1/5
Harbor Valley Health and Rehabilitation	6.5 mi	San Antonio, TX	★★☆☆☆	2/5	abuse
Huebner Creek Health & Rehabilitation Center	6.7 mi	San Antonio, TX	★☆☆☆☆	2/5

Compare this facility with the 3 closest →

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Facility data as of CMS processing date 2026-08-01. CCN 676325.

The Care File

Visit checklist — Lakeside Nursing and Rehabilitation Center

8707 Lakeside Parkway, San Antonio, TX 78245 · 2105103200

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $14,611

Most serious findings on record:

▲ Feb 16, 2024 (F-0600, Immediate jeopardy, repeated): The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
▲ Feb 16, 2024 (F-0607, Immediate jeopardy, repeated): The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
▲ Feb 16, 2024 (F-0609, Immediate jeopardy, repeated): The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.

Questions for the administrator:

☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 676325 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)