Lakeside Nursing And Rehabilitation Center
8707 LAKESIDE PKWY, San Antonio, TX, 78245-3245
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district · Chain: The Ensign Group
- Certified beds
- 118 · avg 108 residents/day
- Total nursing staff turnover
- 43.4% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 23.1% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $14,611 total
- Infection control citations
- 1
State licensing & capacity
- License number
- 307259
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 2 licensed-only · 13 Medicare-only · 105 Medicaid/Medicare
- Current license effective
- April 1, 2025
- Current license expires
- April 1, 2028
- Initial license date
- September 24, 2012
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Crystal Lake Healthcare, Inc
- Administrator
- Jackson Allen
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the The Ensign Group chain — 329 facilities across 17 states. Chain-wide average overall rating 3.2 / 5.
Disclosed owners (8 on record)
- Crystal Lake Healthcare, Inc.
Adp of The Snf · since 2025
- Johnny Thompson
Corporate Officer · since 2024
- Rashid Atique
Operational/managerial Control · since 2024
- Carlos Ariel Alonzo
Operational/managerial Control · since 2022
- West Wharton County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2022
- Soon Burnam
Corporate Officer · since 2021
+ 2 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 24)
- D0880·Jul 31, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Jul 31, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0641·Jul 31, 2025
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- D0583·Jul 31, 2025
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
- D0921·Jun 21, 2024Complaint
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- D0755·Jun 21, 2024Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0558·Jun 21, 2024Complaint
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
- D0925·Jun 21, 2024
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Federal penalties
By year
- 20241 fine · $15K
Most recent events
- Feb 16, 2024Fine · $15K
Fire-safety citations
1 Life-Safety-Code citation on file. Most recent: Jul 31, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Lakeside Nursing And Rehabilitation Center is a 120-bed Medicare/Medicaid nursing home in San Antonio (Bexar County), managed by Crystal Lake Healthcare and licensed to the West Wharton County Hospital District. CMS rates it 5 stars overall, with a 5-star quality rating and 4-star health inspection score. Staffing earns 3 stars — 208 minutes of nursing care per resident per day, about 33 minutes below the threshold for a 4-star-staffing facility in Texas. The license is active through April 2028.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 3 stars. Each resident receives about 208 minutes of nursing care per day — roughly 33 minutes less than at a 4-star-staffing facility in Texas, which sits at 241 minutes. Residents here require more hands-on care than at a typical Texas nursing home — more dependent or medically complex on average — so the same staffing hours cover more demanding needs than the raw minutes suggest.
RN turnover is low: roughly 2 in 10 registered nurses left in the past year, below the state's 25th-percentile cutoff and better than about three-quarters of nursing homes in Texas. The total nursing staff turnover figure of 43.4% sits just above the Texas median of 50% — so while RN retention stands out, overall staff movement is near the middle of the state.
The facility has one CMS fine totaling $14,611. That single fine is below the Texas median fine amount of $20,699, and about 30% of Texas nursing homes have no fines at all.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing on nights and weekends
Weekend nursing hours here average 2.78 hours per resident per day — noticeably lower than weekday figures; ask how many nurses and aides cover a typical weekend overnight shift.
Resident Council structure and access
The facility has a Resident Council but no Family Council; ask how families can formally raise concerns and how often family input is collected.
Crystal Lake Healthcare's role day-to-day
The facility is licensed to a hospital district but managed by Crystal Lake Healthcare; ask which entity makes staffing and care-policy decisions residents and families interact with directly.
Current bed availability
With 107.9 residents per day against 118 certified beds — roughly 91% occupancy — ask whether a bed is currently available and what the typical wait time looks like.
Hands-on care needs and staffing ratios
CMS data shows residents here have above-average care needs; ask how the facility adjusts staffing levels when a resident's condition changes significantly.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.