Lakeview Rehabilitation And Healthcare Center
502 E COKE RD, Winnsboro, TX, 75494
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: Nexion Health
- Certified beds
- 60 · avg 48 residents/day
- Total nursing staff turnover
- 37% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 0% — 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)
- 2 fines · $47,253 total
State licensing & capacity
- License number
- 308291
- Service type
- Medicare/medicaid
- Licensed capacity
- 60 beds
- Bed type breakdown
- 1 Medicare-only · 59 Medicaid/Medicare
- Current license effective
- April 1, 2025
- Current license expires
- April 1, 2028
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Nexion Health At Winnsboro, Inc
- Administrator
- Beau Jones
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Nexion Health chain — 52 facilities across 3 states. Chain-wide average overall rating 2.3 / 5.
Disclosed owners (10 on record)
- David Mak
Corporate Officer · since 2021
- Beau Jones
W-2 Managing Employee · 100% · since 2021
- Brian Lee
Operational/managerial Control · since 2021
- Francis Kirley
Operational/managerial Control · since 2021
- John r Fallon
Operational/managerial Control · since 2021
- John t Reid
Operational/managerial Control · since 2021
+ 4 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)
- H0697·Nov 20, 2024Complaint
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
- D0880·Nov 20, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Nov 20, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0760·Nov 20, 2024
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- D0699·Nov 20, 2024
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
- E0698·Nov 20, 2024
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D0690·Nov 20, 2024
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D0657·Nov 20, 2024
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Federal penalties
By year
- 20241 fine · $34K
- 20231 fine · $13K
Most recent events
- Nov 20, 2024Fine · $34K
- Aug 18, 2023Fine · $13K
Largest single fine on record: $34K.
Fire-safety citations
6 Life-Safety-Code citations on file. Most recent: Nov 20, 2024. 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
Lakeview Rehabilitation and Healthcare Center is a 60-bed Medicare/Medicaid nursing home in Winnsboro, Texas, managed by Nexion Health and licensed to a hospital district. CMS rates it 2 stars overall, with a 2-star health inspection rating. Two CMS fines totaling $47,253 have been issued. Staffing rates 3 stars; overall nursing care hours run about 48 minutes per day below the level typical of 4-star-staffing facilities in Texas.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 3 stars on staffing. Each resident receives about 193 minutes of nursing care per day — roughly 48 minutes less than at a 4-star-staffing facility in Texas. Residents here need more hands-on care than at a typical facility — sicker, or less mobile on average — so those 193 minutes stretch thinner than the raw number suggests.
About 4 in 10 nursing staff left in the past year — below Texas's 25th-percentile cutoff, meaning turnover is better than roughly three-quarters of nursing homes in the state. RN turnover was zero over the same period, meaning the registered nurses on staff have been consistent.
CMS recorded 2 fines totaling $47,253 — above the Texas state median of $20,699 per facility fined, and roughly 30% of Texas facilities have received 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 hours on weekends
Weekend nursing hours here average about 2.73 hours per resident per day — ask how weekend coverage is staffed and whether care routines change from weekday schedules.
Details behind the two CMS fines
Two fines totaling $47,253 have been issued — ask what deficiencies triggered them and what specific changes were made in response.
What the 2-star health inspection found
The health inspection rating is 2 stars — ask to see the most recent inspection report and which deficiencies were cited.
Resident Council involvement
The facility has a Resident Council but no Family Council — ask how family members can raise concerns and whether there are formal channels for family input.
Nexion Health management role
Day-to-day management is handled by Nexion Health while the licensee is a hospital district — ask how decisions about staffing and care are divided between the two.
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.