Show Inspection Reports
Total health inspections
10
Texas average 7.4
Last Health inspection on May 2025
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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Nursing Home in Waco
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Lakeshore Village Nursing and Rehab
Nursing Home in Waco
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Lakeshore Village Nursing and Rehab
Overview of Lakeshore Village Nursing and Rehab
Lakeshore Village Nursing and Rehab, located in Waco, TX, is a trusted skilled nursing facility committed to providing exceptional care and rehabilitation services to its residents. The nursing home prioritizes individual wellness and places a special emphasis on rehabilitation, ensuring the best possible experience for its residents.
With a dedicated team of professionals, Lakeshore Village Nursing and Rehab delivers personalized and compassionate care, setting it apart from other facilities in the area. The skilled nursing staff, equipped with specialized training and a deep understanding of residents’ needs, provides comprehensive medical care, adept medication management, and tailor-made treatment plans. The nursing home’s mission is to treat every patient with the utmost care and respect, creating a warm and welcoming environment where residents can maintain their dignity and independence while receiving the care they need. Lakeshore Village Nursing and Rehab offers a seamless continuum of care, ensuring a smooth transition for residents and fostering consistency in their support.
Travis Ward serves as the Administrator at Lakeshore Village Nursing and Rehab, where he leads a team dedicated to providing personalized care and therapy plans. Under his leadership, the community emphasizes a holistic approach to healing and recovery, ensuring residents are treated like family and kept safe during the COVID-19 pandemic.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
151
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
81.9%
Residents per day (avg)
124
Occupancy rate
81.9%
Residents per day (avg)
124
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
19% of new residents, usually for short-term rehab.
Typical stay
30 days
Private pay
51% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
29% of new residents, often for long-term daily care.
Typical stay
11 - 12 months
Finances and operations
Governmental community
Operated by state authorities.
Home revenue
$15.4M
Surplus of revenue
$195.0K
Governmental community
Operated by state authorities.
Home revenue
$15.4M
Surplus of revenue
$195.0K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$15.4M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$15.4M
151-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.
54 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 38 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Services
About this community
Facility TypeNursing
StatusActive
IssuanceJanuary 4, 2025
ExpirationJanuary 4, 2028
CountyMCLENNAN
License Number308583
Year Opened9/1/1971
CMS Certification Number675438
Lakeshore Village Nursing and Rehab is administrated by Travis Ward.
Management CompanyWACO NURSING AND REHAB CENTER LLC
OwnerFANNIN COUNTY HOSPITAL AUTHORITY
Ownership TypeHOSPITAL DISTRICT/AUTHORITY
Medicaid and Medicare
151 units
Total beds
151 units
Staffing
Key information about the people who lead and staff this community.
ContactMr. Wynn Sims, Vice President
Accept Medicaid
Accept Medicare
Rehabilitation Services
Skilled Nursing
24-Hour Staffing
Skilled Nursing Services
Rehabilitation Therapy
Long-Term Care
Short-Term Care
Personalized Care Plans
State-Of-The-Art Amenities
Specific ProgramsSkilled Nursing, Rehabilitation Therapy, Long & Short-Term Care
Operating HoursMo 00:00-23:59, Tu 00:00-23:59, We 00:00-23:59, Th 00:00-23:59, Fr 00:00-23:59, Sa 00:00-23:59, Su 00:00-23:59
What does this home offer?
Building Type: Single-story
Fitness and Recreation
Types of Care at Lakeshore Village Nursing and Rehab
Skilled Nursing
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Medicare Accepted
This facility is certified for eligible Medicare services.
Inspection History
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
13 visits/inspections
5 visits/inspections triggered by complaints
4 routine inspections
Results
10 with issues
3 without issues
Latest inspection
Date
December 11, 2025
Annual Inspection72 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Texas average: 32 deficiencies
Health Inspection History
Inspections
Total health citations
49
Texas average 25.9
Citations per inspection
4.9
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
16 of 49 citations resulted from standard inspections; 10 of 49 resulted from complaint investigations; and 23 of 49 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
7
7
250% worse than Texas averageTexas average: 2
Serious Health citations
1
1
150% worse than Texas averageTexas average: 0.4
7 critical citations
1 serious citation
41 moderate citations
0 minor citations
Citations history (last 3 years)
Quality of Care critical citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
May 10, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
May 10, 2025
Corrected
Resident Rights critical citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
May 10, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
May 10, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Feb 20, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Feb 20, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Feb 20, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Feb 20, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Waco The information below is reported by the Texas Health and Human Services Commission.
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Waco (West Waco)
120
83.4%
+31%
3.83
+5%
3
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1.9
4
112
A+
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676211
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Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Waco (Dean Highland)
202
22.1%
-65%
3.23
-11%
3
19
3.2
5
63
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29
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70.6%
455478
Jeffrey Place Healthcare Center
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Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Waco (Richland Hills)
95
77.4%
+22%
3.78
+4%
1
39
3.0
2
67
-
72
Alexander, Maci
$7.8M
$2.9M
36.5%
455489
Lakeshore Village Nursing and Rehab
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Waco (Cedar Ridge)
151
81.9%
+29%
3.79
+4%
3
49
4.9
8
124
-
38
Waco Nursing And Rehab Center Llc
$14.7M
$0.0M
0%
675438
Greenview Nursing and Rehab
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Waco (Richland Hills)
128
69.9%
+10%
3.29
-10%
4
37
2.1
8
91
-
55
Richland Nursing And Rehab Center Llc
$10.1M
$0.0M
0%
455638
Places of interest near Lakeshore Village Nursing and Rehab
4.1 miles from city center — 2.96 miles to nearest hospital (amily Counseling & Children's Services)
Calculate Travel Distance to Lakeshore Village Nursing and Rehab
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
218
Employees
152
Contractors
66
Staff to resident ratio
1.77:1
18% better than Texas averageTexas average ratio: 1.51:1
Avg staff/day
71
Average shift
8 hours
0% compared with Texas averageTexas average: 8.1 hours
Total staff hours (quarter)
51,530
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
7
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
63
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
81
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
4.2%
2,142 contractor hours this quarter
Licensed Practical Nurse: 43
Certified Nursing Assistant: 7
Medication Aide/Technician: 7
Occupational Therapy Aide: 3
Feeding Assistant: 2
Respiratory Therapy Technician: 1
Medical Director: 1
Physical Therapy Assistant: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 74 | 7 | 81 | 19,217 | 91 | 100% | 7.6 |
| Licensed Practical Nurse | 20 | 43 | 63 | 9,426 | 91 | 100% | 8.4 |
| Physical Therapy Aide | 10 | 0 | 10 | 3,281 | 79 | 87% | 7.4 |
| Medication Aide/Technician | 7 | 7 | 14 | 3,211 | 91 | 100% | 11.3 |
| Speech Language Pathologist | 6 | 0 | 6 | 2,755 | 79 | 87% | 8.4 |
| Qualified Social Worker | 5 | 0 | 5 | 2,339 | 66 | 73% | 7.7 |
| Registered Nurse | 7 | 0 | 7 | 2,263 | 91 | 100% | 10 |
| RN Director of Nursing | 4 | 0 | 4 | 1,925 | 64 | 70% | 8 |
| Respiratory Therapy Technician | 2 | 1 | 3 | 994 | 66 | 73% | 8.5 |
| Nurse Aide in Training | 8 | 0 | 8 | 973 | 68 | 75% | 6.8 |
| Therapeutic Recreation Specialist | 2 | 0 | 2 | 796 | 69 | 76% | 7.6 |
| Other Dietary Services Staff | 2 | 0 | 2 | 700 | 73 | 80% | 7.2 |
| Feeding Assistant | 0 | 2 | 2 | 520 | 65 | 71% | 8 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Physical Therapy Assistant | 0 | 1 | 1 | 455 | 56 | 62% | 8.1 |
| Qualified Activities Professional | 1 | 0 | 1 | 432 | 62 | 68% | 7 |
| Medical Director | 0 | 1 | 1 | 75 | 25 | 27% | 3 |
| Occupational Therapy Aide | 0 | 3 | 3 | 75 | 10 | 11% | 7.5 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 54 | 6 | 7% | 9 |
81 Certified Nursing Assistant
% of Days
100%
63 Licensed Practical Nurse
% of Days
100%
10 Physical Therapy Aide
% of Days
87%
14 Medication Aide/Technician
% of Days
100%
6 Speech Language Pathologist
% of Days
87%
5 Qualified Social Worker
% of Days
73%
7 Registered Nurse
% of Days
100%
4 RN Director of Nursing
% of Days
70%
3 Respiratory Therapy Technician
% of Days
73%
8 Nurse Aide in Training
% of Days
75%
2 Therapeutic Recreation Specialist
% of Days
76%
2 Other Dietary Services Staff
% of Days
80%
2 Feeding Assistant
% of Days
71%
1 Administrator
% of Days
70%
1 Nurse Practitioner
% of Days
70%
1 Clinical Nurse Specialist
% of Days
70%
1 Mental Health Service Worker
% of Days
69%
1 Physical Therapy Assistant
% of Days
62%
1 Qualified Activities Professional
% of Days
68%
1 Medical Director
% of Days
27%
3 Occupational Therapy Aide
% of Days
11%
1 Occupational Therapy Assistant
% of Days
7%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
123 residents
Residents by payment source
Medicare
13 residents (10.6%)
Medicaid
77 residents (62.6%)
Private pay or other
33 residents (26.8%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.8
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.8
21% better than Texas averageTexas average: 8.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.6
28% better than Texas averageTexas average: 16.0
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
14.0%
Percent of long-stay residents whose need for help with daily activities has increased
14.0%
14% better than Texas averageTexas average: 16.2%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
8.6%
Percent of long-stay residents whose ability to move independently worsened
8.6%
47% better than Texas averageTexas average: 16.2%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
12.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
12.1%
23% better than Texas averageTexas average: 15.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.1%
Percent of long-stay residents experiencing one or more falls with major injury
3.1%
In line with Texas averageTexas average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.5%
Percent of long-stay high risk residents with pressure ulcers
4.5%
In line with Texas averageTexas average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.9%
Percent of long-stay residents with a urinary tract infection
1.9%
142% worse than Texas averageTexas average: 0.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.0%
Percent of long-stay residents who lose too much weight
4.0%
14% worse than Texas averageTexas average: 3.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
5.9%
Percent of long-stay residents who have depressive symptoms
5.9%
106% worse than Texas averageTexas average: 2.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
8.6%
Percent of long-stay residents who received an antipsychotic medication
8.6%
9% worse than Texas averageTexas average: 7.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas averageTexas average: 97.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas averageTexas average: 97.9%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.52
Number of hospitalizations per 1,000 long-stay resident days.
1.52
29% better than Texas averageTexas average: 2.13
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.05
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.05
In line with Texas averageTexas average: 2.07
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
93.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
93.3%
In line with Texas averageTexas average: 90.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.7%
Percent of short-stay residents who newly received an antipsychotic medication
1.7%
17% worse than Texas averageTexas average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.0%
In line with Texas averageTexas average: 88.0%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.7%
16% better than Texas averageTexas average: 25.9%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
16.1%
Percentage of short-stay residents who had an outpatient emergency department visit.
16.1%
34% worse than Texas averageTexas average: 12.0%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Texas averageTexas average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
42.4%
Percentage of residents at or above expected ability to care for themselves at discharge.
42.4%
21% worse than Texas averageTexas average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
48.5%
Rate of successful return to home or community from a skilled nursing facility.
48.5%
In line with Texas averageTexas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$136K
69% higher than Texas averageTexas average: $80K
Number of fines
3
21% more fines than Texas averageTexas average: 2.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Texas averageTexas average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$136K
Texas average
$80K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 10, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 10, 2025
$23K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 16, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 16, 2023
$84K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 26, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 26, 2023
$29K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Lakeshore Village Nursing and Rehab based on CMS SNF Cost Reports.
Occupancy Rate
81.9%
↓ 2.8pp vs 2023
Net Income
N/A
Total Payroll
$7.3M
↑ ~$1.1M vs 2023
Profit Margin
0.0%
→ 0.0pp vs 2023
Loading trend charts...
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