The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited November 2024 — limited pattern, actual harm.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: H
Nursing home report
Trinity Mission Health & Rehab of Winnsboro
Registered name: Lakeview Rehabilitation and Healthcare Center
WINNSBORO, TX · Medicare-certified · 60 beds
Needs attention
Government-runChain member
Data as of September 1, 2026
3 of 5 overall
Trinity Mission Health & Rehab of Winnsboro has an overall rating of 3 out of 5 stars, with weaker staffing at 2 stars and reported nurse staffing below the federal benchmark (3.34 vs. 4.1 hours per resident per day). It also has a recent federal penalty, $34,234 in fines over the last 24 months, and recent inspection citations related to notification, pain management, and abuse/neglect/theft prevention.
Facility ratings
Health inspections
Staffing
3.3355 hrs/resident/day
Quality measures
Last inspection: April 23, 2026Penalties, last 24 months: $34,234recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3355.
Staffing detail
- Registered nurses
- 0.50
- Licensed practical nurses
- 1.08
- Nurse aides
- 1.75
- Weekend nursing
- 2.94
Hours per resident per day.
Total staff turnover: 41%
Registered nurse turnover: 29%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
6.7%6.9%No change
Residents with a fall causing major injury
7.5%4.7%Improving
Residents with pressure ulcers (bedsores)
1.5%1.2%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16.1%9.7%Improving
Residents whose ability to walk got worse
—18.7%—
Long-stay residents on antianxiety or sleep medication
17.1%8.6%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
16.1%10%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—85.7%—
Short-stay residents given the pneumonia vaccine
95.2%82.6%Worsening
What the inspectors found
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited November 2024 — limited pattern, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: H
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to provide safe, appropriate dialysis care for a resident who needed it. Cited November 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 698 — 42 CFR §483.25(l) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $34,234 was recorded.
- INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $34,234 in total fines.
- $34,234
Federal fine
Nov 20, 2024
Operator & ownership
Recent ownership change · Apr 1, 2021
Now operated by West Wharton County Hospital District, previously Nexion Health at Winnsboro, INC.
- Ownership
- Government - Hospital district
- Chain
- Part of NEXION HEALTH · 51 homes · 2.2 stars avg
- Occupancy
- 46.6 residents on an average day (78% of 60 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 34 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.