Skilled nursing facility · CMS certification number 676325
LAKESIDE NURSING AND REHABILITATION CENTER
SAN ANTONIO, Texas · Medicare and Medicaid · 118 certified beds in Care Compare
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $14,611.00 · Payment denials: 0. The most recent penalty on file: February 16, 2024, Fine, $14,611. Every penalty on file ↓
LAKESIDE NURSING AND REHABILITATION CENTER: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2025, covering April 1, 2024 to March 31, 2025 (364 days), and CMS processed it on September 17, 2025.
- Net patient revenue rose from $11.7M in fiscal year 2024 to $12.8M in fiscal year 2025.
- Its result from service to patients: $603K (2023), $1.2M (2024), $1.4M (2025).
- Its cost reports on file run from fiscal year 2012 to fiscal year 2025.
- Since its cost report for fiscal year 2025 was filed on September 17, 2025, 13 changes are listed on this record: 4 owner changes and 9 owner changes.
- Its net patient revenue of $12.8M ranks 44th of the 484 nursing facilities in Texas whose latest cost report on file is fiscal year 2025.
- None of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2025, reports a gain on service to patients.
LAKESIDE NURSING AND REHABILITATION CENTER: Medicare cost reports
Form CMS-2540-10: every report is settled.
| Form CMS-2540-10 | 2025 · report 1439750 | 2024 · report 1397058 | 2023 · report 1366506 | 2022 · report 1334720 | 2021 · report 1302341 | 2020 · report 1270527 | 2019 · report 1245273 | 2018 · report 1239962 | 2017 · report 1209959 | 2016 · report 1173917 | 2015 · report 1140204 | 2014 · report 1146085 | 2013 · report 1074267 | 2012 · report 1043558 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | April 1, 2024 | April 1, 2023 | April 1, 2022 | April 1, 2021 | April 1, 2020 | April 1, 2019 | January 1, 2019 | January 1, 2018 | January 1, 2017 | January 1, 2016 | January 1, 2015 | January 1, 2014 | January 1, 2013 | October 12, 2012 |
| Period ended | March 31, 2025 | March 31, 2024 | March 31, 2023 | March 31, 2022 | March 31, 2021 | March 31, 2020 | March 31, 2019 | December 31, 2018 | December 31, 2017 | December 31, 2016 | December 31, 2015 | December 31, 2014 | December 31, 2013 | December 31, 2012 |
| Days, where not a full year | — | — | — | — | — | — | 89 | — | — | — | — | — | — | 80 |
| Processed by CMS | September 17, 2025 | October 16, 2024 | October 11, 2023 | September 30, 2022 | October 20, 2021 | October 14, 2020 | November 5, 2019 | August 7, 2019 | August 21, 2018 | August 18, 2017 | August 8, 2016 | November 8, 2016 | July 30, 2014 | July 24, 2013 |
| Total patient revenue | $15,004,599 | $14,956,233 | $6,954,611 | $6,732,876 | $7,218,228 | $7,141,848 | $2,210,053 | $8,447,304 | $10,983,321 | $15,374,190 | $14,478,980 | $7,627,907 | $5,814,177 | $869,869 |
| Contractual allowances and discounts | $2,173,254 | $3,284,134 | $1,762,385 | — | — | — | $372,627 | $1,413,540 | $3,301,065 | $7,106,750 | $6,490,477 | $1,005,599 | $1,554,667 | $155,774 |
| Net patient revenue | $12,831,345 | $11,672,099 | $5,192,226 | $6,732,876 | $7,218,228 | $7,141,848 | $1,837,426 | $7,033,764 | $7,682,256 | $8,267,440 | $7,988,503 | $6,622,308 | $4,259,510 | $714,095 |
| Total operating expenses | $11,456,427 | $10,520,292 | $4,589,150 | $8,063,204 | $8,749,574 | $7,361,599 | $1,860,067 | $7,378,734 | $7,667,199 | $7,945,031 | $7,624,460 | $7,278,926 | $5,739,199 | $1,551,745 |
| Net income from service to patients | $1,374,918 | $1,151,807 | $603,076 | −$1,330,328 | −$1,531,346 | −$219,751 | −$22,641 | −$344,970 | $15,057 | $322,409 | $364,043 | −$656,618 | −$1,479,689 | −$837,650 |
| Total other income | $2,594 | $1,257 | $283 | $1,884,830 | $2,066,407 | $394,714 | $994 | $4,108 | $18,725 | $40,369 | $31,328 | $12,113 | $4,579 | $98 |
| Net income after other income | $1,377,512 | $1,153,064 | $603,359 | $554,502 | $535,061 | $174,963 | −$21,647 | −$340,862 | $33,782 | $362,778 | $395,371 | −$644,505 | −$1,475,110 | −$837,552 |
| Net income | $1,377,512 | $1,153,064 | $603,359 | $554,502 | $535,061 | $174,963 | −$21,647 | −$340,862 | $33,782 | $362,778 | $395,371 | −$644,505 | −$1,475,110 | −$837,552 |
| Total facility beds, all components | 118 | 118 | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 |
| Bed days available, all components | 43,070 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 3,179 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 23,079 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 11,364 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 37,622 | 36,475 | 17,912 | 33,218 | 33,085 | 34,656 | 8,344 | 35,019 | 36,616 | 36,487 | 34,713 | 32,747 | 24,956 | 2,645 |
| Medicare discharges | 74 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 27 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 280 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 381 | 240 | 94 | 301 | 203 | 282 | 74 | 319 | 216 | 319 | 338 | 248 | 229 | 32 |
| Average length of stay, Medicare, in days | 42.96 | 64.06 | 46.89 | 34.1 | 67.26 | 37.57 | 51.36 | 25.96 | 28.77 | 39.13 | 39.07 | 46.25 | 37.12 | 51.2 |
| Average length of stay, Medicaid, in days | 854.78 | 986.7 | 2,442 | 257.88 | 245.18 | 244.55 | 1,078.83 | 647.72 | 1,814.38 | 301.97 | 363.9 | 344.7 | 280.5 | 427.75 |
| Average length of stay, all patients, in days | 98.75 | 151.98 | 190.55 | 110.36 | 162.98 | 122.89 | 112.76 | 109.78 | 169.52 | 114.38 | 102.7 | 132.04 | 108.98 | 82.66 |
Net income, fiscal years 2025, 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012. Checked against the form’s own arithmetic: what that check shows.
LAKESIDE NURSING AND REHABILITATION CENTER: nurse staffing hours by quarter →
Who owns LAKESIDE NURSING AND REHABILITATION CENTER, as filed with CMS
Care Compare
- ADP OF THE SNF: ALONZO, CARLOS (individual), since 10/01/2022; ATIQUE, RASHID (individual), since 03/06/2024; CRYSTAL LAKE HEALTHCARE, INC. (organization), since 10/16/2025; THE ENSIGN GROUP INC (organization), since 12/03/2021
- CORPORATE OFFICER: BURNAM, SOON (individual), since 12/03/2021; KEETCH, CHAD (individual), since 03/01/2011; THOMPSON, JOHNNY (individual), since 05/16/2024
- MANAGING CONTROL - GOVERNING BODY: ALONZO, CARLOS (individual), since 10/01/2022; ATIQUE, RASHID (individual), since 03/06/2024
- OPERATIONAL/MANAGERIAL CONTROL: ALONZO, CARLOS (individual), since 10/01/2022; ATIQUE, RASHID (individual), since 03/06/2024; CRYSTAL LAKE HEALTHCARE, INC. (organization), since 10/01/2022
Ownership percentage for each: NOT APPLICABLE.
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of WEST WHARTON COUNTY HOSPITAL DISTRICT (enrollment ID O20190417000829).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: WEST WHARTON COUNTY HOSPITAL DISTRICT (organization), 100.00%, since 10/01/2022
- ADP OF THE SNF: CARLOS ARIEL ALONZO (individual), since 10/01/2022; CRYSTAL LAKE HEALTHCARE, INC. (organization), since 10/16/2025; RASHID ATIQUE (individual), since 03/06/2024; THE ENSIGN GROUP INC (organization), since 12/03/2021
- CORPORATE OFFICER: CHAD KEETCH (individual), since 03/01/2011; JOHNNY THOMPSON (individual), since 05/16/2024; SOON BURNAM (individual), 0.00%, since 12/03/2021
- MANAGING CONTROL - GOVERNING BODY: CARLOS ARIEL ALONZO (individual), since 10/01/2022; RASHID ATIQUE (individual), since 03/06/2024
- OPERATIONAL/MANAGERIAL CONTROL: CARLOS ARIEL ALONZO (individual), 0.00%, since 10/01/2022; CRYSTAL LAKE HEALTHCARE, INC. (organization), 100.00%, since 10/01/2022; RASHID ATIQUE (individual), since 03/06/2024
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: WEST WHARTON COUNTY HOSPITAL DISTRICT; CRYSTAL LAKE HEALTHCARE, INC.; THE ENSIGN GROUP INC; CRYSTAL LAKE HEALTHCARE, INC..
Private equity company, real estate investment trust and holding company: Paused by CMS: CARLOS ARIEL ALONZO; RASHID ATIQUE; CHAD KEETCH; JOHNNY THOMPSON; SOON BURNAM; CARLOS ARIEL ALONZO; RASHID ATIQUE; CARLOS ARIEL ALONZO; RASHID ATIQUE.
Changes in ownership
- December 1, 2025, enrollment ownership file; no longer listed: SOON BURNAM (OPERATIONAL/MANAGERIAL CONTROL); CARLOS ARIEL ALONZO (W-2 MANAGING EMPLOYEE); DAVID MAK (OPERATIONAL/MANAGERIAL CONTROL); DAVID MAK (CORPORATE OFFICER); first listed: CRYSTAL LAKE HEALTHCARE, INC. (ADP OF THE SNF), associated since October 16, 2025; RASHID ATIQUE (ADP OF THE SNF), associated since March 6, 2024; RASHID ATIQUE (MANAGING CONTROL - GOVERNING BODY), associated since March 6, 2024; RASHID ATIQUE (OPERATIONAL/MANAGERIAL CONTROL), associated since March 6, 2024; CHAD A KEETCH (CORPORATE OFFICER), associated since March 1, 2011; THE ENSIGN GROUP INC (ADP OF THE SNF), associated since December 3, 2021; CARLOS ARIEL ALONZO (ADP OF THE SNF), associated since October 1, 2022; CARLOS ARIEL ALONZO (MANAGING CONTROL - GOVERNING BODY), associated since October 1, 2022; JOHNNY THOMPSON (CORPORATE OFFICER), associated since May 16, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- February 15, 2023, enrollment ownership file; no longer listed: BILLIE S HARTMAN (W-2 MANAGING EMPLOYEE); PAUL SOECHTING (DIRECTOR); REGENCY IHS OF LAKESIDE LLC (OPERATIONAL/MANAGERIAL CONTROL); first listed: SOON E BURNAM (OPERATIONAL/MANAGERIAL CONTROL), associated since October 1, 2022; SOON E BURNAM (OFFICER), associated since December 3, 2021; CRYSTAL LAKE HEALTHCARE, INC. (OPERATIONAL/MANAGERIAL CONTROL), associated since October 1, 2022; WEST WHARTON COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since April 1, 2019; CARLOS ARIEL ALONZO (OPERATIONAL/MANAGERIAL CONTROL), associated since October 1, 2022; CARLOS ARIEL ALONZO (W-2 MANAGING EMPLOYEE), associated since October 1, 2022; DAVID MAK (OPERATIONAL/MANAGERIAL CONTROL), associated since October 1, 2022; DAVID MAK (OFFICER), associated since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
Inspections of LAKESIDE NURSING AND REHABILITATION CENTER
- Cycle 1: health July 31, 2025 (6 deficiencies), fire safety July 31, 2025 (1)
- Cycle 2: health June 21, 2024 (9 deficiencies), fire safety June 21, 2024 (0)
- Cycle 3: health April 26, 2023 (7 deficiencies), fire safety April 26, 2023 (0)
Deficiencies cited at LAKESIDE NURSING AND REHABILITATION CENTER
23 deficiencies on file, by tag, newest citation first
every one from a health inspection; 9 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0656, resident assessment and care planning: June 5, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected June 18, 2026); April 26, 2023 (D, Deficient, Provider has date of correction, corrected May 17, 2023).
- F 0842, resident assessment and care planning: June 5, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected June 18, 2026).
- F 0583, resident rights: July 31, 2025 (D, Deficient, Provider has date of correction, corrected August 21, 2025).
- F 0641, resident assessment and care planning: July 31, 2025 (D, Deficient, Provider has date of correction, corrected August 21, 2025).
- F 0812, nutrition and dietary: July 31, 2025 (E, Deficient, Provider has date of correction, corrected August 21, 2025); April 26, 2023 (D, Deficient, Provider has date of correction, corrected May 17, 2023).
- F 0880, infection control: July 31, 2025 (D, Deficient, Provider has date of correction, corrected August 21, 2025); April 26, 2023 (D, Deficient, Provider has date of correction, corrected May 17, 2023).
- F 0558, resident rights: June 21, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected July 17, 2024).
- F 0559, resident rights: June 21, 2024 (D, Deficient, Provider has date of correction, corrected July 17, 2024).
- F 0565, resident rights: June 21, 2024 (D, Deficient, Provider has date of correction, corrected July 17, 2024).
- F 0655, resident assessment and care planning: June 21, 2024 (D, Deficient, Provider has date of correction, corrected July 17, 2024).
- F 0755, pharmacy service: June 21, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected July 17, 2024).
- F 0761, pharmacy service: June 21, 2024 (D, Deficient, Provider has date of correction, corrected July 17, 2024).
- F 0804, nutrition and dietary: June 21, 2024 (D, Deficient, Provider has date of correction, corrected July 17, 2024).
- F 0921, environmental: June 21, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected July 17, 2024).
- F 0925, environmental: June 21, 2024 (D, Deficient, Provider has date of correction, corrected July 17, 2024).
- F 0600, freedom from abuse, neglect, and exploitation: February 16, 2024 (K, from a complaint, Past Non-Compliance, corrected February 6, 2024).
- F 0607, freedom from abuse, neglect, and exploitation: February 16, 2024 (K, from a complaint, Past Non-Compliance, corrected February 6, 2024).
- F 0609, freedom from abuse, neglect, and exploitation: February 16, 2024 (K, from a complaint, Past Non-Compliance, corrected February 6, 2024).
- F 0551, resident rights: September 13, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected October 6, 2023).
- F 0848, administration: April 26, 2023 (C, Deficient, Provider has date of correction, corrected May 17, 2023).
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| February 16, 2024 | Fine | $14,611 | 112367 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
LAKESIDE NURSING AND REHABILITATION CENTER in Care Compare
- Ownership Type: Government - Hospital district
- Legal Business Name: WEST WHARTON COUNTY HOSPITAL DISTRICT
- Date First Approved to Provide Medicare and Medicaid Services: 2012-10-12
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Bexar
- Telephone Number: 2105103200
- Chain Name: THE ENSIGN GROUP
- Chain ID: 507
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Resident
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 113.1
- Overall Rating: 5
- Health Inspection Rating: 4
- QM Rating: 5
- Long-Stay QM Rating: 5
- Short-Stay QM Rating: 5
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Other nursing facilities in SAN ANTONIO
Report a figure on LAKESIDE NURSING AND REHABILITATION CENTER’s record that differs from its CMS file, quoting 676325.