Nursing home in Dallas, Texas
The Lennwood Nursing and Rehabilitation
Medicare and Medicaid
8017 W. Virginia Dr., Dallas, TX 75237
(972) 709-1112
CMS star ratings
CMS gives this nursing home an overall star rating of 1 out of 5. Each rating is compared with the mean of rated nursing homes in Texas (1,165 for the overall rating) and in the U.S. (14,565). How to read an inspection report.
Overall rating
- This nursing home1
- Texas average2.7 (1,165 rated)
- U.S. average3.0 (14,565 rated)
Health inspections
- This nursing home2
- Texas average2.8 (1,165 rated)
- U.S. average2.8 (14,565 rated)
Staffing
- This nursing home1
- Texas average1.9 (1,163 rated)
- U.S. average2.9 (14,494 rated)
Quality measures
- This nursing home3
- Texas average3.7 (1,162 rated)
- U.S. average3.6 (14,495 rated)
Health inspections
Most recent standard health inspection (rating cycle 1): Dec 11, 2025. CMS counts 11 health deficiencies in rating cycle 1.
- This nursing home11
- Texas average9.4 (1,171 with data)
- U.S. average9.2 (14,652 with data)
Rating cycle 1 health deficiencies. Averages include every nursing home with a count in the CMS file; fewer is better.
Deficiencies since Sep 30, 2023
Inspectors cited 28 health deficiencies on 10 inspection dates since Sep 30, 2023. By level of harm: 3 immediate jeopardy, 25 potential for harm.
- 3 Immediate jeopardy to resident health or safety
- 0 Actual harm
- 25 No actual harm, potential for more than minimal harm
- 0 No actual harm, potential for minimal harm
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Jun 30, 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Resident Rights Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Jul 6, 2026 |
| Jun 16, 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Jun 16, 2026 |
| Dec 11, 2025 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Resident Rights Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Dec 12, 2025 |
| Dec 11, 2025 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.Quality of Life and Care Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Dec 12, 2025 |
| Dec 11, 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Dec 12, 2025 |
| Dec 11, 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Pharmacy Service Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Dec 12, 2025 |
| Dec 11, 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Dec 12, 2025 |
| Dec 11, 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Dec 12, 2025 |
| Dec 11, 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy Service Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Dec 12, 2025 |
| Dec 11, 2025 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Dec 12, 2025 |
Show the other 18 deficiencies
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Dec 11, 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Environmental Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Dec 12, 2025 |
| May 7, 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | J Immediate jeopardy, isolated | Complaint | Past Non-Compliance Apr 1, 2025 |
| May 7, 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and Exploitation Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction May 30, 2025 |
| Mar 1, 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy Service Deficiencies | D Potential for harm, isolated | Complaint | Past Non-Compliance Oct 17, 2024 |
| Feb 7, 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing.Quality of Life and Care Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Mar 10, 2025 |
| Feb 7, 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Quality of Life and Care Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Mar 10, 2025 |
| Feb 7, 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy Service Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Mar 10, 2025 |
| Feb 7, 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Resident Assessment and Care Planning Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Mar 10, 2025 |
| Feb 7, 2025 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.Administration Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Mar 10, 2025 |
| Aug 29, 2024 | F0759 | Ensure medication error rates are not 5 percent or greater.Pharmacy Service Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Sep 23, 2024 |
| Aug 29, 2024 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Sep 23, 2024 |
| Jul 1, 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Resident Rights Deficiencies | K Immediate jeopardy, pattern | Complaint | Deficient, Provider has date of correction Jul 26, 2024 |
| Jul 1, 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and Care Deficiencies | K Immediate jeopardy, pattern | Complaint | Deficient, Provider has date of correction Jul 26, 2024 |
| Jul 1, 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy Service Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Jul 26, 2024 |
| Jul 1, 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Jul 26, 2024 |
| Mar 20, 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing.Quality of Life and Care Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Apr 9, 2024 |
| Mar 20, 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Resident Assessment and Care Planning Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Apr 9, 2024 |
| Jan 4, 2024 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Jan 5, 2024 |
Staffing
Total nurse staffing
Reported hours per resident per day.
- This nursing home2.90 hours
- Texas average3.39 hours (1,148 with data)
- U.S. average3.86 hours (14,351 with data)
Registered nurse staffing
Reported hours per resident per day.
- This nursing home0.20 hours
- Texas average0.43 hours (1,148 with data)
- U.S. average0.69 hours (14,351 with data)
Nursing staff turnover
Share of nursing staff who left during the year, as reported to CMS.
- This nursing home68.6%
- Texas average55.3% (1,051 with data)
- U.S. average45.8% (13,538 with data)
Penalties
CMS lists 2 penalties for this nursing home: 2 fines totaling $29,969, and 0 payment denials. CMS counts penalties from the last 3 years.
Facility details
| Certified beds | 124 |
|---|---|
| Average residents per day | 63.8 |
| Ownership | For profit - Partnership |
| Provider type | Medicare and Medicaid |
| Inside a hospital | No |
| Continuing care retirement community | No |
| Resident and family council | Resident |
| Automatic sprinklers in all required areas | Yes |
| Chain | Paramount Healthcare (8 facilities) |
| Legal business name | HAMILTON COUNTY HOSPITAL DISTRICT |
| First approved for Medicare and Medicaid | Mar 9, 2000 |
| County | Dallas |
| CMS certification number | 675820 |
Also in Dallas
| Nursing home | CMS overall rating | Health inspection rating | Certified beds | Ownership |
|---|---|---|---|---|
| C C Young Memorial Home | 129 | Non profit - Corporation | ||
| Golden Acres Living and Rehabilitation Center | 264 | For profit - Corporation | ||
| The Renaissance at Kessler Park | 135 | For profit - Corporation | ||
| The Villages of Dallas | 160 | For profit - Limited Liability company | ||
| Skyline Nursing Center | 204 | Government - Hospital district | ||
| Treemont Healthcare and Rehabilitation Center | 130 | For profit - Limited Liability company | ||
| Avir at The Meadow | 184 | For profit - Limited Liability company | ||
| Brentwood Place Three | 120 | For profit - Corporation | ||
| Fair Park Health & Rehabilitation Center | 114 | For profit - Corporation | ||
| Five Points at Lake Highlands Nursing and Rehab | 280 | For profit - Limited Liability company | ||
| South Dallas Nursing & Rehabilitation | 91 | For profit - Limited Liability company | ||
| The Highlands Guest Care Center | 116 | For profit - Limited Liability company |
| Hospital | CMS overall rating | Type | Emergency services |
|---|---|---|---|
| Baylor University Medical Center | Acute Care Hospitals | Yes | |
| Texas Health Presbyterian Hospital Dallas | Acute Care Hospitals | Yes | |
| UT of Texas Southwestern University Hospital - William P. Clements Jr. | Acute Care Hospitals | Yes | |
| Dallas Medical Center | Acute Care Hospitals | Yes | |
| Medical City Dallas Hospital | Acute Care Hospitals | Yes | |
| Methodist Dallas Medical Center | Acute Care Hospitals | Yes | |
| Parkland Health & Hospital System | Acute Care Hospitals | Yes | |
| Baylor Scott and White Medical Center Uptown | Not available | Acute Care Hospitals | Yes |