Baylor Scott and White Medical Center Lake Pointe
An acute care hospital in Rowlett, Texas 75088
6800 Scenic Dr, Rowlett, Texas 75088. (972) 412-2273.
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The short answer
Record last released by CMS on Oct 20, 2026.
- 4of 5 CMS’s overall rating
- 3of 5 patient survey rating
- 1 deficiency cited in the last three years
- 148 beds
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on Aug 20, 2025: a complaint inspection.
1 deficiency cited in the last three years, 1 of them under EMTALA, the law requiring an emergency department to examine and stabilise anyone who comes to it.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
1 deficiency in 1 month of the last 36. Last cited Dec 2023. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Dec 19, 2023: complaint inspection1 deficiency
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Medical Screening Exam
The inspectors’ words, 1,174 words
“MEDICAL SCREENING EXAM CFR(s): 489.24(a) & 489.24(c) (a) Applicability of provisions of this section. (1) In the case of a hospital that has an emergency department, if an individual (whether or not eligible for Medicare benefits and regardless of ability to pay) “comes to the emergency department”, as defined in paragraph (b) of this section, the hospital must- (i) Provide an appropriate medical screening examination within the capability of the hospital’s emergency department, including ancillary services routinely available to the emergency department, to determine whether or not an emergency medical condition exists. The examination must be conducted by an individual(s) who is determined qualified by hospital bylaws or rules and regulations and who meets the requirements of §482.55 of this chapter concerning emergency services personnel and direction; and (ii) If an emergency medical condition is determined to exist, provide any necessary stabilizing treatment, as defined in paragraph (d) of this section, or an appropriate transfer as defined in paragraph (e) of this section. If the hospital admits the individual as an inpatient for further treatment, the hospital’s obligation under this section ends, as specified in paragraph (d)(2) of this section. (2)(i) When a waiver has been issued in accordance with section 1135 of the Act that includes a waiver under section 1135(b)(3) of the Act, sanctions under this section for an inappropriate transfer or for the direction or relocation of an individual to receive medical screening at an alternate location do not apply to a hospital with a dedicated emergency department if the following conditions are met: (A) The transfer is necessitated by the circumstances of the declared emergency in the emergency area during the emergency period. (B) The direction or relocation of an individual to receive medical screening at an alternate location is pursuant to an appropriate State emergency preparedness plan or, in the case of a public health emergency that involves a pandemic infectious disease, pursuant to a State pandemic preparedness plan. (C) The hospital does not discriminate on the basis of an individual’s source of payment or ability to pay. (D) The hospital is located in an emergency area during an emergency period, as those terms are defined in section 1135(g)(1) of the Act. (E) There has been a determination that a waiver of sanctions is necessary. (ii) A waiver of these sanctions is limited to a 72-hour period beginning upon the implementation of a hospital disaster protocol, except that, if a public health emergency involves a pandemic infectious disease (such as pandemic influenza), the waiver will continue in effect until the termination of the applicable declaration of a public health emergency, as provided under section 1135(e)(1)(B) of the Act. (c) Use of dedicated emergency department for nonemergency services. If an individual comes to a hospital’s dedicated emergency department and a request is made on his or her behalf for examination or treatment for a medical condition, but the nature of the request makes it clear that the medical condition is not of an emergency nature, the hospital is required only to perform such screening as would be appropriate for any individual presenting in that manner, to determine that the individual does not have an emergency medical condition. This Standard is not met as evidenced by: 35089 Based on review of documentation and interviews with facility staff, the facility failed to provide an appropriate and thorough medical screening examination within the capability of the hospital’s emergency department to determine whether an emergency medical condition existed for 1 of 21 (Patient #1) patients reviewed that presented to the emergency department (ED). Patient #1’s hypotension (low blood pressure) and hypoxia (low blood oxygen level) was not fully addressed during their ED visit. The findings were: The complete medical record of Patient #1’s ED visit at Hospital A on 12/29/22 was reviewed. It was noted: Patient #1 was brought to the ED by ambulance after a witnessed seizure-like activity at the group home. The patient is non-verbal with cognitive impartment but presented with “abnormally grimacing and clenching fists.” During the patient’s ED visit, it was noted that the patient had abnormal vital signs as evidenced by low blood pressure, as low as 55/29; low blood oxygen levels, as low as 89%; and the chest x-ray results revealed possible pneumonia. The patient’s blood labs (completed blood count, comprehensive metabolic panel, influenza, and COVID test) were all negative. The patient was not provided with further evaluation and treatment of their hypoxia, hypotension, and pneumonia; but was instead discharged to home. The patient and caregiver were given written discharge instruction on seizure care but no written discharge instruction for hypoxia care, hypotension care, or pneumonia care. The patient was seen at a different ED approximately 10 hours later due to worsening symptoms and was admitted for altered mental status and sepsis. 1. ED Provider Note: Chief Complaint: Seizures. Patient “is a 55 y.o. [year old] female who presents to the ED via EMS with c/o Seizures onset x PTA [post-traumatic amnesia?]. Pt is accompanied by sister/guardian who states the pt collapsed and ‘shaking’ on the floor of the shower at her group home for 15 mins and could not get up, then care giver contacted 911. EMS upon arrival states she has exhibited seizure-like sxs [symptoms]. Pt is nonverbal baseline and is abnormally grimacing and clenching fists ...” 2. Vital Signs (Patient Care Timeline) 1640: Temperature 96.5F; Pulse 100; Resp 20, BP 104/62; SpO2 94% 1730: Pulse 94; Resp 14; BP 92/55 1900: Pulse 81; Resp 16; SpO2 92% 1907: Pulse 86; Resp 17; SpO2 89%; BP 55/29 1920: Pulse 92; Resp 16; SpO2 92%; BP 110/91 1925: Pulse 91; Resp 16; SpO2 91%; BP 107/87 3. Chest X-ray radiologist report “Impression: ...Hyperexpanded lungs. Moderate bilateral perihilar and bibasilar opacification which probably represents pneumonia or aspiration...” 4. Written discharge instruction handout had information on seizure care but did not contain any information on pneumonia care. The surveyor interviewed Staff #6 (the ER physician that took care of Patient #1 on 12/29/22 at Hospital A) via email on 12/18/23. Staff #6 stated that there was no need for transfer or that the patient required a higher level of care that was provided in the ED. The complete medical record of Patient #1’s ED visit at Hospital B on 12/30/22 was reviewed, it was noted: Patient #1 was brought to the ED of Hospital B by EMS [Emergency Medical Services] due to “ ... HR [heart rate] was in the 90s and SpO2 was 92% but went into 80s..” The patient’s initial triage vital signs showed a high blood pressure of 151/121 and a respiratory rate of 40. The patient’s white blood cell count was slightly elevated and blood gases were abnormal. The patient’s CT scan of their chest revealed “Diffuse consolidation in the left lower lobe and posterior lingula with additional areas of infiltrate throughout the left upper lobe and right lower lobe suspicious for multifocal pneumonia. Trace left pleural effusion.” Patient #1 was admitted to Hospital B for pneumonia and remain at the hospital for 27 days.”
All 3 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Aug 20, 2025 | Complaint inspection | No deficiencies cited |
| Jan 27, 2025 | Complaint inspection | No deficiencies cited |
| Dec 19, 2023 | Complaint inspection | 1 deficiency cited |
How do patients fare?
- CMS’s overall CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System. for it is 4 of 5.
- Of the measures behind its CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System., CMS counts against the national value: mortality, 0 better and 0 worse of 7; safety of care, 1 better and 0 worse of 8; readmission, 0 better and 1 worse of 8.
- Patients rate it 3 of 5 in CMS’s patient survey (688 surveys completed, Oct 1, 2024 to Sep 30, 2025): 72% rated it 9 or 10 out of 10, and 69% would definitely recommend it.
- Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): central line bloodstream infections (CLABSI), no different than national benchmark; catheter urinary tract infections (CAUTI), no different than national benchmark; surgical site infections after colon surgery, no different than national benchmark; surgical site infections after abdominal hysterectomy, no different than national benchmark; MRSA bloodstream infections, no different than national benchmark; C. diff infections, better than the national benchmark.
- CMS’s patient safety composite for serious complications, PSI 90, Jul 1, 2022 to Jun 30, 2024: no different than the national value.
- Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): heart attack 12.5%, heart failure 11.7%, pneumonia 13.4%, COPD 10.5%, stroke 11.2%. CMS gives no comparison with the national rate for them in this release.
- Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): heart attack 13.6%, heart failure 21.7%, pneumonia 18.8%, COPD 19.7%, hip or knee replacement 5.1%. CMS gives no comparison with the national rate for them in this release.
- After outpatient care, compared by CMS: unplanned hospital visits after a colonoscopy, no different than the national rate; unplanned hospital visits after outpatient surgery, no different than expected.
- Emergency department patients spent a median of 142 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 2% left before being seen.
- 77% of patients with severe sepsis or septic shock got the care CMS measures, SEP-1 (Oct 1, 2024 to Sep 30, 2025).
- Medicare’s spending per patient here is 1.02 times the national median (Jan 1, 2024 to Dec 31, 2024).
CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.
CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Overall ratingCMS’s overall hospital quality star rating, 1 to 5 | 4 of 5 |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | 3 of 5 |
Is it certified, and in good standing?
- Medicare-certified acute care hospital since Feb 13, 1987.
- Ownership: voluntary non-profit - private.
- It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
- Voluntary non-profit - Private.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for hospitals.
- Not among the hospitals whose Medicare payments CMS cut under the Hospital-Acquired Condition Reduction Program for fiscal year 2026.
- 1 deficiency cited in the last three years came from an inspection that included a complaint investigation.
CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
What do patients say about their care?
- CMS doesn’t publish staffing levels for hospitals.
- In CMS’s patient survey, patients rate how well its nurses communicated 3 of 5.
- 92% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.
Who owns it?
- Baylor Health Care System and Baylor Scott & White Health run it.
- 28 owners or officers are people: William Rogers (corporate director, 0%); Pamela Linton (corporate director, 0%); Mark L Montgomery (corporate director, 0%); Mark W English (corporate director, 0%); Terry Maness (corporate director, 0%); Donas Cole (corporate director, 0%); Donas Cole (managing employee (on the payroll)); Donas Cole (runs it (operational or managerial control)); Dominic Lucia (corporate director, 0%); William D Digaetano (corporate director, 0%); Muralidhar Jatla (corporate director, 0%); Rodrick Robinson (corporate director, 0%); Marissa Yarid Almazan (corporate director, 0%); Jim Kruse (corporate director, 0%); Timothy L Owens (corporate director, 0%); Nelda Trevino (corporate director, 0%); Jeff Schmeltekopf (corporate director); Amy J Wilson (corporate director, 0%); Harry Dugger (corporate director); Jennie Campbell (corporate director, 0%); Jennie Campbell (managing employee (on the payroll)); Jennie Campbell (runs it (operational or managerial control)); Angel Eduardo Caldera (corporate director, 0%); Kristen Leslie Manos (corporate director, 0%); Andra Liemandt (corporate director, 0%); Jarvis Parsons (corporate director, 0%); Megan Kiella (corporate director, 0%); Lisa Hultz (corporate director, 0%).
- CMS’s Provider of Services file records 2 changes of ownership, the latest on Jan 1, 2008.
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Baylor Health Care System | Runs it (operational or managerial control) | 0% | Sep 29, 1981 |
| Baylor Scott & White Health | Runs it (operational or managerial control) | 0% | Aug 1, 2015 |
How does it compare nearby?
- Of the 30 hospitals CMS lists in Dallas County, 18 have an overall star rating from CMS: 2 rated 5 of 5, 6 rated 4 of 5, 7 rated 3 of 5, 3 rated 2 of 5.
- CMS rates this one 4 of 5.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
- QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
- CMS doesn’t publish staffing levels for hospitals.
- In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.
Sources
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Centers for Medicare & Medicaid Services, Hospital General Information (xubh-q36u).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Patient survey (HCAHPS) - Hospital.
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Healthcare Associated Infections - Hospital (77hc-ibv8).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Complications and Deaths - Hospital (ynj2-r877).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Unplanned Hospital Visits - Hospital (632h-zaca).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Timely and Effective Care - Hospital (yv7e-xc69).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Medicare Spending Per Beneficiary - Hospital (rrqw-56er).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital-Acquired Condition (HAC) Reduction Program (yq43-i98g).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated yearly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).
Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the hospital
The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospital will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.