Lake Village Nursing and Rehabilitation Center
Nursing Home · Lewisville, TX
CMS certification number675560
Contact & location
169 Lake Park RDLewisville, TX 75057
Denton County
- Phone
- (972) 436-7571
- ZIP code
- 75057 – all care providers
Facility details
- Certified beds
- 112
- Residents per day
- 76.5 (68% occupied)
- Ownership
- For profit - Corporation
- Legal name
- Eastland Memorial Hospital District
- Chain
- The Ensign Group (342 facilities, avg 3.2★)
- Medicare certified since
- January 4, 1996
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.07 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.44 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 0.85 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.77 (state 2.00 · U.S. 2.32)
- Weekend total
- 2.51 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- —
- RN turnover
- —
Inspections
- Last standard inspection
- May 5, 2026
- Health deficiencies (last cycle)
- 12.0 (state 9.3 · U.S. 9.3)
- From complaints
- 4
- Citations on record (3 years)
- 33 health · 7 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-05-05 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. F0851 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-05-08 |
| 2026-05-05 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-05-08 |
| 2026-05-05 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925 · Environmental Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-05-08 |
| 2026-05-05 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-08 |
| 2026-05-05 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-08 |
| 2026-05-05 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-08 |
| 2026-05-05 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-08 |
| 2026-05-05 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-08 |
| 2025-11-28 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Past Non-Compliance |
| 2025-11-28 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Past Non-Compliance |
| 2025-09-16 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-15 |
| 2025-09-16 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-15 |
| 2025-03-06 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-04 |
| 2025-03-06 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-04 |
| 2025-03-06 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-04 |
| 2025-03-06 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-04 |
| 2025-03-06 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-04 |
| 2025-03-06 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-04 |
| 2025-03-06 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-04 |
| 2024-12-04 | 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. F0584 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-31 |
| 2024-12-04 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-31 |
| 2024-01-26 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2024-02-28 |
| 2024-01-26 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. F0727 · Nursing and Physician Services Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-02-28 |
| 2024-01-26 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-28 |
| 2024-01-26 | 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. F0584 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-28 |
| 2024-01-26 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-28 |
| 2024-01-26 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-28 |
| 2024-01-26 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-28 |
| 2024-01-26 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-28 |
| 2024-01-26 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-28 |
| 2024-01-26 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-28 |
| 2024-01-26 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-28 |
| 2024-01-26 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-28 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
2 penalties in the last three years, including $24,585 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-01-26 | Payment Denial | 8 days payment denial |
| 2024-01-26 | Fine | $24,585 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Eastland Memorial Hospital District (organization) | 5%+ Direct Ownership Interest · 100% | |
| Caretrust GP LLC (organization) | Administrator · NOT APPLICABLE | |
| Caretrust Reit INC (organization) | Administrator · NOT APPLICABLE | |
| CTR Partnership LP (organization) | Administrator · NOT APPLICABLE | |
| Ensign Services INC (organization) | Administrator · NOT APPLICABLE | |
| Grand Villa PHX, INC. (organization) | Administrator · NOT APPLICABLE | |
| Hernandez, Miguel (individual) | Administrator · NOT APPLICABLE | |
| Mall, Allen (individual) | Administrator · NOT APPLICABLE | |
| Verde Villa Holdings LLC (organization) | Administrator · NOT APPLICABLE | |
| Burnam, Soon (individual) | Corporate Officer · NOT APPLICABLE | |
| Keetch, Chad (individual) | Corporate Officer · NOT APPLICABLE | |
| Taylor, Stephen (individual) | Corporate Officer · NOT APPLICABLE | |
| Hernandez, Miguel (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Mall, Allen (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Grand Villa PHX, INC. (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Hernandez, Miguel (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Mall, Allen (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Lake Village Nursing and Rehabilitation Center?
Lake Village Nursing and Rehabilitation Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does Lake Village Nursing and Rehabilitation Center have?
It has 112 certified beds and cares for about 77 residents per day.
Has Lake Village Nursing and Rehabilitation Center been fined?
Yes. CMS lists 2 penalties totaling $24,585 in the last three years.
Who owns Lake Village Nursing and Rehabilitation Center?
It is part of The Ensign Group and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Lake Village Nursing and Rehabilitation Center?
(972) 436-7571. The facility is located at 169 Lake Park RD, Lewisville, TX 75057.
Other nursing homes in Lewisville
-
Vista Ridge Nursing & Rehabilitation Center
Nursing Home · Lewisville, TX · 132 beds
★★★★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.