nursing home in Lewisville, TX
Lake Village Nursing and Rehabilitation Center
169 Lake Park Rd, Lewisville, TX 75057 · (972) 436-7571
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★1
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Lake Village Nursing and Rehabilitation Center at a glance
Lake Village Nursing and Rehabilitation Center is a 112-bed for-profit nursing home in Lewisville, Texas (Denton County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 3.1 hours of nursing care per day (0.4 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (May 5, 2026) found 12 health citations. The Texas average is 9.4.
Federal regulators fined it 1 time in the past three years, totaling $24,585.
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 112
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- The Ensign Group
- Medicare-certified since
- January 4, 1996
- Resident/family council
- Resident
- County
- Denton County
- CMS Certification Number
- 675560
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.2 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.07 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.44 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.77 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.51 hrs | 2.98 hrs | 3.42 hrs | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 12 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 4 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 102 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $24,585 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 2 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 112 | 113 | 107 | |
| Average residents per day | 77 | 76 | 86 | |
| Occupancy | 68.3% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.1% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 1.6% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 9.6% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 1.2% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 23.3% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 22.1% | 14% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 0.9% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 18.5% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 18.5% | 13.4% | 19% | Average |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.3% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.3% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 95.1% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 96.8% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 33 health deficiencies and 7 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 5, 2026 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected May 7, 2026 |
| May 5, 2026 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected May 7, 2026 |
| May 5, 2026 Standard | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Tag F0851 | F Potential harm, widespread | Corrected May 8, 2026 |
| May 5, 2026 Standard | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | E Potential harm, pattern | Corrected May 8, 2026 |
| May 5, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected May 8, 2026 |
| May 5, 2026 Standard | 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 · Tag F0690 | D Potential harm, isolated | Corrected May 8, 2026 |
| May 5, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 8, 2026 |
| May 5, 2026 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected May 8, 2026 |
| May 5, 2026 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected May 8, 2026 |
| May 5, 2026 Standard | 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 · Tag F0761 | D Potential harm, isolated | Corrected May 8, 2026 |
| November 28, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Past Non-Compliance |
| November 28, 2025 Complaint | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Past Non-Compliance |
| September 16, 2025 Complaint | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected October 15, 2025 |
| September 16, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected October 15, 2025 |
| March 6, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected March 28, 2025 |
| March 6, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected March 31, 2025 |
| March 6, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected April 4, 2025 |
| March 6, 2025 Complaint | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected April 4, 2025 |
| March 6, 2025 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected April 4, 2025 |
| March 6, 2025 Complaint | 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 · Tag F0761 | D Potential harm, isolated | Corrected April 4, 2025 |
| March 6, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected April 4, 2025 |
| March 6, 2025 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected April 4, 2025 |
| March 6, 2025 Complaint | 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 · Tag F0656 | D Potential harm, isolated | Corrected April 4, 2025 |
| December 4, 2024 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected December 31, 2024 |
| December 4, 2024 Complaint | 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 · Tag F0584 | E Potential harm, pattern | Corrected December 31, 2024 |
| January 26, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected February 13, 2024 |
| January 26, 2024 Fire safety | Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0916 | F Potential harm, widespread | Corrected February 28, 2024 |
| January 26, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected March 7, 2024 |
| January 26, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | K Immediate jeopardy, pattern | Corrected February 28, 2024 |
| January 26, 2024 Complaint | 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. Nursing and Physician Services Deficiencies · Tag F0727 | F Potential harm, widespread | Corrected February 28, 2024 |
| January 26, 2024 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected February 28, 2024 |
| January 26, 2024 Standard | 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 · Tag F0584 | E Potential harm, pattern | Corrected February 28, 2024 |
| January 26, 2024 Complaint | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | E Potential harm, pattern | Corrected February 28, 2024 |
| January 26, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected February 28, 2024 |
| January 26, 2024 Complaint | 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 · Tag F0842 | D Potential harm, isolated | Corrected February 28, 2024 |
| January 26, 2024 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected February 28, 2024 |
| January 26, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected February 28, 2024 |
| January 26, 2024 Complaint | 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 · Tag F0656 | D Potential harm, isolated | Corrected February 28, 2024 |
| January 26, 2024 Complaint | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 | D Potential harm, isolated | Corrected February 28, 2024 |
| January 26, 2024 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected February 28, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $24,585 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| January 26, 2024 | Payment Denial | 8 days from February 28, 2024 |
| January 26, 2024 | Fine | $24,585 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| EASTLAND MEMORIAL HOSPITAL DISTRICT Organization | 5% or greater direct ownership interest | 100% | 04/01/2017 |
| CARETRUST GP LLC Organization | adp of the snf | NOT APPLICABLE | 03/01/2007 |
| CARETRUST REIT INC Organization | adp of the snf | NOT APPLICABLE | 03/01/2007 |
| CTR PARTNERSHIP LP Organization | adp of the snf | NOT APPLICABLE | 03/01/2007 |
| ENSIGN SERVICES INC Organization | adp of the snf | NOT APPLICABLE | 03/01/2007 |
| GRAND VILLA PHX, INC. Organization | adp of the snf | NOT APPLICABLE | 08/13/2025 |
| HERNANDEZ, MIGUEL Individual | adp of the snf | NOT APPLICABLE | 09/01/2023 |
| MALL, ALLEN Individual | adp of the snf | NOT APPLICABLE | 03/01/2007 |
| VERDE VILLA HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 03/01/2007 |
| BURNAM, SOON Individual | corporate officer | NOT APPLICABLE | 03/01/2007 |
| KEETCH, CHAD Individual | corporate officer | NOT APPLICABLE | 03/01/2011 |
| TAYLOR, STEPHEN Individual | corporate officer | NOT APPLICABLE | 07/01/2025 |
| HERNANDEZ, MIGUEL Individual | managing control - governing body | NOT APPLICABLE | 09/01/2023 |
| MALL, ALLEN Individual | managing control - governing body | NOT APPLICABLE | 03/01/2007 |
| GRAND VILLA PHX, INC. Organization | operational/managerial control | NOT APPLICABLE | 04/01/2017 |
| HERNANDEZ, MIGUEL Individual | operational/managerial control | NOT APPLICABLE | 09/01/2023 |
| MALL, ALLEN Individual | operational/managerial control | NOT APPLICABLE | 03/01/2007 |
Other nursing homes near Lake Village Nursing and Rehabilitation Center
Rambling Oaks Courtyard Extensive Care Community
112 Barnett Blvd, Highland Village, TX 75077 · 3.5 mi
For-profit · 70 beds
★★★★★3AverageHollymead
4101 Long Prairie Road, Flower Mound, TX 75028 · 3.8 mi
For-profit · 112 beds · Part of Cantex Continuing Care
★★★★★3AverageCross Timbers Rehabilitation and Healthcare Center
3315 Cross Timbers Rd, Flower Mound, TX 75028 · 4.4 mi
For-profit · 120 beds · Part of Nexion Health
★★★★★3AverageVista Ridge Nursing & Rehabilitation Center
700 E Vista Ridge Mall Dr, Lewisville, TX 75067 · 5.6 mi
Government · 132 beds · Part of Priority Management
★★★★★4Above averageCorinth Rehabilitation Suites on the Parkway
3511 Corinth Parkway, Corinth, TX 76208 · 6.2 mi
For-profit · 134 beds · Part of Fundamental Healthcare
★★★★★1Much below averageDenton Rehabilitation and Nursing Center
3345 Medpark Dr., Denton, TX 76210 · 6.8 mi
Government · 94 beds · Part of Dallas County Hospital District
★★★★★5Much above average
Frequently asked questions
What is Lake Village Nursing and Rehabilitation Center's rating?
Lake Village Nursing and Rehabilitation Center has 1 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Lake Village Nursing and Rehabilitation Center receive?
Its most recent standard health inspection found 12 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Lake Village Nursing and Rehabilitation Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Lake Village Nursing and Rehabilitation Center?
It is for profit - corporation and part of The Ensign Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Lake Village Nursing and Rehabilitation Center and how do I contact it?
Lake Village Nursing and Rehabilitation Center is at 169 Lake Park Rd, Lewisville, TX 75057. Phone: (972) 436-7571.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.