Lake Village Nursing and Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 169 Lake Park Rd, Lewisville, TX 75057
- CCN
- 675560
- Ownership type
- For-profit, corporation
- Certified beds
- 112
- Chain
- The Ensign Group
- Residents per day
- 77
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Lake Village Nursing and Rehabilitation Center an overall rating of 1 of 5 stars. The last standard survey was on 5 May 2026. The latest survey cycle has 12 health citations. The median for nursing homes in Texas is 8. CMS lists 1 fine of $24,585 for this home in its penalties file. CMS also lists 1 payment denial.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Denton County median | Texas median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 2.0 | 2.0 | 2.9 |
| Quality measure rating | 4 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 18 homes in the county, 1,177 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Texas median |
|---|---|---|---|
| Cycle 1 (latest) | 5 May 2026 | 12 | 8 |
| Cycle 2 | 6 Mar 2025 | 9 | 8 |
| Cycle 3 | No date | 12 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | L0 | |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 12 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 5 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 8 May 2026 |
| 5 May 2026 | 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. | D | Standard survey | 8 May 2026 |
| 5 May 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 8 May 2026 |
| 5 May 2026 | 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. | D | Standard survey | 8 May 2026 |
| 5 May 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 8 May 2026 |
| 5 May 2026 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard survey | 8 May 2026 |
| 5 May 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 8 May 2026 |
| 5 May 2026 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 8 May 2026 |
| 28 Nov 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | Past Non-Compliance |
| 28 Nov 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | Past Non-Compliance |
| 16 Sep 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint investigation | 15 Oct 2025 |
| 16 Sep 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 15 Oct 2025 |
Survey cycle 2: 9 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 6 Mar 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 4 Apr 2025 |
| 6 Mar 2025 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 4 Apr 2025 |
| 6 Mar 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 4 Apr 2025 |
| 6 Mar 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 4 Apr 2025 |
| 6 Mar 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 4 Apr 2025 |
| 6 Mar 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. | D | Complaint investigation | 4 Apr 2025 |
| 6 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 4 Apr 2025 |
| 4 Dec 2024 | 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. | E | Complaint investigation | 31 Dec 2024 |
| 4 Dec 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 31 Dec 2024 |
Survey cycle 3: 12 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 26 Jan 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 28 Feb 2024 |
| 26 Jan 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint investigation | 28 Feb 2024 |
| 26 Jan 2024 | 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. | E | Standard survey | 28 Feb 2024 |
| 26 Jan 2024 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Complaint investigation | 28 Feb 2024 |
| 26 Jan 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 28 Feb 2024 |
| 26 Jan 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 28 Feb 2024 |
| 26 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 28 Feb 2024 |
| 26 Jan 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 28 Feb 2024 |
| 26 Jan 2024 | F0727 | 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. | F | Complaint investigation | 28 Feb 2024 |
| 26 Jan 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 28 Feb 2024 |
| 26 Jan 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 28 Feb 2024 |
| 26 Jan 2024 | F0880 | Provide and implement an infection prevention and control program. | K | Complaint investigation | 28 Feb 2024 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 26 Jan 2024 | Fine | $24,585 | |
| 26 Jan 2024 | Payment denial | 8 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Texas median | Texas average (CMS) |
|---|---|---|---|
| All nurse staff | 3.07 | 3.30 | 3.39 |
| Registered nurses (RN) | 0.44 | 0.40 | 0.43 |
| Licensed practical nurses (LPN) | 0.85 | 0.95 | |
| Nurse aides | 1.77 | 2.00 | |
| All nurse staff, weekends | 2.51 | 2.90 | 2.98 |
- Nurse staff turnover in a year
- No data
- Nurse staff turnover, Texas median
- 52.1%
- RN turnover in a year
- No data
- Administrators who left in a year
- No data
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 23.3% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.2% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.1% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.3% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 22.1% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.6% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 9.6% | 8.3% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Eastland Memorial Hospital District
- Chain
- The Ensign Group (342 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Eastland Memorial Hospital District | 5% or greater direct ownership interest | 100% | 1 Apr 2017 |
| Grand Villa PHX, Inc. | Operational/managerial control | 1 Apr 2017 | |
| Caretrust GP LLC | Adp of the snf | 1 Mar 2007 | |
| Caretrust REIT Inc | Adp of the snf | 1 Mar 2007 | |
| Ctr Partnership LP | Adp of the snf | 1 Mar 2007 | |
| Ensign Services Inc | Adp of the snf | 1 Mar 2007 | |
| Grand Villa PHX, Inc. | Adp of the snf | 13 Aug 2025 | |
| Verde Villa Holdings LLC | Adp of the snf | 1 Mar 2007 |
The site shows organisations only. It does not show the names of persons.
Other homes in Denton County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Rambling Oaks Courtyard Extensive Care Community | Highland Village | 3 of 5 | 13 | $21,640 | 8 Jan 2026 | |
| Hollymead | Flower Mound | 3 of 5 | 14 | $9,110 | 24 Apr 2025 | |
| Cross Timbers Rehabilitation and Healthcare Center | Flower Mound | 3 of 5 | 9 | $8,281 | 16 Apr 2026 | |
| Vista Ridge Nursing & Rehabilitation Center | Lewisville | 4 of 5 | 12 | $10,348 | 19 Mar 2026 | |
| Corinth Rehabilitation Suites on the Parkway | Corinth | 1 of 5 | 26 | $0 | 30 May 2025 | |
| Denton Rehabilitation and Nursing Center | Denton | 4 of 5 | 15 | $0 | 29 May 2025 | |
| Brookhaven Nursing and Rehabilitation Center | Carrollton | 1 of 5 | 11 | $24,739 | 23 Jul 2025 | |
| Lake Forest Village by Purehealth | Denton | 4 of 5 | 9 | $0 | 11 Sep 2025 | |
| Mustang Park Therapy and Living Center | Carrollton | 1 of 5 | 18 | $18,275 | 1 Apr 2026 | |
| University Rehabilitation Center | Denton | 1 of 5 | 11 | $33,117 | 17 Apr 2025 | |
| Prestonwood Rehabilitation & Nursing Center | Plano | 4 of 5 | 10 | $14,433 | 17 Apr 2025 | |
| Vintage Health Care Center | Denton | 1 of 5 | 20 | $243,970 | 12 Feb 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Texas Health and Human Services: complaint and incident intakeThe complaint page of the State Survey Agency for Texas, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Lake Village Nursing and Rehabilitation Center (CCN 675560). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/lake-village-nursing-and-rehabilitation-center-lewisville-tx-675560/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Lake Village Nursing and Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 5 May 2026. It was a standard survey. It gave 8 citations. The standard survey before the last one was on 6 Mar 2025.
- Who operates Lake Village Nursing and Rehabilitation Center?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain The Ensign Group. The CMS ownership file names Grand Villa PHX, Inc. for operational or managerial control. This site does not show the names of persons.
- Is Lake Village Nursing and Rehabilitation Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 6 homes in Texas as Special Focus Facilities and 30 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.