LAKE VILLAGE NURSING AND REHABILITATION CENTER
169 LAKE PARK RD, LEWISVILLE, TX 75057 · CCN 675560
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★☆ 4
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 112
- Avg residents/day
- 74.8
- Phone
- 9724367571
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-03-06 | 11 | 9.1 | 9.5 | +1.9 worse |
| 2 | 2024-01-26 | 14 | 9.4 | 9.8 | +4.6 worse |
| 3 | 2022-11-30 | 1 | 8.1 | 9.3 | -7.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Resident assessment and care planning | 2 |
| Resident rights | 3 |
| Pharmacy service | 3 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.05 | 63.2% |
| RN staffing (reported) | 0.40 | — |
| Total nurse staffing (adjusted) | 3.15 | — |
Fines & penalties
- Total fines
- $24,585
- Number of fines
- 1
- Number of penalties
- 2
- Payment denials
- 1
Chain
- Chain
- THE ENSIGN GROUP
- Facilities in chain
- 329
- Chain avg overall
- 3.20 / 5
Inspection citations (26)1 immediate jeopardy
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-11-28 · Health
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-11-28 · Health
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-09-16 · Health · corrected 2025-10-15
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-09-16 · Health · corrected 2025-10-15
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-03-06 · Health · corrected 2025-04-04
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2025-03-06 · Health · corrected 2025-04-04
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-06 · Health · corrected 2025-04-04
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-03-06 · Health · corrected 2025-04-04
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-03-06 · Health · corrected 2025-04-04
Potential for more than minimal harm
- DF0761Ensure 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.2025-03-06 · Health · corrected 2025-04-04
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-03-06 · Health · corrected 2025-04-04
Potential for more than minimal harm
- EF0584Honor 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.2024-12-04 · Health · corrected 2024-12-31
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-12-04 · Health · corrected 2024-12-31
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-01-26 · Health · corrected 2024-02-28
Potential for more than minimal harm
- EF0558Reasonably accommodate the needs and preferences of each resident.2024-01-26 · Health · corrected 2024-02-28
Potential for more than minimal harm
- EF0584Honor 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.2024-01-26 · Health · corrected 2024-02-28
Potential for more than minimal harm
- DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2024-01-26 · Health · corrected 2024-02-28
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-01-26 · Health · corrected 2024-02-28
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-01-26 · Health · corrected 2024-02-28
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-26 · Health · corrected 2024-02-28
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-01-26 · Health · corrected 2024-02-28
Potential for more than minimal harm
- FF0727Have 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.2024-01-26 · Health · corrected 2024-02-28
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-01-26 · Health · corrected 2024-02-28
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-01-26 · Health · corrected 2024-02-28
Potential for more than minimal harm
- KF0880Provide and implement an infection prevention and control program.2024-01-26 · Health · corrected 2024-02-28
Immediate jeopardy
- DF0880Provide and implement an infection prevention and control program.2022-11-30 · Health · corrected 2022-12-28
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| EASTLAND MEMORIAL HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2017-04-01 |
| GRAND VILLA PHX, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-04-01 |
| HERNANDEZ, MIGUEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-09-01 |
| MALL, ALLEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2007-03-01 |
| BURNAM, SOON | Individual | CORPORATE OFFICER | — | 2007-03-01 |
| KEETCH, CHAD | Individual | CORPORATE OFFICER | — | 2011-03-01 |
| TAYLOR, STEPHEN | Individual | CORPORATE OFFICER | — | 2025-07-01 |
Other facilities in LEWISVILLE
| Name | Overall | Beds |
|---|---|---|
| VISTA RIDGE NURSING & REHABILITATION CENTER | ★★★☆☆ | 132 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.