Nursing homes › Texas › Lake Village Nursing and Rehabilitation Center
169 Lake Park Rd, Lewisville, TX 75057 · 9724367571 · 112 certified beds
Per CMS filings, this facility is affiliated with The Ensign Group, a group operating 346 facilities in 17 states. Group record: average rating 3.2/5, 33 abuse citation icons, 9 facilities on the Special Focus list, $7,179,329 in federal fines. This facility rates below its group average (3.2/5).
Total nurse staffing: 3.07 (Texas median: 3.27). RN hours: 0.44. Weekend total: 2.51.
All-time on record: 33 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-05 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Health | 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. | E | Health | corrected 2026-05-08 |
| 2026-05-05 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Health | 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. | D | Health | 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. | D | Health | corrected 2026-05-08 |
| 2026-05-05 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | 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. | D | Health | corrected 2026-05-08 |
| 2026-05-05 | Provide and implement an infection prevention and control program. | D | Health | corrected 2026-05-08 |
| 2025-11-28 | Reasonably accommodate the needs and preferences of each resident. | D | complaint | 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. | D | complaint | Past Non-Compliance |
| 2025-09-16 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | complaint | corrected 2025-10-15 |
| 2025-09-16 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-10-15 |
| 2025-03-06 | Provide and implement an infection prevention and control program. | E | complaint | 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. | D | complaint | corrected 2025-04-04 |
| 2025-03-06 | Keep residents' personal and medical records private and confidential. | D | complaint | 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. | D | complaint | corrected 2025-04-04 |
| 2025-03-06 | Provide safe and appropriate respiratory care for a resident when needed. | D | complaint | 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. | D | complaint | 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. | D | complaint | 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. | E | complaint | 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. | E | complaint | corrected 2024-12-31 |
| 2024-01-26 | Provide and implement an infection prevention and control program. | K | complaint | 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. | F | complaint | corrected 2024-02-28 |
| 2024-01-26 | Reasonably accommodate the needs and preferences of each resident. | E | complaint | 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. | E | Health | corrected 2024-02-28 |
| 2024-01-26 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | complaint | 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. | E | Health | 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. | D | complaint | corrected 2024-02-28 |
| 2024-01-26 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | complaint | 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. | D | complaint | 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. | D | complaint | corrected 2024-02-28 |
| 2024-01-26 | Provide safe and appropriate respiratory care for a resident when needed. | D | complaint | 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. | D | complaint | corrected 2024-02-28 |
| Date | Type | Amount |
|---|---|---|
| 2024-01-26 | Fine | $24,585 |
| 2024-01-26 | Payment Denial | 8 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| EASTLAND MEMORIAL HOSPITAL DISTRICT | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 04/01/2017 |
| HERNANDEZ, MIGUEL | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 09/01/2023 |
| MALL, ALLEN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 03/01/2007 |
| BURNAM, SOON | Corporate Officer | Individual | NOT APPLICABLE | since 03/01/2007 |
| KEETCH, CHAD | Corporate Officer | Individual | NOT APPLICABLE | since 03/01/2011 |
| TAYLOR, STEPHEN | Corporate Officer | Individual | NOT APPLICABLE | since 07/01/2025 |
| GRAND VILLA PHX, INC. | Operational/Managerial Control | Organization | NOT APPLICABLE | since 04/01/2017 |
| HERNANDEZ, MIGUEL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/01/2023 |
| MALL, ALLEN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/01/2007 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 675560. Corrections: data@carerecords.org.