Lake Village Nursing and Rehabilitation Center
169 Lake Park Rd · Lewisville, TX · 75057 · 9724367571
112 certified beds For profit - Corporation Chain: The Ensign Group
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $24,585 |
Inspection citations (26 in the current record)
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Potential for harm · D November 28, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Past Non-Compliance · Resident Rights
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Potential for harm · D November 28, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Past Non-Compliance · Pharmacy Service
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Potential for harm · D September 16, 2025 · found via complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected October 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 16, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected October 15, 2025 · Infection Control
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Potential for harm · D March 6, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 4, 2025 · Resident Rights
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Potential for harm · D March 6, 2025 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected April 4, 2025 · Resident Rights
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Potential for harm · D March 6, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 6, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 4, 2025 · Quality of Life and Care
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Potential for harm · D March 6, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 4, 2025 · Pharmacy Service
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Potential for harm · D March 6, 2025 · found via 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.
Corrected April 4, 2025 · Pharmacy Service
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Potential for harm · E March 6, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 4, 2025 · Infection Control
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Potential for harm · E December 4, 2024 · found via 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.
Corrected December 31, 2024 · Resident Rights
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Potential for harm · E December 4, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 31, 2024 · Nutrition and Dietary
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Immediate jeopardy · K January 26, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 28, 2024 · Infection Control
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Potential for harm · E January 26, 2024
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.
Corrected February 28, 2024 · Resident Rights
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Potential for harm · E January 26, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 28, 2024 · Nutrition and Dietary
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Potential for harm · D January 26, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 28, 2024 · Resident Rights
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Potential for harm · E January 26, 2024 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected February 28, 2024 · Resident Rights
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Potential for harm · D January 26, 2024 · found via complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected February 28, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 26, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 28, 2024 · Resident Assessment and Care Planning
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Potential for harm · E January 26, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 28, 2024 · Quality of Life and Care
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Potential for harm · D January 26, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 28, 2024 · Quality of Life and Care
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Potential for harm · D January 26, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 28, 2024 · Quality of Life and Care
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Potential for harm · F January 26, 2024 · found via 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.
Corrected February 28, 2024 · Nursing and Physician Services
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Potential for harm · D January 26, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 28, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 26, 2024 | Fine | $24,585 |
| January 26, 2024 | Payment Denial | 8 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675560 · certified since January 4, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.