Show Inspection Reports
Total health inspections
5
Texas average 7.4
Last Health inspection on Sep 2025
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
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Nursing Home in Lewisville
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Lake Village Nursing & Rehabilitation Center
Nursing Home in Lewisville
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Lake Village Nursing & Rehabilitation Center
Overview of Lake Village Nursing & Rehabilitation Center
Lake Village Nursing and Rehabilitation Center is a senior living community providing long-term skilled nursing services, respite care, and skilled rehabilitation. Located in Lewisville, TX, this long-term care facility is committed to provide the best care for their residents, creating individualized care plans from admission to discharge. As part of their services, their residents receive 24/7 nursing assistance, medication management, and assistance with daily living activities.
Lake Village Nursing and Rehabilitation Center also offers customizable therapy programs to care for their full-time, in-house therapy team. In addition, they also offer wound care, electrical stimulation, pulmonary programs, and speech-language therapy services.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
120
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
66.5%
Residents per day (avg)
71
Occupancy rate
66.5%
Residents per day (avg)
71
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Post-acute recovery
Temporary care
Transitional stays
Breakdown by payment type
Medicare
29% of new residents, usually for short-term rehab.
Typical stay
28 days
Private pay
61% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
9% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Governmental community
Operated by state authorities.
Home revenue
$15.0M
Surplus of revenue
$2.0M
Governmental community
Operated by state authorities.
Home revenue
$15.0M
Surplus of revenue
$2.0M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$8.1M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$12.9M
120-bed community
A larger shared setting that may offer more common spaces and organized community services.
49 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 38 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Services
About this community
Facility TypeNursing
IssuanceJanuary 4, 2023
ExpirationJanuary 4, 2026
CountyDENTON
License Number147564
Year Opened10/20/1976
Lake Village Nursing & Rehabilitation Center is administrated by Allen Mall.
Management CompanyGRAND VILLA PHX, INC
OwnerEASTLAND MEMORIAL HOSPITAL DISTRICT
Ownership TypeHOSPITAL DISTRICT/AUTHORITY
Medicare
10 units
Medicaid and Medicare
102 units
Total beds
120 units
Staffing
Key information about the people who lead and staff this community.
Administrator Email
[email protected]
Rehabilitation Services
Skilled Nursing
24-Hour Staffing
Rehabilitation
Types of Care at Lake Village Nursing & Rehabilitation Center
Skilled Nursing
Inspection History
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
6 visits/inspections
6 routine inspections
Results
5 with issues
1 without issues
Latest inspection
Date
September 16, 2025
Annual Inspection41 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Texas average: 32 deficiencies
Health Inspection History
Inspections
Total health citations
24
Texas average 25.9
Citations per inspection
4.8
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
3 of 24 citations resulted from standard inspections; 4 of 24 resulted from complaint investigations; and 17 of 24 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
1
1
50% better than Texas averageTexas average: 2
Serious Health citations
0
0
100% better than Texas averageTexas average: 0.4
1 critical citation
0 serious citations
23 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Sep 16, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Sep 16, 2025
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Sep 16, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Sep 16, 2025
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Mar 06, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Mar 06, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Mar 06, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Mar 06, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Lewisville The information below is reported by the Texas Health and Human Services Commission.
Filter by care type
Lake Village Nursing & Rehabilitation Center
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Lewisville
112
66.5%
+5%
3.19
-12%
2
24
4.8
1
71
-
38
Grand Villa Phx, Inc.
$15.0M
$4.8M
32.4%
675560
Vista Ridge Nursing and Rehabilitation
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Lewisville
132
70.9%
+12%
3.10
-15%
1
18
2.6
1
89
-
52
Patel, Manoj
$13.8M
$4.7M
33.8%
676036
Places of interest near Lake Village Nursing & Rehabilitation Center
2.2 miles from city center — 1.89 miles to nearest hospital (Medical City Lewisville)
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
164
Employees
120
Contractors
44
Staff to resident ratio
2.28:1
51% better than Texas averageTexas average ratio: 1.51:1
Avg staff/day
43
Average shift
8.6 hours
6% better than Texas averageTexas average: 8.1 hours
Total staff hours (quarter)
33,780
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
6
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.4 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
27
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
61
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
1.8%
605 contractor hours this quarter
Certified Nursing Assistant: 29
Licensed Practical Nurse: 7
Medication Aide/Technician: 5
Registered Nurse: 1
Medical Director: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 32 | 29 | 61 | 9,800 | 91 | 100% | 8.7 |
| Licensed Practical Nurse | 20 | 7 | 27 | 4,538 | 91 | 100% | 9.8 |
| Speech Language Pathologist | 8 | 0 | 8 | 3,147 | 89 | 98% | 9 |
| Physical Therapy Aide | 14 | 0 | 14 | 2,830 | 91 | 100% | 7.9 |
| Qualified Social Worker | 8 | 0 | 8 | 2,397 | 86 | 95% | 8.2 |
| Respiratory Therapy Technician | 6 | 0 | 6 | 2,062 | 78 | 86% | 8.7 |
| Registered Nurse | 5 | 1 | 6 | 1,766 | 89 | 98% | 10.4 |
| Physical Therapy Assistant | 7 | 0 | 7 | 1,756 | 78 | 86% | 8.2 |
| Dental Services Staff | 4 | 0 | 4 | 1,288 | 65 | 71% | 8 |
| Medication Aide/Technician | 5 | 5 | 10 | 1,075 | 78 | 86% | 7.7 |
| RN Director of Nursing | 3 | 0 | 3 | 916 | 61 | 67% | 8.6 |
| Nurse Practitioner | 1 | 0 | 1 | 585 | 65 | 71% | 9 |
| Dietitian | 1 | 0 | 1 | 533 | 66 | 73% | 8.1 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 510 | 43 | 47% | 7.8 |
| Medical Director | 0 | 1 | 1 | 30 | 29 | 32% | 1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 27 | 6 | 7% | 4.5 |
61 Certified Nursing Assistant
% of Days
100%
27 Licensed Practical Nurse
% of Days
100%
8 Speech Language Pathologist
% of Days
98%
14 Physical Therapy Aide
% of Days
100%
8 Qualified Social Worker
% of Days
95%
6 Respiratory Therapy Technician
% of Days
86%
6 Registered Nurse
% of Days
98%
7 Physical Therapy Assistant
% of Days
86%
4 Dental Services Staff
% of Days
71%
10 Medication Aide/Technician
% of Days
86%
3 RN Director of Nursing
% of Days
67%
1 Nurse Practitioner
% of Days
71%
1 Dietitian
% of Days
73%
1 Administrator
% of Days
71%
5 Clinical Nurse Specialist
% of Days
47%
1 Medical Director
% of Days
32%
1 Occupational Therapy Assistant
% of Days
7%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
72 residents
Residents by payment source
Medicare
3 residents (4.2%)
Medicaid
44 residents (61.1%)
Private pay or other
25 residents (34.7%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.4
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.4
55% worse than Texas averageTexas average: 8.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.6
66% worse than Texas averageTexas average: 16.0
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
39.7%
Percent of long-stay residents whose need for help with daily activities has increased
39.7%
146% worse than Texas averageTexas average: 16.2%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
22.5%
Percent of long-stay residents whose ability to move independently worsened
22.5%
39% worse than Texas averageTexas average: 16.2%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.6%
13% worse than Texas averageTexas average: 15.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.2%
Percent of long-stay residents experiencing one or more falls with major injury
1.2%
63% better than Texas averageTexas average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.0%
Percent of long-stay high risk residents with pressure ulcers
2.0%
55% better than Texas averageTexas average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Texas averageTexas average: 0.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
1.4%
Percent of long-stay residents who lose too much weight
1.4%
59% better than Texas averageTexas average: 3.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.9%
Percent of long-stay residents who have depressive symptoms
0.9%
69% better than Texas averageTexas average: 2.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
8.3%
Percent of long-stay residents who received an antipsychotic medication
8.3%
5% worse than Texas averageTexas average: 7.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas averageTexas average: 97.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas averageTexas average: 97.9%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.38
Number of hospitalizations per 1,000 long-stay resident days.
2.38
12% worse than Texas averageTexas average: 2.13
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.45
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.45
30% better than Texas averageTexas average: 2.07
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
11% better than Texas averageTexas average: 90.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Texas averageTexas average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.1%
8% better than Texas averageTexas average: 88.0%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.3%
14% better than Texas averageTexas average: 25.9%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
4.8%
Percentage of short-stay residents who had an outpatient emergency department visit.
4.8%
60% better than Texas averageTexas average: 12.0%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
1.6%
Percentage of SNF residents who experience falls with major injury during their stay.
1.6%
109% worse than Texas averageTexas average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
42.1%
Percentage of residents at or above expected ability to care for themselves at discharge.
42.1%
22% worse than Texas averageTexas average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
43.6%
Rate of successful return to home or community from a skilled nursing facility.
43.6%
14% worse than Texas averageTexas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$25K
69% lower than Texas averageTexas average: $80K
Number of fines
1
60% fewer fines than Texas averageTexas average: 2.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
354% more payment denials than Texas averageTexas average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$25K
Texas average
$80K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 26, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 26, 2024
$25K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jan 26, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jan 26, 2024
8 days
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Lake Village Nursing & Rehabilitation Center based on CMS SNF Cost Reports.
Occupancy Rate
66.5%
↑ 8.0pp vs 2023
Net Income
$2.0M
↑ ~$529.8K vs 2023
Total Payroll
$6.0M
↑ ~$916.5K vs 2023
Profit Margin
13.6%
↓ 0.5pp vs 2023
Loading trend charts...
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