Lake Village Nursing And Rehabilitation Center
169 LAKE PARK RD, Lewisville, TX, 75057
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: The Ensign Group
- Certified beds
- 112 · avg 75 residents/day
- Total nursing staff turnover
- 63.2% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $24,585 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 147564
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 8 licensed-only · 10 Medicare-only · 102 Medicaid/Medicare
- Current license effective
- April 1, 2023
- Current license expires
- April 1, 2026
- Initial license date
- October 20, 1976
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Eastland Memorial Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Grand Villa Phx, Inc
- Administrator
- Allen Mall
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the The Ensign Group chain — 329 facilities across 17 states. Chain-wide average overall rating 3.2 / 5.
Disclosed owners (12 on record)
- Grand Villa Phx, Inc.
Adp of The Snf · since 2025
- Stephen c Taylor
Corporate Officer · since 2025
- Miguel a Hernandez
Adp of The Snf · since 2023
- Eastland Memorial Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2017
- Chad a Keetch
Corporate Officer · since 2011
- Allen Mall
Adp of The Snf · since 2007
+ 6 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 26)
- D0755·Nov 28, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0558·Nov 28, 2025Complaint
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
- D0880·Sep 16, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0644·Sep 16, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- E0880·Mar 6, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0761·Mar 6, 2025Complaint
Pharmacy Service Deficiencies
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.
- D0755·Mar 6, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0695·Mar 6, 2025Complaint
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Federal penalties
By year
- 20241 fine · $25K · 1 payment denial
Most recent events
- Jan 26, 2024Payment denial · 8 days · starting Feb 28, 2024
- Jan 26, 2024Fine · $25K
Fire-safety citations
7 Life-Safety-Code citations on file. Most recent: Mar 6, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Lake Village Nursing And Rehabilitation Center is a 120-bed Medicare/Medicaid nursing home in Lewisville (Denton County), operated under management by Grand Villa Phx, Inc. and licensed to Eastland Memorial Hospital District. CMS rates it 2 stars overall — with a 1-star staffing rating, among the lowest 38% of Texas nursing homes on that measure. Quality-of-care outcomes rate 4 stars. The facility is running at about 67% of capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 1 star. Each resident receives about 183 minutes of nursing care per day — roughly 58 minutes less than at a 4-star-staffing facility in Texas, and about 24 of those minutes come from a registered nurse. Residents here need more hands-on care than at a typical facility — sicker, or less mobile on average — so the same staffing hours stretch thinner than the raw minutes suggest.
About 6 in 10 nursing staff left in the past year. Texas nursing homes at the 75th percentile of turnover hit 60% — this facility sits just above that line. A long-stay resident will likely go through two or three primary caregivers over the course of a year.
CMS recorded one fine totaling $24,585. That figure sits above the Texas median of $20,699 among facilities that received any fine; about 30% of Texas nursing homes had zero fines in this period.
The facility is operating at roughly 67% of its licensed beds — 74 to 75 residents on an average day against 112 certified beds. Low occupancy at a facility with staffing and turnover signals like these can reflect difficulty attracting referrals.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on evenings and weekends
Weekend nursing hours here average about 2.5 hours per resident per day — ask how many nurses and aides are on the floor on a typical Saturday night.
Why turnover has been high
Six in ten nursing staff left in the past year; ask what has driven that rate and what steps management has taken to stabilize the team.
Management company's role day-to-day
The facility is licensed to a hospital district but managed by Grand Villa Phx, Inc. — ask which entity sets staffing budgets and handles resident complaints.
Current census and referral patterns
The facility averages about 75 residents against 112 certified beds; ask whether the lower occupancy reflects a hiring gap, a referral slowdown, or a deliberate census target.
How care plans are reviewed
Quality-of-care outcomes rate 4 stars despite 1-star staffing; ask how often care plans are updated and who leads those reviews.
Resident Council activity
There is a Resident Council but no Family Council; ask how families are kept informed of concerns raised in council meetings.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.