Public Record
Lake Village Nursing and Rehabilitation Center
Operated by The Ensign Group
From CMS
Facility profile
- CMS overall rating
- 2 / 5
- Certified beds
- 112
- Avg. residents per day
- 78.2
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Health citations
- 26
- Fire safety findings
- 7
- Inspections on file
- 9
- Last inspection
- 2025-11-28
*CMS
*CMS
*CMS
*CMS
Citations
26 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0558Generalpotential for harm
Reasonably accommodate the needs and preferences of each resident.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0644Generalpotential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- 0761Generalpotential for harm
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.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0583Generalpotential for harm
Keep residents' personal and medical records private and confidential.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0550Generalpotential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0584Generalpotential for harm
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.
- 0584Generalpotential for harm
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.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0880Seriousimmediate jeopardy
Provide and implement an infection prevention and control program.
- 0604Generalpotential for harm
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- 0550Generalpotential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0558Generalpotential for harm
Reasonably accommodate the needs and preferences of each resident.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0727Generalpotential for harm
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.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- Inspection2 deficiencies
675560 11/28/2025 Lake Village Nursing and Rehabilitation Center 169 Lake Park Rd Lewisville, TX 75057 F 0558 Reasonably accommodate the needs and preferences of each resident. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT…
Read full statement of deficiencies - Inspection2 deficiencies
675560 09/16/2025 Lake Village Nursing and Rehabilitation Center 169 Lake Park Rd Lewisville, TX 75057 F 0644 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Coordinate assessments with the pre-admission screening and resident review program; and referring…
Read full statement of deficiencies - Inspection7 deficiencies
675560 03/06/2025 Lake Village Nursing and Rehabilitation Center 169 Lake Park Rd Lewisville, TX 75057 F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a dignified existence, self-determination, communication, and to…
Read full statement of deficiencies - View inspection reportInspectionFire Safety2 deficiencies
- Inspection2 deficiencies
675560 12/04/2024 Lake Village Nursing and Rehabilitation Center 169 Lake Park Rd Lewisville, TX 75057 F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Honor the resident's right to a safe, clean, comfortable and homelike environment, including but…
Read full statement of deficiencies - Inspection12 deficiencies
675560 01/26/2024 Lake Village Nursing and Rehabilitation Center 169 Lake Park Rd Lewisville, TX 75057 F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a dignified existence, self-determination, communication, and to…
Read full statement of deficiencies - View inspection reportInspectionFire Safety3 deficiencies
- View inspection reportInspectionFire Safety2 deficiencies
- Inspection1 deficiency
675560 11/30/2022 Lake Village Nursing and Rehabilitation Center 169 Lake Park Rd Lewisville, TX 75057 F 0880 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview and record review, the…
Read full statement of deficiencies
Ownership
The Ensign Group
338nursing homes nationwide, in CMS records
FAQ
Questions and answers
- What is Lake Village Nursing and Rehabilitation Center?
- Lake Village Nursing and Rehabilitation Center is a Medicare- and Medicaid-certified nursing home in Lewisville, TX, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 675560.
- What is the CMS rating for Lake Village Nursing and Rehabilitation Center?
- Lake Village Nursing and Rehabilitation Center has a CMS overall rating of 2 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Lake Village Nursing and Rehabilitation Center have?
- Lake Village Nursing and Rehabilitation Center is certified for 112 beds. It serves an average of 78.2 residents per day.
- How many citations does Lake Village Nursing and Rehabilitation Center have?
- Lake Village Nursing and Rehabilitation Center has 26 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Lake Village Nursing and Rehabilitation Center last inspected?
- Lake Village Nursing and Rehabilitation Center was last inspected on November 28, 2025. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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