See every facility — official ratings, family reviews, no referral fees.
Nursing HomeMedicaid Investigative

Lake Village Nursing and Rehabilitation Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

169 Lake Park Rd, Lewisville, TX 75057120 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 97 Google reviews

5
4
3
2
1

Watch Lake Village Nursing and Rehabilitation Center

Get an email when new inspections, ratings, or penalties are published for this facility.

We’ll only email you about this — no spam, unsubscribe anytime.

5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (11 vs median 8.0)
  • High staff turnover (63%)

Below average in Texas · Below recommended RN staffing · Below chain average · $24,585 in fines

Source: Medicare data

What this means for your family

This facility is an excellent choice for patients focused on intensive physical rehabilitation, as their therapy team is widely regarded as the best in the area. However, families must remain vigilant regarding medication administration and nursing responsiveness, as several reviews highlight critical failures in these specific areas.

Google Reviews

Google Reviews

97 reviews on Google
Families considering Lake Village can expect an exceptionally strong rehabilitation and physical therapy team, which is frequently cited as a standout feature. While many reviewers praise the compassionate nursing staff and clean environment, there are serious, documented allegations regarding medication errors, neglect, and lack of responsiveness to medical concerns.

Quality Themes

Tap a score for details
Food4.0Staff8.0Clean7.0ActivitiesN/AMeds1.0MemoryN/AComms6.0ValueN/A

Strengths

  • Exceptional rehabilitation and therapy teams
  • Compassionate and caring nursing staff
  • Clean and well-maintained facilities
  • Welcoming and professional administrative staff

Concerns

  • Medication management errors and neglect (mentioned by 3 reviewers)
  • Unresponsive to medical emergencies or call lights (mentioned by 2 reviewers)
  • Staffing turnover and inconsistent care quality (mentioned by 2 reviewers)
  • Issues with cleanliness and pests (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'09(1)'15(1)'17(4)'19(4)'22(4)'24(22)'26(16)

Distribution · 103 analyzed

5
84
4
5
3
0
2
0
1
14
14 reviews posted between Nov 21, 2025Nov 21, 2025 · 12 were 5-star

How They Respond to Reviews

13%response rate
Good

The owner provides highly personalized responses to positive reviews, often addressing specific staff members or departments mentioned. For negative reviews, the owner attempts to be empathetic and invites direct communication to resolve issues.

Questions for Your Tour

  • 1It is wonderful to see how professional and welcoming the administrative team is; how do you ensure that this level of care remains consistent across all shifts?
  • 2We have heard great things about your rehabilitation and therapy teams, so could you tell us more about how they work with residents on their daily recovery goals?
  • 3What specific protocols are in place to ensure medication is administered accurately and on time every day?
  • 4How does the nursing staff respond to call lights or urgent medical needs, especially during the overnight hours?
  • 5Could you tell us a bit about the dining experience and how the menu is planned to ensure residents enjoy their meals?
  • 6What kind of daily activities or social outings are available to help residents stay engaged with the community?

Personalized based on this facility's data


Key Review Excerpts

The therapy team does amazing work and shows great care for all residents

Rehab patient's family · 2025★★★★★

My loved one has made great progress thanks to their personalized care and encouragement. The facility is clean, well-maintained, and the staff consistently communicates well with families.

Long-term resident's family · 2024★★★★★

She went in for acute rehab and never came out due to neglect from staff and doctors. She arrived in perfect health aside from her fall which is why she was here. She ended up coming down with pneumonia twice, renal failure and respiratory failure.

Rehab patient's family · 2026☆☆☆☆
Source: 97 Google reviews

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

11

measures

Worse Than Avg

2

measures

Mixed Results

4

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
Denton
1.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility21.9%
Worse than Avg
Here
21.9%
US
14.4%
TX
16.1%
Denton
17.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.2%
Better than Avg
Here
99.2%
US
93.4%
TX
96.9%
Denton
92.0%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility21.7%
Worse than Avg
Here
21.7%
US
15.3%
TX
14.9%
Denton
15.3%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility9.4%
Mixed vs Avgs
Here
9.4%
US
15.4%
TX
9.4%
Denton
5.0%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
TX
98.0%
Denton
98.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility97.6%
Better than Avg
Here
97.6%
US
81.8%
TX
89.2%
Denton
82.8%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility95.1%
Better than Avg
Here
95.1%
US
79.7%
TX
88.0%
Denton
87.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.3%
Better than Avg
Here
1.3%
US
1.6%
TX
1.5%
Denton
1.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

11deficiencies
2penalties
Above state avg (9.1)
23 complaint-triggered
$24,585 in fines

This facility has concerning patterns with 23 out of 33 deficiencies triggered by family complaints, indicating ongoing care problems that prompted families to file reports. The most recurring issues involve infection control, resident rights (dignity and accommodation of needs), and medication management. Problems persist across multiple surveys, with infection control cited four separate times and resident rights violations appearing repeatedly, suggesting systematic care challenges that families should carefully investigate before placement.

Nov 28, 2025Complaint
2
0558Potential for harm · IsolatedResolved (past non-compliance)

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0755Potential for harm · IsolatedResolved (past non-compliance)

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Sep 16, 2025Complaint
2
0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Mar 6, 2025Routine
2
0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Mar 6, 2025Complaint
7
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0761Potential for harm · IsolatedCorrected

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.

Dec 4, 2024Complaint
2
0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Jan 26, 2024Complaint
10
0880Immediate jeopardy · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0727Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

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.

0558Potential for harm · PatternCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0604Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Federal Penalties

Fine

Jan 26, 2024

$24,585

Payment Denial

Jan 26, 2024

8-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Eastland Memorial Hospital District

Organization Type

for profit

Management Company

GRAND VILLA PHX, INC

Administrator

ALLEN MALL

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

338 facilities nationwide

Chain avg rating: 2.9/5 · Rank 69 of 84

Ownership & Management

Owners

Eastland Memorial Hospital District

Owner · Organization

100%

Key personnel

Hernandez, MiguelManaging Control - Governing BodyMall, AllenManaging Control - Governing BodyBurnam, SoonOfficer / DirectorKeetch, ChadOfficer / DirectorTaylor, StephenOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

Call