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Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 100 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 59% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. The latest standard survey recorded 12 findings, above the TX average of 9.1. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
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
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Concerns
Rating Trends
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Distribution · 106 analyzed
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.
Personalized based on this facility's data
Key Review Excerpts
“The therapy team does amazing work and shows great care for all residents”
“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.”
“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.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
2
measures
4
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents needing more daily help over time
Residents whose walking got worse
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
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.
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
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.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Federal Penalties
Fine
Jan 26, 2024
$24,585
Payment Denial
Jan 26, 2024
8-day denial
Eastland Memorial Hospital District
for profit
GRAND VILLA PHX, INC
ALLEN MALL
The Ensign Group
342 facilities nationwide
Chain avg rating: 2.9/5 · Rank 69 of 84
Owners
Eastland Memorial Hospital District
Owner · Organization
Key personnel
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