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Complaint Investigation

Lake Village Nursing And Rehabilitation Center

September 16, 2025 · Lewisville, TX · 169 Lake Park Rd
Citations 2
CMS Rating 2/5
Beds 112
Provider ID 675560
Healthcare Facility
Lake Village Nursing And Rehabilitation Center
Lewisville, TX  ·  View full profile →
Inspection Summary

LAKE VILLAGE NURSING AND REHABILITATION CENTER in LEWISVILLE, TX — inspection on September 16, 2025.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0644
Resident Assessment and Care Planning Deficiencies
Potential for More Than Minimal Harm

During an interview on 09/16/2025 at 3:45 PM, the DON stated each morning staff met and discussed care plans and interventions to put in place.

She stated resident #1 had been at the facility for a long time and received ongoing PASRR services.

She stated she was unaware a positioning wedge was recommended for Resident #1 on 03/04/2025.

She printed Resident #1's PCSP which reflected the recommendation for a repositioning wedge.

She stated page 7 of the PCSP did not reflect any changes to his care plan.

She stated if new needs were identified, they would be documented there.

She stated Resident #1 had his last PCSP meeting on 08/25/2025 and it reflected a repositioning wedge was not needed.

During an interview on 09/16/2025 at 3:55 PM, the Administrator stated after an IDT meeting, staff members discussed any items that needed follow up and he followed up with the MDS Coordinator to ensure the PCSP was complete.

The Administrator stated he was not told Resident #1 needed a positioning wedge or the facility would have already purchased one. He stated it was important for the facility to provide recommended services to ensure the resident's needs were met.During a telephone interview on 09/19/2025 at 4:30 PM, the Habilitation Coordinator stated the repositioning wedge was recommended during the 03/04/2025 interdisciplinary team meeting, because Resident #1 leaned to one side, and she had approved it.

She stated the nursing facility emailed her about the visit from a state surveyor requesting information about Resident #1.

She stated the facility requested an interdisciplinary team meeting and she scheduled a meeting on October 1st to evaluate Resident #1's needs.

Record review of the facility's policy Resident Assessment: PASRR, reviewed 05/2021, reflected It is the policy of this facility to ensure that each resident is properly screened using the PASRR specified by the state. (A) That, because of the physical and mental condition of the individual, the individual requires the level of services provided by a nursing facility; and (B) If the individual requires such a level of services, whether the individual requires specialized services for the intellectual disability.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/16/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Lake Village Nursing and Rehabilitation Center

169 Lake Park Rd Lewisville, TX 75057

SUMMARY STATEMENT OF DEFICIENCIES

Federal health inspectors cited LAKE VILLAGE NURSING AND REHABILITATION CENTER in LEWISVILLE, TX for a deficiency under regulatory tag F-F0880 during a complaint investigation conducted on 2025-09-16.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 2 deficiencies cited during this inspection of LAKE VILLAGE NURSING AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-15.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in LEWISVILLE, TX, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from LAKE VILLAGE NURSING AND REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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