Nursing homeActive
Lake Forest Village by PureHealth
3901 Montecito Drive, Denton, TX 76210940891085660 certified beds · 37 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
6
since 2023
Deficiencies
12
● 0● 12● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-02-11
Complaint
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 3
Staffing 4
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-02-11 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-09-11 | Standard | 080 | CMS-2567 (Care Compare) | — |
| 2025-07-08 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-08-08 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2023-09-07 | Infection control | 010 | CMS-2567 (Care Compare) | — |
| 2023-06-22 | Standard | 010 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-09Record 455685-20260211-F558
F583Keep residents' personal and medical records private and confidential.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-10-10Record 455685-20250911-F583
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-10-10Record 455685-20250911-F656
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-10Record 455685-20250911-F686
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-10Record 455685-20250911-F755
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-10-10Record 455685-20250911-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-10-10Record 455685-20250911-F812
F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-10-10Record 455685-20250911-F851
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-10-10Record 455685-20250911-F880
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-04Record 455685-20250708-F695
F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-02Record 455685-20230907-F925
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-07-22Record 455685-20230622-F812
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.94
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.97
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours3.42
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover44%
Facility
Texas
National
Texas 55% · National 46%
Registered nurse turnover38%
Facility
Texas
National
Texas 55% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Texas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 0.0% | 3.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 5.2% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 7.7% | 9.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 0.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 15.0% | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 2.6% | 3.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 26.2% | 18.0% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Lfv Ops Denton LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Bell, Kevin Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Campion, Robert Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Kccj1 Holdings LLC Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Lbei Holdings LLC Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Overhead Ops Investments III LLC Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Leidholm, Theta Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Lfv Ops Denton LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Martinez, Freddie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Legends III LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Leidholm, Theta Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Management Mcoa LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Martinez, Freddie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Narreddy, Neelima Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ppsg Consulting Services LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Purehealth — 8 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.
No county cost figures on file for Denton.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Denton Rehabilitation And Nursing Center Denton | 2.0 mi | 2026-04-02 | 0220 |
| University Rehabilitation Center Denton | 2.3 mi | 2026-04-23 | 0243 |
| Corinth Rehabilitation Suites on the Parkway Corinth | 3.7 mi | 2026-04-30 | 0370 |
| Vintage Health Care Center Denton | 4.6 mi | 2026-05-28 | 0475 |
| Cottonwood Nursing & Rehabilitation Denton | 5.3 mi | 2026-07-01 | 0230 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |