CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 4556852026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Lake Forest Village By Purehealth

3901 Montecito Drive · Denton, TX 76210 · Denton County

CMS OVERALL RATING★★★★☆4/5CMS field—not our score or recommendation
Certified beds60CMS provider file
Recent citation rows23current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12025-09-1192025-09-114
Cycle 22024-08-0812024-08-084
Cycle 32023-06-2222023-06-223
02 / CITATION DETAIL

23 rows in the current release

0 rows carry G–L scope/severity codes; 0 carry J–L. 3 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-02-11 · HEALTHF0558Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

Correction field: Deficient, Provider has date of correction · 2026-03-09 · complaint
2025-09-11 · FIREE0006Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

Correction field: Deficient, Provider has date of correction · 2025-10-10
2025-09-11 · HEALTHF0583Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

Correction field: Deficient, Provider has date of correction · 2025-10-10
2025-09-11 · HEALTHF0656Severity E · pattern; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2025-10-10
2025-09-11 · HEALTHF0686Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Correction field: Deficient, Provider has date of correction · 2025-10-10
2025-09-11 · HEALTHF0755Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-10-10
2025-09-11 · HEALTHF0761Severity E · pattern; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2025-10-10
2025-09-11 · HEALTHF0812Severity F · widespread; potential for more than minimal harm

Nutrition and Dietary Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-10-10
2025-09-11 · HEALTHF0851Severity F · widespread; potential for more than minimal harm

Administration Deficiencies

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Correction field: Deficient, Provider has date of correction · 2025-10-10
2025-09-11 · HEALTHF0880Severity E · pattern; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2025-10-10
2025-09-11 · FIREK0291Severity F · widespread; potential for more than minimal harm

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

Correction field: Deficient, Provider has date of correction · 2025-10-10
2025-09-11 · FIREK0321Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Correction field: Deficient, Provider has date of correction · 2025-10-10
2025-09-11 · FIREK0343Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Correction field: Deficient, Provider has date of correction · 2025-10-10
2025-07-08 · HEALTHF0695Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-08-04 · complaint
2024-08-08 · FIREK0324Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Provide properly protected cooking facilities.

Correction field: Deficient, Provider has date of correction · 2024-09-04
2024-08-08 · FIREK0345Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Correction field: Deficient, Provider has date of correction · 2024-09-04
2024-08-08 · FIREK0351Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Install an approved automatic sprinkler system.

Correction field: Deficient, Provider has date of correction · 2024-09-04
2024-08-08 · FIREK0352Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2024-09-04
2023-09-07 · HEALTHF0925Severity D · isolated; potential for more than minimal harm

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Correction field: Deficient, Provider has date of correction · 2023-10-02 · complaint · infection control
2023-06-22 · HEALTHF0812Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2023-07-22
2023-06-22 · FIREK0324Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Provide properly protected cooking facilities.

Correction field: Deficient, Provider has date of correction · 2023-07-19
2023-06-22 · FIREK0345Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Correction field: Deficient, Provider has date of correction · 2023-07-19
2023-06-22 · FIREK0363Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Correction field: Deficient, Provider has date of correction · 2023-07-19
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • LFV OPS DENTON LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    100% · since 11/01/2024
  • KCCJ1 HOLDINGS LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    NO PERCENTAGE PROVIDED · since 11/01/2024
  • LBEI HOLDINGS LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    NO PERCENTAGE PROVIDED · since 11/01/2024
  • OVERHEAD OPS INVESTMENTS III LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    NO PERCENTAGE PROVIDED · since 11/01/2024
  • BELL, KEVINIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    NO PERCENTAGE PROVIDED · since 11/01/2024
  • CAMPION, ROBERTIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    NO PERCENTAGE PROVIDED · since 11/01/2024
  • LFV OPS DENTON LLCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 11/01/2024
  • LEIDHOLM, THETAIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 11/01/2024
  • MARTINEZ, FREDDIEIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 11/01/2024
  • LEGENDS III LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 11/01/2024
  • MANAGEMENT MCOA LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 11/01/2024
  • PPSG CONSULTING SERVICES LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 11/01/2024
  • LEIDHOLM, THETAIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 11/01/2024
  • MARTINEZ, FREDDIEIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 11/01/2024
  • NARREDDY, NEELIMAIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 11/01/2024

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours3.97per resident day
RN hours0.94per resident day
Weekend nurse hours3.42per resident day
Staff turnover44.2%CMS reported field
06 / LOCAL RECORDS

Other published facilities nearby

Open the Denton ledger →
Cottonwood Nursing & Rehabilitation60 beds · CMS overall 1/545 citation rowsDenton Rehabilitation And Nursing Center94 beds · CMS overall 4/540 citation rowsDenton Village By Purehealth88 beds · CMS overall 3/534 citation rowsUniversity Rehabilitation Center146 beds · CMS overall 1/553 citation rowsVintage Health Care Center106 beds · CMS overall 1/574 citation rows
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.