Lake Forest Village by PureHealth
3901 Montecito Drive, Denton, TX 76210
Lake Forest Village by PureHealth is a nursing home in Denton, Texas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating3 of 5
- Last standard health inspectionSeptember 11, 2025 (1 year ago)
- Health citations since June 22, 202311 (Texas average 28)
- Fines in the past three yearsNone listed by CMS
- CMS flagsNone listed by CMS
Get an email when CMS publishes something new about this home
One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
CMS update of April 29, 2026
Staffing
Total nurse staffing reported to CMS went from 4.6 to 3.9 hours per resident per day.
Health inspection on February 11, 2026
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0558. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Reasonably accommodate the needs and preferences of each resident.
CMS lists it as corrected on March 9, 2026.
CMS update of December 15, 2025
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 5 of 5 to 3 of 5.
Changed ownership in the last 12 months
CMS no longer shows a change of ownership in the past 12 months.
Health inspection on September 11, 2025
8 citationsCMS lists this as a standard inspection.
Show the 8 citations
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on October 10, 2025.
CMS has cited this home for F0812 2 times since 2023.
Citation F0851. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
CMS lists it as corrected on October 10, 2025.
Citation F0583. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Keep residents' personal and medical records private and confidential.
CMS lists it as corrected on October 10, 2025.
Citation F0656. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on October 10, 2025.
Citation F0761. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on October 10, 2025.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on October 10, 2025.
Citation F0686. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on October 10, 2025.
Citation F0755. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on October 10, 2025.
Fire safety inspection on September 11, 2025
4 citationsCMS lists this as a standard inspection.
Show the 4 citations
Citation E0006. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Conduct risk assessment and an All-Hazards approach.
CMS lists it as corrected on October 10, 2025.
Citation K0291. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Install emergency lighting that can last at least 1 1/2 hours.
CMS lists it as corrected on October 10, 2025.
Citation K0321. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on October 10, 2025.
Citation K0343. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
CMS lists it as corrected on October 10, 2025.
CMS update of July 30, 2025
Star rating
The CMS staffing star rating changed from 1 of 5 to 4 of 5.
Health inspection on July 8, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on August 4, 2025.
CMS update of May 28, 2025
Name
CMS lists a new legal business name for this home.
Ownership
CMS lists this home under a new chain.
Ownership
CMS ownership records list new owners for this home.
CMS update of April 30, 2025
Star rating
The CMS staffing star rating changed from 3 of 5 to 1 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
Changed ownership in the last 12 months
CMS records show a change of ownership in the past 12 months.
Staffing
Total nurse staffing reported to CMS went from 3.4 to 2.7 hours per resident per day.
CMS update of February 26, 2025
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
Name
CMS lists a new name for this home. It was GOOD SAMARITAN SOCIETY -- LAKE FOREST VILLAGE.
CMS update of October 30, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 5 of 5.
CMS update of September 26, 2024
Ownership
CMS lists this home under a new chain.
Fire safety inspection on August 8, 2024
4 citationsCMS lists this as a standard inspection.
Show the 4 citations
Citation K0324. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on September 4, 2024.
CMS has cited this home for K0324 2 times since 2023.
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on September 4, 2024.
CMS has cited this home for K0345 2 times since 2023.
Citation K0351. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Install an approved automatic sprinkler system.
CMS lists it as corrected on September 4, 2024.
Citation K0352. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Properly install and monitor supervisory attachments on automatic sprinkler systems.
CMS lists it as corrected on September 4, 2024.
CMS update of July 31, 2024
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
CMS update of January 31, 2024
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
Health inspection on June 22, 2023
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on July 22, 2023.
Fire safety inspection on June 22, 2023
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on July 19, 2023.
Citation K0363. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on July 19, 2023.
Citation K0324. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on July 19, 2023.
CMS star ratings
- 3 of 5CMS overall star rating
- 3 of 5CMS health inspection star rating
- 4 of 5CMS staffing star rating
- 4 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (940) 891-0856
- Last standard health inspection
- September 11, 2025 (1 year ago)
- Certified beds
- 60
- Residents per day, on average
- 36.8
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Lfv Ops Denton LLC
- Chain
- Purehealth
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Texas average (11 vs 28).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- LFV OPS DENTON LLC5% or greater direct ownership interest · 100% · since 11/01/2024
- KCCJ1 HOLDINGS LLC5% or greater indirect ownership interest · no percentage provided · since 11/01/2024
- LBEI HOLDINGS LLC5% or greater indirect ownership interest · no percentage provided · since 11/01/2024
- OVERHEAD OPS INVESTMENTS III LLC5% or greater indirect ownership interest · no percentage provided · since 11/01/2024
- BELL, KEVIN5% or greater indirect ownership interest · no percentage provided · since 11/01/2024
Show 4 more
- CAMPION, ROBERT5% or greater indirect ownership interest · no percentage provided · since 11/01/2024
- LFV OPS DENTON LLCOperational/managerial control · not applicable · since 11/01/2024
- LEIDHOLM, THETAOperational/managerial control · not applicable · since 11/01/2024
- MARTINEZ, FREDDIEOperational/managerial control · not applicable · since 11/01/2024
Questions
When was Lake Forest Village by PureHealth last inspected?
CMS lists September 11, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Lake Forest Village by PureHealth have?
CMS lists 11 health citations since June 22, 2023. CMS also calls these deficiencies.
Has Lake Forest Village by PureHealth been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Lake Forest Village by PureHealth?
Its CMS overall star rating is 3 of 5.
Is Lake Forest Village by PureHealth a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.