For profit - Limited Liability company · 60 certified beds · CMS number 455685

Lake Forest Village by PureHealth, Denton, TX

CMS records 12 health deficiencies at Lake Forest Village by PureHealth in Denton, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Sep 11, 2025. The highest severity cited is F (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.

Inspections and deficiencies

CMS findings for Lake Forest Village by PureHealth as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Lake Forest Village by PureHealth may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (9 deficiencies)

Standard inspection Sep 11, 2025. CMS counts 9 health deficiencies and 4 fire safety deficiencies in this cycle.

Feb 11, 2026 · Complaint inspection

1 deficiency, highest D

F558 · Accommodating individual needs and preferences

Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 9, 2026

Sep 11, 2025 · Standard inspection

8 deficiencies, highest F

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Oct 10, 2025

F851 · Reporting staffing data to CMS

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

Severity
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Oct 10, 2025

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Oct 10, 2025

F761 · Drug labeling and secure storage

Requirement cited (CMS): 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.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Oct 10, 2025

F755 · Pharmacy services and a consultant pharmacist

Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 10, 2025

F686 · Pressure ulcer prevention and care

Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 10, 2025

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Oct 10, 2025

F583 · Personal privacy and confidential records

Requirement cited (CMS): Keep residents' personal and medical records private and confidential.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Oct 10, 2025
Previous cycle: 1 deficiency (standard inspection Aug 8, 2024)

Standard inspection Aug 8, 2024. CMS counts 1 health deficiency and 4 fire safety deficiencies in this cycle.

Jul 8, 2025 · Complaint inspection

1 deficiency, highest D

F695 · Respiratory and oxygen care

Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 4, 2025
Earlier cycle: 2 deficiencies (standard inspection Jun 22, 2023)

Standard inspection Jun 22, 2023. CMS counts 2 health deficiencies and 3 fire safety deficiencies in this cycle.

Sep 7, 2023 · Complaint inspection

1 deficiency, highest D

F925 · Pest control

Requirement cited (CMS): Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 2, 2023
Found in
infection control inspection

Jun 22, 2023 · Standard inspection

1 deficiency, highest E

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jul 22, 2023

Tags cited in more than one inspection

1 tag cited on more than one inspection date at Lake Forest Village by PureHealth; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F812 Food safety and sanitation2Sep 11, 2025; Jun 22, 2023

Fines and payment denials

CMS lists no fines or payment denials for this nursing home in the last three years.

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.97 h (above the Texas median of 3.27 h)
RN hours per resident per day
0.94 h (above the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
3.42 h
Nursing staff turnover
44.2% (Texas median 52.1%)
Administrators who left
0
CMS overall rating
4 of 5
Health inspection rating
3 of 5
Staffing rating
4 of 5
Quality measure rating
5 of 5

CMS figures for Lake Forest Village by PureHealth, copied as published; Texas medians are ours.

Facility details

Address
3901 Montecito Drive, Denton, TX 76210
Phone
(940) 891-0856
County
Denton
Accepts
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Chain (CMS)
Purehealth
Certified beds
60
Average residents per day
36.8
In Medicare/Medicaid since
Feb 19, 1987
Inside a hospital
No
Continuing care retirement community
Yes
Resident and family council
Resident
Sprinklers in all required areas
Yes

Questions to ask on a visit

Based on the tags cited most often here.

  • When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 2 times)
  • How does the home adapt rooms and routines for residents with limited mobility, vision, or hearing? (F558, cited 1 time)
  • How do staff protect residents' privacy during bathing, dressing, and treatments? (F583, cited 1 time)
  • How are a resident's goals and preferences written into the care plan? (F656, cited 1 time)

Other nursing homes in Denton and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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