Lake Forest Village by Purehealth

Name: Lake Forest Village by Purehealth
Address: 3901 Montecito Drive, Denton, TX, 76210, US
Telephone: 9408910856

3901 Montecito Drive, Denton, TX 76210 · Denton County · 60 certified beds · avg 37 residents/day · certified since Feb 19, 1987

Part of chain: PUREHEALTH (8 facilities, chain avg rating 3.5★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.91

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (12)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Feb 11, 2026	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint
Sep 11, 2025	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Sep 11, 2025	F · Potential for harm, facility-wide	The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records.
Sep 11, 2025	E · Potential for harm, repeated	The facility did not keep residents' personal and medical information private and confidential.
Sep 11, 2025	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Sep 11, 2025	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Sep 11, 2025	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Sep 11, 2025	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Sep 11, 2025	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jul 8, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint
Sep 7, 2023	D · Potential for harm, one-off	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint
Jun 22, 2023	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.

Inspection trend by year

Year	Citations	Worst severity that year
2023	2	E
2025	9	F
2026	1	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.91	3.46	3.95	top 17% in Texas; top 43% in the U.S.
Registered Nurse hours	0.93	0.44	0.69	top 3% in Texas; top 19% in the U.S.
Weekend total nurse staffing	3.37	3.04	3.50	top 21% in Texas; top 49% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.46	0.34	0.48	top 17% in Texas; top 37% in the U.S.
Total nursing staff turnover (%)	44.2	55.3	45.8	top 31% in Texas; top 48% in the U.S.
RN turnover (%)	37.5	54.6	42.9	top 26% in Texas; top 42% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.97, RN 0.94, weekend 3.42. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 4/5 · short-stay residents: 5/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Bell, Kevin	Individual	5% or Greater Indirect Ownership Interest	—	11/01/2024
Campion, Robert	Individual	5% or Greater Indirect Ownership Interest	—	11/01/2024
KCCJ1 Holdings LLC	Organization	5% or Greater Indirect Ownership Interest	—	11/01/2024
Lbei Holdings LLC	Organization	5% or Greater Indirect Ownership Interest	—	11/01/2024
LFV Ops Denton LLC	Organization	5% or Greater Direct Ownership Interest	100%	11/01/2024
Overhead Ops Investments III LLC	Organization	5% or Greater Indirect Ownership Interest	—	11/01/2024
Legends III LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/01/2024
Leidholm, Theta	Individual	Operational/Managerial Control	NOT APPLICABLE	11/01/2024
Leidholm, Theta	Individual	ADP of the SNF	NOT APPLICABLE	11/01/2024
LFV Ops Denton LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	11/01/2024
Management McOa LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/01/2024
Martinez, Freddie	Individual	Operational/Managerial Control	NOT APPLICABLE	11/01/2024
Martinez, Freddie	Individual	ADP of the SNF	NOT APPLICABLE	11/01/2024
Narreddy, Neelima	Individual	ADP of the SNF	NOT APPLICABLE	11/01/2024
PPSG Consulting Services LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/01/2024

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
"How do you protect residents' privacy, both in their medical records and in day-to-day care?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Denton Rehabilitation and Nursing Center	2.0 mi	Denton, TX	★★★★☆	3/5
University Rehabilitation Center	2.3 mi	Denton, TX	★☆☆☆☆	2/5
Corinth Rehabilitation Suites on the Parkway	3.7 mi	Corinth, TX	★☆☆☆☆	2/5
Vintage Health Care Center	4.6 mi	Denton, TX	★☆☆☆☆	1/5
Cottonwood Nursing & Rehabilitation	5.3 mi	Denton, TX	★☆☆☆☆	2/5
Denton Village by Purehealth	5.6 mi	Denton, TX	★★★☆☆	2/5	abuse
Rambling Oaks Courtyard Extensive Care Community	6.3 mi	Highland Village, TX	★★★☆☆	3/5
Cross Timbers Rehabilitation and Healthcare Center	8.5 mi	Flower Mound, TX	★★★☆☆	3/5
Hollymead	8.6 mi	Flower Mound, TX	★★★☆☆	3/5
Lake Village Nursing and Rehabilitation Center	8.6 mi	Lewisville, TX	★☆☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Denton →

Facility data as of CMS processing date 2026-08-01. CCN 455685.

The Care File

Visit checklist — Lake Forest Village by Purehealth

3901 Montecito Drive, Denton, TX 76210 · 9408910856

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
☐ "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 455685 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)