Vista Ridge Nursing & Rehabilitation Center
700 E Vista Ridge Mall Dr, Lewisville, TX 75067 · Denton County · 132 certified beds · avg 82 residents/day · certified since Oct 5, 2004
Part of chain: PRIORITY MANAGEMENT (38 facilities, chain avg rating 2.9★)
3/5
Health inspection rating (on-site)
1
Serious findings on record
$10,348
Fines, last 3 years
3.09
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, repeated · Apr 2, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Apr 3, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (27)
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 |
|---|---|---|
| Jun 9, 2026 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Apr 9, 2026 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
| Apr 9, 2026 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Apr 9, 2026 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Mar 19, 2026 | 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. |
| Mar 19, 2026 | 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. |
| Mar 19, 2026 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Mar 19, 2026 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Mar 19, 2026 | D · Potential for harm, one-off | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. |
| Nov 26, 2025 | E · Potential for harm, repeated | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · from a complaint |
| Nov 26, 2025 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · from a complaint |
| Nov 26, 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 |
| Apr 2, 2025 | ▲ K · Immediate jeopardy, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| May 22, 2024 | E · Potential for harm, repeated | 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 |
| Apr 16, 2024 | E · Potential for harm, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint |
| Apr 16, 2024 | D · Potential for harm, one-off | The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. · from a complaint |
| Apr 16, 2024 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. · from a complaint |
| Apr 16, 2024 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Apr 16, 2024 | D · Potential for harm, one-off | 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. · from a complaint |
| Mar 3, 2024 | 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. · from a complaint |
| Oct 26, 2023 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Oct 26, 2023 | 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. |
| Oct 26, 2023 | 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. |
| Oct 26, 2023 | D · Potential for harm, one-off | The facility did not have doctor's orders in place for a resident's immediate care at the time the resident was admitted. |
| Oct 26, 2023 | D · Potential for harm, one-off | 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. |
| Oct 26, 2023 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Oct 26, 2023 | 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. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 7 | 0 | E |
| 2024 | 7 | 0 | E |
| 2025 | 4 | 1 | K ▲ |
| 2026 | 9 | 0 | E |
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)
1 fine totaling $10,348.
| Date | Type | Amount / length |
|---|---|---|
| Apr 2, 2025 | Fine | $10,348 |
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) | 3.09 | 3.46 | 3.95 | bottom 29% in Texas; bottom 17% in the U.S. |
| Registered Nurse hours | 0.73 | 0.44 | 0.69 | top 8% in Texas; top 34% in the U.S. |
| Weekend total nurse staffing | 2.73 | 3.04 | 3.50 | bottom 33% in Texas; bottom 17% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.64 | 0.34 | 0.48 | top 6% in Texas; top 20% in the U.S. |
| Total nursing staff turnover (%) | 62.2 | 55.3 | 45.8 | bottom 29% in Texas; bottom 13% in the U.S. |
| RN turnover (%) | 38.5 | 54.6 | 42.9 | top 29% in Texas; top 44% 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 3.46, RN 0.82, weekend 3.05. Staffing rating: 2/5.
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: 5/5 · short-stay residents: 4/5
Who owns this facility
Government - Hospital district
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bauder Family Investments, LLC | Organization | 5% or Greater Direct Ownership Interest | 33% | 04/01/2024 |
| Bauder, Kelly | Individual | 5% or Greater Indirect Ownership Interest | 8% | 04/01/2024 |
| Bauder, Parker | Individual | 5% or Greater Indirect Ownership Interest | 8% | 04/01/2024 |
| Boulware St James LLC | Organization | 5% or Greater Direct Ownership Interest | 33% | 04/01/2024 |
| Boulware, Thomas | Individual | 5% or Greater Indirect Ownership Interest | 8% | 04/01/2024 |
| Steven Boulware Family Investments LLC | Organization | 5% or Greater Direct Ownership Interest | 33% | 04/01/2024 |
| Walker, Katie | Individual | 5% or Greater Indirect Ownership Interest | 8% | 04/01/2024 |
| Bauder, Kelly | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2024 |
| Bauder, Madison | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2024 |
| Bauder, Parker | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2024 |
| Bauder, William | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2024 |
| Bauder, William | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2024 |
| Boulware, Douglas | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2024 |
| Boulware, Sandra | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2024 |
| Boulware, Steven | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2024 |
| Boulware, Steven | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2024 |
| Boulware, Thomas | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2024 |
| Bridgepointe Finanical Services, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2024 |
| Innovative Nurse Consulting, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2024 |
| Miller, Bobbie | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "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 |
|---|---|---|---|---|---|
| Sandy Lake Rehabilitation and Care Center | 2.5 mi | Coppell, TX | ★★☆☆☆ | 2/5 | |
| Heritage Gardens Rehabilitation and Healthcare | 3.9 mi | Carrollton, TX | ★☆☆☆☆ | 2/5 | abuse |
| Brookhaven Nursing and Rehabilitation Center | 5.1 mi | Carrollton, TX | ★☆☆☆☆ | 1/5 | abuse |
| Carrollton Health and Rehabilitation Center | 5.3 mi | Carrollton, TX | ★★☆☆☆ | 2/5 | |
| Lake Village Nursing and Rehabilitation Center | 5.6 mi | Lewisville, TX | ★☆☆☆☆ | 2/5 | |
| Mustang Park Therapy and Living Center | 6.4 mi | Carrollton, TX | ★☆☆☆☆ | 2/5 | |
| Hollymead | 6.6 mi | Flower Mound, TX | ★★★☆☆ | 3/5 | |
| The Madison on Marsh | 6.7 mi | Carrollton, TX | ★★★★☆ | 3/5 | |
| Prestonwood Rehabilitation & Nursing Center | 7.1 mi | Plano, TX | ★★★★☆ | 2/5 | abuse |
| Cross Timbers Rehabilitation and Healthcare Center | 7.1 mi | Flower Mound, TX | ★★★☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 676036.