Federal inspection record · CMS data as of October 1, 2026
Vista Ridge Nursing & Rehabilitation Center
700 E Vista Ridge Mall Dr, Lewisville, TX · (972) 906-9789
- Certified beds
- 132
- Residents per day
- 85
- Ownership
- Government
- Chain
- Priority Management
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 5, 2004
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Vista Ridge Nursing & Rehabilitation Center carries 95.25 inspection points. That is fewer than 38% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
30 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
K
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Rights7E
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- D
Keep residents' personal and medical records private and confidential.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care5E
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Freedom from Abuse, Neglect, and Exploitation5D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Resident Assessment and Care Planning4E
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Infection Control3E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Nutrition and Dietary2E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Pharmacy Service2D
- D
Ensure medication error rates are not 5 percent or greater.
- D
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.
Environmental1E
- E
Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspection history
2026-03-19
15 health deficiencies · 2 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)
2024-12-19
1 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2023-10-26
14 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Rights (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 25 min of nursing staff time a day, 48 min of it from a registered nurse.
This home
3 h 25 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 58% of nursing staff and 40% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$10,348 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-04-02 | Fine | $10,348 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts better | 1.8 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.1 pts better | 0.9 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better | 100.0% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better | 100.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.9 pts better | 2.3% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.9 pts better | 1.4% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.7 pts better | 1.2% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.1 pts worse | 17.9% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7 pts better | 2.8% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8.9 pts better | 4.0% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased11.6 pts better | 4.2% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.0% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.9 pts better | 8.6% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.4 pts worse | 4.1% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.3 pts better | 100.0% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.3 pts better | 10.9% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.6 pts better | 100.0% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.1 pts better | 22.4% | 25.5% | 23.4% |
·
Who owns and runs it
28 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bauder Family Investments, LLC | 5% Or Greater Direct Ownership Interest · Organization | 33% | 25 facilities |
| Boulware St James LLC | 5% Or Greater Direct Ownership Interest · Organization | 33% | 25 facilities |
| Steven Boulware Family Investments LLC | 5% Or Greater Direct Ownership Interest · Organization | 33% | 19 facilities |
| Bauder, Kelly | 5% Or Greater Indirect Ownership Interest · Individual | 8% | 28 facilities |
| Bauder, Parker | 5% Or Greater Indirect Ownership Interest · Individual | 8% | 28 facilities |
| Boulware, Thomas | 5% Or Greater Indirect Ownership Interest · Individual | 8% | 30 facilities |
| Walker, Katie | 5% Or Greater Indirect Ownership Interest · Individual | 8% | 30 facilities |
| Bauder, Kelly | Adp Of The SNF · Individual | 0% | 28 facilities |
| Bauder, Madison | Adp Of The SNF · Individual | 0% | 28 facilities |
| Bauder, Parker | Adp Of The SNF · Individual | 0% | 28 facilities |
| Bauder, William | Corporate Officer · Individual | 0% | 42 facilities |
| Bauder, William | Adp Of The SNF · Individual | 0% | 42 facilities |
| Boulware, Douglas | Adp Of The SNF · Individual | 0% | 46 facilities |
| Boulware, Sandra | Adp Of The SNF · Individual | 0% | 20 facilities |
| Boulware, Steven | Corporate Officer · Individual | 0% | 48 facilities |
| Boulware, Steven | Adp Of The SNF · Individual | 0% | 48 facilities |
| Boulware, Thomas | Adp Of The SNF · Individual | 0% | 30 facilities |
| Bridgepointe Finanical Services, LLC | Adp Of The SNF · Organization | 0% | 24 facilities |
| Innovative Nurse Consulting, LLC | Adp Of The SNF · Organization | 0% | 20 facilities |
| Miller, Bobbie | Corporate Officer · Individual | 0% | 4 facilities |
| Patel, Manoj | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Patel, Manoj | Adp Of The SNF · Individual | 0% | 1 facilities |
| Pmg Realco-Lewisville, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Priority Management Group, LLC | Adp Of The SNF · Organization | 0% | 40 facilities |
| Progressive Rehab Solutions, LLC | Adp Of The SNF · Organization | 0% | 36 facilities |
| Rodriguez, Genevy | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Rodriguez, Genevy | Adp Of The SNF · Individual | 0% | 3 facilities |
| Walker, Katie | Adp Of The SNF · Individual | 0% | 30 facilities |
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Fire safety
4 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke2F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
Emergency Preparedness1F
- F
Conduct risk assessment and an All-Hazards approach.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
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Other homes nearby
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Heritage Gardens Rehabilitation and Healthcare
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-
Brookhaven Nursing and Rehabilitation Center
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