Five Points at Lake Highlands Nursing and Rehab

In hospital · CCN 455895 · WEST WHARTON COUNTY HOSPITAL DISTRICT · For profit - Limited Liability company · CREATIVE SOLUTIONS IN HEALTHCARE chain · 280 certified beds · Dallas · TX


Five Points at Lake Highlands Nursing and Rehab is a 280-bed nursing home in Dallas, Texas. CMS has certified it for Medicare and Medicaid since 1990-10-04. It averages 173.8 residents a day.

What harm was found in the violations cited at Five Points at Lake Highlands Nursing and Rehab?

CMS lists 53 health-inspection deficiencies for Five Points at Lake Highlands Nursing and Rehab, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-05-26.

Survey dateTagDeficiencySeverity
2026-05-26F0677Provide care and assistance to perform activities of daily living for any resident who is unable.D
2026-03-31F0657, F0677, F0804, F0809, F0812Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2026-03-31F0656, F0695, F0755, F0761, F0880Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide safe and appropriate respiratory care for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Provide and implement an infection prevention and control program.D
2025-12-11F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2025-12-11F0580, F0584, F0677, F0849, F0914Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / 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. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. / Provide bedrooms that don't allow residents to see each other when privacy is needed.D
2025-11-06F0677, F0880Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide and implement an infection prevention and control program.D
2025-09-19F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.J
2025-07-08F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2025-07-08F0677, F0761Provide care and assistance to perform activities of daily living for any resident who is unable. / 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.D
2025-05-14F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E
2025-05-14F0656, F0677, F0678Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.D
2025-01-23F0609, F0755Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2024-12-10F0812, F0880Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.E
2024-12-10F0584, F0645, F0656, F0677, F0690, F0761, F0805Honor 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. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.D
2024-12-06F0584Honor 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
2024-12-06F0583, F0880Keep residents' personal and medical records private and confidential. / Provide and implement an infection prevention and control program.D
2024-06-03F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2024-05-18F0790Provide routine and 24-hour emergency dental care for each resident.E
2024-01-20F0584, F0677Honor 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. / Provide care and assistance to perform activities of daily living for any resident who is unable.E
2024-01-20F0550, F0689Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2023-11-07F0689, F0926Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Have policies on smoking.E
2023-11-07F0693, F0759, F0880Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. / Ensure medication error rates are not 5 percent or greater. / Provide and implement an infection prevention and control program.D
2023-10-11F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G

Why was Five Points at Lake Highlands Nursing and Rehab fined 5 times?

DateTypeAmount
2025-12-11Fine$16,149
2025-09-19Fine$10,361
2025-07-08Fine$15,143
2024-05-18Fine$8,985
2023-10-11Fine$7,511

How is Five Points at Lake Highlands Nursing and Rehab staffed relative to the TX average?

MeasureThis facilityTX average
Total nurse staffing hours per resident per day3.359023.38539
Total nursing staff turnover (%)64.055.3
Average number of residents per day173.875.8

Who owns Five Points at Lake Highlands Nursing and Rehab, and what chain is it in?

Five Points at Lake Highlands Nursing and Rehab is registered with CMS as For profit - Limited Liability company, operates under the legal business name WEST WHARTON COUNTY HOSPITAL DISTRICT and belongs to the CREATIVE SOLUTIONS IN HEALTHCARE chain.

RoleOwnerAssociation date
MANAGING CONTROL - GOVERNING BODYBOWERS, SEAN, CISNEROS, ALFRED, COBB, TRAVIS, COOPER, STEPHEN, HARDIN, SHERRIE, KERZEE, RICHARD, KORENEK, PATRICIA, SOECHTING, PAUL, STRACK, JOEsince 02/11/2022
CORPORATE DIRECTORHUGGINS, LINDA, WILLIG, ZACHARYsince 01/01/2025
CORPORATE OFFICERTHOMPSON, JOHNNYsince 01/01/2024
OPERATIONAL/MANAGERIAL CONTROLDALLAS I ENTERPRISES, BLAKE, GARY, BLAKE, MALISA, FULLER, ELISE, SILVA, PHILLIPsince 01/01/2025
ADP OF THE SNFDALLAS I ENTERPRISES, BLAKE, GARY, FULLER, ELISE, SILVA, PHILLIPsince 01/01/2025

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