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Five Points At Lake Highlands Nursing and Rehab
315 East 19th Street, Dallas, TX 75238
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 280 beds, Five Points At Lake Highlands Nursing and Rehab serves Dallas in Dallas County, Texas and has taken Medicare and Medicaid residents since 1990.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 1, staffing 1 and quality measures 3.
Inspectors recorded 53 health deficiencies across the three most recent survey cycles (20, 21, 12 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 18.9 per 100 beds, about the same as the state median of 22.5.
CMS lists 5 penalties in the period covered: fines totalling $58K.
Reported nurse staffing is 3.4 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 64.0%.
Compared with county, state and nation
| Measure | This facility | Dallas Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 53 | 28 | 25 | 28.7 |
| Citations per 100 beds | 18.9 | 22.0 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 64.0% | 55.5% | 52.1% | 45.8% |
| Fines listed | $58,149 | $25,390 | $16,801 | — |
County and state figures are medians across facilities (81 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 31 Mar 2026, 10 Dec 2024.
Severity mix: J ×4 G ×1 D ×32 E ×16
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 26 May 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 27 May 2026 |
| 31 Mar 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 1 Apr 2026 |
| 31 Mar 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 1 Apr 2026 |
| 31 Mar 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 1 Apr 2026 |
| 31 Mar 2026 | F0809 | 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. | E | Standard survey | 1 Apr 2026 |
| 31 Mar 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 1 Apr 2026 |
| 31 Mar 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 1 Apr 2026 |
| 31 Mar 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 1 Apr 2026 |
| 31 Mar 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 1 Apr 2026 |
| 31 Mar 2026 | F0761 | 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 | Standard survey | 1 Apr 2026 |
| 31 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 1 Apr 2026 |
| 11 Dec 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 30 Sep 2025 |
| 11 Dec 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 12 Dec 2025 |
| 11 Dec 2025 | F0584 | 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 | Complaint investigation | 12 Dec 2025 |
| 11 Dec 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 12 Dec 2025 |
| 11 Dec 2025 | F0849 | 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. | D | Complaint investigation | 12 Dec 2025 |
| 11 Dec 2025 | F0914 | Provide bedrooms that don't allow residents to see each other when privacy is needed. | D | Complaint investigation | 12 Dec 2025 |
| 6 Nov 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 7 Nov 2025 |
| 6 Nov 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 7 Nov 2025 |
| 19 Sep 2025 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | J | Complaint investigation | 20 Sep 2025 |
| 8 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 9 Jul 2025 |
| 8 Jul 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 9 Jul 2025 |
| 8 Jul 2025 | F0761 | 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 | Complaint investigation | 9 Jul 2025 |
| 14 May 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | 16 May 2025 |
| 14 May 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 16 May 2025 |
| 14 May 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 16 May 2025 |
| 14 May 2025 | F0678 | 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 | Complaint investigation | 16 May 2025 |
| 23 Jan 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 25 Jan 2025 |
| 23 Jan 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 25 Jan 2025 |
| 10 Dec 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 12 Dec 2024 |
| 10 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 12 Dec 2024 |
| 10 Dec 2024 | F0584 | 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 | Complaint investigation | 12 Dec 2024 |
| 10 Dec 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Complaint investigation | 12 Dec 2024 |
| 10 Dec 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 12 Dec 2024 |
| 10 Dec 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 12 Dec 2024 |
| 10 Dec 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 12 Dec 2024 |
| 10 Dec 2024 | F0761 | 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 | Standard survey | 12 Dec 2024 |
| 10 Dec 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Complaint investigation | 12 Dec 2024 |
| 6 Dec 2024 | F0584 | 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 | Complaint investigation | 8 Dec 2024 |
| 6 Dec 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 8 Dec 2024 |
| 6 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 8 Dec 2024 |
| 3 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 2 Jun 2024 |
| 18 May 2024 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | E | Complaint investigation | 20 May 2024 |
| 20 Jan 2024 | F0584 | 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 | Complaint investigation | 22 Jan 2024 |
| 20 Jan 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 22 Jan 2024 |
| 20 Jan 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 22 Jan 2024 |
| 20 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 22 Jan 2024 |
| 7 Nov 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 24 Nov 2023 |
| 7 Nov 2023 | F0926 | Have policies on smoking. | E | Standard survey | 24 Nov 2023 |
| 7 Nov 2023 | F0693 | Ensure 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. | D | Standard survey | 24 Nov 2023 |
| 7 Nov 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 24 Nov 2023 |
| 7 Nov 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 24 Nov 2023 |
| 11 Oct 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 24 Nov 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 11 Dec 2025 | Fine | $16,149 | |
| 19 Sep 2025 | Fine | $10,361 | |
| 8 Jul 2025 | Fine | $15,143 | |
| 18 May 2024 | Fine | $8,985 | |
| 11 Oct 2023 | Fine | $7,511 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 64.0%, RNs 64.3%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 21.3% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.1% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.0% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.5% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 22.5% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.7% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 7.1% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: West Wharton County Hospital District. Chain: Creative Solutions In Healthcare (149 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Dallas I Enterprises | Operational/managerial control | NOT APPLICABLE | 09/01/2022 |
| Dallas I Enterprises | Adp of the snf | NOT APPLICABLE | 04/15/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Dallas County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Avir At Irving | Irving | 84 | 5 | 4 | 2 | 18 | 21.4 | — | 26 Feb 2026 |
| Brentwood Place One | Dallas | 120 | 5 | 5 | 1 | 15 | 12.5 | — | 9 Apr 2026 |
| C C Young Memorial Home | Dallas | 129 | 5 | 5 | 5 | 8 | 6.2 | — | 15 Jan 2026 |
| Cheyenne Medical Lodge | Mesquite | 139 | 5 | 4 | 2 | 20 | 14.4 | — | 16 Jun 2026 |
| Crestview Court | Cedar Hill | 125 | 5 | 4 | 2 | 21 | 16.8 | $17K | 14 Jun 2025 |
| Las Brisas Rehabilitation and Wellness Center | Irving | 128 | 5 | 5 | 2 | 10 | 7.8 | — | 8 Jan 2026 |
| Pure Health Transitional Care At Texas Health Pres | Dallas | 49 | 5 | 5 | 4 | 4 | 8.2 | — | 2 Jul 2025 |
| Ventana By Buckner | Dallas | 72 | 5 | 4 | 5 | 14 | 19.4 | — | 18 Mar 2026 |
All 81 facilities in Dallas County
Questions and answers
How many deficiencies has Five Points At Lake Highlands Nursing and Rehab been cited for?
53 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Five Points At Lake Highlands Nursing and Rehab been fined?
Yes. CMS lists fines totalling $58K in the period covered.
How does staffing at Five Points At Lake Highlands Nursing and Rehab compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Five Points At Lake Highlands Nursing and Rehab?
It is part of the Creative Solutions In Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Dallas I Enterprises. Individual owners and managers are not listed on this site.
When was Five Points At Lake Highlands Nursing and Rehab last inspected?
The most recent survey or investigation in the CMS record is dated 26 May 2026; the most recent standard health survey was 31 Mar 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.