Five Points at Lake Highlands Nursing and Rehab
Nursing Home · Dallas, TX
CMS certification number455895
Contact & location
315 East 19th StreetDallas, TX 75238
Dallas County
- Phone
- (214) 355-3300
- ZIP code
- 75238 – all care providers
Facility details
- Certified beds
- 280
- Residents per day
- 173.8 (62% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- West Wharton County Hospital District
- Chain
- Creative Solutions in Healthcare (149 facilities, avg 2.1★)
- Medicare certified since
- October 4, 1990
- Participates in
- Medicare and Medicaid
- Council
- Both council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.36 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.42 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 0.81 (state 0.95 · U.S. 0.86)
- Nurse aides
- 2.13 (state 2.00 · U.S. 2.32)
- Weekend total
- 2.87 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 64.0 (state 55.3 · U.S. 45.8)%
- RN turnover
- 64.3 (state 54.6 · U.S. 42.9)%
- Administrators who left
- 2 in the last year
Inspections
- Last standard inspection
- March 31, 2026
- Health deficiencies (last cycle)
- 20.0 (state 9.3 · U.S. 9.3)
- From complaints
- 10
- Citations on record (3 years)
- 52 health · 28 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-05-26 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-27 |
| 2026-03-31 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-01 |
| 2026-03-31 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-01 |
| 2026-03-31 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-01 |
| 2026-03-31 | 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. F0809 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-01 |
| 2026-03-31 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-01 |
| 2026-03-31 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-01 |
| 2026-03-31 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-01 |
| 2026-03-31 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-01 |
| 2026-03-31 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-01 |
| 2026-03-31 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-01 |
| 2025-12-11 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2025-09-30 |
| 2025-12-11 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-12 |
| 2025-12-11 | 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. F0584 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-12 |
| 2025-12-11 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-12 |
| 2025-12-11 | 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. F0849 · Administration Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-12 |
| 2025-12-11 | Provide bedrooms that don't allow residents to see each other when privacy is needed. F0914 · Environmental Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-12 |
| 2025-11-06 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-11-07 |
| 2025-11-06 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-11-07 |
| 2025-09-19 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. F0627 · Resident Rights Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2025-09-20 |
| 2025-07-08 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2025-07-09 |
| 2025-07-08 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-09 |
| 2025-07-08 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-09 |
| 2025-05-14 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-05-16 |
| 2025-05-14 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-16 |
| 2025-05-14 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-16 |
| 2025-05-14 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. F0678 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-16 |
| 2025-01-23 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-01-25 |
| 2025-01-23 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-01-25 |
| 2024-12-10 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-12 |
| 2024-12-10 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-12 |
| 2024-12-10 | 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. F0584 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-12 |
| 2024-12-10 | PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-12 |
| 2024-12-10 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-12 |
| 2024-12-10 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-12 |
| 2024-12-10 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-12 |
| 2024-12-10 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-12 |
| 2024-12-10 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F0805 · Nutrition and Dietary Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-12 |
| 2024-12-06 | 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. F0584 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-08 |
| 2024-12-06 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-08 |
| 2024-12-06 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-08 |
| 2024-06-03 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-06-02 |
| 2024-05-18 | Provide routine and 24-hour emergency dental care for each resident. F0790 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-05-20 |
| 2024-01-20 | 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. F0584 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-01-22 |
| 2024-01-20 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-01-22 |
| 2024-01-20 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-22 |
| 2024-01-20 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-22 |
| 2023-11-07 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-11-24 |
| 2023-11-07 | Have policies on smoking. F0926 · Environmental Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-11-24 |
| 2023-11-07 | 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. F0693 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-24 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
5 penalties in the last three years, including $58,149 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-12-11 | Fine | $16,149 |
| 2025-09-19 | Fine | $10,361 |
| 2025-07-08 | Fine | $15,143 |
| 2024-05-18 | Fine | $8,985 |
| 2023-10-11 | Fine | $7,511 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Blake, Gary (individual) | Administrator · NOT APPLICABLE | |
| Dallas I Enterprises (organization) | Administrator · NOT APPLICABLE | |
| Fuller, Elise (individual) | Administrator · NOT APPLICABLE | |
| Silva, Phillip (individual) | Administrator · NOT APPLICABLE | |
| Huggins, Linda (individual) | Corporate Director · NOT APPLICABLE | |
| Willig, Zachary (individual) | Corporate Director · NOT APPLICABLE | |
| Thompson, Johnny (individual) | Corporate Officer · NOT APPLICABLE | |
| Bowers, Sean (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Cisneros, Alfred (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Cobb, Travis (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Cooper, Stephen (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Hardin, Sherrie (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Kerzee, Richard (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Korenek, Patricia (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Soechting, Paul (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Strack, Joe (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Blake, Gary (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Blake, Malisa (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Dallas I Enterprises (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Fuller, Elise (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Silva, Phillip (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Five Points at Lake Highlands Nursing and Rehab?
Five Points at Lake Highlands Nursing and Rehab has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does Five Points at Lake Highlands Nursing and Rehab have?
It has 280 certified beds and cares for about 174 residents per day.
Has Five Points at Lake Highlands Nursing and Rehab been fined?
Yes. CMS lists 5 penalties totaling $58,149 in the last three years.
Who owns Five Points at Lake Highlands Nursing and Rehab?
It is part of Creative Solutions in Healthcare and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Five Points at Lake Highlands Nursing and Rehab?
(214) 355-3300. The facility is located at 315 East 19th Street, Dallas, TX 75238.
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