Villages of Lake Highlands

Nursing Home · Dallas, TX

CMS overall rating 2/5 For profit - Corporation

CMS certification number676268

Contact & location

8615 Lullwater Dr
Dallas, TX 75238
Dallas County
Phone
(214) 221-0444
ZIP code
75238 – all care providers

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Facility details

Certified beds
126
Residents per day
111.1 (88% occupied)
Ownership
For profit - Corporation
Legal name
JSC Lake Highlands Operations, LP
Medicare certified since
November 19, 2010
Participates in
Medicare and Medicaid
Continuing care
Part of a continuing care retirement community
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 2.6
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 4/5
State avg 1.9
Quality measures★★★★★ 5/5
State avg 3.7
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 5/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
4.48 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.52 (state 0.43 · U.S. 0.69)
Licensed practical nurses
1.76 (state 0.95 · U.S. 0.86)
Nurse aides
2.20 (state 2.00 · U.S. 2.32)
Weekend total
4.05 (state 2.98 · U.S. 3.42)
Nursing staff turnover
35.4 (state 55.3 · U.S. 45.8)%
RN turnover
56.3 (state 54.6 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
May 16, 2025
Health deficiencies (last cycle)
7.0 (state 9.3 · U.S. 9.3)
From complaints
5
Infection control citations
1
Citations on record (3 years)
14 health · 7 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2025-12-01 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 2025-11-05
2025-09-13 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Past Non-Compliance
2025-09-13 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Past Non-Compliance
2025-08-28 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 K
Immediate jeopardy to resident health or safety		 Corrected 2025-08-29
2025-05-16 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · complaint inspection		 K
Immediate jeopardy to resident health or safety		 Corrected 2025-05-20
2025-05-16 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		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-05-20
2025-05-16 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-20
2024-10-24 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		 G
Actual harm		 Corrected 2024-07-02
2024-08-20 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 2024-09-25
2024-08-20 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-21
2024-04-18 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2024-02-02
2024-04-18 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-05-22
2024-01-30 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 2024-02-23
2023-08-10 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 2023-09-04

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

3 penalties in the last three years, including $29,022 in fines.

DateTypeAmount
2025-08-28Fine$11,879
2024-10-24Fine$8,976
2024-04-18Fine$8,167

Ownership & management

NameRoleSince
JSC Lake Highlands I Senior Living, LP (organization)5%+ Direct Ownership Interest · 100%
Javelin Group Funding I, LP (organization)5%+ Indirect Ownership Interest
JSC Lake Highlands I Senior Living, LP (organization)5%+ Indirect Ownership Interest
Eden, Kevin (individual)Administrator · NOT APPLICABLE
Kamran, Mubashir (individual)Administrator · NOT APPLICABLE
Naul, Alan (individual)Administrator · NOT APPLICABLE
Village Senior Care LLC (organization)Administrator · NOT APPLICABLE
Kamran, Mubashir (individual)Operational/managerial Control · NOT APPLICABLE
Village Senior Care LLC (organization)Operational/managerial Control · NOT APPLICABLE
Wolfe, Kelly (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Villages of Lake Highlands?

Villages of Lake Highlands has a 2-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 Villages of Lake Highlands have?

It has 126 certified beds and cares for about 111 residents per day.

Has Villages of Lake Highlands been fined?

Yes. CMS lists 3 penalties totaling $29,022 in the last three years.

What is the phone number of Villages of Lake Highlands?

(214) 221-0444. The facility is located at 8615 Lullwater Dr, Dallas, TX 75238.

Other nursing homes in Dallas

Compare all nursing homes in Dallas, TX →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.