Starfile / Texas

Five Points at Lake Highlands Nursing and Rehab

9009 White Rock Tr, Dallas, TX 75238 · CCN 455895

Inspection history vs Texas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$72,182

Number of fines

5

Number of penalties

5

Payment denials

0

Chain

Chain

CREATIVE SOLUTIONS IN HEALTHCARE

Facilities in chain

149

Chain avg overall

2.70 / 5

Inspection citations (48)4 immediate jeopardy1 actual harm

1. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-12-11 · Health · corrected 2025-12-12

   Potential for more than minimal harm

2. DF0584Honor 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.2025-12-11 · Health · corrected 2025-12-12

   Potential for more than minimal harm

3. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-12-11 · Health · corrected 2025-12-12

   Potential for more than minimal harm

4. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-12-11 · Health · corrected 2025-09-30

   Immediate jeopardy

5. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2025-12-11 · Health · corrected 2025-12-12

   Potential for more than minimal harm

6. DF0914Provide bedrooms that don't allow residents to see each other when privacy is needed.2025-12-11 · Health · corrected 2025-12-12

   Potential for more than minimal harm

7. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-11-06 · Health · corrected 2025-11-07

   Potential for more than minimal harm

8. DF0880Provide and implement an infection prevention and control program.2025-11-06 · Health · corrected 2025-11-07

   Potential for more than minimal harm

9. JF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.2025-09-19 · Health · corrected 2025-09-20

   Immediate jeopardy

10. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-07-08 · Health · corrected 2025-07-09

    Potential for more than minimal harm

11. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-07-08 · Health · corrected 2025-07-09

    Immediate jeopardy

12. DF0761Ensure 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.2025-07-08 · Health · corrected 2025-07-09

    Potential for more than minimal harm

13. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-05-14 · Health · corrected 2025-05-16

    Potential for more than minimal harm

14. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-05-14 · Health · corrected 2025-05-16

    Potential for more than minimal harm

15. DF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2025-05-14 · Health · corrected 2025-05-16

    Potential for more than minimal harm

16. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-05-14 · Health · corrected 2025-05-16

    Potential for more than minimal harm

17. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-01-23 · Health · corrected 2025-01-25

    Potential for more than minimal harm

18. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-01-23 · Health · corrected 2025-01-25

    Potential for more than minimal harm

19. DF0584Honor 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.2024-12-10 · Health · corrected 2024-12-12

    Potential for more than minimal harm

20. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-12-10 · Health · corrected 2024-12-12

    Potential for more than minimal harm

21. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-12-10 · Health · corrected 2024-12-12

    Potential for more than minimal harm

22. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-12-10 · Health · corrected 2024-12-12

    Potential for more than minimal harm

23. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-12-10 · Health · corrected 2024-12-12

    Potential for more than minimal harm

24. DF0761Ensure 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.2024-12-10 · Health · corrected 2024-12-12

    Potential for more than minimal harm

25. DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2024-12-10 · Health · corrected 2024-12-12

    Potential for more than minimal harm

26. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-12-10 · Health · corrected 2024-12-12

    Potential for more than minimal harm

27. EF0880Provide and implement an infection prevention and control program.2024-12-10 · Health · corrected 2024-12-12

    Potential for more than minimal harm

28. DF0583Keep residents' personal and medical records private and confidential.2024-12-06 · Health · corrected 2024-12-08

    Potential for more than minimal harm

29. EF0584Honor 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.2024-12-06 · Health · corrected 2024-12-08

    Potential for more than minimal harm

30. DF0880Provide and implement an infection prevention and control program.2024-12-06 · Health · corrected 2024-12-08

    Potential for more than minimal harm

31. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-03 · Health · corrected 2024-06-02

    Immediate jeopardy

32. EF0790Provide routine and 24-hour emergency dental care for each resident.2024-05-18 · Health · corrected 2024-05-20

    Potential for more than minimal harm

33. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-01-20 · Health · corrected 2024-01-22

    Potential for more than minimal harm

34. EF0584Honor 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.2024-01-20 · Health · corrected 2024-01-22

    Potential for more than minimal harm

35. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-01-20 · Health · corrected 2024-01-22

    Potential for more than minimal harm

36. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-20 · Health · corrected 2024-01-22

    Potential for more than minimal harm

37. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-07 · Health · corrected 2023-11-24

    Potential for more than minimal harm

38. DF0693Ensure 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.2023-11-07 · Health · corrected 2023-11-24

    Potential for more than minimal harm

39. DF0759Ensure medication error rates are not 5 percent or greater.2023-11-07 · Health · corrected 2023-11-24

    Potential for more than minimal harm

40. DF0880Provide and implement an infection prevention and control program.2023-11-07 · Health · corrected 2023-11-24

    Potential for more than minimal harm

41. EF0926Have policies on smoking.2023-11-07 · Health · corrected 2023-11-24

    Potential for more than minimal harm

42. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-10-11 · Health · corrected 2023-11-24

    Actual harm

43. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-06-05 · Health · corrected 2023-06-30

    Potential for more than minimal harm

44. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2023-06-05 · Health · corrected 2023-06-30

    Potential for more than minimal harm

45. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-04-07 · Health · corrected 2023-05-12

    Potential for more than minimal harm

46. DF0558Reasonably accommodate the needs and preferences of each resident.2022-09-15 · Health · corrected 2022-10-21

    Potential for more than minimal harm

47. EF0584Honor 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.2022-09-15 · Health · corrected 2022-10-21

    Potential for more than minimal harm

48. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-09-15 · Health · corrected 2022-10-21

    Potential for more than minimal harm

Ownership

Other facilities in Dallas

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.