Villages of Lake Highlands
8615 Lullwater Dr, Dallas, TX 75238 · CCN 676268
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 126
- Avg residents/day
- 117.6
- Phone
- 2142210444
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-05-16 | 7 | 9.1 | 9.5 | -2.1 better |
| 2 | 2024-04-18 | 5 | 9.4 | 9.8 | -4.4 better |
| 3 | 2023-02-09 | 2 | 8.1 | 9.3 | -6.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 3 |
| Resident assessment and care planning | 2 |
| Pharmacy service | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.39 | 43.3% |
| RN staffing (reported) | 0.52 | 47.1% |
| Total nurse staffing (adjusted) | 4.55 | — |
Fines & penalties
- Total fines
- $28,814
- Number of fines
- 3
- Number of penalties
- 3
- Payment denials
- 0
Inspection citations (14)4 immediate jeopardy1 actual harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-12-01 · Health · corrected 2025-11-05
Potential for more than minimal harm
- JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-09-13 · Health
Immediate jeopardy
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-09-13 · Health
Potential for more than minimal harm
- KF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-08-28 · Health · corrected 2025-08-29
Immediate jeopardy
- KF0695Provide safe and appropriate respiratory care for a resident when needed.2025-05-16 · Health · corrected 2025-05-20
Immediate jeopardy
- EF0761Ensure 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.2025-05-16 · Health · corrected 2025-05-20
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-05-16 · Health · corrected 2025-05-20
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-24 · Health · corrected 2024-07-02
Actual harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-08-20 · Health · corrected 2024-09-25
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-08-20 · Health · corrected 2024-08-21
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-04-18 · Health · corrected 2024-05-22
Potential for more than minimal harm
- JF0760Ensure that residents are free from significant medication errors.2024-04-18 · Health · corrected 2024-02-02
Immediate jeopardy
- EF0880Provide and implement an infection prevention and control program.2024-01-30 · Health · corrected 2024-02-23
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-08-10 · Health · corrected 2023-09-04
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| JSC LAKE HIGHLANDS I SENIOR LIVING, LP | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2010-04-15 |
| JAVELIN GROUP FUNDING I, LP | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2020-04-17 |
| EDEN, KEVIN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2020-04-17 |
| NAUL, ALAN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2020-04-17 |
| JAVELIN GROUP GEN PAR I, LLC | Organization | GENERAL PARTNERSHIP INTEREST | — | 2010-04-15 |
| VILLAGE SENIOR CARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-04-01 |
| EDEN, KEVIN | Individual | CORPORATE OFFICER | — | 2020-04-17 |
| NAUL, ALAN | Individual | CORPORATE OFFICER | — | 2020-04-17 |
| WOLFE, KELLY | Individual | W-2 MANAGING EMPLOYEE | — | 2016-08-01 |
Other facilities in Dallas
| Name | Overall | Beds |
|---|---|---|
| Southern Oaks Therapy and Living Center | ★★★★☆ | 150 |
| Fair Park Health & Rehabilitation Center | ★★★☆☆ | 114 |
| AVIR AT DALLAS | ★★☆☆☆ | 136 |
| Treemont Healthcare and Rehabilitation Center | ★★☆☆☆ | 130 |
| Le Reve Rehabilitation & Memory Care | ★☆☆☆☆ | 108 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.