Texas ›Dallas

Villages of Lake Highlands

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8615 Lullwater Dr, Dallas, TX 75238 (opens Google Maps) · Dallas County · (214) 221-0444· 126 certified beds · avg 111 residents/day · certified since Nov 19, 2010 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

1/5
Health inspection rating (on-site)
inspected May 16, 2025
5
Serious findings on record
most recent Sep 13, 2025
$29,022
Fines, last 3 years
4.71
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 2/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, isolated · Sep 13, 2025 · F-0684 · triggered by a complaint

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

▲ Immediate jeopardy, pattern · Aug 28, 2025 · F-0684 · triggered by a complaint

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Severity (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Aug 29, 2025 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, pattern · May 16, 2025 · F-0695 · triggered by a complaint

The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.

Why it matters: Mistakes in breathing care can quickly become life-threatening for residents who depend on oxygen or equipment.

Severity (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: May 20, 2025 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, isolated · Apr 18, 2024 · F-0760 · triggered by a complaint

The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.

Why it matters: A serious medication error can cause real harm, hospitalization, or worse.

Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Feb 2, 2024 (Past Non-Compliance)

▲ Actual harm, isolated · Oct 24, 2024 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Jul 2, 2024 (Past Non-Compliance)

Inspection findings in the public record

Showing the latest 3 of 14 inspection findings. Open the full record below to read every finding.

  1. D · Potential for more than minimal harm, isolated

    The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint F-0656

  2. J · Immediate jeopardy, isolated

    The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint F-0684

  3. E · Potential for more than minimal harm, pattern

    The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint F-0842

View all 14 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Dec 1, 2025D · Potential for more than minimal harm, isolatedThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint · F-0656
Sep 13, 2025▲ J · Immediate jeopardy, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
Sep 13, 2025E · Potential for more than minimal harm, patternThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842
Aug 28, 2025▲ K · Immediate jeopardy, patternThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
May 16, 2025▲ K · Immediate jeopardy, patternThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint · F-0695
May 16, 2025E · Potential for more than minimal harm, patternThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761
May 16, 2025D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Oct 24, 2024▲ G · Actual harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Aug 20, 2024D · Potential for more than minimal harm, isolatedThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint · F-0656
Aug 20, 2024D · Potential for more than minimal harm, isolatedThe facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint · F-0760
Apr 18, 2024▲ J · Immediate jeopardy, isolatedThe facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint · F-0760
Apr 18, 2024D · Potential for more than minimal harm, isolatedThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550
Jan 30, 2024E · Potential for more than minimal harm, patternThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880
Aug 10, 2023D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 3).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 1
Serious citations (G–L): 0
2024
All citations: 6
Serious citations (G–L): 2
2025
All citations: 7
Serious citations (G–L): 3

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202310D
202462J ▲
202573K ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

3 fines totaling $29,022.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
Aug 28, 2025Fine$11,879
Oct 24, 2024Fine$8,976
Apr 18, 2024Fine$8,167

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityTexas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.71
Texas average: 3.46
U.S. average: 3.95
Registered Nurse hours
This facility: 0.54
Texas average: 0.44
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.26
Texas average: 3.04
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityTexas avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)4.713.463.95top 5% in Texas; top 18% in the U.S.
Registered Nurse hours0.540.440.69top 22% in Texas; bottom 44% in the U.S.
Weekend total nurse staffing4.263.043.50top 5% in Texas; top 16% in the U.S.
Weekend RN hours (not acuity-adjusted)0.420.340.48top 22% in Texas; top 44% in the U.S.
Total nursing staff turnover (%)35.455.345.8top 12% in Texas; top 25% in the U.S.
RN turnover (%)56.354.642.9bottom 46% in Texas; bottom 26% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.48, RN 0.52, weekend 4.05.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.48 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 5/5 · long-stay residents: 4/5 · short-stay residents: 5/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Villages of Lake Highlands. CMS inspection and staffing records do not tell us what this home will charge you.

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Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Corporation

Owner / managerTypeRoleStakeSince
Javelin Group Funding I, LPOrganization5% or Greater Indirect Ownership Interest—09/01/2016
JSC Lake Highlands I Senior Living, LPOrganization5% or Greater Direct Ownership Interest100%04/15/2010
JSC Lake Highlands I Senior Living, LPOrganization5% or Greater Indirect Ownership Interest—03/25/2009
Eden, KevinIndividualADP of the SNFNOT APPLICABLE05/01/2020
Kamran, MubashirIndividualOperational/Managerial ControlNOT APPLICABLE09/01/2025
Kamran, MubashirIndividualADP of the SNFNOT APPLICABLE09/01/2025
Naul, AlanIndividualADP of the SNFNOT APPLICABLE05/01/2020
Village Senior Care LLCOrganizationOperational/Managerial ControlNOT APPLICABLE09/01/2016
Village Senior Care LLCOrganizationADP of the SNFNOT APPLICABLE01/21/2026
Wolfe, KellyIndividualOperational/Managerial ControlNOT APPLICABLE09/01/2016

All 10 owning or managing parties CMS has on file are shown — none excluded.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
  • "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
  • "What systems do you use to prevent medication errors, and what happens when one occurs?"
  • "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
  • "Can you show me an example care plan, and how are families included when it's created and updated?"
  • "How do you keep residents' medical records accurate, complete, and secure?"
  • "Can you show me how medications are stored and secured on the units, including controlled drugs?"
  • "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 35% total nursing staff turnover here — who on the care team has been with you longest?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 98 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Five Points at Lake Highlands Nursing and Rehab0.9 miDallas, TX★☆☆☆☆1/5
C C Young Memorial Home1.8 miDallas, TX★★★★★5/5
Golden Acres Living and Rehabilitation Center2.6 miDallas, TX★★★☆☆3/5
Pure Health Transitional Care at Texas Health Pres2.8 miDallas, TX★★★★★5/5
Avir at the Meadow3.5 miDallas, TX★☆☆☆☆1/5
The Highlands Guest Care Center3.9 miDallas, TX★☆☆☆☆2/5
Presbyterian Village North Special Care Ctr4.0 miDallas, TX★★★★☆4/5
Avir at Garland4.0 miGarland, TX★☆☆☆☆1/5abuse
The Legacy Midtown Park4.1 miDallas, TX★★★★★5/5
Le Reve Rehabilitation & Memory Care4.3 miDallas, TX★☆☆☆☆1/5abuse
Advanced Health & Rehab Center of Garland5.3 miGarland, TX★☆☆☆☆1/5
The Plaza at Edgemere5.3 miDallas, TX★★★★☆4/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Dallas, TX — 81 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Dallas →

Facility data as of CMS processing date 2026-08-01. CCN 676268.

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