About Five Points at Lake Highlands Nursing and Rehab
Five Points At Lake Highlands Nursing And Rehab, located in Dallas, TX, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Five Points at Lake Highlands Nursing and Rehab
Key Performance Indicators
- CMS Overall Rating 1 Stars
- Nursing Hours 3.39 hrs
- Safety Record Clean
Chain Affiliations & Network
This facility is part of the CREATIVE SOLUTIONS IN HEALTHCARE network. This chain operates 149 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Below Average Staffing
Five Points at Lake Highlands Nursing and Rehab provides less care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 1 |
|
| Health Inspection | 1 |
|
| Quality Measures | 4 |
|
| Staffing | 1 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 241 | Dec 10, 2024 |
| Weighted Average | 216 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 19.1% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 8.5% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 1.7% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 1.6% |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 15.0% |
| Percentage of long-stay residents who lose too much weight (QM404) | 2.4% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 0.0% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 0.3% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 5.3% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 1.7% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 100.0% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 100.0% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 0.7% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 16.9% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 9.8% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 100.0% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 100.0% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 5.3% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 9.5% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 6.5% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 3 complaints
- 2024: 15 complaints
- 2025: 18 complaints
- Total: 36 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Dec 12, 2025 | Provide bedrooms that don't allow residents to see each other when privacy is needed. |
| Dec 12, 2025 | 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. |
| Dec 12, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Dec 12, 2025 | 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. |
| Dec 12, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| Nov 07, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Nov 07, 2025 | Provide and implement an infection prevention and control program. |
| Sep 30, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Sep 20, 2025 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. |
| Jul 09, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Jul 09, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Jul 09, 2025 | 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. |
| May 16, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| May 16, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| May 16, 2025 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. |
| May 16, 2025 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. |
| Jan 25, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Jan 25, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Dec 12, 2024 | 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. |
| Dec 12, 2024 | PASARR screening for Mental disorders or Intellectual Disabilities |
| Dec 12, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Dec 12, 2024 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| Dec 12, 2024 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. |
| Dec 12, 2024 | Provide and implement an infection prevention and control program. |
| Dec 08, 2024 | Keep residents' personal and medical records private and confidential. |
| Dec 08, 2024 | 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. |
| Dec 08, 2024 | Provide and implement an infection prevention and control program. |
| Jun 02, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| May 20, 2024 | Provide routine and 24-hour emergency dental care for each resident. |
| Jan 22, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Jan 22, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| Jan 22, 2024 | 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. |
| Jan 22, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Nov 24, 2023 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| Jun 30, 2023 | Provide safe and appropriate respiratory care for a resident when needed. |
| Jun 30, 2023 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. |
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Owner & Operator Information
Business Entity
WEST WHARTON COUNTY HOSPITAL DISTRICT
Ownership Structure
Management & Direction
- GARY BLAKE OPERATIONAL/MANAGERIAL CONTROL
- MALISA BLAKE OPERATIONAL/MANAGERIAL CONTROL
- DALLAS I ENTERPRISES OPERATIONAL/MANAGERIAL CONTROL
- LINDA HUGGINS CORPORATE DIRECTOR
- DAVID MAK CORPORATE OFFICER
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| North Park Health and Rehabilitation Center | N/A | 3 |
| The Legacy Midtown Park | N/A | 5 |
| Pure Health Transitional Care at Texas Health Pres | N/A | 5 |
| Highland Meadows | N/A | 5 |
| Farmersville Health and Rehabilitation | N/A | 4 |
| Princeton Medical Lodge | N/A | 4 |
| C C Young Memorial Home | N/A | 5 |
| La Dora Nursing and Rehabilitation Center | N/A | 5 |
| Lexington Medical Lodge | N/A | 4 |
| Parkwood Village | N/A | 5 |
Related Analysis
Best Nursing Homes in Dallas, TX
Compare Five Points at Lake Highlands Nursing and Rehab to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Five Points at Lake Highlands Nursing and Rehab directly at 2143553300. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.