nursing home in Dallas, TX
Villages of Lake Highlands
8615 Lullwater Drive, Dallas, TX 75238 · (214) 221-0444
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★4
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Villages of Lake Highlands at a glance
Villages of Lake Highlands is a 126-bed for-profit nursing home in Dallas, Texas (Dallas County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 4.5 hours of nursing care per day (0.5 of them from registered nurses), better than the state average of 3.4 hours.
Its most recent standard health inspection (May 16, 2025) found 6 health citations. The Texas average is 9.4.
Federal regulators fined it 3 times in the past three years, totaling $29,022.
Nursing staff turnover is 35.4% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 126
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- November 19, 2010
- Continuing care retirement community
- Yes
- Resident/family council
- Resident
- County
- Dallas County
- CMS Certification Number
- 676268
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 1.9 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.7 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.2 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.48 hrs | 3.39 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.52 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.20 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 4.05 hrs | 2.98 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 35.4% | 55.3% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 56.3% | 54.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 6 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 4 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 173 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 3 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $29,022 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 3 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 126 | 113 | 107 | |
| Average residents per day | 111 | 76 | 86 | |
| Occupancy | 88.2% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 5.2% | 3.8% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 5.4% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.7% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 17.1% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 14.3% | 14% | 14.1% | Average |
| Long-stay residents who lose too much weight (lower is better) | 6.7% | 3% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 6.8% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 13.4% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 24.3% | 13.4% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 98.6% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 92.1% | 96.6% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.3% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 45.4% | 88% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 46.3% | 88.9% | 82% | Worse |
Inspection citations
State inspectors cited this home for 13 health deficiencies and 7 fire safety deficiencies in the inspection records CMS currently publishes. 5 citations involved actual harm, including 4 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| December 1, 2025 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected November 5, 2025 |
| September 13, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | J Immediate jeopardy, isolated | Past Non-Compliance |
| September 13, 2025 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | E Potential harm, pattern | Past Non-Compliance |
| August 28, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | K Immediate jeopardy, pattern | Corrected August 29, 2025 |
| May 16, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected May 16, 2025 |
| May 16, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected June 4, 2025 |
| May 16, 2025 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected June 4, 2025 |
| May 16, 2025 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | K Immediate jeopardy, pattern | Corrected May 20, 2025 |
| May 16, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected May 20, 2025 |
| May 16, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 20, 2025 |
| October 24, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected July 2, 2024 |
| August 20, 2024 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected September 25, 2024 |
| August 20, 2024 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected August 21, 2024 |
| April 18, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | C No harm, widespread | Corrected April 23, 2024 |
| April 18, 2024 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | J Immediate jeopardy, isolated | Corrected February 2, 2024 |
| April 18, 2024 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected May 22, 2024 |
| January 30, 2024 Complaint · Infection control | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected February 23, 2024 |
| February 9, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected March 1, 2023 |
| February 9, 2023 Fire safety | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Tag K0347 | D Potential harm, isolated | Corrected March 1, 2023 |
| February 9, 2023 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected March 1, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 3 federal penalties in the past three years, including $29,022 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| August 28, 2025 | Fine | $11,879 |
| October 24, 2024 | Fine | $8,976 |
| April 18, 2024 | Fine | $8,167 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| JSC LAKE HIGHLANDS I SENIOR LIVING, LP Organization | 5% or greater direct ownership interest | 100% | 04/15/2010 |
| JAVELIN GROUP FUNDING I, LP Organization | 5% or greater indirect ownership interest | — | 09/01/2016 |
| JSC LAKE HIGHLANDS I SENIOR LIVING, LP Organization | 5% or greater indirect ownership interest | — | 03/25/2009 |
| EDEN, KEVIN Individual | adp of the snf | NOT APPLICABLE | 05/01/2020 |
| KAMRAN, MUBASHIR Individual | adp of the snf | NOT APPLICABLE | 09/01/2025 |
| NAUL, ALAN Individual | adp of the snf | NOT APPLICABLE | 05/01/2020 |
| VILLAGE SENIOR CARE LLC Organization | adp of the snf | NOT APPLICABLE | 01/21/2026 |
| KAMRAN, MUBASHIR Individual | operational/managerial control | NOT APPLICABLE | 09/01/2025 |
| VILLAGE SENIOR CARE LLC Organization | operational/managerial control | NOT APPLICABLE | 09/01/2016 |
| WOLFE, KELLY Individual | operational/managerial control | NOT APPLICABLE | 09/01/2016 |
Other nursing homes near Villages of Lake Highlands
Five Points at Lake Highlands Nursing and Rehab
315 East 19th Street, Dallas, TX 75238 · under 1 mi
For-profit · 280 beds · Part of Creative Solutions in Healthcare
★★★★★1Much below averageC C Young Memorial Home
4849 W. Lawther Dr., Dallas, TX 75214 · 1.8 mi
Non-profit · 129 beds
- CMS high performer
★★★★★5Much above averageGolden Acres Living and Rehabilitation Center
2525 Centerville Rd, Dallas, TX 75228 · 2.6 mi
For-profit · 264 beds · Part of The Ensign Group
★★★★★3AveragePure Health Transitional Care at Texas Health Pres
8200 Walnut Hill Lane Main 5, Dallas, TX 75231 · 2.8 mi
For-profit · 49 beds · Part of Purehealth
- CMS high performer
★★★★★5Much above average- ★★★★★1Much below average
- ★★★★★1Much below average
Frequently asked questions
What is Villages of Lake Highlands's rating?
Villages of Lake Highlands has 2 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Villages of Lake Highlands receive?
Its most recent standard health inspection found 6 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Villages of Lake Highlands accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Villages of Lake Highlands?
It is for profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Villages of Lake Highlands and how do I contact it?
Villages of Lake Highlands is at 8615 Lullwater Drive, Dallas, TX 75238. Phone: (214) 221-0444.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.