Villages of Lake Highlands

Nursing home in Dallas, TX

Medicare & Medicaid certified2★ overall (CMS)

Call (214) 221-0444 Send a message Map ↗

Public-record details

Address: 8615 Lullwater Dr, Dallas, TX 75238
Phone: (214) 221-0444
Listed under: For-profit, Part of a retirement community
Medicare CCN: 676268
Overall star rating: 2 of 5 ★★☆☆☆
Health inspection rating: 1 of 5
Staffing rating: 4 of 5
Quality measures rating: 5 of 5
Certified beds: 126
Average residents per day: 111
Ownership: For-profit, corporation
Legal business name: Jsc Lake Highlands Operations, LP
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Nov 19, 2010
Changed ownership in last 12 months: No
Continuing care retirement community: Yes
Located inside a hospital: No
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 676268. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 16, 2025. CMS lists 14 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 10, 2023 to Dec 1, 2025): 11 from complaint inspections, 5 at the “actual harm” level or higher, including 4 at “immediate jeopardy”.

Inspection	Citation	Severity
Dec 1, 2025	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 · complaint inspection	D Potential for more than minimal harm, isolated
Sep 13, 2025	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 · complaint inspection	E Potential for more than minimal harm, pattern
Sep 13, 2025	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care · complaint inspection	J Immediate jeopardy, isolated
Aug 28, 2025	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care · complaint inspection	K Immediate jeopardy, pattern
May 16, 2025	Provide and implement an infection prevention and control program. Infection Control	D Potential for more than minimal harm, isolated
May 16, 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… Pharmacy Service	E Potential for more than minimal harm, pattern
May 16, 2025	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care · complaint inspection	K Immediate jeopardy, pattern
Oct 24, 2024	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care · complaint inspection	G Actual harm, isolated
Aug 20, 2024	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 · complaint inspection	D Potential for more than minimal harm, isolated
Aug 20, 2024	Ensure that residents are free from significant medication errors. Pharmacy Service · complaint inspection	D Potential for more than minimal harm, isolated
Apr 18, 2024	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights	D Potential for more than minimal harm, isolated
Apr 18, 2024	Ensure that residents are free from significant medication errors. Pharmacy Service · complaint inspection	J Immediate jeopardy, isolated

Showing the 12 most recent of 14. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 3 fines totalling $29,022 in the last three years.

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

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 4.48 hours
Registered nurse (RN) time per resident per day: 0.52 hours
Nurse aide time per resident per day: 2.20 hours
Total nurse staffing on weekends: 4.05 hours
Nursing staff turnover (yearly): 35%
RN turnover (yearly): 56%
Administrators who left in the past year: 1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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