Five Points At Lake Highlands Nursing And Rehab has received an F grade based on CMS data, with a score of 7/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Dallas facility should carefully review its inspection history and quality metrics.
With 3.10 total nurse hours per resident per day, Five Points At Lake Highlands Nursing And Rehab falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 48 deficiencies at Five Points At Lake Highlands Nursing And Rehab, including 4 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.10 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.34 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.87 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.89 | 2.4 | Below Average |
| Weekend Total Nursing | 2.51 | 3.8 | Below Average |
| Weekend RN Hours | 0.28 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0689 Severity JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Dec 10, 2025 · Quality of Life and Care Deficiencies
- Tag 0580 Severity DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Dec 10, 2025 · Resident Rights Deficiencies
- Tag 0584 Severity DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for dDec 10, 2025 · Resident Rights Deficiencies
- Tag 0677 Severity DProvide care and assistance to perform activities of daily living for any resident who is unable.Dec 10, 2025 · Quality of Life and Care Deficiencies
- Tag 0849 Severity DArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice servDec 10, 2025 · Administration Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 4.8% | 4.5% | Average |
| Falls with major injury | 1.7% | 3.0% | Better |
| On antipsychotic medication | 7.3% | 14.5% | Better |
| Urinary tract infections | 0.2% | 2.5% | Better |
| ADL decline (daily activities) | 14.4% | 14.0% | Average |
| Excessive weight loss | 2.6% | 7.5% | Better |
| New/worsened incontinence | 9.7% | 45.0% | Better |
⚠️ Penalties & Fines
5 penalties recorded by CMS
Total fines: $72,182
How This Grade Was Calculated
This facility's grade of F is based on a score of 7 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -7 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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