Five Points At Lake Highlands Nursing And Rehab
9009 WHITE ROCK TRAIL, Dallas, TX, 75238
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Creative Solutions In Healthcare
- Certified beds
- 280 · avg 170 residents/day
- Total nursing staff turnover
- 52.6% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 56.3% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 5 fines · $72,182 total
State licensing & capacity
- License number
- 311286
- Service type
- Medicare/medicaid
- Licensed capacity
- 280 beds
- Bed type breakdown
- 86 Medicare-only · 194 Medicaid/Medicare
- Current license effective
- February 1, 2026
- Current license expires
- February 1, 2029
- Initial license date
- October 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Dallas I Enterprises, Llc
- Administrator
- Bradley Romero
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.7 / 5.
Disclosed owners (7 on record)
- Dallas i Enterprises
Operational/managerial Control · 100% · since 2023
- Gary r Blake
Operational/managerial Control · 50% · since 2023
- Honor x Enterprises, Llc
Other · 100% · since 2023
- Linda f Huggins
Corporate Director · since 2023
- Malisa a Blake
Operational/managerial Control · 50% · since 2023
- West Wharton County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2023
+ 1 additional owner on the federal record.
Recent change of ownership
February 2023 (3 years ago) · acquired from Diversicare of Lake Highlands
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 48)
- D0914·Dec 11, 2025Complaint
Environmental Deficiencies
Provide bedrooms that don't allow residents to see each other when privacy is needed.
- D0849·Dec 11, 2025Complaint
Administration Deficiencies
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.
- J0689·Dec 11, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0677·Dec 11, 2025Complaint
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D0584·Dec 11, 2025Complaint
Resident Rights Deficiencies
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.
- D0580·Dec 11, 2025Complaint
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D0880·Nov 6, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0677·Nov 6, 2025Complaint
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Federal penalties
By year
- 20253 fines · $56K
- 20241 fine · $8,985
- 20231 fine · $7,511
Most recent events
- Dec 11, 2025Fine · $25K
- Sep 19, 2025Fine · $16K
- Jul 8, 2025Fine · $15K
- May 18, 2024Fine · $8,985
- Oct 11, 2023Fine · $7,511
Largest single fine on record: $25K.
Fire-safety citations
21 Life-Safety-Code citations on file. Most recent: Dec 10, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Five Points At Lake Highlands Nursing And Rehab is a 280-bed nursing home in Dallas, TX, managed by Dallas I Enterprises, LLC under a hospital district licensee. CMS rates it 1 star overall, with 1-star ratings on both health inspections and staffing. Five fines totaling $72,182 have been issued; quality-of-care measures rate 4 stars. The facility is operating at roughly 61% of licensed capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the bottom tier, shared by about 38% of Texas nursing homes. Each resident receives approximately 186 minutes of total nursing care per day, about 55 minutes less than at a 4-star-staffing facility in Texas. Of that, only 20 minutes comes from a registered nurse, compared to 37 minutes at a 4-star-staffing facility in the state. Residents here also require more hands-on care than at a typical facility — they are sicker or less mobile on average — so the available staff hours stretch thinner than the raw numbers already suggest.
Two administrators have left in the past year. That level of leadership turnover affects care coordination, staff consistency, and how well the facility executes on care plans day to day.
CMS has issued 5 fines totaling $72,182 since the facility's last inspection cycle. The state median for fined facilities in Texas is $20,699; this facility's total runs roughly 3.5 times that figure. About 30% of Texas nursing homes have received no fines at all.
The facility is operating at approximately 61% of its 280 licensed beds, with 170 residents on an average day. That occupancy level, alongside the staffing, fine, and leadership signals above, reflects a facility under measurable pressure across multiple dimensions.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Current administrator tenure
Two administrators left in the past year — ask who the current administrator is, how long they have been in the role, and what changes they have made since arriving.
Staffing on nights and weekends
Reported weekend nursing hours are 2.51 per resident per day, below the already-low weekday figure — ask how many nurses and aides are on the floor during overnight and weekend shifts.
The five CMS fines
CMS issued five fines totaling $72,182 — ask what deficiencies triggered them and what specific corrective steps the facility completed in response.
Why beds are largely empty
Only about 170 of 280 beds are occupied — ask whether the low census reflects a discharge pattern, staffing constraints, or something else affecting admissions.
Registered nurse coverage
Reported RN hours average just 20 minutes per resident per day — ask when a registered nurse is physically present on the unit and how after-hours clinical needs are handled.
Resident and family council activity
Both a resident council and a family council are on record — ask how often each meets and how concerns raised there have led to documented changes.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.