Villages Of Lake Highlands
8615 LULLWATER DRIVE, 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 - Corporation
- Certified beds
- 126 · avg 118 residents/day
- Total nursing staff turnover
- 43.3% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 47.1% — near the Texas averageTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $28,814 total
- Infection control citations
- 1
State licensing & capacity
- License number
- 307199
- Service type
- Medicare/medicaid
- Licensed capacity
- 126 beds
- Memory-care capacity
- 39 beds · state-certified
- Bed type breakdown
- 103 Medicare-only · 23 Medicaid/Medicare
- Current license effective
- January 19, 2026
- Current license expires
- January 19, 2029
- Initial license date
- November 19, 2010
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Jsc Lake Highlands Operations, Lp (LIMITED PARTNERSHIP)
- Operator / manager
- Village Senior Care Llc
- Administrator
- Mubashir M Kamran
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (7 on record)
- Alan Naul
5% or Greater Indirect Ownership Interest · 67% · since 2020
- Javelin Group Funding i, lp
5% or Greater Indirect Ownership Interest · 100% · since 2020
- Kevin Eden
5% or Greater Indirect Ownership Interest · 33% · since 2020
- Village Senior Care Llc
Operational/managerial Control · since 2019
- Kelly w Wolfe
W-2 Managing Employee · since 2016
- Javelin Group Gen Par i, Llc
General Partnership Interest · since 2010
+ 1 additional owner on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, 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 14)
- D0656·Dec 1, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E0842·Sep 13, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- J0684·Sep 13, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- K0684·Aug 28, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- K0695·May 16, 2025Complaint
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0880·May 16, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0761·May 16, 2025
Pharmacy Service Deficiencies
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.
- G0689·Oct 24, 2024Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal penalties
By year
- 20251 fine · $12K
- 20242 fines · $17K
Most recent events
- Aug 28, 2025Fine · $12K
- Oct 24, 2024Fine · $8,976
- Apr 18, 2024Fine · $8,167
Largest single fine on record: $12K.
Fire-safety citations
7 Life-Safety-Code citations on file. Most recent: May 16, 2025. 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
Villages of Lake Highlands is a 126-bed nursing home in Dallas, TX, with 39 certified memory-care beds (state certification current through January 2028). CMS rates it 2 stars overall, driven by a 1-star health inspection score, despite 4-star staffing and a 5-star quality-measures rating. Three CMS fines totaling $28,814 have been issued. Licensed through January 2029 under Jsc Lake Highlands Operations, LP.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing 4 stars here — roughly the top 9% of Texas nursing homes on staffing. Each resident receives about 263 minutes of nursing care per day. The facility's resident mix is less dependent than the state average, so those staffing hours stretch further than the raw minutes suggest.
Three CMS fines totaling $28,814 have been assessed. The state median among fined Texas nursing homes is about $20,699, and roughly 30% of facilities statewide have no fines at all. The 1-star health inspection rating, which pulls the overall score to 2 stars despite high staffing and quality-measures marks, sits alongside this fine history.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
What drove the inspection rating
The health inspection rating is 1 star while staffing and quality measures both rate highly — ask which specific deficiencies were cited and what corrective steps were taken.
Details on the three CMS fines
Three fines totaling $28,814 have been assessed since CMS began tracking — ask what each citation was for and how the facility responded.
Memory-care unit staffing and programming
The facility holds 39 state-certified memory-care beds; ask how staffing, activities, and care protocols on that unit differ from the general nursing floors.
Current bed availability and waitlist
With 117.6 residents per day against 126 licensed beds — about 93% occupancy — ask whether the unit you need has immediate availability or a waitlist.
Resident Council scope and access
A Resident Council meets here but no Family Council exists; ask how family members surface concerns and how frequently staff report back to the Resident Council.
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.