Five Points Nursing And Rehabilitation
1901 NORTH HAMPTON ROAD, Desoto, TX, 75115
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
- 120 · avg 79 residents/day
- Total nursing staff turnover
- 69% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 66.7% — 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)
- 1 fine · $8,514 total
State licensing & capacity
- License number
- 311431
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 120 Medicaid/Medicare
- Current license effective
- April 1, 2026
- Current license expires
- April 1, 2029
- Initial license date
- December 2, 2021
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Desoto I Enterprises, Llc
- Administrator
- Jonathan Harris
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 (18 on record)
- de Soto i Enterprises, Llc
Adp of The Snf · since 2025
- Jacque Roberts
Adp of The Snf · since 2025
- Ruiz Haider
Adp of The Snf · since 2025
- Zachary Willig
Corporate Director · since 2025
- Paul Soechting
Managing Control - Governing Body · since 2024
- Sherrie Hardin
Managing Control - Governing Body · since 2024
+ 12 additional owners on the federal record.
Recent change of ownership
April 2023 (3 years ago) · acquired from Five Points Nursing And Rehabilitation
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 24)
- E0804·Dec 7, 2025Complaint
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E0679·Dec 7, 2025Complaint
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
- F0812·May 29, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0755·May 29, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0656·May 29, 2025
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.
- E0553·May 29, 2025
Resident Rights Deficiencies
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- E0825·Mar 13, 2025Complaint
Quality of Life and Care Deficiencies
Provide or get specialized rehabilitative services as required for a resident.
- D0777·Jan 16, 2025Complaint
Administration Deficiencies
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Federal penalties
By year
- 20231 fine · $8,514
Most recent events
- Aug 17, 2023Fine · $8,514
Fire-safety citations
6 Life-Safety-Code citations on file. Most recent: May 29, 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
Five Points Nursing and Rehabilitation is a 120-bed Medicare/Medicaid nursing home in DeSoto, Dallas County, managed by Desoto I Enterprises under a hospital-district licensee. CMS rates it 3 stars overall, with a 1-star staffing rating — the lowest tier, placing it among the bottom 38% of Texas nursing homes on staffing. Quality-of-care outcomes rate 5 stars. Two administrators have left in the past year. Current occupancy runs at roughly 66% of licensed beds.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 1 star — the lowest tier, shared by about 38% of Texas nursing homes. Each resident receives approximately 184 minutes of total nursing care per day, roughly 57 minutes less than at a 4-star-staffing facility in Texas. Registered nurses account for only 17 of those minutes. Residents here also require more hands-on care than at a typical facility — more dependent or medically complex on average — so those staffing hours stretch thinner than the raw numbers suggest.
About 7 in 10 nursing staff left in the past year. At that pace, a long-stay resident will likely go through two or three primary caregivers over the course of a year.
Two administrators have turned over in the past year. Leadership instability at that level tends to ripple through daily operations and staff continuity.
The facility's 5-star quality-measure rating — the highest tier — covers long-term resident outcomes such as fall rates, pressure wounds, and pain management. That rating sits alongside the 1-star staffing and high turnover figures; the reader can weigh them together.
One CMS fine totaling $8,514 has been issued. The median fine among penalized Texas nursing homes is $20,699, and about 30% of Texas facilities have no fines at all.
Occupancy runs at roughly 66% of licensed beds — 79 residents in a 120-bed facility. Beds are available without a waitlist.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
Weekend nursing hours here average 2.6 hours per resident per day — ask how many nurses and aides are on duty overnight and on weekends specifically.
Two administrators in one year
Two administrators left in the past 12 months — ask who is currently in charge, how long they have been in the role, and what drove the transitions.
High nursing staff turnover
About 7 in 10 nursing staff left last year — ask how the facility recruits replacements and how it assigns consistent caregivers to long-stay residents.
Five-star outcomes with one-star staffing
Quality-measure outcomes rate 5 stars while staffing rates 1 star — ask how care plans are monitored and reviewed given the staffing levels on the floor.
Current occupancy and bed availability
The facility is operating at roughly 66% of its 120 licensed beds — ask whether that reflects recent discharges, referral patterns, or other changes in the past year.
Management company's role day-to-day
The licensee is a hospital district, but day-to-day management runs through Desoto I Enterprises — ask which entity sets staffing budgets and responds to care concerns.
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.