Five Points at Lake Highlands Nursing and Rehab: Staffing, Turnover, and Inspection Record
Five Points at Lake Highlands Nursing and Rehab is a 280-bed for-profit nursing home in Dallas, Texas, part of Creative Solutions in Healthcare. In the CMS August 2026 release it reported 2.13 nurse aide hours per resident per day, 7% above the Texas average of 2.00, and 64.0% nursing staff turnover (Texas average 55.3%).
Five Points at Lake Highlands Nursing and Rehab
315 East 19th StreetDallas, TX 75238
Dallas County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Five Points at Lake Highlands Nursing and Rehab, nurse aides logged 2.13 hours per resident per day, 7% above the Texas average. With about 174 residents a day, that works out to roughly 371 aide hours a day, or about 46 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 14% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.13 | 2.00 | 2.32 |
| Licensed practical nurses | 0.81 | 0.95 | 0.86 |
| Registered nurses | 0.42 | 0.43 | 0.69 |
| All nursing staff | 3.36 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.87 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
64.0% of nursing staff at Five Points at Lake Highlands Nursing and Rehab left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 64.3%. 2 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Mar 31, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 20 health deficiencies (Texas average 9.3). CMS lists 5 fines totaling $58,149 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Dec 11, 2025 | Fine | $16,149 |
| Sep 19, 2025 | Fine | $10,361 |
| Jul 8, 2025 | Fine | $15,143 |
| May 18, 2024 | Fine | $8,985 |
| Oct 11, 2023 | Fine | $7,511 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Five Points at Lake Highlands Nursing and Rehab holds 1 of 5 overall; the Texas average is 2.6.
About Five Points at Lake Highlands Nursing and Rehab
- Ownership: For profit - Limited Liability company
- Chain: Creative Solutions in Healthcare, 149 homes
- Legal name: West Wharton County Hospital District
- Medicare and Medicaid certified since: Oct 4, 1990
- Located inside a hospital
- Councils: resident and family councils
- Area: urban
Nursing homes near Five Points at Lake Highlands Nursing and Rehab
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Villages of Lake Highlands Dallas | 0.9 | 126 | 2.20 | 4.48 | 35.4% | 2 | $29,022 |
| C C Young Memorial Home Dallas | 2.1 | 129 | 3.19 | 5.30 | 43.1% | 5 | None |
| Pure Health Transitional Care at Texas Health Pres Dallas | 2.4 | 49 | 1.86 | 4.35 | 53.7% | 5 | None |
| Avir at The Meadow Dallas | 2.9 | 184 | 1.63 | 2.90 | 58.1% | 1 | $35,731 |
| The Highlands Guest Care Center Dallas | 3.1 | 116 | 1.98 | 3.32 | — | 1 | $47,726 |
| Presbyterian Village North Special Care Ctr Dallas | 3.3 | 88 | 2.68 | 4.46 | 43.0% | 4 | $36,505 |
| Golden Acres Living and Rehabilitation Center Dallas | 3.4 | 264 | 2.24 | 3.76 | 46.6% | 3 | None |
| The Legacy Midtown Park Dallas | 3.5 | 54 | 3.89 | 5.71 | 33.3% | 5 | $27,523 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.