Villages of Lake Highlands
8615 Lullwater Dr · Dallas, TX · 75238 · 2142210444
126 certified beds For profit - Corporation Part of a CCRC
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (3 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $20,855 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
3 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.44 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.39 | 0.55–0.75 |
| Weekend hours / resident-day | 4.00 | ≈ weekday level |
| Nursing turnover / year | 40% | median 45% |
| Fines (3-yr window) | 3 · $29,022 |
Inspection citations (14 in the current record)
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Potential for harm · D December 1, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 5, 2025 · Resident Assessment and Care Planning
-
Immediate jeopardy · J September 13, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Past Non-Compliance · Quality of Life and Care
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Potential for harm · E September 13, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Past Non-Compliance · Resident Assessment and Care Planning
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Immediate jeopardy · K August 28, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 29, 2025 · Quality of Life and Care
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Immediate jeopardy · K May 16, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 20, 2025 · Quality of Life and Care
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Potential for harm · E May 16, 2025
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.
Corrected May 20, 2025 · Pharmacy Service
-
Potential for harm · D May 16, 2025
Provide and implement an infection prevention and control program.
Corrected May 20, 2025 · Infection Control
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Actual harm · G October 24, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 2, 2024 · Quality of Life and Care
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Potential for harm · D August 20, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 25, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 20, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected August 21, 2024 · Pharmacy Service
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Immediate jeopardy · J April 18, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected February 2, 2024 · Pharmacy Service
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Potential for harm · D April 18, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 22, 2024 · Resident Rights
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Potential for harm · E January 30, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 23, 2024 · Infection Control
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Potential for harm · D August 10, 2023 · found via complaint
Provide and implement an infection prevention and control program.
Corrected September 4, 2023 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 28, 2025 | Fine | $11,879 |
| October 24, 2024 | Fine | $8,976 |
| April 18, 2024 | Fine | $8,167 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676268 · certified since November 19, 2010. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.