| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K2 | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D13 | E13 | F1 |
| Minimal | A· | B· | C1 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jul 23, 2026 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Jul 23, 2026 | Health | Health Standard | 12 | Potential harm | — | Open → |
| Dec 1, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 13, 2025 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Aug 28, 2025 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| May 16, 2025 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| May 16, 2025 | Health | Health Complaint, Health Standard | 3 | Immediate jeopardy | — | Open → |
| Oct 24, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Aug 20, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Apr 18, 2024 | Fire safety | Fire Safety Standard | 1 | Minimal | — | Open → |
| Apr 18, 2024 | Health | Health Complaint, Health Standard | 2 | Immediate jeopardy | — | Open → |
| Jan 30, 2024 | Health | Health Complaint, Infection Control | 1 | Potential harm | — | Open → |
| Dec 21, 2023 | Health | Infection Control | 0 | No citations | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Aug 28, 2025 | Civil money penalty (fine) | $11,879 | — | 676268|Fine|135637 |
| Oct 24, 2024 | Civil money penalty (fine) | $8,976 | — | 676268|Fine|100629 |
| Apr 18, 2024 | Civil money penalty (fine) | $8,167 | — | 676268|Fine|112729 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K2 | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D13 | E13 | F1 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 23, 2026 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 21, 2026 | |
| Jul 23, 2026 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 21, 2026 | |
| Jul 23, 2026 | K-0344 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Jsc Lake Highlands I Senior Living, LP | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Apr 15, 2010 |
| Javelin Group Funding I, LP | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2016 |
| Jsc Lake Highlands I Senior Living, LP | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Mar 25, 2009 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Jsc Lake Highlands I Senior Living, LP | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Apr 15, 2010 |
| Javelin Group Funding I, LP | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2016 |
| Jsc Lake Highlands I Senior Living, LP | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Mar 25, 2009 |
| Village Senior Care LLC | Organization | Operational / managerial control |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Five Points at Lake Highlands Nursing and Rehab 315 East 19th Street, Dallas, TX 75238 CCN 455895 | 1.4 km | 280 | Aug 20, 2026 | 844 IJ1 harm | $51k | |
| C C Young Memorial Home 4849 W. Lawther Dr., Dallas, TX 75214 CCN 675592 | 2.9 km | 129 | Jul 8, 2026 | 13 | — | |
| Golden Acres Living and Rehabilitation Center 2525 Centerville Rd, Dallas, TX 75228 CCN 675081 | 4.2 km | 264 | Aug 27, 2026 | 631 open | $13k | |
| Pure Health Transitional Care at Texas Health Pres 8200 Walnut Hill Lane Main 5, Dallas, TX 75231 CCN 676410 | 4.5 km | 49 | Aug 20, 2026 | 73 open | — | |
| Avir at the Meadow 8383 Meadow Road, Dallas, TX 75231 CCN 455463 | 5.6 km | 184 | Jul 27, 2026 | 693 IJ2 harm | $36k | |
| The Highlands Guest Care Center 9009 Forest Ln, Dallas, TX 75243 CCN 675447 | 6.3 km | 116 | Jul 23, 2026 | 474 IJ | $48k | |
| Presbyterian Village North Special Care Ctr 8600 Skyline Dr, Dallas, TX 75243 CCN 676135 | 6.5 km | 88 | Sep 17, 2025 | 192 IJ | $37k | |
| Avir at Garland 321 N Shiloh Rd., Garland, TX 75042 CCN 675790 | 6.5 km | 109 | Aug 4, 2026 | 527 IJ | $83k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 676268 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 676268 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Have an alternate power supply for its alarm system. Smoke Deficiencies · Environment & life safety |
| E · Potential harm Pattern |
| Corrected Aug 21, 2026 |
| Jul 23, 2026 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 21, 2026 |
| Jul 23, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 28, 2026 |
| Jul 23, 2026 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 28, 2026 |
| Jul 23, 2026 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 28, 2026 |
| Jul 23, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 28, 2026 |
| Jul 23, 2026 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 28, 2026 |
| Jul 23, 2026 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 28, 2026 |
| Jul 23, 2026 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 28, 2026 |
| Jul 23, 2026 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 28, 2026 |
| Jul 23, 2026 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 28, 2026 |
| Jul 23, 2026 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Aug 28, 2026 |
| Jul 23, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 28, 2026 |
| Jul 23, 2026 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 28, 2026 |
| Dec 1, 2025 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 5, 2025 | Complaint |
| Sep 13, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Past non-compliance | Complaint |
| Sep 13, 2025 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Past non-compliance | Complaint |
| Aug 28, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | K · Immediate jeopardy Pattern | Corrected Aug 29, 2025 | Complaint |
| May 16, 2025 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | K · Immediate jeopardy Pattern | Corrected May 20, 2025 | Complaint |
| May 16, 2025 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 4, 2025 |
| May 16, 2025 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 16, 2025 |
| May 16, 2025 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 4, 2025 |
| May 16, 2025 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected May 20, 2025 |
| May 16, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 20, 2025 |
| Oct 24, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Past non-compliance Jul 2, 2024 | Complaint |
| Aug 20, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 25, 2024 | Complaint |
| Aug 20, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 21, 2024 | Complaint |
| Apr 18, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | J · Immediate jeopardy Isolated | Past non-compliance Feb 2, 2024 | Complaint |
| Apr 18, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 22, 2024 |
| Apr 18, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Apr 23, 2024 |
| Jan 30, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Feb 23, 2024 | ComplaintInfection control |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.54 (case-mix index 1.30).
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Sep 1, 2016 |
| Mubashir Kamran | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2025 |
| Kelly Wolfe | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2016 |
| Village Senior Care LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 21, 2026 |
| Kevin Eden | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2020 |
| Mubashir Kamran | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2025 |
| Alan Naul | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2020 |