Villages Of Lake Highlands

For profit - Corporation  ·  8615 Lullwater Dr, Dallas, TX 75238  ·  See home’s Medicare page

4.44
Nurse hours/resident/day
Reported total nurse staffing hours per resident per day.
State Average: 3.4
39.7%
Nurse turnover
The percentage of nursing staff who stopped working at the home over a 12-month period.
State Average: 53.9%
126
Certified beds
Qualifying beds in the certified provider or supplier facility.
116
Average residents/day
Average number of residents based on daily census.
Direct owners are the layer of ownership closest to the nursing home while indirect owners have a stake in the nursing home but are further removed, like a company that owns the direct owner of a home. All owners listed below are people or companies who have at least a 5% stake in the nursing home. Entities with “managerial control” are those who conduct the day-to-day operations of the nursing home.
Direct owners
Jsc Lake Highlands I Senior Living, LP (100%) since Apr, 2010
Indirect owners
Javelin Group Funding I, LP since Apr, 2020
Kevin Eden since Apr, 2020
Alan Naul since Apr, 2020
Managerial control
Village Senior Care LLC since Apr, 2019
Managing employee(s)
No information available
General Partnership Interest
Javelin Group Gen Par I, LLC since Apr, 2010
Corporate Officer
Kevin Eden since Apr, 2020
Alan Naul since Apr, 2020
W 2 Managing Employee
Kelly Wolfe since Aug, 2016

Inspection Reports

Inspection reports document deficiencies, which are nursing homes’ failures to meet care requirements. The Centers for Medicare and Medicaid Services releases the last three standard inspection reports, as well as the last 36 months of complaint and infection-control reports.
14

total deficiencies

3

infection-related deficiencies

This home violated federal standards protecting residents from the spread of infections.

Dec 1, 2025
Complaint report
1 deficiency
D

Resident Assessment and Care Planning Deficiency — F0656
Failure to: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Sep 13, 2025
Complaint report
2 deficiencies
E

to J
J

Quality of Life and Care Deficiency — F0684
Failure to: Provide appropriate treatment and care according to orders, resident's preferences and goals.
Severity
Immediate jeopardy to resident health or safety
Scope
Few people affected
Seriousness
J

Resident Assessment and Care Planning Deficiency — F0842
Failure to: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
E

Aug 28, 2025
Complaint report
1 deficiency
$11,671 Fine
K

Quality of Life and Care Deficiency — F0684
Failure to: Provide appropriate treatment and care according to orders, resident's preferences and goals.
Severity
Immediate jeopardy to resident health or safety
Scope
Some people affected
Seriousness
K

May 16, 2025
Standard report
3 deficiencies
(1 infection)

This report includes a citation for violating federal standards protecting residents from the spread of infections.

D

to K
K

Quality of Life and Care Deficiency — F0695
Failure to: Provide safe and appropriate respiratory care for a resident when needed.
Severity
Immediate jeopardy to resident health or safety
Scope
Some people affected
Seriousness
K

Pharmacy Service Deficiency — F0761
Failure to: 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.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
E

Infection Control Deficiency — F0880
Failure to: Provide and implement an infection prevention and control program.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Oct 24, 2024
Complaint report
1 deficiency
$8,976 Fine
G

Quality of Life and Care Deficiency — F0689
Failure to: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity
Actual harm that is not immediate jeopardy
Scope
Few people affected
Seriousness
G

Aug 20, 2024
Complaint report
2 deficiencies
D

Resident Assessment and Care Planning Deficiency — F0656
Failure to: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Pharmacy Service Deficiency — F0760
Failure to: Ensure that residents are free from significant medication errors.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Apr 18, 2024
Standard report
2 deficiencies
$8,167 Fine
D

to J
J

Pharmacy Service Deficiency — F0760
Failure to: Ensure that residents are free from significant medication errors.
Severity
Immediate jeopardy to resident health or safety
Scope
Few people affected
Seriousness
J

Resident Rights Deficiency — F0550
Failure to: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Jan 30, 2024
Complaint report
1 deficiency
(1 infection)

This report includes a citation for violating federal standards protecting residents from the spread of infections.

E

Infection Control Deficiency — F0880
Failure to: Provide and implement an infection prevention and control program.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
E

Aug 10, 2023
Complaint report
1 deficiency
(1 infection)

This report includes a citation for violating federal standards protecting residents from the spread of infections.

D

Infection Control Deficiency — F0880
Failure to: Provide and implement an infection prevention and control program.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Penalties

A nursing home receives a penalty, either a fine or payment suspensions, when it has a serious health citation or fails to fix a citation. Fines may be imposed once per citation or regularly until the nursing home corrects the citation. Fines not associated with inspection reports can include fines for not reporting COVID-19 data or not complying with infection-control requirements. Payment suspensions are when the government stops payments to the nursing home until an issue is fixed. The Centers for Medicare and Medicaid Services releases the last three years of penalty information.
$28.8K

total fines

Aug 28, 2025
Oct 24, 2024
Apr 18, 2024