Five Points at Lake Highlands Nursing and Rehab
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 128 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (24 vs median 8.0)
- High staff turnover (53%)
- High RN turnover (56%)
Bottom 25% in Texas · Critically understaffed (RN) · Worst in CREATIVE SOLUTIONS IN HEALTHCARE chain · $72,182 in fines
What this means for your family
This facility offers an impressive, modern rehabilitation environment with a highly skilled therapy team. However, families must be extremely vigilant regarding basic care needs, as there are documented patterns of delayed hygiene care and slow response to call bells. We recommend asking specifically about their weekend staffing ratios and their protocol for ensuring medication and dental appointments are met.
Google Reviews
Google Reviews
128 reviews on Google“Families considering Five Points at Lake Highlands will find a facility with a highly praised rehabilitation and therapy team and a modern, clean environment. However, there are serious, recurring allegations regarding neglect, specifically concerning hygiene, medication errors, and delayed response to call bells. While recent reviews highlight a strong, professional administration, older and more recent critical reviews warn of significant staffing shortages and lapses in basic care.”
Quality Themes
Tap a score for detailsStrengths
- Exceptional physical therapy and wound care teams
- Modern, clean, and well-maintained renovated building
- Professional and approachable administration
- Friendly and attentive nursing staff
Concerns
- Neglect regarding hygiene and diaper changes (mentioned by 4 reviewers)
- Slow response times to nurse call bells (mentioned by 3 reviewers)
- Inadequate staffing, particularly on weekends (mentioned by 3 reviewers)
- Medication management errors (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 129 analyzed
How They Respond to Reviews
The owner uses a highly repetitive, templated response for every review. While they acknowledge the reviewer by name, they fail to address the specific allegations of neglect, hygiene, or medical errors, instead relying on a standardized script about 'standards of care.'
Questions for Your Tour
- 1I've heard wonderful things about your physical therapy and wound care teams; could you tell me more about how those specialists work with residents?
- 2With the recent renovations, what are some of the favorite common areas or new features that residents enjoy for daily activities?
- 3How does the nursing team ensure that medication is administered accurately and on schedule, especially during shift changes?
- 4What specific protocols are in place to ensure that call bells are answered promptly, particularly during the weekend hours?
- 5How does the staff manage routine personal hygiene and care needs to ensure every resident feels comfortable and well-attended to?
- 6Could you explain the process for communicating updates to family members regarding a resident's health or changes in their care plan?
Personalized based on this facility's data
Key Review Excerpts
“The therapy gym is beautiful and their administrator is so hands on, listens to residents needs & helps out every staff member!”
“I had the pleasure of getting my wounds treated by their awesome woundcare team. Mu and Tish really care about their craft and it shows.”
“The staff was advised that she needed medical and dental assistance. Five months later, she still has received either.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
13
measures
2
measures
2
measures
Residents whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows concerning patterns with 37 complaint-triggered deficiencies from families filing reports about safety hazards, daily care assistance, and medication management issues. Recurring problems include accident prevention and supervision failures appearing across multiple years, indicating persistent safety concerns. While the facility corrects violations when cited, the high volume of complaints and repeated safety deficiencies suggest ongoing operational challenges families should carefully evaluate.
Dec 11, 2025Complaint6
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Environmental Deficiencies
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Nov 6, 2025Complaint2
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Sep 19, 2025Complaint1
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Jul 8, 2025Complaint3
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Pharmacy Service Deficiencies
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.
May 14, 2025Complaint4
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Jan 23, 2025Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Federal Penalties
Fine
Dec 11, 2025
$24,845
Fine
Sep 19, 2025
$15,940
Fine
Jul 8, 2025
$15,143
Fine
May 18, 2024
$8,985
Fine
Oct 11, 2023
$7,511
Ownership & Operations
Who Operates This Facility
West Wharton County Hospital District
for profit
DALLAS I ENTERPRISES, LLC
BRADLEY ROMERO
Chain Affiliation
Creative Solutions in Healthcare
149 facilities nationwide
Chain avg rating: 2.7/5 · Rank 109 of 148 (Worst)
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
128 reviews from families & visitors
Official Website
Visit fivepointslakehighlands.com
Medicare data downloads
Original nursing home datasets
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