All citations for Five Points at Lake Highlands Nursing and Rehab

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Five Points at Lake Highlands Nursing and Rehab

Last standard health inspection on record

March 31, 2026

Showing 1 to 22 of 22 citations

  1. Immediate jeopardy to resident health or safety

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0627, Resident Rights Deficiencies. Inspection of September 19, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 20, 2025).

  2. Immediate jeopardy to resident health or safety

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of July 8, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 9, 2025).

  3. No harm, with potential for more than minimal harm

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0921, Environmental Deficiencies. Inspection of May 14, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 16, 2025).

  4. No harm, with potential for more than minimal harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 23, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 25, 2025).

  5. No harm, with potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of January 23, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 25, 2025).

  6. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of December 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 12, 2024).

  7. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of December 10, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 12, 2024).

  8. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of December 6, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 8, 2024).

  9. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of July 8, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 9, 2025).

  10. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of July 8, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 9, 2025).

  11. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of May 14, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 16, 2025).

  12. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of May 14, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 16, 2025).

  13. No harm, with potential for more than minimal harm

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0678, Quality of Life and Care Deficiencies. Inspection of May 14, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 16, 2025).

  14. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of December 10, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 12, 2024).

  15. No harm, with potential for more than minimal harm

    PASARR screening for Mental disorders or Intellectual Disabilities

    Isolated (one or a few residents). CMS level D.

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of December 10, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 12, 2024).

  16. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of December 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 12, 2024).

  17. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of December 10, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 12, 2024).

  18. No harm, with potential for more than minimal harm

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of December 10, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 12, 2024).

  19. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of December 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 12, 2024).

  20. No harm, with potential for more than minimal harm

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0805, Nutrition and Dietary Deficiencies. Inspection of December 10, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 12, 2024).

  21. No harm, with potential for more than minimal harm

    Keep residents' personal and medical records private and confidential.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0583, Resident Rights Deficiencies. Inspection of December 6, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 8, 2024).

  22. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of December 6, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 8, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.