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 19 of 19 citations

  1. 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 June 3, 2024. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (June 2, 2024).

  2. Harm to a resident

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of October 11, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 24, 2023).

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

    Install corridor and hallway doors that block smoke.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of November 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 24, 2023).

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

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of November 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 24, 2023).

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

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 24, 2023).

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

    Provide routine and 24-hour emergency dental care for each resident.

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

    Health citation F-0790, Quality of Life and Care Deficiencies. Inspection of May 18, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 20, 2024).

  7. 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 January 20, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 22, 2024).

  8. 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.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of January 20, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 22, 2024).

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

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

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of November 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 24, 2023).

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

    Have policies on smoking.

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

    Health citation F-0926, Environmental Deficiencies. Inspection of November 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 24, 2023).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of November 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 24, 2023).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

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

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of November 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 24, 2023).

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

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

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of November 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 24, 2023).

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of January 20, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 22, 2024).

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

    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 D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of January 20, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 22, 2024).

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

    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.

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

    Health citation F-0693, Quality of Life and Care Deficiencies. Inspection of November 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 24, 2023).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of November 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 24, 2023).

  18. 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 November 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 24, 2023).

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of November 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 24, 2023).

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.