Villages Of Lake Highlands

Penalties

• Aug 28, 2025 — Fine ($11,879)
• Oct 24, 2024 — Fine ($8,976)
• Apr 18, 2024 — Fine ($8,167)

Inspection findings

1. Dec 1, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0656 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.

     Corrected Nov 5, 2025 · CMS health inspection

2. Sep 13, 2025 Health · 2 findings
   • Serious Scope/severity J Complaint

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     CMS health inspection

   • Not serious Scope/severity E Complaint

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     CMS health inspection

3. Aug 28, 2025 Health · 1 finding
   • Serious Scope/severity K Complaint

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Aug 29, 2025 · CMS health inspection

4. May 16, 2025 Health · 6 findings
   • Serious Scope/severity K Complaint

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected May 20, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0761 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.

     Corrected May 20, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected May 20, 2025 · CMS health inspection

   • Not serious Scope/severity D

     K0321 Smoke Deficiencies

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

     Corrected Jun 4, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

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

     Corrected May 16, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0923 Gas, Vacuum, and Electrical Systems Deficiencies

     Have proper medical gas storage and administration areas.

     Corrected Jun 4, 2025 · CMS fire safety

5. Oct 24, 2024 Health · 1 finding
   • Serious Scope/severity G Complaint

     F0689 Quality of Life and Care Deficiencies

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

     Corrected Jul 2, 2024 · CMS health inspection

6. Aug 20, 2024 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0656 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.

     Corrected Sep 25, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected Aug 21, 2024 · CMS health inspection

7. Apr 18, 2024 Health · 3 findings
   • Not serious Scope/severity D

     F0550 Resident Rights Deficiencies

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

     Corrected May 22, 2024 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected Feb 2, 2024 · CMS health inspection

   • Not serious Scope/severity C

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Apr 23, 2024 · CMS fire safety

8. Jan 30, 2024 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Feb 23, 2024 · CMS health inspection

9. Aug 10, 2023 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Sep 4, 2023 · CMS health inspection

10. Feb 9, 2023 Fire Safety · 3 findings
    • Not serious Scope/severity D

      K0347 Smoke Deficiencies

      Properly provide smoke detection systems in areas open to corridors.

      Corrected Mar 1, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0363 Smoke Deficiencies

      Install corridor and hallway doors that block smoke.

      Corrected Mar 1, 2023 · CMS fire safety

    • Not serious Scope/severity D

      K0511 Services Deficiencies

      Have properly installed electrical wiring and gas equipment.

      Corrected Mar 1, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• EDEN, KEVIN — adp of the snf, NOT APPLICABLE, since 05/01/2020
• KAMRAN, MUBASHIR — adp of the snf, NOT APPLICABLE, since 09/01/2025
• KAMRAN, MUBASHIR — operational/managerial control, NOT APPLICABLE, since 09/01/2025
• NAUL, ALAN — adp of the snf, NOT APPLICABLE, since 05/01/2020
• WOLFE, KELLY — operational/managerial control, NOT APPLICABLE, since 09/01/2016
• JAVELIN GROUP FUNDING I, LP — 5% or greater indirect ownership interest, since 09/01/2016
• JSC LAKE HIGHLANDS I SENIOR LIVING, LP — 5% or greater direct ownership interest, 100%, since 04/15/2010
• JSC LAKE HIGHLANDS I SENIOR LIVING, LP — 5% or greater indirect ownership interest, since 03/25/2009
• VILLAGE SENIOR CARE LLC — adp of the snf, NOT APPLICABLE, since 01/21/2026
• VILLAGE SENIOR CARE LLC — operational/managerial control, NOT APPLICABLE, since 09/01/2016