Villages of Lake Highlands
State inspectors recorded 4 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2025-09-13 — IMMEDIATE JEOPARDY (tag F0684, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2025-08-28 — IMMEDIATE JEOPARDY (tag F0684, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2025-05-16 — IMMEDIATE JEOPARDY (tag F0695, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide safe and appropriate respiratory care for a resident when needed.
2024-10-24 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-04-18 — IMMEDIATE JEOPARDY (tag F0760, severity J)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Ensure that residents are free from significant medication errors.
Staffing, from payroll records
Nursing hours / resident / day
3.81
state median 2.67
Weekend staffing gap
−1%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.37
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Nursing staff turnover
35%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
3 enforcement action(s), totaling $29,022 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-08-28 | Fine | $11,879 |
| 2024-10-24 | Fine | $8,976 |
| 2024-04-18 | Fine | $8,167 |
Ownership
Ownership type: For profit - Corporation.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2025-12-01 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-09-13 | F0684 | Quality of Life and Care Deficiencies | J | not recorded |
| 2025-09-13 | F0842 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-08-28 | F0684 | Quality of Life and Care Deficiencies | K | not recorded |
| 2025-05-16 | F0695 | Quality of Life and Care Deficiencies | K | not recorded |
| 2025-05-16 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-05-16 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-10-24 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-08-20 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-08-20 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-04-18 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2024-04-18 | F0760 | Pharmacy Service Deficiencies | J | not recorded |
| 2024-01-30 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2023-08-10 | F0880 | Infection Control Deficiencies | D | not recorded |