Overview

Address
9009 White Rock Tr, Dallas, TX 75238
Phone
2143553300
Certified beds
280
Avg daily residents
170 (61% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1990-10-04
Setting
Urban
1 /5
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
1/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
4/5
Quality Measures breakdown
Long-Stay Quality Measures 4/5
Short-Stay Quality Measures 4/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
3.10 4.11 2.91 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.34 0.72 0.32 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
0.87 0.91 0.81
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
1.89 2.48 1.78
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.21
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.06

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
2.51
hrs / resident / day
RN (weekend)
0.28
hrs / resident / day
Total nurse (adjusted, weekend)
2.36
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
52.6%
annual
RN turnover
56.3%
annual
Administrators departed
2
last 12 months

Resident acuity

Nursing Case-Mix Index
1.46
higher acuity than avg
Case-Mix Index Ratio
1.06
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2024-12-10 24 8 21 241 1 241
Cycle 2/3 (prior) 2023-11-07 19 6 14 144 1 144
Total weighted health score
216.8
lower is better

Deficiencies (48)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

43 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
4 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2025-12-11 2025-12-12
0584 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. D 2025-12-11 2025-12-12
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2025-12-11 2025-12-12
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. J 2025-12-11 2025-09-30
0849 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. D 2025-12-11 2025-12-12
0914 Provide bedrooms that don't allow residents to see each other when privacy is needed. D 2025-12-11 2025-12-12
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2025-11-06 2025-11-07
0880 Provide and implement an infection prevention and control program. D 2025-11-06 2025-11-07
0627 Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. J 2025-09-19 2025-09-20
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2025-07-08 2025-07-09
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. J 2025-07-08 2025-07-09
0761 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. D 2025-07-08 2025-07-09
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2025-05-14 2025-05-16
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2025-05-14 2025-05-16
0678 Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. D 2025-05-14 2025-05-16
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. E 2025-05-14 2025-05-16
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. E 2025-01-23 2025-01-25
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. E 2025-01-23 2025-01-25
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2024-12-10 2024-12-12
0761 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. D 2024-12-10 2024-12-12
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2024-12-10 2024-12-12
0584 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. D 2024-12-10 2024-12-12
0645 PASARR screening for Mental disorders or Intellectual Disabilities D 2024-12-10 2024-12-12
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2024-12-10 2024-12-12
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2024-12-10 2024-12-12
0805 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. D 2024-12-10 2024-12-12
0880 Provide and implement an infection prevention and control program. E 2024-12-10 2024-12-12
0583 Keep residents' personal and medical records private and confidential. D 2024-12-06 2024-12-08
0584 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. E 2024-12-06 2024-12-08
0880 Provide and implement an infection prevention and control program. D 2024-12-06 2024-12-08
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. J 2024-06-03 2024-06-02
0790 Provide routine and 24-hour emergency dental care for each resident. E 2024-05-18 2024-05-20
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2024-01-20 2024-01-22
0584 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. E 2024-01-20 2024-01-22
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2024-01-20 2024-01-22
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2024-01-20 2024-01-22
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. E 2023-11-07 2023-11-24
0693 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. D 2023-11-07 2023-11-24
0759 Ensure medication error rates are not 5 percent or greater. D 2023-11-07 2023-11-24
0880 Provide and implement an infection prevention and control program. D 2023-11-07 2023-11-24
0926 Have policies on smoking. E 2023-11-07 2023-11-24
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. G 2023-10-11 2023-11-24
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2023-06-05 2023-06-30
0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. E 2023-06-05 2023-06-30
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2023-04-07 2023-05-12
0558 Reasonably accommodate the needs and preferences of each resident. D 2022-09-15 2022-10-21
0584 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. E 2022-09-15 2022-10-21
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2022-09-15 2022-10-21

Penalties (5)

Fines issued
5
last 3 years
Total fines
$72,182
Date Type Fine amount
2023-10-11 Fine $7,511
2024-05-18 Fine $8,985
2025-07-08 Fine $14,901
2025-09-19 Fine $15,940
2025-12-11 Fine $24,845

Source: CMS Nursing Home Penalties.

Financial Health (FY 2024)

Payer mix (share of resident days)

Medicare 4.3% Medicaid 85.9% Other 9.8%

Operating performance

Operating Margin
-17.0%
Total Margin
3.8%
Occupancy Rate
57.1%
Cost per Resident Day
$28

Revenue & costs

Net Patient Revenue
$13.2M
Total Costs
$1.7M
Net Income
$615K

Balance sheet

Total Assets
$14.0M
Total Liabilities
$13.3M
Fund Balance
$615K
Current Ratio
0.98

Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: CREATIVE SOLUTIONS IN HEALTHCARE

Chain ID
169
Facilities in chain
149
Legal business name
WEST WHARTON COUNTY HOSPITAL DISTRICT
Chain-average star ratings (for peer context)
Overall
2.7
Health
2.7
Staffing
2.0
QM
3.6

Owner / manager organizations (2)

Organization Role Association
WEST WHARTON COUNTY HOSPITAL DISTRICT 5% OR GREATER DIRECT OWNERSHIP INTEREST since 02/01/2023
DALLAS I ENTERPRISES OPERATIONAL/MANAGERIAL CONTROL since 02/01/2023

Owner / manager individuals (4)

Name Role Association
BLAKE, GARY OPERATIONAL/MANAGERIAL CONTROL since 02/01/2023
BLAKE, MALISA OPERATIONAL/MANAGERIAL CONTROL since 02/01/2023
HUGGINS, LINDA CORPORATE DIRECTOR since 02/01/2023
MAK, DAVID CORPORATE OFFICER since 05/17/2021

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Both
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $28 metrics.cost_per_resident_day
Cost Report Current Ratio 0.98 metrics.current_ratio
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Medicaid Day Share (%) 85.9% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 4.3% metrics.medicare_day_share
Cost Report Net Income ($) $614,522 metrics.net_income
Cost Report Net Patient Revenue ($) $13,202,274 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 57.1% metrics.occupancy_rate
Cost Report Operating Margin (%) -17.0% metrics.operating_margin
Cost Report Total Assets ($) $13,980,644 metrics.total_assets
Cost Report Total Costs ($) $1,657,511 metrics.total_costs
Cost Report Total Fund Balances ($) $614,522 metrics.fund_balance
Cost Report Total Liabilities ($) $13,344,204 metrics.total_liabilities
Cost Report Total Margin (%) 3.8% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.81331 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.77914 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.31900 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 2.91145 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.35633 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 170.2 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.91260 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.48024 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.71933 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 4.11217 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.62444 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.7 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.7 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.6 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.0 Chain Average Staffing Rating
Provider Information Chain ID 169 Chain ID
Provider Information Chain Name CREATIVE SOLUTIONS IN HEALTHCARE Chain Name
Provider Information City/Town Dallas City/Town
Provider Information CMS Certification Number (CCN) 455895 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Dallas County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1990-10-04 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 32.8704 Latitude
Provider Information Legal Business Name WEST WHARTON COUNTY HOSPITAL DISTRICT Legal Business Name
Provider Information Location 9009 White Rock Tr,Dallas,TX,75238 Location
Provider Information Long-Stay QM Rating 4 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -96.729 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 2 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 280 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 149 Number of Facilities in Chain
Provider Information Number of Fines 5 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.45676 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.05742 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 9009 White Rock Tr Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name Five Points at Lake Highlands Nursing and Rehab Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 390 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 4 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 241 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 21 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 8 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-12-10 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 241 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 24 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 6 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-11-07 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 144 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 14 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 144 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 19 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.28081 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 56.3 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.20600 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.86624 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.89491 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.06223 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.33976 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.10091 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 4 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote Short-Stay QM Rating Footnote
Provider Information Special Focus Status Special Focus Status
Provider Information Staffing Rating 1 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State TX State
Provider Information Telephone Number 2143553300 Telephone Number
Provider Information Total Amount of Fines in Dollars 72182.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 2.50967 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 5 Total Number of Penalties
Provider Information Total nursing staff turnover 52.6 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 216.750 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Both With a Resident and Family Council
Provider Information ZIP Code 75238 ZIP Code