For profit - Limited Liability company · 120 certified beds · CMS number 745006
Five Points Nursing and Rehabilitation, DeSoto, TX
CMS records 27 health deficiencies at Five Points Nursing and Rehabilitation in DeSoto, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on May 29, 2025. The highest severity cited is K (immediate jeopardy to resident health or safety). 1 citation was at the immediate jeopardy level. CMS lists no fines or payment denials in the last three years.
- 27deficiencies, 3 cycles (TX median 25)
- 10in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $0fines, last 3 years
- 2CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Five Points Nursing and Rehabilitation as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Five Points Nursing and Rehabilitation may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (10 deficiencies)
Standard inspection May 29, 2025. CMS counts 10 health deficiencies and 2 fire safety deficiencies in this cycle.
Mar 13, 2026 · Complaint inspection
1 deficiency, highest D
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 13, 2026
Mar 5, 2026 · Complaint inspection
3 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 6, 2026
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 6, 2026
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 6, 2026
Dec 7, 2025 · Complaint inspection
2 deficiencies, highest E
F804 · Palatable, attractive food at safe temperatures
Requirement cited (CMS): Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 8, 2025
F679 · Activities program
Requirement cited (CMS): Provide activities to meet all resident's needs.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 8, 2025
May 29, 2025 · Standard inspection
4 deficiencies, highest F
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Jun 2, 2025
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 2, 2025
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 2, 2025
F553 · Taking part in care planning
Requirement cited (CMS): Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 2, 2025
Previous cycle: 9 deficiencies (standard inspection Apr 19, 2024)
Standard inspection Apr 19, 2024. CMS counts 9 health deficiencies and 3 fire safety deficiencies in this cycle.
Mar 13, 2025 · Complaint inspection
1 deficiency, highest E
F825 · Therapy and rehabilitation services
Requirement cited (CMS): Provide or get specialized rehabilitative services as required for a resident.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 17, 2025
Jan 16, 2025 · Complaint inspection
2 deficiencies, highest E
F777 · Ordering X-rays and reporting results
Requirement cited (CMS): Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 24, 2025
F660 · Discharge planning process
Requirement cited (CMS): Plan the resident's discharge to meet the resident's goals and needs.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 24, 2025
Apr 19, 2024 · Standard inspection
6 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 30, 2024
F806 · Allergies, preferences, and meal substitutes
Requirement cited (CMS): Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 30, 2024
F759 · Medication error rate under 5 percent
Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 30, 2024
F693 · Feeding tube use and care
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 30, 2024
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 30, 2024
F679 · Activities program
Requirement cited (CMS): Provide activities to meet all resident's needs.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 30, 2024
Earlier cycle: 8 deficiencies (standard inspection Feb 23, 2023)
Standard inspection Feb 23, 2023. CMS counts 8 health deficiencies and 1 fire safety deficiency in this cycle.
Jan 4, 2024 · Complaint inspection
1 deficiency, highest E
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 1, 2024
Sep 7, 2023 · Complaint inspection
1 deficiency, highest E
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 8, 2023
Feb 23, 2023 · Standard inspection
6 deficiencies, highest K
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 23, 2023
F693 · Feeding tube use and care
Requirement cited (CMS): 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.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Mar 23, 2023
F657 · Care plan timing and team review
Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 23, 2023
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 23, 2023
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 23, 2023
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 23, 2023
Tags cited in more than one inspection
6 tags cited on more than one inspection date at Five Points Nursing and Rehabilitation; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F656 Comprehensive person-centered care plan | 3 | May 29, 2025; Jan 4, 2024; Feb 23, 2023 |
| F679 Activities program | 2 | Dec 7, 2025; Apr 19, 2024 |
| F689 Accident prevention and supervision | 2 | Mar 13, 2026; Apr 19, 2024 |
| F693 Feeding tube use and care | 2 | Apr 19, 2024; Feb 23, 2023 |
| F812 Food safety and sanitation | 2 | May 29, 2025; Feb 23, 2023 |
| F880 Infection prevention and control program | 2 | Mar 5, 2026; Apr 19, 2024 |
Fines and payment denials
CMS lists no fines or payment denials for this nursing home in the last three years.
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.03 h (below the Texas median of 3.27 h)
- RN hours per resident per day
- 0.34 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.64 h
- Nursing staff turnover
- 91.0% (Texas median 52.1%)
- Administrators who left
- 3
- CMS overall rating
- 2 of 5
- Health inspection rating
- 3 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 3 of 5
CMS figures for Five Points Nursing and Rehabilitation, copied as published; Texas medians are ours.
Facility details
- Address
- 1901 North Hampton Road, DeSoto, TX 75115
- Phone
- (972) 694-9810
- County
- Dallas
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Chain (CMS)
- Creative Solutions in Healthcare
- Certified beds
- 120
- Average residents per day
- 78.8
- In Medicare/Medicaid since
- Dec 1, 2021
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How are a resident's goals and preferences written into the care plan? (F656, cited 3 times)
- Can residents and families see this month's activity calendar, including options for residents who stay in their rooms? (F679, cited 2 times)
- How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 2 times)
- How are residents with feeding tubes monitored, and is there a plan to try eating by mouth again? (F693, cited 2 times)
Other nursing homes in DeSoto and the same chain
- Williamsburg Village Healthcare Campus
DeSoto · 84 deficiencies - Park Village Healthcare and Rehabilitation
DeSoto · 52 deficiencies - Methodist Transitional Care Center-Desoto LLC
DeSoto · 27 deficiencies - DeSoto Nursing & Rehabilitation Center
DeSoto · 18 deficiencies - Franklin Heights Nursing & Rehabilitation
El Paso · 76 deficiencies - St. Teresa Nursing & Rehab Center
El Paso · 75 deficiencies - Mountain View Health & Rehabilitation
El Paso · 72 deficiencies - Pleasant Springs Healthcare Center
Mount Pleasant · 66 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.