Texas › Rockwall County › Rockwall
Highland Meadows
1870 John King Blvd, Rockwall, TX 75032
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Highland Meadows, in Rockwall, Texas, is certified for 120 beds under for-profit, limited liability company ownership.
CMS gives it 4 of 5 stars overall, above the Texas median of 3; the health inspection rating is 4, staffing 2 and quality measures 3.
Inspectors recorded 13 health deficiencies across the three most recent survey cycles (5, 6, 2 by cycle, most recent first), none at the actual-harm level. That is 10.8 per 100 beds, fewer than the state median of 22.5.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.5 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 48.2%.
Compared with county, state and nation
| Measure | This facility | Rockwall Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 13 | 27 | 25 | 28.7 |
| Citations per 100 beds | 10.8 | 14.2 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.5 | 3.4 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 48.2% | 44.9% | 52.1% | 45.8% |
| Fines listed | $0 | $0 | $16,801 | — |
County and state figures are medians across facilities (5 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 14 May 2026, 5 Mar 2025.
Severity mix: D ×7 E ×6
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 14 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 3 Jun 2026 |
| 14 May 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 3 Jun 2026 |
| 14 May 2026 | F0761 | 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. | E | Standard survey | 3 Jun 2026 |
| 14 May 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 3 Jun 2026 |
| 14 May 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 3 Jun 2026 |
| 5 Mar 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 24 Mar 2025 |
| 5 Mar 2025 | F0693 | 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 | Standard survey | 24 Mar 2025 |
| 5 Mar 2025 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 24 Mar 2025 |
| 5 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 24 Mar 2025 |
| 31 Jan 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 23 Feb 2025 |
| 31 Jan 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 23 Feb 2025 |
| 15 Feb 2024 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | Complaint investigation | 11 Mar 2024 |
| 15 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 11 Mar 2024 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 48.2%, RNs 64.3%; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 9.8% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.4% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.7% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.2% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 27.9% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.0% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 9.4% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Nocona Hospital District.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Nocona Hospital District | 5% or greater direct ownership interest | 100% | 07/01/2025 |
| Haco Health Solutions LLC | Operational/managerial control | NOT APPLICABLE | 07/01/2025 |
| Haco Health Solutions LLC | Adp of the snf | NOT APPLICABLE | 10/02/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Rockwall County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Beacon Harbor Healthcare and Rehabilitation | Rockwall | 190 | 3 | 3 | 1 | 27 | 14.2 | $22K | 24 Mar 2026 |
| Broadmoor Medical Lodge | Rockwall | 140 | 3 | 3 | 2 | 32 | 22.9 | — | 22 Apr 2026 |
| Rockwall Nursing Care Center | Rockwall | 192 | 3 | 2 | 2 | 50 | 26.0 | $58K | 26 Mar 2026 |
| Royse City Medical Lodge | Royse City | 124 | 3 | 4 | 1 | 17 | 13.7 | — | 12 Feb 2026 |
All 5 facilities in Rockwall County
Questions and answers
How many deficiencies has Highland Meadows been cited for?
13 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Highland Meadows been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Highland Meadows compare?
Reported total nurse staffing is 3.5 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Highland Meadows?
Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Nocona Hospital District and Haco Health Solutions LLC. Individual owners and managers are not listed on this site.
When was Highland Meadows last inspected?
The most recent survey or investigation in the CMS record is dated 14 May 2026; the most recent standard health survey was 14 May 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.