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The Highlands Guest Care Center
9009 Forest Ln, Dallas, TX 75243
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.
The Highlands Guest Care Center is a For-profit, limited liability company nursing home in Dallas, Texas, certified for 116 beds and caring for about 72 residents a day.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 1 and quality measures 2.
Inspectors recorded 25 health deficiencies across the three most recent survey cycles (3, 11, 11 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 21.6 per 100 beds, about the same as the state median of 22.5.
CMS lists 1 penalty in the period covered: fines totalling $48K.
Reported nurse staffing is 3.3 hours per resident per day (0.4 RN), close to the Texas median of 3.3.
Compared with county, state and nation
| Measure | This facility | Dallas Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 25 | 28 | 25 | 28.7 |
| Citations per 100 beds | 21.6 | 22.0 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.3 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | — | 55.5% | 52.1% | 45.8% |
| Fines listed | $47,726 | $25,390 | $16,801 | — |
County and state figures are medians across facilities (81 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: 30 Dec 2025, 10 Oct 2024.
Severity mix: K ×4 D ×8 E ×12 C ×1
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 |
|---|---|---|---|---|---|
| 10 Jun 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 | Complaint investigation | 20 Jun 2026 |
| 30 Dec 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 10 Jan 2026 |
| 30 Dec 2025 | F0732 | Post nurse staffing information every day. | C | Standard survey | 10 Jan 2026 |
| 14 Apr 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint investigation | 16 Apr 2025 |
| 14 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Complaint investigation | 16 Apr 2025 |
| 14 Apr 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | K | Complaint investigation | 16 Apr 2025 |
| 14 Apr 2025 | F0777 | Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | K | Complaint investigation | 16 Apr 2025 |
| 14 Apr 2025 | F0908 | Keep all essential equipment working safely. | E | Complaint investigation | 16 Apr 2025 |
| 19 Feb 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 28 Mar 2025 |
| 19 Feb 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Complaint investigation | 28 Mar 2025 |
| 10 Oct 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint investigation | 8 Nov 2024 |
| 10 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 8 Nov 2024 |
| 10 Oct 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 8 Nov 2024 |
| 10 Oct 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 8 Nov 2024 |
| 24 Aug 2023 | F0584 | 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 | Standard survey | 2 Oct 2023 |
| 24 Aug 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 2 Oct 2023 |
| 24 Aug 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 2 Oct 2023 |
| 24 Aug 2023 | F0690 | 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 | Standard survey | 2 Oct 2023 |
| 24 Aug 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 2 Oct 2023 |
| 24 Aug 2023 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Standard survey | 2 Oct 2023 |
| 24 Aug 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 2 Oct 2023 |
| 11 Aug 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 15 Sep 2023 |
| 11 Aug 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Complaint investigation | 15 Sep 2023 |
| 11 Aug 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 15 Sep 2023 |
| 11 Aug 2023 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 15 Sep 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 14 Apr 2025 | Fine | $47,726 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff —, RNs —; 1 administrator 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 | 15.2% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.6% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.6% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 14.5% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 8.1% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.1% | 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% | 04/01/2018 |
| Gamvest Texas LLC | 5% or greater mortgage interest | NOT APPLICABLE | 07/01/2018 |
| The Highlands Guest Care Center LLC | Operational/managerial control | NOT APPLICABLE | 07/01/2018 |
| Gamvest Texas LLC | Adp of the snf | NOT APPLICABLE | 07/01/2018 |
| The Highlands Guest Care Center LLC | Adp of the snf | NOT APPLICABLE | 04/30/2025 |
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 Dallas County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Avir At Irving | Irving | 84 | 5 | 4 | 2 | 18 | 21.4 | — | 26 Feb 2026 |
| Brentwood Place One | Dallas | 120 | 5 | 5 | 1 | 15 | 12.5 | — | 9 Apr 2026 |
| C C Young Memorial Home | Dallas | 129 | 5 | 5 | 5 | 8 | 6.2 | — | 15 Jan 2026 |
| Cheyenne Medical Lodge | Mesquite | 139 | 5 | 4 | 2 | 20 | 14.4 | — | 16 Jun 2026 |
| Crestview Court | Cedar Hill | 125 | 5 | 4 | 2 | 21 | 16.8 | $17K | 14 Jun 2025 |
| Las Brisas Rehabilitation and Wellness Center | Irving | 128 | 5 | 5 | 2 | 10 | 7.8 | — | 8 Jan 2026 |
| Pure Health Transitional Care At Texas Health Pres | Dallas | 49 | 5 | 5 | 4 | 4 | 8.2 | — | 2 Jul 2025 |
| Ventana By Buckner | Dallas | 72 | 5 | 4 | 5 | 14 | 19.4 | — | 18 Mar 2026 |
All 81 facilities in Dallas County
Questions and answers
How many deficiencies has The Highlands Guest Care Center been cited for?
25 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has The Highlands Guest Care Center been fined?
Yes. CMS lists fines totalling $48K in the period covered.
How does staffing at The Highlands Guest Care Center compare?
Reported total nurse staffing is 3.3 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates The Highlands Guest Care Center?
Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Nocona Hospital District and The Highlands Guest Care Center LLC. Individual owners and managers are not listed on this site.
When was The Highlands Guest Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 10 Jun 2026; the most recent standard health survey was 30 Dec 2025.
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.