facebook tracking The Highlands Guest Care Center, Dallas TX: CMS Ratings
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The Highlands Guest Care Center

All states › Texas › Dallas › The Highlands Guest Care Center

9009 Forest Ln Dallas, TX 75243 · Dallas County

(972) 783-1771

All 33 nursing homes in Dallas, TX (29 take Medicaid)

Accepts Medicare Accepts Medicaid 116 certified beds For profit

CMS certification number 675447 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is The Highlands Guest Care Center a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for The Highlands Guest Care Center as of October 2026.

CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8. Inspectors issued 23 citations in the last three years. CMS imposed 1 penalty, including $47,726 in fines, in that time. For short-term rehab patients CMS rates quality 2 out of 5; for long-term residents, 4 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 3.32 hours per resident per day at The Highlands Guest Care Center, about the same as the Texas median of 3.30 (US median: 3.72). About 0.59 of those hours are from registered nurses. On weekends it falls to 2.76 hours, 17% below its all-week average. Ask how weekends are staffed.

Nursing care per resident per day 3.32 hours
About the Texas median Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.59 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.76 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover — Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover — Share of registered nurses who left over a year.
Administrators who left 1 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds116
Residents per day 70 About 60% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceJanuary 1995
Legal business nameNOCONA HOSPITAL DISTRICT

Paying for care at The Highlands Guest Care Center: Medicare and Medicaid

The Highlands Guest Care Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on December 30, 2025 and found 2 deficiencies, plus 3 from complaint inspections in the same period. In total, inspectors issued 23 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 23 citations at The Highlands Guest Care Center across 8 inspection dates, 14 of them from complaint investigations. 4 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on April 14, 2025 (complaint inspection). The most common areas cited were quality of life and care (6) and resident rights (4). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level K, April 14, 2025). 1 citation was under CMS's abuse, neglect and exploitation rules.

July 23, 2026 · 1 citation · includes complaint inspection

DEnsure each resident’s drug regimen must be free from unnecessary drugs.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0757 · Complaint inspection · Deficient, Provider has date of correction (Jul 30, 2026)

July 14, 2026 · 1 citation · includes complaint inspection

DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0804 · Complaint inspection · Deficient, Provider has date of correction (Jul 20, 2026)

June 10, 2026 · 1 citation · includes complaint inspection

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Complaint inspection · Deficient, Provider has date of correction (Jun 20, 2026)

December 30, 2025 · 2 citations

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Jan 10, 2026)

CPost nurse staffing information every day.

Potential for minimal harm · Nursing and Physician Services Deficiencies · Tag F0732 · Deficient, Provider has date of correction (Jan 10, 2026)

April 14, 2025 · 5 citations, includes immediate jeopardy · includes complaint inspection

KProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Immediate jeopardy · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Apr 16, 2025)

KEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Apr 16, 2025)

KProvide safe, appropriate pain management for a resident who requires such services.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0697 · Complaint inspection · Deficient, Provider has date of correction (Apr 16, 2025)

KProvide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.

Immediate jeopardy · Administration Deficiencies · Tag F0777 · Complaint inspection · Deficient, Provider has date of correction (Apr 16, 2025)

EKeep all essential equipment working safely.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0908 · Complaint inspection · Deficient, Provider has date of correction (Apr 16, 2025)

February 19, 2025 · 2 citations · includes complaint inspection

EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Complaint inspection · Deficient, Provider has date of correction (Mar 28, 2025)

EProvide appropriate pressure ulcer care and prevent new ulcers from developing.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0686 · Complaint inspection · Deficient, Provider has date of correction (Mar 28, 2025)

October 10, 2024 · 4 citations · includes complaint inspection

EReasonably accommodate the needs and preferences of each resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0558 · Complaint inspection · Deficient, Provider has date of correction (Nov 8, 2024)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Nov 8, 2024)

DKeep residents' personal and medical records private and confidential.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0583 · Complaint inspection · Deficient, Provider has date of correction (Nov 8, 2024)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Complaint inspection · Deficient, Provider has date of correction (Nov 8, 2024)

August 24, 2023 · 7 citations

EHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Oct 2, 2023)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Oct 2, 2023)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Oct 2, 2023)

DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Deficient, Provider has date of correction (Oct 2, 2023)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Oct 2, 2023)

DProvide or get specialized rehabilitative services as required for a resident.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0825 · Deficient, Provider has date of correction (Oct 2, 2023)

DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0921 · Deficient, Provider has date of correction (Oct 2, 2023)

Questions to ask on a tour of The Highlands Guest Care Center

  1. Inspectors cited the home at the immediate-jeopardy level on April 14, 2025 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on April 14, 2025. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Weekend staffing is 17% below the all-week average. Who is on duty on Saturday nights?
  5. CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
  6. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  7. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

1 penalty in the last three years, including $47,726 in fines.

DateTypeAmount or length
Apr 14, 2025 Fine $47,726

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 1/5 2/5 1/5 3/5
August 2026 1/5 2/5 1/5 2/5
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Location

Hospitals near The Highlands Guest Care Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Presbyterian Village North Special Care Center Dallas · 0.3 mi away ★★★★☆ Inspection 4/5 · Staffing 4/5 88 beds
The Legacy Midtown Park Dallas · 1.5 mi away ★★★★★ Inspection 5/5 · Staffing 5/5 54 beds · Medicaid
Avir at the Meadow Dallas · 1.7 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 184 beds · Medicaid
Pure Health Transitional Care at Texas Health Pres Dallas · 2.3 mi away ★★★★★ Inspection 5/5 · Staffing 3/5 49 beds · Medicaid
Five Points at Lake Highlands Nursing and Rehab Dallas · 3.1 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 2/5 280 beds · Medicaid

More nursing homes near The Highlands Guest Care Center ›   All nursing homes in Dallas ›

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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/texas/dallas/the-highlands-guest-care-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.