All states › Texas › Highland Village › Rambling Oaks Courtyard Extensive Care Community
112 Barnett Blvd Highland Village, TX 75077 · Denton County
CMS certification number 676168 · See this home on Medicare Care Compare
Is Rambling Oaks Courtyard Extensive Care Community 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 Rambling Oaks Courtyard Extensive Care Community as of October 2026.
CMS rates it 2 out of 5 stars overall, below the Texas average of 2.8.
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 3.98 hours per resident per day at Rambling Oaks Courtyard Extensive Care Community, above the Texas median of 3.30 (US median: 3.72). About 0.51 of those hours are from registered nurses. On weekends it falls to 3.70 hours, 7% below its all-week average. 68.8% of nursing staff left within a year (Texas median 50.2%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Rambling Oaks Courtyard Extensive Care Community: Medicare and Medicaid
Rambling Oaks Courtyard Extensive Care Community 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 January 8, 2026 and found 11 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 34 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 34 citations at Rambling Oaks Courtyard Extensive Care Community across 7 inspection dates, 6 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on June 14, 2024 (complaint inspection). The most common areas cited were quality of life and care (11) and resident assessment and care planning (6). The most serious was cited under the CMS rule to "immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident" (tag F0580, level J, June 14, 2024).
August 9, 2026 · 2 citations · includes complaint inspection
HMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
DProvide and implement an infection prevention and control program.
January 8, 2026 · 11 citations
EKeep residents' personal and medical records private and confidential.
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.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EProvide and implement an infection prevention and control program.
DReasonably accommodate the needs and preferences of each resident.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure 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.
DProvide for the safe, appropriate administration of IV fluids for a resident when needed.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure 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.
September 2, 2025 · 2 citations · includes complaint inspection
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EEnsure 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.
July 30, 2025 · 1 citation · includes complaint inspection
DProvide safe and appropriate respiratory care for a resident when needed.
October 17, 2024 · 9 citations
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProvide safe and appropriate respiratory care for a resident when needed.
EEnsure 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
DEnsure each resident receives an accurate assessment.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
June 14, 2024 · 1 citation, includes immediate jeopardy · includes complaint inspection
JImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
September 14, 2023 · 8 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide safe and appropriate respiratory care for a resident when needed.
DProvide doctor's orders for the resident's immediate care at the time the resident was admitted.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of Rambling Oaks Courtyard Extensive Care Community
- Inspectors cited the home at the immediate-jeopardy level on June 14, 2024 under the rule on resident rights. What changed afterwards, and can I see the plan of correction?
- Nursing staff turnover was 68.8% a year. How many of the staff come from agencies?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- 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
2 penalties in the last three years, including $31,265 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Aug 9, 2026 | Fine | $9,625 |
| Jun 14, 2024 | Fine | $21,640 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 2/5 | 3/5 | 4/5 |
| August 2026 | 3/5 | 3/5 | 3/5 | 4/5 |
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Location
Hospitals near Rambling Oaks Courtyard Extensive Care Community
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
2.2 mi
Texas Health Presbyterian Hospital Flower Mound Flower MoundEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 2h 28m for patients treated and sent home
-
4.5 mi
Medical Center of Lewisville LewisvilleEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 2m for patients treated and sent home
- 6.8 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Rambling Oaks Courtyard Extensive Care Community › All nursing homes in Highland Village ›
Compare Rambling Oaks Courtyard Extensive Care Community with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Denton Rehabilitation and Nursing Center · Denton · 5 stars · 4.8 mi
- Cross Timbers Rehabilitation and Healthcare Center · Flower Mound · 4 stars · 2.5 mi
- Lake Forest Village by PureHealth · Denton · 3 stars · 6.3 mi
- Vista Ridge Nursing & Rehabilitation Center · Lewisville · 3 stars · 8.1 mi
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.