facebook tracking Highland Meadows, Rockwall TX: CMS Ratings & Inspections
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Highland Meadows

All states › Texas › Rockwall › Highland Meadows

1870 John King Blvd Rockwall, TX 75032 · Rockwall County

(972) 722-7408

All 4 nursing homes in Rockwall, TX (4 take Medicaid)

Accepts Medicare Accepts Medicaid 120 certified beds For profit

CMS certification number 676387 · 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 Highland Meadows 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 Highland Meadows as of October 2026.

CMS rates it 4 out of 5 stars overall, above the Texas average of 2.8. Inspectors issued 13 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 3 out of 5; for long-term residents, 5 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.

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Compare with the 3 closest homes

Staffing

Nursing staff spend about 3.76 hours per resident per day at Highland Meadows, above the Texas median of 3.30 (US median: 3.72). About 0.52 of those hours are from registered nurses. On weekends it falls to 3.46 hours, 8% below its all-week average. 50.5% of nursing staff left within a year (Texas median 50.2%).

Nursing care per resident per day 3.76 hours
Above the Texas median of 3.30 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.52 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.46 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 50.5% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 69.2% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds120
Residents per day 108 About 90% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceJune 2015
Legal business nameNOCONA HOSPITAL DISTRICT

Paying for care at Highland Meadows: Medicare and Medicaid

Highland Meadows 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 May 14, 2026 and found 5 deficiencies. In total, inspectors issued 13 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 13 citations at Highland Meadows across 4 inspection dates, 4 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 13 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were quality of life and care (3) and infection control (2). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level E, May 14, 2026). 1 citation was under CMS's abuse, neglect and exploitation rules.

May 14, 2026 · 5 citations

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Jun 3, 2026)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Jun 3, 2026)

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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Jun 3, 2026)

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 (Jun 3, 2026)

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 · Deficient, Provider has date of correction (Jun 3, 2026)

March 5, 2025 · 4 citations

DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0655 · Deficient, Provider has date of correction (Mar 24, 2025)

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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0693 · Deficient, Provider has date of correction (Mar 24, 2025)

DImplement 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0758 · Deficient, Provider has date of correction (Mar 24, 2025)

DProvide 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 (Mar 24, 2025)

January 31, 2025 · 2 citations · includes complaint inspection

DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Complaint inspection · Deficient, Provider has date of correction (Feb 23, 2025)

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Feb 23, 2025)

February 15, 2024 · 2 citations · includes complaint inspection

EHave a policy regarding use and storage of foods brought to residents by family and other visitors.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0813 · Complaint inspection · Deficient, Provider has date of correction (Mar 11, 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 (Mar 11, 2024)

Questions to ask on a tour of Highland Meadows

  1. CMS cited the home under its abuse and neglect rules on January 31, 2025. How are staff trained, and how are concerns reported?
  2. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  3. 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

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 4/5 4/5 3/5 4/5
August 2026 4/5 4/5 2/5 3/5
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Location

Hospitals near Highland Meadows

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

Rockwall Nursing Care Center Rockwall · 2.3 mi away ★★☆☆☆ Inspection 1/5 · Staffing 2/5 192 beds · Medicaid
Broadmoor Medical Lodge Rockwall · 2.4 mi away ★★★☆☆ Inspection 3/5 · Staffing 2/5 140 beds · Medicaid
Beacon Harbor Healthcare and Rehabilitation Rockwall · 4.5 mi away ★★★★★ Inspection 4/5 · Staffing 2/5 190 beds · Medicaid
Rowlett Health and Rehabilitation Center Rowlett · 4.9 mi away ★★★★☆ Inspection 4/5 · Staffing 2/5 163 beds · Medicaid
Wylie Oaks Healthcare and Rehabilitation Wylie · 9.7 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 106 beds · Medicaid

More nursing homes near Highland Meadows ›   All nursing homes in Rockwall ›

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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/rockwall/highland-meadows/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.