The Highlands Guest Care Center

Nursing home in Dallas, TX

Medicare & Medicaid certified1★ overall (CMS)

Call (972) 783-1771 Send a message Map ↗

Public-record details

Address: 9009 Forest Ln, Dallas, TX 75243
Phone: (972) 783-1771
Listed under: For-profit
Medicare CCN: 675447
Overall star rating: 1 of 5 ★☆☆☆☆
Health inspection rating: 2 of 5
Staffing rating: 1 of 5
Quality measures rating: 2 of 5
Certified beds: 116
Average residents per day: 72
Ownership: For-profit, limited Liability company
Legal business name: Nocona Hospital District
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Jan 26, 1995
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 675447. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Dec 30, 2025. CMS lists 25 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 11, 2023 to Jun 10, 2026): 16 from complaint inspections, 4 at the “actual harm” level or higher, including 4 at “immediate jeopardy”.

Inspection	Citation	Severity
Jun 10, 2026	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning · complaint inspection	D Potential for more than minimal harm, isolated
Dec 30, 2025	Post nurse staffing information every day. Nursing and Physician Services	C Potential for minimal harm, widespread
Dec 30, 2025	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights	D Potential for more than minimal harm, isolated
Apr 14, 2025	Keep all essential equipment working safely. Environmental · complaint inspection	E Potential for more than minimal harm, pattern
Apr 14, 2025	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation · complaint inspection	K Immediate jeopardy, pattern
Apr 14, 2025	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care · complaint inspection	K Immediate jeopardy, pattern
Apr 14, 2025	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care · complaint inspection	K Immediate jeopardy, pattern
Apr 14, 2025	Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. Administration · complaint inspection	K Immediate jeopardy, pattern
Feb 19, 2025	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning · complaint inspection	E Potential for more than minimal harm, pattern
Feb 19, 2025	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care · complaint inspection	E Potential for more than minimal harm, pattern
Oct 10, 2024	Keep residents' personal and medical records private and confidential. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
Oct 10, 2024	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated

Showing the 12 most recent of 25. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $47,726 in the last three years.

Apr 14, 2025

Fine: $47,726

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 3.32 hours
Registered nurse (RN) time per resident per day: 0.38 hours
Nurse aide time per resident per day: 1.98 hours
Total nurse staffing on weekends: 2.97 hours
Administrators who left in the past year: 1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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