Nursing HomeInspections

Rambling Oaks Courtyard Extensive Care Community

Nursing home in Highland Village, TX

Medicare & Medicaid certified2★ overall (CMS)

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Public-record details

Address
112 Barnett Blvd, Highland Village, TX 75077
Phone
(972) 317-1174
Listed under
For-profit
Medicare CCN
676168
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measures rating
4 of 5
Certified beds
70
Average residents per day
45
Ownership
For-profit, corporation
Legal business name
Highland Village Skilled Care LLC
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 24, 2008
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 676168. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Jan 8, 2026. CMS lists 34 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 14, 2023 to Aug 9, 2026): 6 from complaint inspections, 2 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Aug 9, 2026Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 9, 2026Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental · complaint inspection		H
Actual harm, pattern
Jan 8, 2026Reasonably accommodate the needs and preferences of each resident.
Resident Rights		D
Potential for more than minimal harm, isolated
Jan 8, 2026Develop 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		D
Potential for more than minimal harm, isolated
Jan 8, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jan 8, 2026Ensure 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.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jan 8, 2026Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jan 8, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jan 8, 2026Ensure 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…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Jan 8, 2026Keep residents' personal and medical records private and confidential.
Resident Rights		E
Potential for more than minimal harm, pattern
Jan 8, 2026Honor 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.
Resident Rights		E
Potential for more than minimal harm, pattern
Jan 8, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 34. 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 Oct 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $31,265 in the last three years.

Aug 9, 2026Fine: $9,625
Jun 14, 2024Fine: $21,640

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

Staffing

Total nurse staffing per resident per day
3.98 hours
Registered nurse (RN) time per resident per day
0.51 hours
Nurse aide time per resident per day
2.13 hours
Total nurse staffing on weekends
3.70 hours
Nursing staff turnover (yearly)
69%
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.

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error