Nursing HomeInspections

Highland Meadows

Nursing home in Rockwall, TX

Medicare & Medicaid certified4★ overall (CMS)

Call (972) 722-7408Send a messageMap ↗

Public-record details

Address
1870 John King Blvd, Rockwall, TX 75032
Phone
(972) 722-7408
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
676387
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
4 of 5
Staffing rating
2 of 5
Quality measures rating
3 of 5
Certified beds
120
Average residents per day
111
Ownership
For-profit, limited Liability company
Legal business name
Nocona Hospital District
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jun 24, 2015
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 676387. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 14, 2026. CMS lists 13 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 15, 2024 to May 14, 2026): 4 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
May 14, 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
May 14, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
May 14, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
May 14, 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		E
Potential for more than minimal harm, pattern
May 14, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Mar 5, 2025Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 5, 2025Ensure 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
Mar 5, 2025Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Mar 5, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Jan 31, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Jan 31, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 15, 2024Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary · complaint inspection		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 13. 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 no fines or payment denials for this facility in the last three years.

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
3.49 hours
Registered nurse (RN) time per resident per day
0.41 hours
Nurse aide time per resident per day
2.35 hours
Total nurse staffing on weekends
3.23 hours
Nursing staff turnover (yearly)
48%
RN turnover (yearly)
64%

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.

Other nursing homes in Rockwall

Beacon Harbor Healthcare and Rehabilitation6700 Heritage Parkway · Rockwall, TX 75087 · (972) 412-4000 · For-profit27 health citations in 3 inspection cycles · last standard inspection Nov 20, 2025 · $21,817 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)Broadmoor Medical Lodge5242 Medical Drive · Rockwall, TX 75032 · (972) 772-8700 · Government-owned32 health citations in 3 inspection cycles · last standard inspection Mar 5, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified3★ overall (CMS)Rockwall Nursing Care Center206 Storrs Street · Rockwall, TX 75087 · (972) 771-5000 · For-profit50 health citations in 3 inspection cycles · last standard inspection Mar 26, 2026 · $58,059 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)

All 4 in Rockwall →