Highland Meadows
Nursing Home · 1870 John King Blvd, Rockwall, TX 75032 · 9727227408
B+
graded on 75% of our rubric
Why you can trust this grade. HearthGrades is independent and free to use. Every grade is computed from public CMS and state records on a fixed, published rubric — safety inspections, staffing, clinical outcomes, enforcement and financial stability. This provider was graded on 75% of that rubric. No facility can pay to change its grade or where it appears, and we take no money from the providers we grade. See the full methodology.
Scores by dimension
| Dimension | Score | Data confidence |
|---|---|---|
| Safety & compliance | 5.0 / 5 | high |
| Staffing | 2.5 / 5 | high |
| Clinical outcomes | 3.1 / 5 | high |
| Enforcement | 5.0 / 5 | high |
| Financial stability | 3.7 / 5 | med |
Key facts
| Care type | Nursing Home |
| Beds | 120 |
| Ownership | For Profit - Individual |
| Operator | Nocona Hospital District |
| Certified since | 2015-06-24 |
| CMS overall star | 5 / 5 |
| Accepts Medicaid | Yes |
| Price tier | $$$$ of 5 · ~$392/day reported charge (within TX) |
Inspection & enforcement record
- Health-inspection citations: 0 immediate jeopardy · 0 actual harm · 8 potential for harm · 0 minor
- Federal fines: $0 · payment denials: 0 · penalty actions: 0
Recent inspection findings
The 8 most recent health-inspection deficiencies on file with CMS, newest first. Severity is the CMS scope/severity scale (A–L); G and above mean actual harm or immediate jeopardy. "Corrected" shows the date the facility certified the fix.
| Date | Finding | Severity | Status |
|---|---|---|---|
| 2025-03-05 | Create 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 Deficiencies, tag 0655) | D | corrected 2025-03-24 |
| 2025-03-05 | Ensure 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 Deficiencies, tag 0693) | D | corrected 2025-03-24 |
| 2025-03-05 | Implement 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. (Pharmacy Service Deficiencies, tag 0758) | D | corrected 2025-03-24 |
| 2025-03-05 | Provide and implement an infection prevention and control program. (Infection Control Deficiencies, tag 0880) | D | corrected 2025-03-24 |
| 2025-01-31 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Resident Rights Deficiencies, tag 0580) | D | corrected 2025-02-23 |
| 2025-01-31 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Freedom from Abuse, Neglect, and Exploitation Deficiencies, tag 0609) | D | corrected 2025-02-23 |
| 2024-02-15 | Provide and implement an infection prevention and control program. (Infection Control Deficiencies, tag 0880) | E | corrected 2024-03-11 |
| 2024-02-15 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. (Nutrition and Dietary Deficiencies, tag 0813) | E | corrected 2024-03-11 |
Staffing
Nurse hours per resident per day (CMS Payroll-Based Journal) — the strongest objective predictor of care. "Expected" is what CMS's case-mix model says this facility's resident acuity calls for.
- Total nurse staffing: 3.77 hrs/resident/day (expected 3.85 for this facility's resident acuity — below expected) (US median 3.69 · TX 3.27)
- Registered-nurse staffing: 0.45 hrs/resident/day (expected 0.68 for this facility's resident acuity — below expected) (US median 0.58)
- Breakdown: nurse aide 2.52 · LPN 0.81 hrs/resident/day
- Weekend total staffing: 3.60 hrs/resident/day (expected 3.42 for this facility's resident acuity — at or above expected)
- Annual nursing-staff turnover: 46.6% · RN turnover 90.0% (US median 45.3% · lower is better)
- Resident acuity (nursing case-mix index): 1.38 (1.0 ≈ national average; higher = more care-intensive residents)
Clinical outcomes — the measures behind the score
The 8 CMS MDS quality measures (2025Q1-2025Q4) driving this facility's clinical score — the same measures behind the CMS QM star. All are adverse-event rates: lower is better. Worst first. The quarterly column shows the four most recent quarters (Q1→Q4); benchmarks are the national percentile and the TX state median.
| Measure | 4-qtr avg | Quarterly (Q1→Q4) | Benchmark |
|---|---|---|---|
| Percentage of long-stay residents whose ability to walk independently worsened (long stay) | 31% | not reported | worse than 93% of US homes · TX median 13% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (long stay) | 1.6% | 2.4 → 2.6 → 1.5 → 0 | worse than 83% of US homes · TX median 0% |
| Percentage of long-stay residents experiencing one or more falls with major injury (long stay) | 4% | 4.5 → 4.8 → 4.9 → 1.6 | worse than 68% of US homes · TX median 3% |
| Percentage of long-stay residents whose need for help with daily activities has increased (long stay) | 14.1% | 23.8 → 10.6 → 22.4 → 1.9 | worse than 54% of US homes · TX median 14.8% |
| Percentage of long-stay residents who received an antipsychotic medication (long stay) | 9.9% | 7.7 → 7.1 → 9.5 → 14.3 | better than 66% of US homes · TX median 8.1% |
| Percentage of short-stay residents who newly received an antipsychotic medication (short stay) | 0.1% | 0 → 0 → 0 → 0.5 | better than 73% of US homes · TX median 0.7% |
| Percentage of long-stay residents with pressure ulcers (long stay) | 0.3% | 1.2 → 0 → 0 → 0 | better than 97% of US homes · TX median 3.4% |
| Percentage of long-stay residents with a urinary tract infection (long stay) | 0% | 0 → 0 → 0 → 0 | better than 100% of US homes · TX median 0.3% |
What this costs
- This facility's reported avg daily charge: $392/day · $$$$ (price tier 4 of 5 among Texas nursing homes) — from its own federal cost report, FY ending 2024-12. Gross charges across all payers and services: higher than a quoted private rate, but computed identically for every facility, which makes the tier a fair within-state comparison.
- Payer mix (resident days): 35% Medicaid · 21% Medicare · 44% other/private · 89% occupancy
- Texas median (quoted rates): $185/day semi-private · $250/day private (national: $315 · $355)
- Accepts Medicaid: yes
- This facility's quoted rate: not public. This facility's quoted private rate isn't published by any federal or state source. Medicare covers short rehab stays (up to 100 days, copays after day 20); long-term stays are private pay until savings spend down to Medicaid. How to get the real number →
Market medians: CareScout Cost of Care Survey 2025 (collected July–November 2025), state-level — individual providers vary widely around a median. Facility-level prices aren't published by any government source; how to get a real quote.
Hospitals serving Rockwall County
Hospitals in the same county — those with an emergency department first, then by CMS hospital star rating. Useful for transfers and emergencies.
| Hospital | City | ER | CMS star | Type |
|---|---|---|---|---|
| Texas Health Presbyterian Hospital Rockwall | Rockwall | Yes | 5★ | Acute care |
Compare nearby
- B+ Royse City Medical Lodge · Royse City
- B Broadmoor Medical Lodge · Rockwall
- B- Beacon Harbor Healthcare And Rehabilitation · Rockwall
- C Rockwall Nursing Care Center · Rockwall
Full interactive report card → Facility's own website ↗ CMS Care Compare ↗
Source: CMS Provider Information + Health Deficiencies + Penalties (as of 2026-05). Part of our Rockwall County nursing homes coverage. Spot an error? Tell us.