Rambling Oaks Courtyard Extensive Care Community
Nursing Home · 112 Barnett Blvd, Highland Village, TX 75077 · 9723171174
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 | 3.0 / 5 | high |
| Staffing | 2.3 / 5 | high |
| Clinical outcomes | 3.3 / 5 | high |
| Enforcement | 3.8 / 5 | high |
| Financial stability | 3.8 / 5 | med |
Key facts
| Care type | Nursing Home |
| Beds | 70 |
| Ownership | For Profit - Individual |
| Operator | Highland Village Skilled Care Llc |
| Certified since | 2008-01-24 |
| CMS overall star | 4 / 5 |
| Accepts Medicaid | Yes |
| Price tier | $$$$ of 5 · ~$428/day reported charge (within TX) |
Inspection & enforcement record
- Health-inspection citations: 1 immediate jeopardy · 0 actual harm · 22 potential for harm · 0 minor
- Federal fines: $21,640 · payment denials: 0 · penalty actions: 1
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 |
|---|---|---|---|
| 2025-09-02 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Pharmacy Service Deficiencies, tag 0755) | E | corrected 2025-09-03 |
| 2025-09-02 | Ensure 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. (Pharmacy Service Deficiencies, tag 0761) | E | corrected 2025-09-03 |
| 2025-07-30 | Provide safe and appropriate respiratory care for a resident when needed. (Quality of Life and Care Deficiencies, tag 0695) | D | corrected 2025-08-01 |
| 2024-10-17 | Ensure each resident receives an accurate assessment. (Resident Assessment and Care Planning Deficiencies, tag 0641) | D | corrected 2024-11-14 |
| 2024-10-17 | 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 Deficiencies, tag 0656) | D | corrected 2024-11-14 |
| 2024-10-17 | Provide care and assistance to perform activities of daily living for any resident who is unable. (Quality of Life and Care Deficiencies, tag 0677) | E | corrected 2024-11-14 |
| 2024-10-17 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Quality of Life and Care Deficiencies, tag 0689) | E | corrected 2024-11-14 |
| 2024-10-17 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. (Quality of Life and Care Deficiencies, tag 0691) | D | corrected 2024-11-14 |
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: 3.30 hrs/resident/day (expected 3.83 for this facility's resident acuity — below expected) (US median 3.69 · TX 3.27)
- Registered-nurse staffing: 0.70 hrs/resident/day (expected 0.67 for this facility's resident acuity — at or above expected) (US median 0.58)
- Breakdown: nurse aide 1.24 · LPN 1.36 hrs/resident/day
- Weekend total staffing: 2.87 hrs/resident/day (expected 3.40 for this facility's resident acuity — below expected)
- Annual nursing-staff turnover: 60.0% (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 with pressure ulcers (long stay) | 10.2% | 13.5 → 15.5 → 4.9 → 7.1 | worse than 95% of US homes · TX median 3.4% |
| Percentage of long-stay residents whose need for help with daily activities has increased (long stay) | 14.4% | 25 → 15.4 → 8.7 → 8.3 | worse than 56% of US homes · TX median 14.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication (short stay) | 0.9% | 0 → 0 → 1.9 → 2.8 | better than 52% of US homes · TX median 0.7% |
| Percentage of long-stay residents with a urinary tract infection (long stay) | 0.8% | 0 → 0 → 0 → 3.1 | better than 55% of US homes · TX median 0.3% |
| Percentage of long-stay residents whose ability to walk independently worsened (long stay) | 11.6% | not reported | better than 59% of US homes · TX median 13% |
| Percentage of long-stay residents experiencing one or more falls with major injury (long stay) | 2.3% | 3 → 3 → 0 → 2.9 | better than 61% of US homes · TX median 3% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (long stay) | 0% | 0 → 0 → 0 → 0 | better than 100% of US homes · TX median 0% |
| Percentage of long-stay residents who received an antipsychotic medication (long stay) | 0% | · → · → · → 0 | better than 100% of US homes · TX median 8.1% |
What this costs
- This facility's reported avg daily charge: $428/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): 10% Medicaid · 27% Medicare · 63% other/private · 62% 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 Denton 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 Denton | Denton | Yes | 5★ | Acute care |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | Yes | 5★ | Acute care |
| The Heart Hospital Baylor Denton | Denton | Yes | 5★ | Acute care |
| Medical City Denton | Denton | Yes | 4★ | Acute care |
| Texas Health Hospital Frisco | Frisco | Yes | 4★ | Acute care |
| Baylor Scott & White Medical Center - Frisco | Frisco | Yes | 3★ | Acute care |
Compare nearby
- B+ Avir At Pilot Point · Pilot Point
- B+ Denton Rehabilitation And Nursing Center · Denton
- B Lake Forest Village By Purehealth · Denton
- B Cross Timbers Rehabilitation And Healthcare Center · Flower Mound
- B Hollymead · Flower Mound
- B Vista Ridge Nursing & Rehabilitation Center · Lewisville
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 Denton County nursing homes coverage. Spot an error? Tell us.