The Highlands Guest Care Center
Nursing Home · 9009 Forest Ln, Dallas, TX 75243 · 9727831771
C+
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 | 2.0 / 5 | high |
| Staffing | 2.2 / 5 | high |
| Clinical outcomes | 3.5 / 5 | high |
| Enforcement | 3.1 / 5 | high |
| Financial stability | 4.0 / 5 | med |
Key facts
| Care type | Nursing Home |
| Beds | 116 |
| Ownership | For Profit - Limited Liability Company |
| Operator | Nocona Hospital District |
| Certified since | 1995-01-26 |
| CMS overall star | 1 / 5 |
| Accepts Medicaid | Yes |
| Price tier | $$$ of 5 · ~$301/day reported charge (within TX) |
Inspection & enforcement record
- Health-inspection citations: 4 immediate jeopardy · 0 actual harm · 19 potential for harm · 1 minor
- Federal fines: $47,726 · 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 |
|---|---|---|---|
| 2025-12-30 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Resident Rights Deficiencies, tag 0550) | D | corrected 2026-01-10 |
| 2025-12-30 | Post nurse staffing information every day. (Nursing and Physician Services Deficiencies, tag 0732) | C | corrected 2026-01-10 |
| 2025-04-14 | 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 Deficiencies, tag 0600) | K · immediate jeopardy | corrected 2025-04-16 |
| 2025-04-14 | 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) | K · immediate jeopardy | corrected 2025-04-16 |
| 2025-04-14 | Provide safe, appropriate pain management for a resident who requires such services. (Quality of Life and Care Deficiencies, tag 0697) | K · immediate jeopardy | corrected 2025-04-16 |
| 2025-04-14 | Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. (Administration Deficiencies, tag 0777) | K · immediate jeopardy | corrected 2025-04-16 |
| 2025-04-14 | Keep all essential equipment working safely. (Environmental Deficiencies, tag 0908) | E | corrected 2025-04-16 |
| 2025-02-19 | 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) | E | corrected 2025-03-28 |
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: 3.33 hrs/resident/day (expected 3.75 for this facility's resident acuity — below expected) (US median 3.69 · TX 3.27)
- Registered-nurse staffing: 0.46 hrs/resident/day (expected 0.66 for this facility's resident acuity — below expected) (US median 0.58)
- Breakdown: nurse aide 1.97 · LPN 0.89 hrs/resident/day
- Weekend total staffing: 2.88 hrs/resident/day (expected 3.33 for this facility's resident acuity — below expected)
- Resident acuity (nursing case-mix index): 1.35 (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) | 9.2% | 11 → 8.4 → 8.4 → 9.2 | worse than 92% of US homes · TX median 3.4% |
| Percentage of short-stay residents who newly received an antipsychotic medication (short stay) | 1.2% | 4.2 → 0 → 0 → · | worse than 56% of US homes · TX median 0.7% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (long stay) | 0.3% | 0 → 0 → 0 → 1.1 | better than 55% of US homes · TX median 0% |
| Percentage of long-stay residents whose need for help with daily activities has increased (long stay) | 10% | 8.1 → 10.9 → 9.8 → 11.3 | better than 64% of US homes · TX median 14.8% |
| Percentage of long-stay residents whose ability to walk independently worsened (long stay) | 9.6% | 4.4 → 10.2 → 11.2 → 12.2 | better than 68% of US homes · TX median 13% |
| Percentage of long-stay residents who received an antipsychotic medication (long stay) | 9.2% | 8.3 → 11.4 → 6.4 → 11.1 | better than 69% of US homes · TX median 8.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury (long stay) | 0.3% | 1.3 → 0 → 0 → 0 | better than 92% of US homes · TX median 3% |
| 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: $301/day · $$$ (price tier 3 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): 77% Medicaid · 5% Medicare · 18% other/private · 70% 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 Dallas 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 |
|---|---|---|---|---|
| Baylor Scott & White Heart & Vascular Hospital - Dallas | Dallas | Yes | 5★ | Acute care |
| Baylor Scott & White Medical Center at Irving | Irving | Yes | 5★ | Acute care |
| Baylor Scott and White Medical Center Lake Pointe | Rowlett | Yes | 4★ | Acute care |
| Baylor University Medical Center | Dallas | Yes | 4★ | Acute care |
| Medical City Las Colinas | Irving | Yes | 4★ | Acute care |
| Methodist Hospital for Surgery | Addison | Yes | 4★ | Acute care |
Compare nearby
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- B+ Presbyterian Village North Special Care Ctr · Dallas
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 Dallas County nursing homes coverage. Spot an error? Tell us.