The Highlands Guest Care Center has received an F grade based on CMS data, with a score of 19/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Dallas facility should carefully review its inspection history and quality metrics.
With 3.15 total nurse hours per resident per day, The Highlands Guest Care Center falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 24 deficiencies at The Highlands Guest Care Center, including 4 classified as serious — among the most concerning citation levels. The most notable finding involved: honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.15 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.39 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.93 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.83 | 2.4 | Below Average |
| Weekend Total Nursing | 2.63 | 3.8 | Below Average |
| Weekend RN Hours | 0.22 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0550 Severity DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Dec 29, 2025 · Resident Rights Deficiencies
- Tag 0600 Severity KProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Apr 13, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0689 Severity KEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Apr 13, 2025 · Quality of Life and Care Deficiencies
- Tag 0697 Severity KProvide safe, appropriate pain management for a resident who requires such services.Apr 13, 2025 · Quality of Life and Care Deficiencies
- Tag 0777 Severity KProvide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.Apr 13, 2025 · Administration Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 9.8% | 4.5% | Worse |
| Falls with major injury | 0.6% | 3.0% | Better |
| On antipsychotic medication | 9.0% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 9.4% | 14.0% | Better |
| Excessive weight loss | 0.4% | 7.5% | Better |
| New/worsened incontinence | 12.3% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $53,825
How This Grade Was Calculated
This facility's grade of F is based on a score of 19 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -5 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
Other Facilities in Texas
- FAvir at BeaumontBEAUMONT
- FAvir at New BraunfelsNew Braunfels
- A
- BKNOPP HEALTHCARE AND REHAB CENTER INCFREDERICKSBURG
- B