Nursing home in Dallas, Texas
The Highlands Guest Care Center
Medicare and Medicaid
9009 Forest Ln, Dallas, TX 75243
(972) 783-1771
CMS star ratings
CMS gives this nursing home an overall star rating of 1 out of 5. Each rating is compared with the mean of rated nursing homes in Texas (1,165 for the overall rating) and in the U.S. (14,565). How to read an inspection report.
Overall rating
- This nursing home1
- Texas average2.7 (1,165 rated)
- U.S. average3.0 (14,565 rated)
Health inspections
- This nursing home2
- Texas average2.8 (1,165 rated)
- U.S. average2.8 (14,565 rated)
Staffing
- This nursing home1
- Texas average1.9 (1,163 rated)
- U.S. average2.9 (14,494 rated)
Quality measures
- This nursing home2
- Texas average3.7 (1,162 rated)
- U.S. average3.6 (14,495 rated)
Health inspections
Most recent standard health inspection (rating cycle 1): Dec 30, 2025. CMS counts 5 health deficiencies in rating cycle 1.
- This nursing home5
- Texas average9.4 (1,171 with data)
- U.S. average9.2 (14,652 with data)
Rating cycle 1 health deficiencies. Averages include every nursing home with a count in the CMS file; fewer is better.
Deficiencies since Sep 30, 2023
Inspectors cited 16 health deficiencies on 7 inspection dates since Sep 30, 2023. By level of harm: 4 immediate jeopardy, 11 potential for harm, 1 minimal harm potential.
- 4 Immediate jeopardy to resident health or safety
- 0 Actual harm
- 11 No actual harm, potential for more than minimal harm
- 1 No actual harm, potential for minimal harm
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Jul 23, 2026 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs.Pharmacy Service Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Jul 30, 2026 |
| Jul 14, 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Nutrition and Dietary Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Jul 20, 2026 |
| Jun 10, 2026 | F0656 | 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 | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Jun 20, 2026 |
| Dec 30, 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident Rights Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jan 10, 2026 |
| Dec 30, 2025 | F0732 | Post nurse staffing information every day.Nursing and Physician Services Deficiencies | C Minimal harm potential, widespread | Standard | Deficient, Provider has date of correction Jan 10, 2026 |
| Apr 14, 2025 | F0600 | 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 | K Immediate jeopardy, pattern | Complaint | Deficient, Provider has date of correction Apr 16, 2025 |
| Apr 14, 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | K Immediate jeopardy, pattern | Complaint | Deficient, Provider has date of correction Apr 16, 2025 |
| Apr 14, 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services.Quality of Life and Care Deficiencies | K Immediate jeopardy, pattern | Complaint | Deficient, Provider has date of correction Apr 16, 2025 |
| Apr 14, 2025 | F0777 | Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.Administration Deficiencies | K Immediate jeopardy, pattern | Complaint | Deficient, Provider has date of correction Apr 16, 2025 |
| Apr 14, 2025 | F0908 | Keep all essential equipment working safely.Environmental Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Apr 16, 2025 |
Show the other 6 deficiencies
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Feb 19, 2025 | F0656 | 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 | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Mar 28, 2025 |
| Feb 19, 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing.Quality of Life and Care Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Mar 28, 2025 |
| Oct 10, 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident.Resident Rights Deficiencies | E Potential for harm, pattern | Standard, Complaint | Deficient, Provider has date of correction Nov 8, 2024 |
| Oct 10, 2024 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | E Potential for harm, pattern | Standard, Complaint | Deficient, Provider has date of correction Nov 8, 2024 |
| Oct 10, 2024 | F0583 | Keep residents' personal and medical records private and confidential.Resident Rights Deficiencies | D Potential for harm, isolated | Standard, Complaint | Deficient, Provider has date of correction Nov 8, 2024 |
| Oct 10, 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard, Complaint | Deficient, Provider has date of correction Nov 8, 2024 |
Staffing
Total nurse staffing
Reported hours per resident per day.
- This nursing home3.32 hours
- Texas average3.39 hours (1,148 with data)
- U.S. average3.86 hours (14,351 with data)
Registered nurse staffing
Reported hours per resident per day.
- This nursing home0.38 hours
- Texas average0.43 hours (1,148 with data)
- U.S. average0.69 hours (14,351 with data)
Nursing staff turnover
Share of nursing staff who left during the year, as reported to CMS.[26]
- This nursing homeNot available
- Texas average55.3% (1,051 with data)
- U.S. average45.8% (13,538 with data)
Penalties
CMS lists 1 penalty for this nursing home: 1 fine totaling $47,726, and 0 payment denials. CMS counts penalties from the last 3 years.
Facility details
| Certified beds | 116 |
|---|---|
| Average residents per day | 72.0 |
| Ownership | For profit - Limited Liability company |
| Provider type | Medicare and Medicaid |
| Inside a hospital | No |
| Continuing care retirement community | No |
| Resident and family council | Resident |
| Automatic sprinklers in all required areas | Yes |
| Chain | Not part of a chain in the CMS file |
| Legal business name | NOCONA HOSPITAL DISTRICT |
| First approved for Medicare and Medicaid | Jan 26, 1995 |
| County | Dallas |
| CMS certification number | 675447 |
Also in Dallas
| Nursing home | CMS overall rating | Health inspection rating | Certified beds | Ownership |
|---|---|---|---|---|
| Brentwood Place One | 120 | For profit - Corporation | ||
| C C Young Memorial Home | 129 | Non profit - Corporation | ||
| Golden Acres Living and Rehabilitation Center | 264 | For profit - Corporation | ||
| The Renaissance at Kessler Park | 135 | For profit - Corporation | ||
| The Villages of Dallas | 160 | For profit - Limited Liability company | ||
| Skyline Nursing Center | 204 | Government - Hospital district | ||
| Treemont Healthcare and Rehabilitation Center | 130 | For profit - Limited Liability company | ||
| Avir at The Meadow | 184 | For profit - Limited Liability company | ||
| Brentwood Place Three | 120 | For profit - Corporation | ||
| Fair Park Health & Rehabilitation Center | 114 | For profit - Corporation | ||
| Five Points at Lake Highlands Nursing and Rehab | 280 | For profit - Limited Liability company | ||
| South Dallas Nursing & Rehabilitation | 91 | For profit - Limited Liability company |
| Hospital | CMS overall rating | Type | Emergency services |
|---|---|---|---|
| Baylor University Medical Center | Acute Care Hospitals | Yes | |
| Texas Health Presbyterian Hospital Dallas | Acute Care Hospitals | Yes | |
| UT of Texas Southwestern University Hospital - William P. Clements Jr. | Acute Care Hospitals | Yes | |
| Dallas Medical Center | Acute Care Hospitals | Yes | |
| Medical City Dallas Hospital | Acute Care Hospitals | Yes | |
| Methodist Dallas Medical Center | Acute Care Hospitals | Yes | |
| Parkland Health & Hospital System | Acute Care Hospitals | Yes | |
| Baylor Scott and White Medical Center Uptown | Not available | Acute Care Hospitals | Yes |
CMS footnotes on this page
- [26]
- This facility did not submit staffing data or submitted staffing data that is considered to be invalid for the purpose of calculating turnover. This measure will receive the minimum points for calculating the overall staffing score and rating.