The nursing home failed to ensure residents received the behavioral health care and services they needed. Cited January 2026 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 740 — 42 CFR §483.40 — S/S: K
Nursing home report
CONTINUING CARE AT HIGHLAND SPRINGS
DALLAS, TX · Medicare-certified · 44 beds
Needs attention
Non-profitChain member
3 of 5 overall
3 out of 5 stars overall. Inspection performance is lower at 2 stars, while staffing is strong at 5 stars and reported nurse staffing is 4.21 hours per resident per day, slightly above the federal benchmark of 4.1; the facility also had $46,105 in fines in the last 24 months and a recent federal penalty.
Facility ratings
Health inspections
Staffing
4.2122 hrs/resident/day
Quality measures
Last inspection: January 21, 2026Penalties, last 24 months: $46,105recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.2122.
Staffing detail
- Registered nurses
- 1.06
- Licensed practical nurses
- 0.67
- Nurse aides
- 2.48
- Weekend nursing
- 3.93
Hours per resident per day.
Total staff turnover: 31%
Registered nurse turnover: 33%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
15.4%11.1%Improving
Residents with a fall causing major injury
2.4%4.9%Worsening
Residents with pressure ulcers (bedsores)
3.6%3%Improving
Residents with a urinary tract infection
0%4.9%Worsening
Residents who lost too much weight
9.4%6.2%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
25.8%19.4%Improving
Residents whose ability to walk got worse
—34.1%—
Long-stay residents on antianxiety or sleep medication
15.2%9.4%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
15.3%29.9%Worsening
Residents with depressive symptoms
2.6%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—95.5%—
Long-stay residents given the pneumonia vaccine
87.8%97.6%Improving
Short-stay residents given the seasonal flu vaccine
—96.4%—
Short-stay residents given the pneumonia vaccine
50%65%Improving
What the inspectors found
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited January 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: J
The home failed to protect residents’ right to complain without fear and did not ensure grievances were handled promptly. Cited August 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 585 — 42 CFR §483.10 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The nursing home failed to coordinate resident assessments with required screening and make needed service referrals. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 644 — 42 CFR §483.20 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- PENALTY
A federal fine of $46,105 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $46,105 in total fines.
- $46,105
Federal fine
Jan 21, 2026
Operator & ownership
- Ownership
- Non profit - Other
- Chain
- Part of ERICKSON SENIOR LIVING · 17 homes · 4.2 stars avg
- Occupancy
- 42.9 residents on an average day (98% of 44 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 13 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.