The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: E
Nursing home report
Highland Meadows Health & Rehab
Registered name: Highland Meadows
Rockwall, TX · Medicare-certified · 120 beds
In good standing
New ownership (past 12 mo)For-profit
Data as of July 1, 2026
4 of 5 overall
Highland Meadows Health & Rehab in Rockwall, TX has an overall 4-star rating, with strong health inspection results but weaker staffing at 2 stars and nurse staffing below the federal benchmark (3.49 vs 4.1 hours per resident per day). It had no fines in the last 24 months, and recent cited inspection areas included accident prevention, respiratory care, and medication labeling/storage.
Facility ratings
Health inspections
Staffing
3.4917 hrs/resident/day
Quality measures
Last inspection: May 14, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4917.
Staffing detail
- Registered nurses
- 0.41
- Licensed practical nurses
- 0.73
- Nurse aides
- 2.35
- Weekend nursing
- 3.23
Hours per resident per day.
Total staff turnover: 48%
Registered nurse turnover: 64%
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
7.1%6.4%Improving
Residents with a fall causing major injury
4.8%0%Improving
Residents with pressure ulcers (bedsores)
0%0%No change
Residents with a urinary tract infection
0%1.5%Worsening
Residents who lost too much weight
10.2%7.4%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
10.6%5.4%Improving
Residents whose ability to walk got worse
—27.9%—
Long-stay residents on antianxiety or sleep medication
8%12.3%Worsening
Short-stay residents newly given an antipsychotic
0%0.5%Worsening
Residents with a long-term catheter
2.6%0%Improving
Residents with new or worsening incontinence
31.4%13.3%Improving
Residents with depressive symptoms
5.6%3.4%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
—95.9%—
Long-stay residents given the pneumonia vaccine
91.9%97.1%Improving
Short-stay residents given the seasonal flu vaccine
—54%—
Short-stay residents given the pneumonia vaccine
46.2%86.2%Improving
What the inspectors found
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited May 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited May 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2026 — 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 provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited February 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
- OWNERSHIP
The facility reported a change in ownership in the past 12 months.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
Recent ownership change · Jul 1, 2025
Now operated by Nocona Hospital District, previously Haco Health Solutions LLC.
- Ownership
- For profit - Limited Liability company
- Occupancy
- 111.3 residents on an average day (93% of 120 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 11 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.