GoodStanding

Nursing home report

Highland Meadows

ROCKWALL, TX · Medicare-certified · 120 beds

In good standing
For-profit
5 of 5 overall

5-star overall facility with 5-star health inspections and no fines in the last 24 months, but staffing is low at 2 stars and reported nurse staffing is below the federal benchmark (3.77 vs. 4.1 hours per resident per day).

Facility ratings

Health inspections

Staffing

3.7741 hrs/resident/day

Quality measures

Last inspection: March 5, 2025Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7741.

Staffing detail

Registered nurses
0.45
Licensed practical nurses
0.81
Nurse aides
2.52
Weekend nursing
3.60

Hours per resident per day.

Total staff turnover: 47%
Registered nurse turnover: 90%

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

7.7%14.3%Worsening

Residents with a fall causing major injury

4.5%1.6%Improving

Residents with pressure ulcers (bedsores)

1.2%0%Improving

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

4.8%14.5%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

23.8%1.9%Improving

Residents whose ability to walk got worse

31%

Long-stay residents on antianxiety or sleep medication

9.1%16.4%Worsening

Short-stay residents newly given an antipsychotic

0%0.5%No change

Residents with a long-term catheter

2.4%0%Improving

Residents with new or worsening incontinence

22.8%16%Improving

Residents with depressive symptoms

7.3%1.8%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

92.4%92.2%No change

Short-stay residents given the seasonal flu vaccine

54%

Short-stay residents given the pneumonia vaccine

55.5%56.6%Improving

What the inspectors found

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

The home failed to have and follow a policy for how food brought in by family and visitors should be used and stored safely. Cited February 2024 — limited pattern, potential for harm.

View the original federal record

F-Tag 813 — 42 CFR §483.60 — S/S: E

The home failed to create and carry out a timely plan to meet a new resident’s most immediate needs after admission. Cited March 2025 — isolated incident, potential for harm.

View the original federal record

F-Tag 655 — 42 CFR §483.21 — S/S: D

The home failed to make sure feeding tubes were used only when medically needed and that residents with feeding tubes received proper care. Cited March 2025 — isolated incident, potential for harm.

View the original federal record

F-Tag 693 — 42 CFR §483.25 — S/S: D

The home failed to properly reduce or limit psychotropic medication use and try safer non-drug approaches when appropriate. Cited March 2025 — isolated incident, potential for harm.

View the original federal record

F-Tag 758 — 42 CFR §483.45(e) — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found

Operator & ownership

Ownership
For profit - Individual
Occupancy
103.1 residents on an average day (86% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 10 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.