Nursing home report
HIGHLAND VILLAGE, TX · Medicare-certified · 70 beds
RAMBLING OAKS COURTYARD EXTENSIVE CARE COMMUNITY has an overall rating of 3 out of 5 stars. Its health inspection and staffing ratings are also 3 stars, quality measures are 4 stars, reported nurse staffing is below the federal benchmark (3.67 vs 4.1 hours per resident per day), there were no fines in the last 24 months, and recent inspection citations included communication, food handling, and confidentiality issues.
Health inspections
Staffing
3.6725 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6725.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited June 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2023 — widespread issue, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to keep residents’ personal and medical records private and confidential. Cited January 2026 — limited pattern, potential for harm.
F-Tag 583 — 42 CFR §483.10 — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited January 2026 — limited pattern, potential for harm.
F-Tag 584 — 42 CFR §483.10 — S/S: E
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited January 2026 — limited pattern, potential for harm.
F-Tag 755 — 42 CFR §483.45 — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 11 health deficiencies.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 2 health deficiencies.
Health inspection found 1 health deficiency.
Health inspection found 9 health deficiencies.
A federal fine of $21,640 was recorded.
On record with Medicare: 1 fine · $21,640 in total fines.
Federal fine
Jun 14, 2024
Now operated by Highland Village Skilled Care LLC, previously Rambling Oaks Courtyard Ecc Highland Village LLC.
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.
