The nursing home failed to protect residents from abuse and neglect by others. Cited April 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: K
Nursing home report
THE HIGHLANDS GUEST CARE CENTER
DALLAS, TX · Medicare-certified · 116 beds
Needs attention
For-profit
Data as of July 1, 2026
1 of 5 overall
THE HIGHLANDS GUEST CARE CENTER (Dallas, TX) has an overall rating of 1 out of 5 stars, with 1-star staffing and 2-star health inspection and quality ratings. It reports 3.32 nurse staffing hours per resident per day versus the 4.1 federal benchmark, $47,726 in fines over the last 24 months, and a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.3203 hrs/resident/day
Quality measures
Last inspection: December 30, 2025Penalties, last 24 months: $47,726recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3203.
Staffing detail
- Registered nurses
- 0.38
- Licensed practical nurses
- 0.95
- Nurse aides
- 1.98
- Weekend nursing
- 2.97
Hours per resident per day.
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
11.4%11.3%No change
Residents with a fall causing major injury
0%2.7%Worsening
Residents with pressure ulcers (bedsores)
8.4%6.4%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
10.9%28.6%Worsening
Residents whose ability to walk got worse
10.2%24.5%Worsening
Long-stay residents on antianxiety or sleep medication
15.1%14.3%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%1.1%Worsening
Residents with new or worsening incontinence
13.4%18.7%Worsening
Residents with depressive symptoms
1.3%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
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited April 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: K
The nursing home failed to get ordered tests or X-rays and failed to promptly tell the doctor the results. Cited April 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 777 — 42 CFR §483.50 — S/S: K
The nursing home failed to keep essential equipment working safely. Cited April 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 908 — 42 CFR §483.90 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $47,726 was recorded.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $47,726 in total fines.
- $47,726
Federal fine
Apr 14, 2025
Operator & ownership
Recent ownership change · Apr 1, 2018
Now operated by The Highlands Guest Care Center, previously The Highlands of Dallas.
- Ownership
- For profit - Limited Liability company
- Occupancy
- 72 residents on an average day (62% of 116 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 31 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.