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Medicare-certifiedSkilled Nursing

Highland Meadows

(972) 722-7408

About Highland Meadows

Highland Meadows is a for profit - individual nursing home in ROCKWALL, TX with 120 certified beds.

Community at a glance

Capacity

120 residents

Location

Rockwall, TX

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

1870 JOHN KING BLVD, Rockwall, Texas 75032

(972) 722-7408

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

At its most recent standard inspection, on May 14, 2026, state inspectors cited 5 health deficiencies (the Texas average is 9.4).

Nurses and nurse aides spend 3 hours 30 minutes with each resident a day, about the same as the Texas average.

Medicare has not fined Highland Meadows in the last three years.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 30 minutes
Registered nurse time per resident, per day25 minutes
Nursing staff who left in the past year48%Below the Texas average

Inspections

13 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

May 14, 2026 · Standard inspection · 5 citations

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Jun 3, 2026
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Jun 3, 2026
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Jun 3, 2026
  • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Jun 3, 2026
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 3, 2026

March 5, 2025 · Standard inspection · 4 citations

  • Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 24, 2025
  • Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Mar 24, 2025
  • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 24, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Mar 24, 2025
January 31, 2025 · Complaint investigation · 2 citations+
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Feb 23, 2025
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Feb 23, 2025
February 15, 2024 · Complaint investigation · 1 citation+
  • Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Mar 11, 2024
February 15, 2024 · Standard inspection · 1 citation+
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlFrom a complaintCorrected Mar 11, 2024

Fines and payment denials

No fines or Medicare payment denials in the last three years.

About the home, per Medicare

Ownership
For profit - Limited Liability company
Legal business name
Nocona Hospital District
Medicare-certified beds
120
Average residents per day
111
Accepts
Medicare and Medicaid
First certified
June 24, 2015
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
676387

Location

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1870 JOHN KING BLVDRockwall, TX 75032

12 other communities within 10 miles

Senior living near Rockwall

Questions about Highland Meadows

How did Highland Meadows do on its last inspection?+

State inspectors visited on May 14, 2026 and cited 5 health deficiencies. The Texas average is 9.4.

How much nursing care does each resident get at Highland Meadows?+

Nurses and aides spend 3 hours 30 minutes with each resident per day, including 25 minutes from registered nurses. 48% of nursing staff left over the past year.

Has Highland Meadows been fined by Medicare?+

Medicare's records show no fines against Highland Meadows in the last three years.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Rockwall Skilled Nursing in Texas Skilled Nursing guide Information last updated October 2026