Rambling Oaks Courtyard Assisted Living Residence
State licensed110 Barnett Blvd, Highland Village, TX 75077
Assisted Living
Assisted livingState-licensed (Texas HHSC)24-hour personal care
Call for pricing
Prices not published
🏥
Medicare-certifiedSkilled Nursing
Rambling Oaks Courtyard Extensive Care Community
Highland Village, TexasMedicare inspection record
About Rambling Oaks Courtyard Extensive Care Community
Rambling Oaks Courtyard brings skilled nursing and rehabilitation services to Highland Village, Texas with a focus on personalized recovery and compassionate care. Our team works with families to create meaningful paths toward healing and independence, whether through short-term rehabilitation or ongoing medical support.
Community at a glance
Capacity
70 residents
Location
Highland Village, TX
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
112 BARNETT BLVD, Highland Village, Texas 75077
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 January 8, 2026, state inspectors cited 13 health deficiencies (the Texas average is 9.4).
Nurses and nurse aides spend 3 hours 40 minutes with each resident a day, above the Texas average of 3 hours 23 minutes.
Medicare fined Rambling Oaks Courtyard Extensive Care Community once in the last three years, $21,640 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 40 minutesAbove the Texas average |
| Registered nurse time per resident, per day | 36 minutesAbove the Texas average |
| Nursing staff who left in the past year | 61%Above the Texas average |
1 administrator has left the home in the past year.
Inspections
24 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
January 8, 2026 · Standard inspection · 11 citations
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Feb 10, 2026Keep residents' personal and medical records private and confidential.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Feb 10, 2026Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Feb 10, 2026Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Feb 10, 2026Ensure 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 Feb 10, 2026Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 10, 2026Ensure 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 few residents (level D)Pharmacy ServiceCorrected Feb 10, 2026Develop 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 Feb 10, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 10, 2026Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 10, 2026Reasonably accommodate the needs and preferences of each resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Feb 10, 2026
September 2, 2025 · Complaint investigation · 2 citations
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Sep 3, 2025Ensure 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 ServiceFrom a complaintCorrected Sep 3, 2025
July 30, 2025 · Complaint investigation · 1 citation+
Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Aug 1, 2025
October 17, 2024 · Standard inspection · 9 citations+
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 Nov 14, 2024Procure 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 Nov 14, 2024Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Nov 14, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Nov 14, 2024Provide 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 Nov 14, 2024Ensure 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 Nov 14, 2024Develop 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 Nov 14, 2024Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Nov 14, 2024Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Nov 14, 2024
June 14, 2024 · Complaint investigation · 1 citation+
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Immediate danger to residents, a few residents (level J)Resident RightsFrom a complaintCorrected Jul 11, 2024
Fines and payment denials
1 fine totaling $21,640 in the last three years.
- June 14, 2024Fine: $21,640
About the home, per Medicare
- Ownership
- For profit - Corporation
- Legal business name
- Highland Village Skilled Care LLC
- Medicare-certified beds
- 70
- Average residents per day
- 46
- Accepts
- Medicare and Medicaid
- First certified
- January 24, 2008
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 676168
Location
Loading map…
112 BARNETT BLVDHighland Village, TX 75077
12 other communities within 10 miles
Senior living near Highland Village
Village Green Alzheimer's Care Home
State licensed107 Barnett Boulevard, Highland Village, TX 75077
Assisted LivingMemory Care
Assisted livingState-licensed (Texas HHSC)24-hour personal care
Call for pricing
Prices not published
Sodalis Flower Mound
State licensed6051 Morriss Road, Flower Mound, TX 75028
Assisted Living
Assisted livingState-licensed (Texas HHSC)24-hour personal care
Call for pricing
Prices not published
Questions about Rambling Oaks Courtyard Extensive Care Community
How did Rambling Oaks Courtyard Extensive Care Community do on its last inspection?+
State inspectors visited on January 8, 2026 and cited 13 health deficiencies, 2 of them from complaint investigations. The Texas average is 9.4.
How much nursing care does each resident get at Rambling Oaks Courtyard Extensive Care Community?+
Nurses and aides spend 3 hours 40 minutes with each resident per day, including 36 minutes from registered nurses. 61% of nursing staff left over the past year.
Has Rambling Oaks Courtyard Extensive Care Community been fined by Medicare?+
Yes. Medicare fined Rambling Oaks Courtyard Extensive Care Community once in the last three years, totaling $21,640.
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.