9730 Shepherd Rd, Dallas, TX 75243
Independent LivingActive Adult Living
Affordable senior housingIndependent livingAge 62+ community
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Medicare-certifiedSkilled Nursing
The Highlands Guest Care Center
Dallas, TexasMedicare inspection record
About The Highlands Guest Care Center
THE HIGHLANDS GUEST CARE CENTER is a for profit - limited liability company nursing home in DALLAS, TX with 116 certified beds.
Community at a glance
Capacity
116 residents
Location
Dallas, TX
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
9009 FOREST LN, Dallas, Texas 75243
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 December 30, 2025, state inspectors cited 5 health deficiencies (the Texas average is 9.4).
Nurses and nurse aides spend 3 hours 19 minutes with each resident a day, about the same as the Texas average.
Medicare fined The Highlands Guest Care Center once in the last three years, $47,726 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 19 minutes |
| Registered nurse time per resident, per day | 23 minutesBelow the Texas average |
1 administrator has left the home in the past year.
Inspections
16 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
July 23, 2026 · Complaint investigation · 1 citation
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Jul 30, 2026
July 14, 2026 · Complaint investigation · 1 citation
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryFrom a complaintCorrected Jul 20, 2026
June 10, 2026 · Complaint investigation · 1 citation+
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 PlanningFrom a complaintCorrected Jun 20, 2026
December 30, 2025 · Standard inspection · 2 citations+
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jan 10, 2026Post nurse staffing information every day.
Minimal harm or risk, widespread (level C)Nursing and Physician ServicesCorrected Jan 10, 2026
April 14, 2025 · Complaint investigation · 5 citations+
Provide safe, appropriate pain management for a resident who requires such services.
Immediate danger to residents, a pattern (level K)Quality of Life and CareFrom a complaintCorrected Apr 16, 2025Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Immediate danger to residents, a pattern (level K)AdministrationFrom a complaintCorrected Apr 16, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Immediate danger to residents, a pattern (level K)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Apr 16, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate danger to residents, a pattern (level K)Quality of Life and CareFrom a complaintCorrected Apr 16, 2025Keep all essential equipment working safely.
Risk of harm, no one hurt, a pattern (level E)EnvironmentalFrom a complaintCorrected Apr 16, 2025
February 19, 2025 · Complaint investigation · 2 citations+
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 pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected Mar 28, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Mar 28, 2025
October 10, 2024 · Standard inspection · 4 citations+
Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlFrom a complaintCorrected Nov 8, 2024Reasonably accommodate the needs and preferences of each resident.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Nov 8, 2024Keep residents' personal and medical records private and confidential.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Nov 8, 2024Provide 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 Nov 8, 2024
Fines and payment denials
1 fine totaling $47,726 in the last three years.
- April 14, 2025Fine: $47,726
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- Nocona Hospital District
- Medicare-certified beds
- 116
- Average residents per day
- 72
- Accepts
- Medicare and Medicaid
- First certified
- January 26, 1995
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 675447
Location
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9009 FOREST LNDallas, TX 75243
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Questions about The Highlands Guest Care Center
How did The Highlands Guest Care Center do on its last inspection?+
State inspectors visited on December 30, 2025 and cited 5 health deficiencies, 3 of them from complaint investigations. The Texas average is 9.4.
How much nursing care does each resident get at The Highlands Guest Care Center?+
Nurses and aides spend 3 hours 19 minutes with each resident per day, including 23 minutes from registered nurses.
Has The Highlands Guest Care Center been fined by Medicare?+
Yes. Medicare fined The Highlands Guest Care Center once in the last three years, totaling $47,726.
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.