Highland Meadows
1870 John King Blvd, Rockwall, TX 75032 · Rockwall County
For-profit · 120 certified beds · 93% occupancy · (972) 722-7408
The U.S. government (CMS) rates Highland Meadows 4 out of 5 stars overall — above average. Its nurse staffing is at or above the Texas median.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality — and the number pay-to-play referral sites rarely show you.
3.49 nurse hours per resident per day. 7% above the Texas median of 3.27.
Nursing staff turnover: 48.2% · RN turnover: 64.3%
Safety & compliance flags
- Changed ownership in last 12 months
Recent inspection findings
The specific problems state inspectors cited — the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0689 · May 14, 2026Corrected Jun 3, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Potential for harmTag F0695 · May 14, 2026Corrected Jun 3, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
- Potential for harmTag F0761 · May 14, 2026Corrected 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.
Pharmacy Service Deficiencies
- Potential for harmTag F0812 · May 14, 2026Corrected Jun 3, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0656 · May 14, 2026Corrected 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.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0655 · Mar 5, 2025Corrected Mar 24, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0693 · Mar 5, 2025Corrected Mar 24, 2025
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.
Quality of Life and Care Deficiencies
- Potential for harmTag F0758 · Mar 5, 2025Corrected 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.
Pharmacy Service Deficiencies
- Potential for harmTag F0880 · Mar 5, 2025Corrected Mar 24, 2025
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0580 · Jan 31, 2025ComplaintCorrected Feb 23, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
Showing the 10 most recent and serious of 13 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is below the national median but above the Texas median, roughly middle of the pack for the state.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-08-09. See the Texas study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
No federal fines are on record for this home in roughly the last three years, a good sign.
Ownership
This home is for-profit (for profit - limited liability company). It is independently operated, not part of a multi-facility chain.
Ownership changed within the last 12 months, which can disrupt staffing and care during the transition.