Rambling Oaks Courtyard Extensive Care Community
112 Barnett Blvd, Highland Village, TX 75077 · Denton County
For-profit · 70 certified beds · 65% occupancy · (972) 317-1174
Rambling Oaks Courtyard Extensive Care Community reviews: what the government record shows
The U.S. government (CMS) rates Rambling Oaks Courtyard Extensive Care Community 3 out of 5 stars overall, average. Its nurse staffing is at or above the Texas median. Inspectors cited it for 1 immediate-jeopardy finding in recent inspection cycles.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 3 of 5 stars
- Nurse staffing
- 3.67 hrs/resident/day (+12% vs TX median)
- Antipsychotic drug use
- 0% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 3.1% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $21,640
- Inspection findings
- 32 cited, 1 immediate-jeopardy
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
A mixed record. The strengths and concerns below are worth weighing against a visit.
Strengths
- ✓Nurse staffing of 3.67 hrs/resident/day is at or above the Texas median of 3.27.
Concerns
- !Cited for 1 immediate-jeopardy finding (the most serious category) in recent inspections.
- !Pressure-ulcer (bedsore) rate of 8.3% is well above the Texas median of 3.3%.
Questions to ask on your visit
- ·Can we see the most recent inspection report and the plan of correction?
- ·How often are residents repositioned, and who checks skin daily?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Rambling Oaks Courtyard Extensive Care Community
Is Rambling Oaks Courtyard Extensive Care Community a good nursing home?
Rambling Oaks Courtyard Extensive Care Community in Highland Village, Texas holds a 3 of 5 star CMS overall rating. A mixed record. The strengths and concerns below are worth weighing against a visit.
How is Rambling Oaks Courtyard Extensive Care Community staffed?
Rambling Oaks Courtyard Extensive Care Community reports 3.67 nurse hours per resident per day, at or above the Texas median of 3.27 hours per resident per day.
Has Rambling Oaks Courtyard Extensive Care Community been fined or flagged for abuse?
Rambling Oaks Courtyard Extensive Care Community has paid approximately $21,640 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. 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.
3.67 nurse hours per resident per day. 12% above the Texas median of 3.27.
Nursing staff turnover: 61.4%
Safety & compliance flags
No CMS warning flags on record.
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 F0583 · Jan 8, 2026Corrected Feb 10, 2026
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
- Potential for harmTag F0584 · Jan 8, 2026Corrected Feb 10, 2026
Honor 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.
Resident Rights Deficiencies
- Potential for harmTag F0755 · Jan 8, 2026Corrected Feb 10, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
- Potential for harmTag F0880 · Jan 8, 2026Corrected Feb 10, 2026
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0755 · Sep 2, 2025ComplaintCorrected Sep 3, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
- Potential for harmTag F0761 · Sep 2, 2025ComplaintCorrected Sep 3, 2025
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 F0558 · Jan 8, 2026Corrected Feb 10, 2026
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
- Potential for harmTag F0656 · Jan 8, 2026Corrected Feb 10, 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 F0689 · Jan 8, 2026Corrected Feb 10, 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 F0693 · Jan 8, 2026Corrected Feb 10, 2026
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
Showing the 10 most recent and serious of 32 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 at or below the Texas median, which is a reassuring sign for how the home manages dementia care.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore 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.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas
Ownership
This home is for-profit (for profit - corporation). It is independently operated, not part of a multi-facility chain.