Highland Meadows

Name: Highland Meadows
Address: 1870 John King Blvd, Rockwall, TX, 75032, US
Telephone: 9727227408

1870 John King Blvd, Rockwall, TX 75032 · Rockwall County · 120 certified beds · avg 111 residents/day · certified since Jun 24, 2015

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.58

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (13)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 14, 2026	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
May 14, 2026	E · Potential for harm, repeated	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
May 14, 2026	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
May 14, 2026	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
May 14, 2026	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Mar 5, 2025	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Mar 5, 2025	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Mar 5, 2025	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Mar 5, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jan 31, 2025	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Jan 31, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Feb 15, 2024	E · Potential for harm, repeated	The facility did not have a policy covering how food brought in by family and visitors is used and stored safely. · from a complaint
Feb 15, 2024	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 5).

Year	Citations	Worst severity that year
2024	2	E
2025	6	D
2026	5	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.58	3.46	3.95	top 31% in Texas; bottom 41% in the U.S.
Registered Nurse hours	0.42	0.44	0.69	top 42% in Texas; bottom 26% in the U.S.
Weekend total nurse staffing	3.32	3.04	3.50	top 23% in Texas; bottom 48% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.50	0.34	0.48	top 13% in Texas; top 32% in the U.S.
Total nursing staff turnover (%)	48.2	55.3	45.8	top 41% in Texas; bottom 42% in the U.S.
RN turnover (%)	64.3	54.6	42.9	bottom 34% in Texas; bottom 16% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.49, RN 0.41, weekend 3.23. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Nocona Hospital District	Organization	5% or Greater Direct Ownership Interest	100%	07/01/2025
Bui, Tony	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2020
Crocker, Bobbi	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2025
Crocker, Bobbi	Individual	ADP of the SNF	NOT APPLICABLE	07/01/2025
Haco Health Solutions LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	07/01/2025
Haco Health Solutions LLC	Organization	ADP of the SNF	NOT APPLICABLE	10/02/2025
Hawley, Gracen	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2025
Hawley, Gracen	Individual	ADP of the SNF	NOT APPLICABLE	10/03/2021
Hawley, Russell	Individual	ADP of the SNF	NOT APPLICABLE	10/03/2021
Meekins, Greg	Individual	Corporate Officer	NOT APPLICABLE	09/01/2006

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
"How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
"What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Rockwall Nursing Care Center	2.3 mi	Rockwall, TX	★★★☆☆	2/5
Broadmoor Medical Lodge	2.4 mi	Rockwall, TX	★★★☆☆	3/5
Beacon Harbor Healthcare and Rehabilitation	4.5 mi	Rockwall, TX	★★★☆☆	3/5
Rowlett Health and Rehabilitation Center	4.9 mi	Rowlett, TX	★★★☆☆	4/5
Wylie Oaks Healthcare and Rehabilitation	9.7 mi	Wylie, TX	★★☆☆☆	2/5
Pleasant Valley Healthcare and Rehabilitation Cent	10.5 mi	Garland, TX	★★☆☆☆	2/5
Ridgecrest Healthcare and Rehabilitation Center	10.5 mi	Forney, TX	★★★☆☆	3/5
Advanced Health & Rehab Center of Garland	10.8 mi	Garland, TX	★☆☆☆☆	1/5
Christian Care Communities and Services Mesquite	11.6 mi	Mesquite, TX	★★★★☆	3/5
Town East Rehabilitation and Healthcare Center	11.8 mi	Mesquite, TX	★☆☆☆☆	1/5	abuse
Beltline Healthcare Center	11.8 mi	Garland, TX	★☆☆☆☆	1/5	SFF
Cheyenne Medical Lodge	12.3 mi	Mesquite, TX	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Rockwall →

Facility data as of CMS processing date 2026-08-01. CCN 676387.

The Care File

Visit checklist — Highland Meadows

1870 John King Blvd, Rockwall, TX 75032 · 9727227408

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
☐ "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
☐ "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 676387 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)