The Highlands Guest Care Center
9009 Forest Ln, Dallas, TX 75243 · Dallas County · 116 certified beds · avg 72 residents/day · certified since Jan 26, 1995
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, repeated · Apr 14, 2025 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Apr 16, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Apr 14, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Apr 16, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Apr 14, 2025 · F-0697 · triggered by a complaint
The facility did not provide safe and appropriate pain management for a resident who needed it.
Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Apr 16, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Apr 14, 2025 · F-0777 · triggered by a complaint
The facility did not provide or obtain x-rays and other imaging tests when ordered, or did not promptly tell the ordering doctor the results.
Why it matters: A missed or delayed x-ray can leave a fracture or illness untreated while a resident is in pain.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Apr 16, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (25)
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 |
|---|---|---|
| Jun 10, 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. · from a complaint |
| Dec 30, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Dec 30, 2025 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Apr 14, 2025 | ▲ K · Immediate jeopardy, repeated | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Apr 14, 2025 | ▲ K · Immediate jeopardy, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Apr 14, 2025 | ▲ K · Immediate jeopardy, repeated | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| Apr 14, 2025 | ▲ K · Immediate jeopardy, repeated | The facility did not provide or obtain x-rays and other imaging tests when ordered, or did not promptly tell the ordering doctor the results. · from a complaint |
| Apr 14, 2025 | E · Potential for harm, repeated | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · from a complaint |
| Feb 19, 2025 | E · Potential for harm, repeated | 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. · from a complaint |
| Feb 19, 2025 | E · Potential for harm, repeated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| Oct 10, 2024 | E · Potential for harm, repeated | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint |
| Oct 10, 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 |
| Oct 10, 2024 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. · from a complaint |
| Oct 10, 2024 | D · Potential for harm, one-off | 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. · from a complaint |
| Aug 24, 2023 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Aug 24, 2023 | 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. |
| Aug 24, 2023 | 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. |
| Aug 24, 2023 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Aug 24, 2023 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Aug 24, 2023 | D · Potential for harm, one-off | The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them. |
| Aug 24, 2023 | D · Potential for harm, one-off | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Aug 11, 2023 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Aug 11, 2023 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
| Aug 11, 2023 | E · Potential for harm, repeated | 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 |
| Aug 11, 2023 | E · Potential for harm, repeated | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (4 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 11 | 0 | E |
| 2024 | 4 | 0 | E |
| 2025 | 9 | 4 | K ▲ |
| 2026 | 1 | 0 | D |
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)
1 fine totaling $47,726.
| Date | Type | Amount / length |
|---|---|---|
| Apr 14, 2025 | Fine | $47,726 |
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) | 3.47 | 3.46 | 3.95 | top 38% in Texas; bottom 35% in the U.S. |
| Registered Nurse hours | 0.40 | 0.44 | 0.69 | top 47% in Texas; bottom 22% in the U.S. |
| Weekend total nurse staffing | 3.10 | 3.04 | 3.50 | top 34% in Texas; bottom 36% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.19 | 0.34 | 0.48 | bottom 18% in Texas; bottom 10% in the U.S. |
| Total nursing staff turnover (%) | 0.0 | 55.3 | 45.8 | — |
| RN turnover (%) | 0.0 | 54.6 | 42.9 | — |
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 3.32, RN 0.38, weekend 2.97. Staffing rating: 1/5.
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: 2/5 · long-stay residents: 4/5 · short-stay residents: 1/5
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% | 04/01/2018 |
| Gamble, Denny | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2018 |
| Gamble, Denny | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2018 |
| Gamvest Texas LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 07/01/2018 |
| Gamvest Texas LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2018 |
| Gordy, Otis | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/11/2022 |
| Gordy, Otis | Individual | ADP of the SNF | NOT APPLICABLE | 03/11/2022 |
| Meekins, Greg | Individual | Corporate Director | NOT APPLICABLE | 04/01/2018 |
| Riaz, Ahsan | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2018 |
| The Highlands Guest Care Center LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2018 |
| The Highlands Guest Care Center LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/30/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "If a doctor orders an x-ray, how soon does it happen and when does the doctor see the results?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Where do you post your daily staffing numbers, and can I see today's?"
- "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
- "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 |
|---|---|---|---|---|---|
| Presbyterian Village North Special Care Ctr | 0.3 mi | Dallas, TX | ★★★★☆ | 4/5 | |
| The Legacy Midtown Park | 1.5 mi | Dallas, TX | ★★★★★ | 5/5 | |
| Avir at the Meadow | 1.7 mi | Dallas, TX | ★☆☆☆☆ | 1/5 | |
| Pure Health Transitional Care at Texas Health Pres | 2.3 mi | Dallas, TX | ★★★★★ | 5/5 | |
| Five Points at Lake Highlands Nursing and Rehab | 3.1 mi | Dallas, TX | ★☆☆☆☆ | 1/5 | |
| Villages of Lake Highlands | 3.9 mi | Dallas, TX | ★★☆☆☆ | 1/5 | |
| Richardson Nursing and Rehabilitation | 3.9 mi | Richardson, TX | ★☆☆☆☆ | 1/5 | |
| C C Young Memorial Home | 3.9 mi | Dallas, TX | ★★★★★ | 5/5 | |
| Treemont Healthcare and Rehabilitation Center | 4.0 mi | Dallas, TX | ★★☆☆☆ | 2/5 | |
| The Plaza at Edgemere | 4.0 mi | Dallas, TX | ★★★★☆ | 4/5 | |
| The Plaza at Richardson | 4.2 mi | Richardson, TX | ★★☆☆☆ | 3/5 | |
| Signature Pointe | 4.2 mi | Dallas, TX | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 675447.