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HomeTexasRambling Oaks Courtyard Extensive Care Community

Rambling Oaks Courtyard Extensive Care Community

112 Barnett Blvd, Highland Village, TX 750779723171174WebsiteGoogle Maps
4.1on Google(19 reviews)
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
3/5
Staffing
3/5
Quality
4/5
Beds
70
certified
1 fine(s) totaling $21,640

How Rambling Oaks Courtyard Extensive Care Community Compares in Texas

Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
3/5
TX average
2.7/5
Above state average
Health inspection rating
3/5
TX average
2.8/5
Close to state average
Staffing rating
3/5
TX average
1.9/5
Above state average
Nursing hours per resident
3.67 hrs/day
TX average
3.39 hrs/day
Above state average
RN hours per resident
0.59 hrs/day
TX average
0.43 hrs/day
Above state average
Staff turnover
61.4%
TX average
55.3%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Reported nursing time is 3.67 hours per resident per day, above the state average of 3.39.
Reported RN time is 0.59 hours per resident per day, above the state average of 0.43.
Staff turnover is 61.4%, higher than the Texas average of 55.3%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
10
deficiency citations
Inspected Oct 17, 2024
Most recent cycle
14
deficiency citations
Inspected Jan 8, 2026
The most recent cycle recorded 4 more deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Denton County 65+
99,654
10.9% of county
County Population
914,870
Denton County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Rambling Oaks Courtyard Extensive Care Community is a 3-star Medicare and Medicaid certified nursing home in Highland Village, Texas with 70 certified beds. It has been operating since 2008. Its overall CMS rating is 3 out of 5.

Beds
70
Avg Residents/Day
45.5
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jan 24, 2008
Sprinklers
Yes
Council
Resident
County
Denton
Last Inspection
Jan 8, 2026
Deficiencies (Cycle 1)
14
Weighted Score
87.5
Infection Citations
0

Deficiency Citations (32)

F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: Jan 8, 2026Corrected: NoCycle: 1
F0584Potential for Harm

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.

Survey: Jan 8, 2026Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Jan 8, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jan 8, 2026Corrected: NoCycle: 1
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Jan 8, 2026Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Jan 8, 2026Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jan 8, 2026Corrected: NoCycle: 1
F0693Potential for Harm

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.

Survey: Jan 8, 2026Corrected: NoCycle: 1
F0694Potential for Harm

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Survey: Jan 8, 2026Corrected: NoCycle: 1
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Jan 8, 2026Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: Jan 8, 2026Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Sep 2, 2025Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: Sep 2, 2025Corrected: NoCycle: 1
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Jul 30, 2025Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Oct 17, 2024Corrected: NoCycle: 2
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Oct 17, 2024Corrected: NoCycle: 2
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Oct 17, 2024Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Oct 17, 2024Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Oct 17, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Oct 17, 2024Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Oct 17, 2024Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Oct 17, 2024Corrected: NoCycle: 2
F0691Potential for Harm

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Survey: Oct 17, 2024Corrected: NoCycle: 2
F0580Immediate Jeopardy

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Jun 14, 2024Corrected: NoCycle: 3
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Sep 14, 2023Corrected: NoCycle: 3
F0584Potential for Harm

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.

Survey: Sep 14, 2023Corrected: NoCycle: 3
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Sep 14, 2023Corrected: NoCycle: 3
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Sep 14, 2023Corrected: NoCycle: 3
F0635Potential for Harm

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

Survey: Sep 14, 2023Corrected: NoCycle: 3
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Sep 14, 2023Corrected: NoCycle: 3

+ 2 more deficiencies

Total Fines
$21,640
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineJun 14, 2024
$21,640

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.80 hrs
National avg: 2.32 hrs
LPN1.28 hrs
National avg: 0.86 hrs
RN0.59 hrs
National avg: 0.69 hrs
Total Nursing3.67 hrs
National avg: 3.86 hrs
Weekend Total3.09 hrs
National avg: 0.00 hrs
Physical Therapist0.09 hrs
National avg: 0.07 hrs
Total Turnover
61.4%
RN Turnover
0.0%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (9)

NameRoleTypeOwnership %Since
VILLA, RICARDO5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual49%Dec 19, 2019
TGR HEALTHCARE, LLCDIRECT OWNERSHIP INTERESTOrganizationN/AApr 16, 2020
THOMAS, BRIANDIRECT OWNERSHIP INTERESTIndividualN/AApr 16, 2020
THOMAS, BRIANCORPORATE OFFICERIndividualN/ADec 19, 2019
VILLA, RICARDOCORPORATE OFFICERIndividualN/ADec 19, 2019
TGR HEALTHCARE, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 16, 2020
THOMAS, BRIANOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 16, 2020
TGR HEALTHCARE, LLCADP OF THE SNFOrganizationN/AMar 26, 2025
THOMAS, BRIANADP OF THE SNFIndividualN/AApr 16, 2020

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Rambling Oaks Courtyard Extensive Care Community and nearby alternatives.

All Texas facilities
Rambling Oaks Courtyard Extensive Care Community
Highland Village, TXCurrent facility
CMS
3/5
Health
3/5
Staffing
3/5
Recorded fines: $21,640
Hollymead
Flower Mound, TX2.5 mi
CMS
3/5
Health
3/5
Staffing
3/5
Recorded fines: $9,110
Cross Timbers Rehabilitation and Healthcare Center
Flower Mound, TX2.5 mi
CMS
3/5
Health
3/5
Staffing
3/5
Recorded fines: $8,281
Lake Village Nursing and Rehabilitation Center
Lewisville, TX3.5 mi
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $24,585
Denton Rehabilitation and Nursing Center
Denton, TX4.8 mi
CMS
4/5
Health
3/5
Staffing
4/5
Recorded fines: None
Corinth Rehabilitation Suites on the Parkway
Corinth, TX5.3 mi
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: None
Lake Forest Village by Purehealth
Denton, TX6.3 mi
CMS
4/5
Health
3/5
Staffing
4/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Rambling Oaks Courtyard Extensive Care Community
Highland Village, TX · Current facility
—3/53/53/5$21,640
Hollymead
Flower Mound, TX
2.5 mi3/53/53/5$9,110
Cross Timbers Rehabilitation and Healthcare Center
Flower Mound, TX
2.5 mi3/53/53/5$8,281
Lake Village Nursing and Rehabilitation Center
Lewisville, TX
3.5 mi1/52/51/5$24,585
Denton Rehabilitation and Nursing Center
Denton, TX
4.8 mi4/53/54/5None recorded
Corinth Rehabilitation Suites on the Parkway
Corinth, TX
5.3 mi1/52/51/5None recorded
Lake Forest Village by Purehealth
Denton, TX
6.3 mi4/53/54/5None recorded

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Rambling Oaks Courtyard Extensive Care Community?▾
Rambling Oaks Courtyard Extensive Care Community has an overall CMS rating of 3 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 3/5, and quality measures rating of 4/5. This facility is rated average.
How much does Rambling Oaks Courtyard Extensive Care Community cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). Rambling Oaks Courtyard Extensive Care Community participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Rambling Oaks Courtyard Extensive Care Community had any health inspection violations?▾
Rambling Oaks Courtyard Extensive Care Community had 14 deficiency citations in its most recent health inspection (Jan 8, 2026). The current CMS dataset records 1 fine(s) totaling $21,640.
What are the staffing levels at Rambling Oaks Courtyard Extensive Care Community?▾
Rambling Oaks Courtyard Extensive Care Community provides 3.67 total nursing staff hours per resident per day, including 0.59 RN hours, 1.28 LPN hours, and 1.80 nurse aide hours. The total staff turnover rate is 61.4%.
How many beds does Rambling Oaks Courtyard Extensive Care Community have?▾
Rambling Oaks Courtyard Extensive Care Community has 70 certified beds with an average of 45.5 residents per day, resulting in approximately 65% occupancy. The facility is For profit - Corporation owned.
Are there other nursing homes near Rambling Oaks Courtyard Extensive Care Community?▾
Yes. This page lists 6 nearby nursing homes in Texas. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Rambling Oaks Courtyard Extensive Care Community?▾
On Google Maps, Rambling Oaks Courtyard Extensive Care Community has a rating of 4.1 out of 5 based on 19 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 3/5.