CMS data snapshot: July 2026
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.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
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.
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.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
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.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
+ 2 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| VILLA, RICARDO | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 49% | Dec 19, 2019 |
| TGR HEALTHCARE, LLC | DIRECT OWNERSHIP INTEREST | Organization | N/A | Apr 16, 2020 |
| THOMAS, BRIAN | DIRECT OWNERSHIP INTEREST | Individual | N/A | Apr 16, 2020 |
| THOMAS, BRIAN | CORPORATE OFFICER | Individual | N/A | Dec 19, 2019 |
| VILLA, RICARDO | CORPORATE OFFICER | Individual | N/A | Dec 19, 2019 |
| TGR HEALTHCARE, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Apr 16, 2020 |
| THOMAS, BRIAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 16, 2020 |
| TGR HEALTHCARE, LLC | ADP OF THE SNF | Organization | N/A | Mar 26, 2025 |
| THOMAS, BRIAN | ADP OF THE SNF | Individual | N/A | Apr 16, 2020 |
Compare CMS ratings and recorded fines for Rambling Oaks Courtyard Extensive Care Community and nearby alternatives.
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.