• CMS rates this facility 1/5 stars (below average)
• Has 116 certified beds with an average of 80.7 residents per day (70% occupancy)
• Last health inspection found 9 deficiencies (inspected Dec 30, 2025)
• Has been fined a total of $53,825 across 1 fine(s)
• Total nursing staff: 3.15 hours per resident per day
The Highlands Guest Care Center is a 1-star Medicare and Medicaid certified nursing home in Dallas, Texas with 116 certified beds. It has been operating since 1995. The facility scored below average compared to Texas facilities.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide safe, appropriate pain management for a resident who requires such services.
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Keep all essential equipment working safely.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Post nurse staffing information every day.
Reasonably accommodate the needs and preferences of each resident.
Keep residents' personal and medical records private and confidential.
Provide safe and appropriate respiratory care for a resident when needed.
Provide and implement an infection prevention and control program.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Respond appropriately to all alleged violations.
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 appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide or get specialized rehabilitative services as required for a resident.
Provide and implement an infection prevention and control program.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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 |
|---|---|---|---|---|
| NOCONA HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Apr 1, 2018 |
| THE HIGHLANDS GUEST CARE CENTER LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Jul 1, 2018 |
| GAMBLE, DENNY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jul 1, 2018 |
| GORDY, OTIS | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Mar 11, 2022 |
| MEEKINS, GREG | CORPORATE DIRECTOR | Individual | N/A | Apr 1, 2018 |
| GAMVEST TEXAS LLC | 5% OR GREATER MORTGAGE INTEREST | Organization | N/A | Jul 1, 2018 |