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.
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. Its overall CMS rating is 1 out of 5.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
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 safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Provide or get specialized rehabilitative services as required for a resident.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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.
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 |
| GAMVEST TEXAS LLC | 5% OR GREATER MORTGAGE INTEREST | Organization | N/A | Jul 1, 2018 |
| MEEKINS, GREG | CORPORATE DIRECTOR | Individual | N/A | 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 |
| GAMVEST TEXAS LLC | ADP OF THE SNF | Organization | N/A | Jul 1, 2018 |
| THE HIGHLANDS GUEST CARE CENTER LLC | ADP OF THE SNF | Organization | N/A | Apr 30, 2025 |
| GAMBLE, DENNY | ADP OF THE SNF | Individual | N/A | Jul 1, 2018 |
| GORDY, OTIS | ADP OF THE SNF | Individual | N/A | Mar 11, 2022 |
| RIAZ, AHSAN | ADP OF THE SNF | Individual | N/A | Jul 1, 2018 |
Compare CMS ratings and recorded fines for The Highlands Guest Care Center 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.