Rambling Oaks Courtyard Extensive Care Community
112 Barnett Blvd · Highland Village, TX · 75077 · 9723171174
70 certified beds For profit - Individual
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
60% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.30 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.70 | 0.55–0.75 |
| Weekend hours / resident-day | 2.87 | ≈ weekday level |
| Nursing turnover / year | 60% | median 45% |
| Fines (3-yr window) | 1 · $21,640 |
Inspection citations (23 in the current record)
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Potential for harm · E September 2, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 3, 2025 · Pharmacy Service
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Potential for harm · E September 2, 2025 · found via complaint
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.
Corrected September 3, 2025 · Pharmacy Service
-
Potential for harm · D July 30, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected August 1, 2025 · Quality of Life and Care
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Potential for harm · D October 17, 2024
Ensure each resident receives an accurate assessment.
Corrected November 14, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 17, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 14, 2024 · Resident Assessment and Care Planning
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Potential for harm · E October 17, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 14, 2024 · Quality of Life and Care
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Potential for harm · E October 17, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 14, 2024 · Quality of Life and Care
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Potential for harm · D October 17, 2024
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected November 14, 2024 · Quality of Life and Care
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Potential for harm · E October 17, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected November 14, 2024 · Quality of Life and Care
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Potential for harm · E October 17, 2024
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.
Corrected November 14, 2024 · Pharmacy Service
-
Potential for harm · E October 17, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 14, 2024 · Nutrition and Dietary
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Potential for harm · E October 17, 2024
Provide and implement an infection prevention and control program.
Corrected November 14, 2024 · Infection Control
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Immediate jeopardy · J June 14, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected July 11, 2024 · Resident Rights
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Potential for harm · E September 14, 2023
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.
Corrected October 12, 2023 · Resident Rights
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Potential for harm · D September 14, 2023
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected October 12, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 14, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 12, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 14, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 12, 2023 · Resident Assessment and Care Planning
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Potential for harm · E September 14, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 12, 2023 · Quality of Life and Care
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Potential for harm · E September 14, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected October 12, 2023 · Quality of Life and Care
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Potential for harm · F September 14, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 12, 2023 · Nutrition and Dietary
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Potential for harm · D September 14, 2023
Provide and implement an infection prevention and control program.
Corrected October 12, 2023 · Infection Control
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Potential for harm · E July 28, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 27, 2022 · Nutrition and Dietary
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Potential for harm · D July 28, 2022
Provide and implement an infection prevention and control program.
Corrected August 27, 2022 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 14, 2024 | Fine | $21,640 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676168 · certified since January 24, 2008. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.