The Highlands Guest Care Center
9009 Forest Ln · Dallas, TX · 75243 · 9727831771
116 certified beds For profit - Limited Liability company
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
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
4 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.33 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.46 | 0.55–0.75 |
| Weekend hours / resident-day | 2.88 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $47,726 |
Inspection citations (24 in the current record)
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Potential for harm · D December 30, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 10, 2026 · Resident Rights
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No harm found · C December 30, 2025
Post nurse staffing information every day.
Corrected January 10, 2026 · Nursing and Physician Services
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Immediate jeopardy · K April 14, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K April 14, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 16, 2025 · Quality of Life and Care
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Immediate jeopardy · K April 14, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected April 16, 2025 · Quality of Life and Care
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Immediate jeopardy · K April 14, 2025 · found via complaint
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Corrected April 16, 2025 · Administration
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Potential for harm · E April 14, 2025 · found via complaint
Keep all essential equipment working safely.
Corrected April 16, 2025 · Environmental
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Potential for harm · E February 19, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · E February 19, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 28, 2025 · Quality of Life and Care
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Potential for harm · E October 10, 2024 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected November 8, 2024 · Resident Rights
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Potential for harm · D October 10, 2024 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected November 8, 2024 · Resident Rights
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Potential for harm · D October 10, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected November 8, 2024 · Quality of Life and Care
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Potential for harm · E October 10, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected November 8, 2024 · Infection Control
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Potential for harm · E August 24, 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 2, 2023 · Resident Rights
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Potential for harm · D August 24, 2023
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected October 2, 2023 · Quality of Life and Care
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Potential for harm · D August 24, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected October 2, 2023 · Pharmacy Service
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Potential for harm · E August 24, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 2, 2023 · Nutrition and Dietary
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Potential for harm · D August 24, 2023
Provide or get specialized rehabilitative services as required for a resident.
Corrected October 2, 2023 · Quality of Life and Care
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Potential for harm · E August 24, 2023
Provide and implement an infection prevention and control program.
Corrected October 2, 2023 · Infection Control
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Potential for harm · D August 24, 2023
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected October 2, 2023 · Environmental
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Potential for harm · E August 11, 2023 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 15, 2023 · Resident Rights
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Potential for harm · E August 11, 2023 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected September 15, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E August 11, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 15, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E August 11, 2023 · found via complaint
Respond appropriately to all alleged violations.
Corrected September 15, 2023 · Freedom from Abuse, Neglect, and Exploitation
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 14, 2025 | Fine | $47,726 |
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 675447 · certified since January 26, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.