58.2/100
Average
112 Barnett Blvd, Highland Village, TX 75077
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
1 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$21,640 in federal fines
CMS has fined this facility across 1 penalty action(s).
Nursing staff turnover of 61%
High turnover means residents rarely see the same caregiver twice. The national average is about 50%.
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: January 8, 2026 (7 months ago).
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
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.
No actual harm, potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
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.
No actual harm, potential for more than minimal harm
| Owner | Type | Role | Since |
|---|---|---|---|
| TGR HEALTHCARE, LLC | Organization | DIRECT OWNERSHIP INTEREST | — |
| THOMAS, BRIAN | Individual | DIRECT OWNERSHIP INTEREST | — |
| THOMAS, BRIAN | Individual | CORPORATE OFFICER | — |
| VILLA, RICARDO | Individual | CORPORATE OFFICER | — |
| TGR HEALTHCARE, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| THOMAS, BRIAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| TGR HEALTHCARE, LLC | Organization | ADP OF THE SNF | — |
| THOMAS, BRIAN | Individual | ADP OF THE SNF | — |
| VILLA, RICARDO | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — |
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Rambling Oaks Courtyard Extensive Care Community holds an ElderGrade of C (58.2 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.67 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 1 of the 32 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Rambling Oaks Courtyard Extensive Care Community is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.