About The Highlands Guest Care Center

The Highlands Guest Care Center is a nursing home in Dallas, Texas. Its capacity is 116 beds, below the Dallas County median of 124 for nursing homes. It is run by a for-profit operator. It is Medicare certified. Its public inspection record shows 24 citations, the most recent on December 30, 2025. CMS also lists 1 fine or payment denial against it. Nurse staffing averages 3.32 hours per resident per day. It is one of 34 nursing homes listed in Dallas. Residents and families can raise concerns with the Texas Long-Term Care Ombudsman Program at 1-800-252-2412. Its public records were last updated in October 2026.

Public record

CMS Care Compare, updated October 2026

Certification

Medicare-certified.

Ratings

Overall

1.0

Staffing

1.0

Quality measures

3.0

CMS Care Compare, October 2026.

Inspection history (24)

Records from August 2023 to December 2025.

December 30, 2025
Tag F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 10, 2026.
December 30, 2025
Tag F0732
Post nurse staffing information every day.
Severity C: widespread, no actual harm, potential for minimal harm. Corrected January 10, 2026.
April 14, 2025
Tag F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity K: pattern, immediate jeopardy. Corrected April 16, 2025.
April 14, 2025
Tag F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity K: pattern, immediate jeopardy. Corrected April 16, 2025.
April 14, 2025
Tag F0777
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Severity K: pattern, immediate jeopardy. Corrected April 16, 2025.
April 14, 2025
Tag F0697
Provide safe, appropriate pain management for a resident who requires such services.
Severity K: pattern, immediate jeopardy. Corrected April 16, 2025.
April 14, 2025
Tag F0908
Keep all essential equipment working safely.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 16, 2025.
February 19, 2025
Tag F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 28, 2025.
February 19, 2025
Tag F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 28, 2025.
October 10, 2024
Tag F0583
Keep residents' personal and medical records private and confidential.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 8, 2024.
October 10, 2024
Tag F0695
Provide safe and appropriate respiratory care for a resident when needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 8, 2024.
October 10, 2024
Tag F0880
Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 8, 2024.
October 10, 2024
Tag F0558
Reasonably accommodate the needs and preferences of each resident.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 8, 2024.
August 24, 2023
Tag F0825
Provide or get specialized rehabilitative services as required for a resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 2, 2023.
August 24, 2023
Tag F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 2, 2023.
August 24, 2023
Tag F0690
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 2, 2023.
August 24, 2023
Tag F0584
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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 2, 2023.
August 24, 2023
Tag F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 2, 2023.
August 24, 2023
Tag F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 2, 2023.
August 24, 2023
Tag F0880
Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 2, 2023.

See the source data on data.cms.gov

Penalties (1)

Total fines: $47,726

April 14, 2025 · Fine
CMS recorded a civil money penalty of $47,726 against this nursing home on April 14, 2025.

See the source data on data.cms.gov

Staffing

3.32 nurse hours per resident per day in Q2 2026, about the same as in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit

Parent company: The Highlands Guest Care Center LLC

Typical cost

CareScout Cost of Care Survey, 2025

This provider's prices aren't public. Here is what the same care typically costs in Texas.

Nursing Homes

Texas median$5,627/mo

Texas cost breakdown

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