nursing home in Rockwall, TX
Highland Meadows
1870 John King Blvd, Rockwall, TX 75032 · (972) 722-7408
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★2
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Highland Meadows at a glance
Highland Meadows is a 120-bed for-profit nursing home in Rockwall, Texas (Rockwall County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Texas average of 2.7.
Residents receive about 3.5 hours of nursing care per day (0.4 of them from registered nurses), close to the state average of 3.4 hours.
Its most recent standard health inspection (May 14, 2026) found 5 health citations. The Texas average is 9.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 48.2% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 120
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- June 24, 2015
- Resident/family council
- Resident
- County
- Rockwall County
- CMS Certification Number
- 676387
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 2.7 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.2 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.49 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.41 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.35 hrs | 2.01 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.23 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 48.2% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 64.3% | 54.6% | 42.9% | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 5 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 37 | 102 | 80.6 | Better |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 2 | 1 | Better |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 120 | 113 | 107 | |
| Average residents per day | 111 | 76 | 86 | |
| Occupancy | 92.8% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.7% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 0% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 9.4% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.4% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1% | 0.3% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 9.8% | 15.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 27.9% | 14% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 10.7% | 3% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 3.2% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 11.8% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 18.1% | 13.4% | 19% | Average |
| Long-stay residents given a flu vaccine (higher is better) | 95.9% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 93.4% | 96.6% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.2% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 54% | 88% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 56% | 88.9% | 82% | Worse |
Inspection citations
State inspectors cited this home for 13 health deficiencies and 8 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 14, 2026 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected June 11, 2026 |
| May 14, 2026 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected May 26, 2026 |
| May 14, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected June 11, 2026 |
| May 14, 2026 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Corrected May 26, 2026 |
| May 14, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected May 28, 2026 |
| May 14, 2026 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected June 3, 2026 |
| May 14, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected June 3, 2026 |
| May 14, 2026 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected June 3, 2026 |
| May 14, 2026 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected June 3, 2026 |
| May 14, 2026 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected June 3, 2026 |
| March 5, 2025 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | F Potential harm, widespread | Corrected March 26, 2025 |
| March 5, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected March 26, 2025 |
| March 5, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected March 26, 2025 |
| March 5, 2025 Standard | 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. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected March 24, 2025 |
| March 5, 2025 Standard | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected March 24, 2025 |
| March 5, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected March 24, 2025 |
| March 5, 2025 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected March 24, 2025 |
| January 31, 2025 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected February 23, 2025 |
| January 31, 2025 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected February 23, 2025 |
| February 15, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected March 11, 2024 |
| February 15, 2024 Complaint | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Tag F0813 | E Potential harm, pattern | Corrected March 11, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| NOCONA HOSPITAL DISTRICT Organization | 5% or greater direct ownership interest | 100% | 07/01/2025 |
| BUI, TONY Individual | adp of the snf | NOT APPLICABLE | 02/01/2020 |
| CROCKER, BOBBI Individual | adp of the snf | NOT APPLICABLE | 07/01/2025 |
| HACO HEALTH SOLUTIONS LLC Organization | adp of the snf | NOT APPLICABLE | 10/02/2025 |
| HAWLEY, GRACEN Individual | adp of the snf | NOT APPLICABLE | 10/03/2021 |
| HAWLEY, RUSSELL Individual | adp of the snf | NOT APPLICABLE | 10/03/2021 |
| MEEKINS, GREG Individual | corporate officer | NOT APPLICABLE | 09/01/2006 |
| CROCKER, BOBBI Individual | operational/managerial control | NOT APPLICABLE | 07/01/2025 |
| HACO HEALTH SOLUTIONS LLC Organization | operational/managerial control | NOT APPLICABLE | 07/01/2025 |
| HAWLEY, GRACEN Individual | operational/managerial control | NOT APPLICABLE | 07/01/2025 |
Other nursing homes near Highland Meadows
Rockwall Nursing Care Center
206 Storrs Street, Rockwall, TX 75087 · 2.3 mi
For-profit · 192 beds · Part of Creative Solutions in Healthcare
★★★★★2Below averageBroadmoor Medical Lodge
5242 Medical Drive, Rockwall, TX 75032 · 2.4 mi
Government · 140 beds · Part of Priority Management
★★★★★3AverageBeacon Harbor Healthcare and Rehabilitation
6700 Heritage Parkway, Rockwall, TX 75087 · 4.5 mi
For-profit · 190 beds · Part of The Ensign Group
★★★★★3AverageRowlett Health and Rehabilitation Center
9300 Lakeview Pkwy, Rowlett, TX 75088 · 4.9 mi
For-profit · 163 beds · Part of The Ensign Group
★★★★★3AverageWylie Oaks Healthcare and Rehabilitation
721 S Hwy 78, Wylie, TX 75098 · 9.7 mi
For-profit · 106 beds · Part of The Ensign Group
★★★★★2Below averagePleasant Valley Healthcare and Rehabilitation Cent
1525 Pleasant Valley Rd, Garland, TX 75040 · 10.5 mi
For-profit · 124 beds · Part of The Ensign Group
★★★★★2Below average
Frequently asked questions
What is Highland Meadows's rating?
Highland Meadows has 4 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Highland Meadows receive?
Its most recent standard health inspection found 5 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Highland Meadows accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Highland Meadows?
It is for profit - limited liability company. The ownership section on this page lists the owners and managers reported to CMS.
Where is Highland Meadows and how do I contact it?
Highland Meadows is at 1870 John King Blvd, Rockwall, TX 75032. Phone: (972) 722-7408.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.