Quick answers
- Where is Highland Meadows?
- 1870 John King Blvd, Rockwall, TX 75032, in Rockwall County, Texas.
- What is the phone number of Highland Meadows?
- (972) 722-7408, as listed by Medicare (CMS).
- What is the Medicare star rating of Highland Meadows?
- Medicare overall rating: 4 out of 5 stars (CMS data updated 2026-10-01).
- Has Highland Meadows been fined?
- Medicare lists no fines for Highland Meadows.
- What did inspectors find at Highland Meadows?
- In its last three inspection cycles (October 9, 2023 to May 14, 2026), Medicare lists 13 health citations; the most serious was level E. See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (October 9, 2023 to May 14, 2026), Highland Meadows had 13 health citations; the most serious was level E (no actual harm, potential for more than minimal harm). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 3.76 hours per resident per day; the Texas average is 3.42 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: May 14, 2026 — 5 health citations
Inspections in this cycle: May 14, 2026 (standard health inspection).
Show 5 citations (levels A to F, no actual harm)
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0695 Level E
“Provide safe and appropriate respiratory care for a resident when needed.”
F0761 Level E
“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.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
Previous cycle: March 5, 2025 — 6 health citations
Inspections in this cycle: January 31, 2025 (complaint investigation); March 5, 2025 (standard health inspection).
Show 6 citations (levels A to F, no actual harm)
F0655 Level D
“Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”
F0693 Level D
“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.”
F0758 Level D
“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.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
Earlier cycle: February 15, 2024 — 2 health citations
Inspections in this cycle: October 9, 2023 (infection control inspection); February 15, 2024 (complaint investigation); February 15, 2024 (standard health inspection).
Show 2 citations (levels A to F, no actual harm)
F0813 Level E
“Have a policy regarding use and storage of foods brought to residents by family and other visitors.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (8)
K0321 Level F
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0324 Level F
“Provide properly protected cooking facilities.”
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0372 Level F
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0923 Level F
“Have proper medical gas storage and administration areas.”
K0372 Level E
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Texas | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.52 | 0.44 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.73 | 0.94 | 0.86 |
| Nurse aide hours per resident per day | 2.51 | 2.03 | 2.35 |
| Total nurse staff hours per resident per day | 3.76 | 3.42 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.46 | 2.99 | 3.43 |
| RN hours per resident per day on the weekend | 0.43 | 0.35 | 0.48 |
| Nursing staff turnover (per year) | 50.5% | 50.8% | 45.3% |
| RN turnover (per year) | 69.2% | 49.8% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.6 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Legal business name: Nocona Hospital District.
Owners and managers Medicare lists (2)
| Name | Role | Share | Since |
|---|---|---|---|
| Nocona Hospital District | Direct owner | 100% | July 1, 2025 |
| Haco Health Solutions LLC | Management company (operational or managerial control) | NOT APPLICABLE | July 1, 2025 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 120 |
| Average residents per day | 108.4 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Legal business name | Nocona Hospital District |
| First approved by Medicare/Medicaid | 2015-06-24 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 1870 John King Blvd, Rockwall, TX 75032 |
| County | Rockwall County |
| State | Texas |
| Phone | (972) 722‑7408 |
| CMS Certification Number | 676387 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Rockwall Nursing Care Center2.3 mi · Rockwall, TX · 2 of 5 stars
- Broadmoor Medical Lodge2.4 mi · Rockwall, TX · 3 of 5 stars
- Beacon Harbor Healthcare and Rehabilitation4.5 mi · Rockwall, TX · 5 of 5 stars
- Rowlett Health and Rehabilitation Center4.9 mi · Rowlett, TX · 4 of 5 stars
- Wylie Oaks Healthcare and Rehabilitation9.7 mi · Wylie, TX · 2 of 5 stars
Nearest hospital emergency rooms
- Texas Health Presbyterian Hospital Rockwall2.3 mi · Rockwall, TX · Acute Care Hospital
- Baylor Scott and White Medical Center Lake Pointe4.7 mi · Rowlett, TX · Acute Care Hospital
- Baylor Scott and White Medical Center Sunnyvale11 mi · Sunnyvale, TX · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13