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The Highlands Guest Care Center
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Ratings Deep Dive
5 Deficiencies found in last inspections
1 Penalties in last 3 years
1 Fines issued
| Citation | Date | Description | Severity |
|---|---|---|---|
| — | Dec 30, 2025 | Post nurse staffing information every day. | C |
| — | Dec 30, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| — | Apr 14, 2025 | Provide safe, appropriate pain management for a resident who requires such services. | K |
| — | Apr 14, 2025 | Keep all essential equipment working safely. | E |
| — | Apr 14, 2025 | Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | K |
0.4 RN Hours / Resident / Day
3.1 Total Nurse Hours / Resident / Day
— RN Turnover Rate
5.0 Long-Stay QM Rating
2.0 Short-Stay QM Rating
80.7 Avg Residents Per Day
| Measure | Score | Type |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | — | Long Stay |
| Percentage of long-stay residents who lose too much weight | — | Long Stay |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | — | Long Stay |
| Percentage of long-stay residents with a urinary tract infection | — | Long Stay |
| Percentage of long-stay residents who have depressive symptoms | — | Long Stay |
| Percentage of long-stay residents who were physically restrained | — | Long Stay |
| Percentage of long-stay residents experiencing one or more falls with major injury | — | Long Stay |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | — | Long Stay |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | — | Short Stay |
| Percentage of short-stay residents who newly received an antipsychotic medication | — | Short Stay |
Ownership & Compliance
Ownership Info
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Ownership Info CMS
5% OR GREATER DIRECT OWNERSHIP INTEREST NOCONA HOSPITAL DISTRICT
OPERATIONAL/MANAGERIAL CONTROL THE HIGHLANDS GUEST CARE CENTER LLC
OPERATIONAL/MANAGERIAL CONTROL GAMBLE, DENNY
OPERATIONAL/MANAGERIAL CONTROL GORDY, OTIS
CORPORATE DIRECTOR MEEKINS, GREG
5% OR GREATER MORTGAGE INTEREST GAMVEST TEXAS LLC
Recent Penalties
| Date | Type | Fine |
|---|---|---|
| Apr 14, 2025 | Fine | $53,825 |
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