Highland Meadows
Nursing home in Rockwall, Texas, CMS certification number 676387
1870 John King Blvd, Rockwall, TX 75032 · Rockwall County
- CMS overall rating
- 4 of 5 stars
- Certified beds
- 120
- Certified for
- Medicare and Medicaid
- Last standard inspection
- May 14, 2026
- Deficiencies at that inspection
- 5
- Fines in 3 years
- No fines
Does Highland Meadows take Medicare and Medicaid?
Yes to both. Highland Meadows is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 4 of 5 |
| Health inspections | 4 of 5 |
| Staffing | 3 of 5 |
| Quality of resident care | 4 of 5 |
| Long-stay quality | 5 of 5 |
| Short-stay quality | 3 of 5 |
Nurse staffing hours and turnover
These are the hours Highland Meadows reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.76
- Registered nurse hours
- 0.52
- Licensed practical nurse hours
- 0.73
- Nurse aide hours
- 2.51
- Weekend total hours
- 3.46
- Nursing staff turnover
- 50.5%
- Registered nurse turnover
- 69.2%
- Administrators who left
- 0
Health inspections and complaints
Inspectors last made a standard visit on May 14, 2026 and cited 5 deficiencies, plus 0 from complaint visits.
The visit before, on March 5, 2025, found 4.
Infection control citations: 0.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS lists no fines for Highland Meadows in the past 3 years.
Beds and residents
On an average day 108.4 residents live here, about 90% of its 120 certified beds.
- Certified beds
- 120
- Average residents per day
- 108.4
- Certified since
- June 24, 2015
- Resident or family council
- Resident
Who owns Highland Meadows
- Legal business name
- Nocona Hospital District
- Ownership type
- For profit - Limited Liability company
Other nursing homes near Highland Meadows
- Rockwall Nursing Care Center206 Storrs Street, Rockwall 75087
- Broadmoor Medical Lodge5242 Medical Drive, Rockwall 75032
- Beacon Harbor Healthcare and Rehabilitation6700 Heritage Parkway, Rockwall 75087
- Rowlett Health and Rehabilitation Center9300 Lakeview Pkwy, Rowlett 75088
- Wylie Oaks Healthcare and Rehabilitation721 S Hwy 78, Wylie 75098
Who inspects nursing homes in Texas
Texas's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Texas, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Highland Meadows, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Highland Meadows
What is the CMS star rating of Highland Meadows?
4 out of 5 stars overall.
Does Highland Meadows accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Highland Meadows?
5 cited at the last standard visit.
Who owns Highland Meadows?
Nocona Hospital District, for profit - limited liability company.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.