The Highlands Guest Care Center

Nursing Home · Dallas, TX

CMS overall rating 1/5 For profit - Limited Liability company

CMS certification number675447

Contact & location

9009 Forest LN
Dallas, TX 75243
Dallas County
Phone
(972) 783-1771
ZIP code
75243 – all care providers

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Facility details

Certified beds
116
Residents per day
72.0 (62% occupied)
Ownership
For profit - Limited Liability company
Legal name
Nocona Hospital District
Medicare certified since
January 26, 1995
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.6
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 1.9
Quality measures★★★★★ 2/5
State avg 3.7
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 1/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.32 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.38 (state 0.43 · U.S. 0.69)
Licensed practical nurses
0.95 (state 0.95 · U.S. 0.86)
Nurse aides
1.98 (state 2.00 · U.S. 2.32)
Weekend total
2.97 (state 2.98 · U.S. 3.42)
Nursing staff turnover
—
RN turnover
—
Administrators who left
1 in the last year

Inspections

Last standard inspection
December 30, 2025
Health deficiencies (last cycle)
3.0 (state 9.3 · U.S. 9.3)
From complaints
1
Citations on record (3 years)
25 health · 24 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-06-10 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-20
2025-12-30 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-10
2025-12-30 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies		 C
No actual harm, potential for minimal harm		 Corrected 2026-01-10
2025-04-14 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 K
Immediate jeopardy to resident health or safety		 Corrected 2025-04-16
2025-04-14 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 K
Immediate jeopardy to resident health or safety		 Corrected 2025-04-16
2025-04-14 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies · complaint inspection		 K
Immediate jeopardy to resident health or safety		 Corrected 2025-04-16
2025-04-14 Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
F0777 · Administration Deficiencies · complaint inspection		 K
Immediate jeopardy to resident health or safety		 Corrected 2025-04-16
2025-04-14 Keep all essential equipment working safely.
F0908 · Environmental Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-04-16
2025-02-19 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-03-28
2025-02-19 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-03-28
2024-10-10 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-11-08
2024-10-10 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-11-08
2024-10-10 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-08
2024-10-10 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-08
2023-08-24 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.
F0584 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-10-02
2023-08-24 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-10-02
2023-08-24 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-10-02
2023-08-24 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-10-02
2023-08-24 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-10-02
2023-08-24 Provide or get specialized rehabilitative services as required for a resident.
F0825 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-10-02
2023-08-24 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-10-02
2023-08-11 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-15
2023-08-11 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-15
2023-08-11 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-15
2023-08-11 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-15

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $47,726 in fines.

DateTypeAmount
2025-04-14Fine$47,726

Ownership & management

NameRoleSince
Nocona Hospital District (organization)5%+ Direct Ownership Interest · 100%
Gamvest Texas LLC (organization)5%+ Mortgage Interest · NOT APPLICABLE
Gamble, Denny (individual)Administrator · NOT APPLICABLE
Gamvest Texas LLC (organization)Administrator · NOT APPLICABLE
Gordy, Otis (individual)Administrator · NOT APPLICABLE
Riaz, Ahsan (individual)Administrator · NOT APPLICABLE
The Highlands Guest Care Center LLC (organization)Administrator · NOT APPLICABLE
Meekins, Greg (individual)Corporate Director · NOT APPLICABLE
Gamble, Denny (individual)Operational/managerial Control · NOT APPLICABLE
Gordy, Otis (individual)Operational/managerial Control · NOT APPLICABLE
The Highlands Guest Care Center LLC (organization)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of The Highlands Guest Care Center?

The Highlands Guest Care Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.

How many beds does The Highlands Guest Care Center have?

It has 116 certified beds and cares for about 72 residents per day.

Has The Highlands Guest Care Center been fined?

Yes. CMS lists 1 penalty totaling $47,726 in the last three years.

What is the phone number of The Highlands Guest Care Center?

(972) 783-1771. The facility is located at 9009 Forest LN, Dallas, TX 75243.

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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.