Rambling Oaks Courtyard Extensive Care Community
Nursing Home · Highland Village, TX
CMS certification number676168
Contact & location
112 Barnett BlvdHighland Village, TX 75077
Denton County
- Phone
- (972) 317-1174
- ZIP code
- 75077 – all care providers
Facility details
- Certified beds
- 70
- Residents per day
- 45.5 (65% occupied)
- Ownership
- For profit - Corporation
- Legal name
- Highland Village Skilled Care LLC
- Medicare certified since
- January 24, 2008
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.67 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.59 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 1.28 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.80 (state 2.00 · U.S. 2.32)
- Weekend total
- 3.09 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 61.4 (state 55.3 · U.S. 45.8)%
- RN turnover
- —
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- January 8, 2026
- Health deficiencies (last cycle)
- 13.0 (state 9.3 · U.S. 9.3)
- From complaints
- 2
- Citations on record (3 years)
- 32 health · 13 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-01-08 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-02-10 |
| 2026-01-08 | 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 2026-02-10 |
| 2026-01-08 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-02-10 |
| 2026-01-08 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-02-10 |
| 2026-01-08 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-10 |
| 2026-01-08 | 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 |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-10 |
| 2026-01-08 | 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 |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-10 |
| 2026-01-08 | 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. F0693 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-10 |
| 2026-01-08 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. F0694 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-10 |
| 2026-01-08 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-10 |
| 2026-01-08 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-10 |
| 2025-09-02 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-09-03 |
| 2025-09-02 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-09-03 |
| 2025-07-30 | 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 2025-08-01 |
| 2024-10-17 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-11-14 |
| 2024-10-17 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2024-11-14 |
| 2024-10-17 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-11-14 |
| 2024-10-17 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-11-14 |
| 2024-10-17 | 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 2024-11-14 |
| 2024-10-17 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-11-14 |
| 2024-10-17 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-14 |
| 2024-10-17 | 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 |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-14 |
| 2024-10-17 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. F0691 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-14 |
| 2024-06-14 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-07-11 |
| 2023-09-14 | 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 |
F No actual harm, potential for more than minimal harm |
Corrected 2023-10-12 |
| 2023-09-14 | 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 2023-10-12 |
| 2023-09-14 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-10-12 |
| 2023-09-14 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-10-12 |
| 2023-09-14 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. F0635 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-12 |
| 2023-09-14 | 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 |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-12 |
| 2023-09-14 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-12 |
| 2023-09-14 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-12 |
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 $21,640 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-06-14 | Fine | $21,640 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Villa, Ricardo (individual) | 5%+ Direct Ownership Interest · 49% | |
| TGR Healthcare, LLC (organization) | Administrator · NOT APPLICABLE | |
| Thomas, Brian (individual) | Administrator · NOT APPLICABLE | |
| Thomas, Brian (individual) | Corporate Officer · NOT APPLICABLE | |
| Villa, Ricardo (individual) | Corporate Officer · NOT APPLICABLE | |
| TGR Healthcare, LLC (organization) | Direct Ownership Interest · NOT APPLICABLE | |
| Thomas, Brian (individual) | Direct Ownership Interest · NOT APPLICABLE | |
| TGR Healthcare, LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Thomas, Brian (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Rambling Oaks Courtyard Extensive Care Community?
Rambling Oaks Courtyard Extensive Care Community has a 3-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 Rambling Oaks Courtyard Extensive Care Community have?
It has 70 certified beds and cares for about 46 residents per day.
Has Rambling Oaks Courtyard Extensive Care Community been fined?
Yes. CMS lists 1 penalty totaling $21,640 in the last three years.
What is the phone number of Rambling Oaks Courtyard Extensive Care Community?
(972) 317-1174. The facility is located at 112 Barnett Blvd, Highland Village, TX 75077.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.