Rambling Oaks Courtyard Extensive Care Community
112 Barnett Blvd · Highland Village, TX · 75077 · 9723171174
70 certified beds For profit - Individual
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
60% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.30 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.70 | 0.55–0.75 |
| Weekend hours / resident-day | 2.87 | ≈ weekday level |
| Nursing turnover / year | 60% | median 45% |
| Fines (3-yr window) | 1 · $21,640 |
Inspection citations (23 in the current record)
-
Potential for harm · E September 2, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 3, 2025 · Pharmacy Service
-
Potential for harm · E September 2, 2025 · found via complaint
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.
Corrected September 3, 2025 · Pharmacy Service
-
Potential for harm · D July 30, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected August 1, 2025 · Quality of Life and Care
-
Potential for harm · D October 17, 2024
Ensure each resident receives an accurate assessment.
Corrected November 14, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D October 17, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 14, 2024 · Resident Assessment and Care Planning
-
Potential for harm · E October 17, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 14, 2024 · Quality of Life and Care
-
Potential for harm · E October 17, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 14, 2024 · Quality of Life and Care
-
Potential for harm · D October 17, 2024
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected November 14, 2024 · Quality of Life and Care
-
Potential for harm · E October 17, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected November 14, 2024 · Quality of Life and Care
-
Potential for harm · E October 17, 2024
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.
Corrected November 14, 2024 · Pharmacy Service
-
Potential for harm · E October 17, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 14, 2024 · Nutrition and Dietary
-
Potential for harm · E October 17, 2024
Provide and implement an infection prevention and control program.
Corrected November 14, 2024 · Infection Control
-
Immediate jeopardy · J June 14, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected July 11, 2024 · Resident Rights
-
Potential for harm · E September 14, 2023
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.
Corrected October 12, 2023 · Resident Rights
-
Potential for harm · D September 14, 2023
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected October 12, 2023 · Resident Assessment and Care Planning
-
Potential for harm · D September 14, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 12, 2023 · Resident Assessment and Care Planning
-
Potential for harm · D September 14, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 12, 2023 · Resident Assessment and Care Planning
-
Potential for harm · E September 14, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 12, 2023 · Quality of Life and Care
-
Potential for harm · E September 14, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected October 12, 2023 · Quality of Life and Care
-
Potential for harm · F September 14, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 12, 2023 · Nutrition and Dietary
-
Potential for harm · D September 14, 2023
Provide and implement an infection prevention and control program.
Corrected October 12, 2023 · Infection Control
-
Potential for harm · E July 28, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 27, 2022 · Nutrition and Dietary
-
Potential for harm · D July 28, 2022
Provide and implement an infection prevention and control program.
Corrected August 27, 2022 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 14, 2024 | Fine | $21,640 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676168 · certified since January 24, 2008. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.