Highland Meadows: Staffing, Turnover, and Inspection Record
Highland Meadows is a 120-bed for-profit nursing home in Rockwall, Texas. In the CMS August 2026 release it reported 2.35 nurse aide hours per resident per day, 18% above the Texas average of 2.00, and 48.2% nursing staff turnover (Texas average 55.3%).
Highland Meadows
1870 John King BlvdRockwall, TX 75032
Rockwall County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Highland Meadows, nurse aides logged 2.35 hours per resident per day, 18% above the Texas average. With about 111 residents a day, that works out to roughly 262 aide hours a day, or about 33 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 7% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.35 | 2.00 | 2.32 |
| Licensed practical nurses | 0.73 | 0.95 | 0.86 |
| Registered nurses | 0.41 | 0.43 | 0.69 |
| All nursing staff | 3.49 | 3.39 | 3.86 |
| All nursing staff, weekends | 3.23 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
48.2% of nursing staff at Highland Meadows left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 64.3%.
Inspections and penalties
State inspectors last completed a standard health inspection on May 14, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 5 health deficiencies (Texas average 9.3). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Highland Meadows holds 4 of 5 overall; the Texas average is 2.6.
About Highland Meadows
- Ownership: For profit - Limited Liability company
- Legal name: Nocona Hospital District
- Medicare and Medicaid certified since: Jun 24, 2015
- Councils: resident council
- Area: urban
Nursing homes near Highland Meadows
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Rockwall Nursing Care Center Rockwall | 2.3 | 192 | 1.68 | 3.26 | 92.4% | 3 | $58,059 |
| Broadmoor Medical Lodge Rockwall | 2.4 | 140 | 1.90 | 3.37 | 38.2% | 3 | None |
| Beacon Harbor Healthcare and Rehabilitation Rockwall | 4.5 | 190 | 2.11 | 3.40 | 41.0% | 3 | $21,817 |
| Rowlett Health and Rehabilitation Center Rowlett | 4.9 | 163 | 2.05 | 3.17 | 53.9% | 3 | None |
| Wylie Oaks Healthcare and Rehabilitation Wylie | 9.7 | 106 | 2.02 | 3.55 | 32.8% | 2 | $58,390 |
| Pleasant Valley Healthcare and Rehabilitation Cent Garland | 10.5 | 124 | 1.87 | 3.36 | 33.3% | 2 | $53,393 |
| Ridgecrest Healthcare and Rehabilitation Center Forney | 10.5 | 116 | 2.56 | 4.19 | 38.1% | 3 | None |
| Advanced Health & Rehab Center of Garland Garland | 10.8 | 139 | 1.77 | 2.97 | 43.5% | 1 | $181,828 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.