Rambling Oaks Courtyard Extensive Care Community: Staffing, Turnover, and Inspection Record
Rambling Oaks Courtyard Extensive Care Community is a 70-bed for-profit nursing home in Highland Village, Texas. In the CMS August 2026 release it reported 1.80 nurse aide hours per resident per day, 10% below the Texas average of 2.00, and 61.4% nursing staff turnover (Texas average 55.3%).
Rambling Oaks Courtyard Extensive Care Community
112 Barnett BlvdHighland Village, TX 75077
Denton 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 Rambling Oaks Courtyard Extensive Care Community, nurse aides logged 1.80 hours per resident per day, 10% below the Texas average. With about 46 residents a day, that works out to roughly 82 aide hours a day, or about 10 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 16% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.80 | 2.00 | 2.32 |
| Licensed practical nurses | 1.28 | 0.95 | 0.86 |
| Registered nurses | 0.59 | 0.43 | 0.69 |
| All nursing staff | 3.67 | 3.39 | 3.86 |
| All nursing staff, weekends | 3.09 | 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
61.4% of nursing staff at Rambling Oaks Courtyard Extensive Care Community left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jan 8, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 13 health deficiencies (Texas average 9.3). CMS lists 1 fine totaling $21,640 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jun 14, 2024 | Fine | $21,640 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Rambling Oaks Courtyard Extensive Care Community holds 3 of 5 overall; the Texas average is 2.6.
About Rambling Oaks Courtyard Extensive Care Community
- Ownership: For profit - Corporation
- Legal name: Highland Village Skilled Care LLC
- Medicare and Medicaid certified since: Jan 24, 2008
- Councils: resident council
- Area: urban
Nursing homes near Rambling Oaks Courtyard Extensive Care Community
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Hollymead Flower Mound | 2.4 | 112 | 1.64 | 3.42 | 45.0% | 3 | $9,110 |
| Cross Timbers Rehabilitation and Healthcare Center Flower Mound | 2.5 | 120 | 2.39 | 3.71 | 49.5% | 3 | $8,281 |
| Lake Village Nursing and Rehabilitation Center Lewisville | 3.5 | 112 | 1.77 | 3.07 | — | 1 | $24,585 |
| Denton Rehabilitation and Nursing Center Denton | 4.8 | 94 | 2.00 | 4.29 | 41.8% | 4 | None |
| Corinth Rehabilitation Suites on the Parkway Corinth | 5.3 | 134 | 2.01 | 3.58 | 66.2% | 1 | None |
| Lake Forest Village by PureHealth Denton | 6.3 | 60 | 2.30 | 3.97 | 44.2% | 4 | None |
| University Rehabilitation Center Denton | 7.6 | 146 | 2.01 | 3.36 | 88.2% | 1 | $33,117 |
| Vista Ridge Nursing & Rehabilitation Center Lewisville | 8.1 | 132 | 2.10 | 3.46 | 62.2% | 4 | $10,348 |
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.