The Highlands Guest Care Center: Staffing, Turnover, and Inspection Record
The Highlands Guest Care Center is a 116-bed for-profit nursing home in Dallas, Texas. In the CMS August 2026 release it reported 1.98 nurse aide hours per resident per day, about the same as the Texas average of 2.00.
The Highlands Guest Care Center
9009 Forest LnDallas, TX 75243
Dallas 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 The Highlands Guest Care Center, nurse aides logged 1.98 hours per resident per day, about the same as the Texas average. With about 72 residents a day, that works out to roughly 143 aide hours a day, or about 18 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 11% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.98 | 2.00 | 2.32 |
| Licensed practical nurses | 0.95 | 0.95 | 0.86 |
| Registered nurses | 0.38 | 0.43 | 0.69 |
| All nursing staff | 3.32 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.97 | 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
CMS publishes no nursing staff turnover figure for The Highlands Guest Care Center in this release. 1 administrator left over the same period.
CMS note: Staffing data not submitted or not valid for calculating turnover.
Inspections and penalties
State inspectors last completed a standard health inspection on Dec 30, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 3 health deficiencies (Texas average 9.3). CMS lists 1 fine totaling $47,726 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Apr 14, 2025 | Fine | $47,726 |
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. The Highlands Guest Care Center holds 1 of 5 overall; the Texas average is 2.6.
About The Highlands Guest Care Center
- Ownership: For profit - Limited Liability company
- Legal name: Nocona Hospital District
- Medicare and Medicaid certified since: Jan 26, 1995
- Councils: resident council
- Area: urban
Nursing homes near The Highlands Guest Care Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Presbyterian Village North Special Care Ctr Dallas | 0.3 | 88 | 2.68 | 4.46 | 43.0% | 4 | $36,505 |
| The Legacy Midtown Park Dallas | 1.5 | 54 | 3.89 | 5.71 | 33.3% | 5 | $27,523 |
| Avir at The Meadow Dallas | 1.7 | 184 | 1.63 | 2.90 | 58.1% | 1 | $35,731 |
| Pure Health Transitional Care at Texas Health Pres Dallas | 2.3 | 49 | 1.86 | 4.35 | 53.7% | 5 | None |
| Five Points at Lake Highlands Nursing and Rehab Dallas | 3.1 | 280 | 2.13 | 3.36 | 64.0% | 1 | $58,149 |
| Villages of Lake Highlands Dallas | 3.9 | 126 | 2.20 | 4.48 | 35.4% | 2 | $29,022 |
| Richardson Nursing and Rehabilitation Richardson | 3.9 | 280 | 1.36 | 2.60 | — | 1 | $8,977 |
| C C Young Memorial Home Dallas | 3.9 | 129 | 3.19 | 5.30 | 43.1% | 5 | None |
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.