Nursing home · Top rated by CMS
Highland Meadows
1870 John King Blvd, Rockwall, TX 75032 · Map
For profit - Individual · 120 certified beds
Highland Meadows is a Medicare-certified nursing home in Rockwall, Texas. CMS rates it 5 out of 5 stars overall (2/5 for staffing, 5/5 for health inspections). Nurse staffing is 3.92 hours per resident per day, above the Texas average of 3.40. Its most recent inspection on Mar 5, 2025 cited 4 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Highland Meadows compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.92 | 3.40 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.44 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.67 | 2.01 | 2.34 | above avg |
| Nursing staff turnover | 43.9% | 51.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 4.0 | 9.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Highland Meadows
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 5, 2025 · Full report (PDF) - Potential for harm
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · Mar 5, 2025 · Full report (PDF) - Potential for harm
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.
Quality of Life and Care Deficiencies · Mar 5, 2025 · Full report (PDF) - Potential for harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Mar 5, 2025 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jan 31, 2025 · Full report (PDF)
Show all 8 deficiencies
- Potential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Jan 31, 2025 · Full report (PDF) - Potential for harm
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary Deficiencies · Feb 15, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Feb 15, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1870 John King Blvd
Rockwall, TX 75032 - CMS certification #
- 676387
- Ownership
- For profit - Individual
- Certified beds
- 120
- Avg residents/day
- 102.0
- Provider type
- Medicare and Medicaid
- First certified
- 2015-06-24
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Highland Meadows using Google Maps.
Other public records
- Website says Nurse 24 hours a day, works with hospice, diabetes care, transportation, secured outdoor area
Full public records, with dates and sources
Care and services
From the community’s website
What Highland Meadows says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Nurse on site: 24 hours a day.
Highland Meadows provides 24/7 nursing care from a dedicated team of RNs, LVNs, Certified Nursing Assistants and Certified Medication Aides.
(page, checked Oct 15, 2026) - Offers hospice care on site or works with hospice providers.
General Inpatient Hospice Services
(page, checked Oct 15, 2026) - Offers diabetes care.
Diabetic care plan
(page, checked Oct 15, 2026) - Provides transportation.
Transportation
(page, checked Oct 12, 2026) - Has a secured outdoor area.
Secure, enclosed outdoor courtyard
(page, checked Oct 15, 2026) - Apartment types named: private room, semi-private room.
Long term care patients have the option of semi-private or private rooms.
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Texas Health Presbyterian Hospital Rockwall, Rockwall. 2.3 miles away, straight line. CMS overall hospital rating: 5 of 5 stars.
- Nearest Medicare nursing home
- Rockwall Nursing Care Center, Rockwall. 2.3 miles away, straight line.
- Nearest home health agency office
- Chilex Home Care Services Inc, Rockwall. 1.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- H-E-B Pharmacy. 0.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 75032 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Rockwall Dialysis Center, Rockwall, 1.7 miles away, straight line (CMS rating 3 of 5 stars)
Usrc Premier Rockwall Dialysis, Rockwall, 2.5 miles away, straight line (CMS rating 3 of 5 stars)
Usrc Rowlett, Rowlett, 5.6 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 72 Medicare hospices tell CMS they serve ZIP code 75032.
Alpha Hospice Plus Inc, office in Garland, 9.1 miles away, straight line
Elite Hospice Of Texas, office in Garland, 9.2 miles away, straight line
Trinity Hospice, office in Garland, 9.3 miles away, straight line (CMS family survey rating 2 of 5 stars) - Nearest geriatric medicine practice
- Vmd Primary Providers North Texas PLLC, Garland. 13.4 miles away, straight line. 2 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane very low, inland flooding relatively low, wildfire very low, tornado relatively high, heat wave relatively high, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Highland Meadows a good nursing home?
CMS gives Highland Meadows an overall rating of 5 out of 5 stars, including 2/5 for staffing and 5/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Highland Meadows staffed?
Highland Meadows reports 3.92 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Highland Meadows had inspection problems?
Its most recent CMS inspection cited 4 deficiencies.
How many beds does Highland Meadows have?
Highland Meadows is certified for 120 beds.