Nursing home
Rambling Oaks Courtyard Extensive Care Community
112 Barnett Blvd, Highland Village, TX 75077 · Map
For profit - Individual · 70 certified beds
Rambling Oaks Courtyard Extensive Care Community is a Medicare-certified nursing home in Highland Village, Texas. CMS rates it 3 out of 5 stars overall (1/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.10 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Oct 17, 2024 cited 12 deficiencies.
- 1 fine totaling $21,640In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Rambling Oaks Courtyard Extensive Care Community 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) | 3.10 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.42 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.56 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 55.3% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 12.0 | 9.1 | 9.5 | above 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.
Penalties in CMS records: 1 fine totaling $21,640, 1 total penalty.
What inspectors found at Rambling Oaks Courtyard Extensive Care Community
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
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.
Pharmacy Service Deficiencies · Sep 2, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Sep 2, 2025 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Jul 30, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Oct 17, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Oct 17, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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.
Pharmacy Service Deficiencies · Oct 17, 2024 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Oct 17, 2024 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Oct 17, 2024 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Oct 17, 2024 · Full report (PDF) - Potential for harm
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Oct 17, 2024 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Oct 17, 2024 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Oct 17, 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
- 112 Barnett Blvd
Highland Village, TX 75077 - CMS certification #
- 676168
- Ownership
- For profit - Individual
- Certified beds
- 70
- Avg residents/day
- 51.9
- Provider type
- Medicare and Medicaid
- First certified
- 2008-01-24
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Rambling Oaks Courtyard Extensive Care Community using Google Maps.
Other public records
- Website says Diabetes care
Full public records, with dates and sources
Care and services
From the community’s website
What Rambling Oaks Courtyard Extensive Care Community says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers diabetes care.
Diabetic management
(page, checked Oct 15, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Texas Health Presbyterian Hospital Flower Mound, Flower Mound. 2.2 miles away, straight line. CMS overall hospital rating: 5 of 5 stars.
- Nearest Medicare nursing home
- Hollymead, Flower Mound. 2.4 miles away, straight line.
- Nearest home health agency office
- Anchor Pulmonary Rehab And Home Healthcare Services LLC, Lewisville. 2.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walmart Pharmacy. 0.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 75077 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Renal Center Of Flower Mound, Flower Mound, 1.7 miles away, straight line (CMS rating 4 of 5 stars)
Liberty Dialysis Lake Lewisville, Corinth, 5.3 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Liberty Dialysis Of South Lewisville, Lewisville, 6.1 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 67 Medicare hospices tell CMS they serve ZIP code 75077.
Mercy Hospice, Ltd, office in Flower Mound, 2.9 miles away, straight line
Arcy Hospice, office in Flower Mound, 2.9 miles away, straight line (CMS family survey rating 3 of 5 stars)
Harris Hospice Inc, office in Lewisville, 4.3 miles away, straight line - Nearest geriatric medicine practice
- Texas Health Physicians Group, Flower Mound. 2.6 miles away, straight line. 1 geriatric medicine doctor 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 moderate. By hazard: hurricane very low, inland flooding relatively moderate, wildfire relatively low, tornado very high, heat wave relatively moderate, 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 relatively 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 Rambling Oaks Courtyard Extensive Care Community a good nursing home?
CMS gives Rambling Oaks Courtyard Extensive Care Community an overall rating of 3 out of 5 stars, including 1/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Rambling Oaks Courtyard Extensive Care Community staffed?
Rambling Oaks Courtyard Extensive Care Community reports 3.10 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Rambling Oaks Courtyard Extensive Care Community had inspection problems?
Its most recent CMS inspection cited 12 deficiencies.
How many beds does Rambling Oaks Courtyard Extensive Care Community have?
Rambling Oaks Courtyard Extensive Care Community is certified for 70 beds.