Nursing home
The Highlands Guest Care Center
9009 Forest Ln, Dallas, TX 75243 · Map
For profit - Limited Liability company · 116 certified beds
The Highlands Guest Care Center is a Medicare-certified nursing home in Dallas, Texas. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.15 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Dec 30, 2025 cited 7 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight and it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- Special Focus Facility candidateCMS lists this facility as a candidate for enhanced oversight.
- 1 fine totaling $53,825In 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 The Highlands Guest Care Center 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) | 3.15 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.39 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.83 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | —% | 51.5% | 46.4% | — |
| Deficiencies cited, last inspection | 7.0 | 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.
Penalties in CMS records: 1 fine totaling $53,825, 1 total penalty.
What inspectors found at The Highlands Guest Care Center
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
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Dec 30, 2025 · Full report (PDF) - Minimal
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Dec 30, 2025 · Full report (PDF) - Immediate jeopardy
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Administration Deficiencies · Apr 14, 2025 · Full report (PDF) - Immediate jeopardy
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Apr 14, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Apr 14, 2025 · Full report (PDF)
Show all 12 deficiencies
- Immediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Apr 14, 2025 · Full report (PDF) - Potential for harm
Keep all essential equipment working safely.
Environmental Deficiencies · Apr 14, 2025 · Full report (PDF) - Potential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Feb 19, 2025 · 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 · Feb 19, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Oct 10, 2024 · Full report (PDF) - Potential for harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Oct 10, 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 10, 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
- 9009 Forest Ln
Dallas, TX 75243 - CMS certification #
- 675447
- Ownership
- For profit - Limited Liability company
- Certified beds
- 116
- Avg residents/day
- 80.7
- Provider type
- Medicare and Medicaid
- First certified
- 1995-01-26
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around The Highlands Guest Care Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Medical City Dallas Hospital, Dallas. 1.4 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Presbyterian Village North Special Care CTR, Dallas. 0.3 miles away, straight line.
- Nearest home health agency office
- Good Health Services Inc., Dallas. 0.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Kroger Pharmacy. 0.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 75243 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Usrc Royal Central Dialysis, Dallas, 1.3 miles away, straight line (CMS rating 2 of 5 stars)
Usrc North Dallas Dialysis, Dallas, 1.6 miles away, straight line (CMS rating 1 of 5 stars)
Walnut Hill Dialysis Center, Dallas, 2.3 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 84 Medicare hospices tell CMS they serve ZIP code 75243.
Lifeline Hospice Care Inc., office in Dallas, 0.5 miles away, straight line
Angel Hands Hospice, office in Dallas, 0.7 miles away, straight line
Charise Hospice Care LLC, office in Dallas, 0.7 miles away, straight line - Nearest geriatric medicine practice
- Texas Health Physicians Group, Dallas. 0.7 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 very low, tornado relatively moderate, 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 |
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Frequently asked questions
Is The Highlands Guest Care Center a good nursing home?
CMS gives The Highlands Guest Care Center an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is The Highlands Guest Care Center staffed?
The Highlands Guest Care Center reports 3.15 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has The Highlands Guest Care Center had inspection problems?
Its most recent CMS inspection cited 7 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.
How many beds does The Highlands Guest Care Center have?
The Highlands Guest Care Center is certified for 116 beds.