The Highlands Guest Care Center
9009 FOREST LN, Dallas, TX, 75243
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
Special Focus Candidate
CMS has identified this facility as a Special Focus Candidate — a track record of serious quality issues that places it one step away from full Special Focus Facility designation.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company
- Certified beds
- 116 · avg 81 residents/day
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $53,825 total
State licensing & capacity
- License number
- 149870
- Service type
- Medicare/medicaid
- Licensed capacity
- 116 beds
- Bed type breakdown
- 2 Medicare-only · 114 Medicaid/Medicare
- Current license effective
- April 1, 2024
- Current license expires
- April 1, 2027
- Initial license date
- January 1, 1979
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Nocona Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Gamble Guest Care Health And Rehab Management Llc
- Administrator
- Otis C Gordy
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (7 on record)
- The Highlands Guest Care Center Llc
Adp of The Snf · since 2025
- Otis Gordy
Operational/managerial Control · since 2022
- Ahsan Riaz
Adp of The Snf · since 2018
- Denny Gamble
Adp of The Snf · since 2018
- Gamvest Texas Llc
Adp of The Snf · since 2018
- Greg Lance Meekins
Corporate Director · since 2018
+ 1 additional owner on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 24)
- C0732·Dec 30, 2025
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
- D0550·Dec 30, 2025
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- K0697·Apr 14, 2025Complaint
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
- K0689·Apr 14, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- K0600·Apr 14, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- K0777·Apr 14, 2025Complaint
Administration Deficiencies
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
- E0908·Apr 14, 2025Complaint
Environmental Deficiencies
Keep all essential equipment working safely.
- E0686·Feb 19, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Federal penalties
By year
- 20251 fine · $54K
Most recent events
- Apr 14, 2025Fine · $54K
Fire-safety citations
24 Life-Safety-Code citations on file. Most recent: Dec 30, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
The Highlands Guest Care Center is a 116-bed nursing home in Dallas, Texas, licensed through April 2027 and operating at about 70% occupancy. CMS rates it 1 star overall, with a 1-star health inspection rating and substantiated findings of resident abuse or neglect. CMS has also flagged it as a Special Focus candidate, signaling a pattern of serious deficiencies. One CMS fine totaling $53,825 was issued. Quality-of-care measures for long-stay residents rate 5 stars.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 1 star on staffing — placing it among the bottom 38% of Texas nursing homes on this measure. Each resident receives about 189 minutes of nursing care per day, roughly 52 minutes less than at a 4-star-staffing facility in Texas. Residents here also require more hands-on care than at a typical facility — they tend to be sicker or less mobile on average — so those 189 minutes stretch thinner than the raw number suggests.
CMS has flagged substantiated findings of resident abuse or neglect here within the past 36 months. Separately, CMS has designated this facility as a Special Focus candidate — a step below outright Special Focus Facility status, indicating a documented pattern of serious deficiencies that has drawn heightened regulatory attention.
One CMS fine totaling $53,825 has been issued. The state median fine across Texas nursing homes is about $20,699, putting this fine well above the midpoint for facilities that have been fined at all.
The facility is operating at roughly 70% of its licensed 116 beds — about 81 residents per day on average. That level of vacancy, alongside the safety flags and fine, describes the fuller context of current operations.
One administrator has turned over in the past year, a level CareWitness classifies as elevated. Leadership continuity affects how care policies are set and maintained across shifts.
The 4-star long-stay quality measure rating stands apart from the other scores in this record. Long-stay measures track outcomes for residents who have lived at the facility for 90 days or more — things like pressure wounds, falls, and mobility decline. That rating reflects how those residents are faring on those specific tracked outcomes.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Abuse findings and current safeguards
CMS has substantiated abuse or neglect findings here within the past 36 months — ask what specific incidents occurred and what policy or staffing changes followed.
Special Focus candidate status
CMS has flagged a pattern of serious deficiencies leading to this designation — ask what the facility's corrective action plan includes and what the timeline is for resolving it.
Daily nursing hours per resident
Each resident receives about 189 minutes of nursing care per day; ask how staffing is scheduled on nights and weekends, when the gap from daytime levels is typically largest.
Recent administrator change
One administrator has left in the past year — ask who the current administrator is, how long they have been in the role, and whether department leadership has also changed.
Low occupancy at 70%
The facility is running about 30% below its licensed capacity — ask whether that reflects a planned reduction in admissions or another operational factor.
Long-stay outcomes vs. overall record
Long-stay quality measures rate 5 stars while the overall and inspection ratings are 1 star — ask which specific measures drive that long-stay score and how short-stay residents' outcomes are tracked.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.