Rambling Oaks Courtyard Extensive Care Community
112 BARNETT BLVD., Highland Village, TX, 75077
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 Star Ratings
Facility & Staffing
- Ownership
- For profit - Individual
- Certified beds
- 70 · avg 52 residents/day
- Total nursing staff turnover
- 55.3% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 40% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- 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 · $21,640 total
State licensing & capacity
- License number
- 307841
- Service type
- Medicare/medicaid
- Licensed capacity
- 70 beds
- Bed type breakdown
- 62 Medicare-only · 8 Medicaid/Medicare
- Current license effective
- April 16, 2024
- Current license expires
- April 16, 2027
- Initial license date
- January 22, 2008
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Highland Village Skilled Care, Llc (Limited Liability Company (LLC))
- Operator / manager
- Tgr Healthcare, Llc
- Administrator
- Teresa Parker
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (5 on record)
- Tgr Healthcare, Llc
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2024
- Brian k Thomas
Operational/managerial Control · since 2020
- Ricardo l Villa
5% or Greater Direct Ownership Interest · 49% · since 2019
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 23)
- E0761·Sep 2, 2025Complaint
Pharmacy Service Deficiencies
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.
- E0755·Sep 2, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0695·Jul 30, 2025Complaint
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- E0880·Oct 17, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Oct 17, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0761·Oct 17, 2024
Pharmacy Service Deficiencies
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.
- E0695·Oct 17, 2024
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0691·Oct 17, 2024
Quality of Life and Care Deficiencies
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Federal penalties
By year
- 20241 fine · $22K
Most recent events
- Jun 14, 2024Fine · $22K
Fire-safety citations
11 Life-Safety-Code citations on file. Most recent: Oct 17, 2024. 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
Rambling Oaks Courtyard Extensive Care Community is a 70-bed nursing home in Highland Village, Denton County, accepting Medicare and Medicaid. CMS rates it 3 stars overall, with a 1-star staffing rating — the lowest tier — but a 5-star quality-measures rating on both long-stay and short-stay outcomes. The facility is operating at about 74% of licensed capacity. Licensed through April 2027 under Highland Village Skilled Care, LLC.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 1 star — the bottom tier, shared by roughly 38% of Texas nursing homes. Each resident receives about 186 minutes of nursing care per day, approximately 55 minutes less than at a 4-star-staffing facility in Texas. Residents here also require more hands-on care than at a typical facility — less mobile or with greater medical needs on average — which means those 186 minutes stretch thinner than the raw number suggests.
Despite the staffing rating, CMS rates quality measures 5 stars for both long-stay and short-stay residents — the top tier. These measures track outcomes such as pressure wounds, falls, and hospital readmissions, drawn from clinical records rather than staffing schedules.
One administrator has turned over in the past year — an elevated rate for a facility this size. Residents and families may encounter leadership transitions during this period.
CMS recorded one fine totaling $21,640. The state median fine among Texas facilities that receive any fine is about $20,699, so this fine is near that midpoint. About 30% of Texas nursing homes have no fines at all.
The facility is running at about 74% of its 70 licensed beds — roughly 52 residents on an average day. Combined with the 1-star staffing rating and administrator turnover, the lower occupancy provides context that families may want to explore directly.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
With a 1-star CMS staffing rating and weekend hours logged at about 167 minutes per resident per day, ask how many nurses and aides are on duty overnight and on Saturdays and Sundays.
How quality scores stay high
CMS rates outcomes 5 stars despite 1-star staffing — ask specifically which processes or care protocols the team credits for keeping pressure wounds, falls, and hospitalizations low.
Recent administrator transition
One administrator left in the past year; ask who is currently in the role, how long they have been in place, and what continuity measures are in effect for residents.
Current occupancy and admission pace
The facility averages about 52 residents in 70 licensed beds; ask whether that reflects a planned census, recent discharges, or difficulty with admissions.
Resident Council activity
A Resident Council meets here but no Family Council exists — ask how family members raise concerns between scheduled meetings or when a resident cannot speak for themselves.
Care needs this facility accepts
With residents who require above-average hands-on care and staffing hours below the state's 4-star threshold, ask what medical or functional conditions the facility does and does not currently admit.
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.