Highland Meadows
1870 JOHN KING BOULEVARD, Rockwall, TX, 75032
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
- 120 · avg 102 residents/day
- Total nursing staff turnover
- 43.9% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 90% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
State licensing & capacity
- License number
- 312607
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 54 Medicare-only · 66 Medicaid/Medicare
- Current license effective
- July 1, 2025
- Current license expires
- July 1, 2028
- Initial license date
- June 24, 2015
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Nocona Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Haco Health Solutions, Llc
- Administrator
- Bobbi J Crocker
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (9 on record)
- Haco Health Solutions Llc
Adp of The Snf · since 2025
- Bobbi Crocker
Operational/managerial Control · since 2025
- Gracen Hawley
Operational/managerial Control · since 2025
- Nocona Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2022
+ 3 additional owners on the federal record.
Recent change of ownership
July 2025 (10 months ago) · acquired from Highland Meadows
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Change of Ownership, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 8)
- D0758·Mar 5, 2025
Pharmacy Service Deficiencies
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 li…
- D0693·Mar 5, 2025
Quality of Life and Care Deficiencies
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.
- D0655·Mar 5, 2025
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D0880·Mar 5, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0609·Jan 31, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D0580·Jan 31, 2025Complaint
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E0813·Feb 15, 2024Complaint
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- E0880·Feb 15, 2024Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Fire-safety citations
5 Life-Safety-Code citations on file. Most recent: Mar 5, 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
Highland Meadows is a 120-bed nursing home in Rockwall, TX, licensed for both Medicare and Medicaid residents. CMS rates it 5 stars overall and 5 stars on health inspections — the top tier on both measures. Staffing carries a 2-star rating, and the short-stay quality-of-care rating is also 2 stars. The facility is managed by Haco Health Solutions and operates at about 85% of its licensed beds.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates Highland Meadows 2 stars on staffing. Each resident receives about 235 minutes of nursing care per day — roughly 6 minutes less than the threshold for a 4-star-staffing facility in Texas. That gap is narrow in total nursing hours, but registered nurse hours are notably thin: each resident receives about 26 minutes of RN time per day, compared with 37 minutes at the 4-star level in Texas. About 32% of Texas nursing homes carry this staffing rating.
RN turnover here is very high — roughly 9 in 10 registered nurses left in the past year. For residents who rely on RNs to oversee care plans and manage complex medical needs, that level of churn means continuity at the RN level is difficult to count on. Total nursing staff turnover sits at 43.9%, just above Texas's 25th-percentile cutoff of 42%, so frontline aide and LVN staffing is somewhat more stable than the RN picture suggests.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
RN coverage on each shift
With 9 in 10 registered nurses leaving in the past year, ask how many RNs are on duty during days, evenings, and overnight, and how vacancies are currently covered.
Short-stay quality outcomes
CMS rates short-stay quality of care 2 stars; ask which specific measures drive that rating and what changes are underway to address them.
Staffing agency reliance
Given the 2-star staffing rating and high RN turnover, ask what share of nursing shifts are currently filled by agency or temporary staff rather than direct employees.
Resident Council activity
The facility has an active Resident Council — ask how often it meets, how concerns are documented, and what changes it has prompted in the past year.
Management company's role
Highland Meadows is licensed under a hospital district but managed by Haco Health Solutions; ask which entity sets staffing levels, hires administrators, and handles regulatory compliance.
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.