The Highlands Guest Care Center LLC: Data Analysis and Ratings

CMS Five Star Rating(3 out of 5):

 9009 FOREST LN DALLAS, TX 75243

  972-783-1771

Data date: April 01, 2023

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The Most Important Data about The Highlands Guest Care Center LLC

We've looked at a lot of nursing homes, this is what we think you need to see first and if you don't want to spend a lot of time. (It's the tl;dr section.)

There is no indication of abuse occuring at The Highlands Guest Care Center LLC. (CMS flags facilities where abuse has either happened or is very likely.)

CMS 5-Star Overall Rating: (3 out of 5):
(The national average overall star rating is 3 stars.)

Current Trend: Improving

Total Nursing Hours Spent Per Resident Per Day: 3.07
(The national average is 3.74 )

Best Nursing Homes in TX

According to our analysis, The Highlands Guest Care Center LLC is ranked #33 out of 154 skilled nursing homes within a 25 mile radius. See detailed information from recent inspection reports, nursing hours analysis, surverys, and information on owners and operators. Click here to view the ranked list of nursing homes near The Highlands Guest Care Center LLC.

What is this page all about?

Below is everything shred of information that we can find about The Highlands Guest Care Center LLC, along with our best effort to make sense of the data. Our purpose here is to help you to make good decisions when picking a nursing home and to keep you informed once you have chosen a home. We know from personal experience that choosing a nursing home is not something you do once and then you forget about it. In fact, it gets worse. Once you select a nursing home and get through the initial steps of figuring out how to pay for it, then the real worries start. Are they taking good care of me or my loved one? This is the question that will keep you up at night: Can I really trust these people? We wish we could answer this question, we can't. What he can do is churn through the tons of data and try and help you to make sense of it. We hope it helps.

General Data Card

These are the basic data points for the facility.

Data date: April 01, 2023

Address: 9009 FOREST LN

DALLAS, TX 75243

Phone: 972-783-1771

Click for Map

Ranking: The Highlands Guest Care Center LLC is ranked #17 out of 65 facilities within a 10 mile radius and #33 out of 154 facilities within a 25 mile radius.

Medicare Provider Number: 675447

Participating in Medicare Since: January 26, 1995

No. of Certified Beds: 103

No. of Residents: 80

Occupancy: 77.67 % (as of 05/21/2023 )

Amount fined in recent period: $28,076.24

Complaints filed: 3

Ratings History for The Highlands Guest Care Center LLC

Review of The Highlands Guest Care Center LLC Ratings and Inspection Scores

CMS regularly inspects every skilled nursing facility. (The timing is supposed to be annually, but since the beginning of the Covid pandemic, these inspections have not occured as frequently.) The results of the multi-day inspection is reduced to a series of scores which are then translated into the star ratings. The health inspection scores are an absolute value, so you can compare one facility's score directly to another. The Overall Star rating is based on the facility's performance as compared to other facilities in the same state, so you cannot easily compare one facility's Overall star rating to a facility in another state.

Ratings

Overall Rating 3:
Health Inspection Rating 4:
Quality Rating 2:
Staffing Rating 1:

Inspection Scores

Cycle 1 Score (as of July 08, 2022) 16
Cycle 2 Score (as of April 15, 2021) 28
Cycle 3 Score (as of May 16, 2019) 28
Weighted All Cycles Score 22

It has been 8 months since the most recent inspection.

What Goes Into the Nursing Home's 5-Star Rating

CMS has put a lot of effort into creating its very elaborate 5-Star Quality Rating System specifically to provide a quick way for residents and family members to easily understand how well a nursing home is performing and to make comparing nursing homes easier. The rating system allows people to easily compare facilities across numerous dimensions with the express purpose of identifying the best and best performing nursing homes. The rating system was initially developed in 2008 and the methodologies are regularly reviewed and updated.

The rating system has five separate ratings including:

  • Overall rating
  • Health Inspection rating
  • Staff rating
  • RN Staffing rating
  • Quality Measures rating

Nursing homes are rated from 1-star to 5-stars with 1-star being the best rating and 5-star being the best rating. For the Health Inspection Rating the nursing homes in each state are ranked based on their weighted three year inspection score. The top 10 percent of nursing homes (those with the lowest scores) are awarded a 5-star rating; the bottom 20 percent (those with the highest scores) are awarded a 1-star rating. In between 1-star and 5-star, the remaining homes are divided equally into three tranches which correspond with the stars 2 to 4. The staff ratings and quality measure ratings follow a similar process but the divisions are based on a national ranking. The division between star ratings is called the “cut-rate”. Cut-rates are redefined periodically and are published by CMS. See the latest cut rates on this table.

Calculating the Overall Star Rating is done differently. According to CMS, the reason for adopting a different system is to give the Health Inspection Rating higher weight in the Overall Rating. So, since there are FIVE ratings and FIVE stars for each rating, there must also be a FIVE step process to calculate the Overall Rating (so symetrical!) :

  1. Begin with the Health Inspection Rating
  2. Add one star to the Health Inspection Rating if the Staffing Rating is at least four-stars and is higher than the Health Inspection Rating. (We will call this the "Adjusted Rating".)
  3. Subtract one star from the Health Inspection Rating if the Staffing Rating is one-star.
  4. Add a star to the Adjusted Rating if the Quality Measure Rating is 5-stars.
  5. Subtract one star from the Adjusted Rating if the Quality Measure Rating is 1-star.

Throughout the calculation of the Overall Rating, the rating cannot exceed 5-stars. The Overall Rating is capped at 2-stars if the Health Inspection rating is 1-star. No Overall Rating is awarded if the nursing home does not have a Health Inspection Rating (This effectively means that a nursing home is not rated until the home has been operating for more than two years.)

Changes in a nursing homes star rating can be due to the results of a new health inspection report, the processing of new complaints, the aging of older complaints, a new inspection control survey, a revisit, or the resolution of disputes that change the scope and or severity of deficiencies.

Most Recent Nursing Home Inspections

CMS is required to inspect each senior nursing facility at least annually. These inspections take several days. Additional follow-up inspections as conducted as needed or for certain purposes. Inspections stopped for more than seven months in 2020 due to the Covid pandemic. That stoppage has caused all inspections to be delayed as the inspectors continue to deal with a backlog. The table below shows the latest inspections for The Highlands Guest Care Center LLC including health, fire, and inspection control inspections:

Inspection Type Inspection Date
Fire Safety Complaint September 29, 2020
Fire Safety Standard July 07, 2022
Fire Safety Standard April 15, 2021
Fire Safety Standard May 16, 2019
Health Complaint December 30, 2022
Health Complaint July 24, 2021
Health Complaint April 15, 2021
Health Complaint December 14, 2020
Health Standard July 08, 2022
Health Standard April 15, 2021
Health Standard May 16, 2019
Infection Control December 30, 2022
Infection Control November 01, 2022
Infection Control September 27, 2022
Infection Control June 09, 2022
Infection Control March 23, 2022
Infection Control February 16, 2022
Infection Control July 24, 2021
Infection Control June 01, 2021
Infection Control May 19, 2021
Infection Control April 15, 2021
Infection Control December 14, 2020
Infection Control September 01, 2020
Infection Control July 21, 2020
Infection Control April 07, 2020

Owner and Operator Information for The Highlands Guest Care Center LLC

Our database of owners and operators shows all direct owners of the nursing nurse, any managers and directors, and the most adjacent indirect owners of the facility (that is, if the direct owner is company, then the owners of that company.) Lists of nursing home owners are available and you can search for nursing home owners and operators on our site.

Business Entity Name:

NOCONA HOSPITAL DISTRICT

Owners:

Managers and Directors:

Analysis of Nursing Hours Spent Per Patient

CMS provides detailed information about how long nursing staff spends with residents. This data includes nursing subcategories of Registered Nurse, Licensed Practical Nurse, and non-nursing Certified Nursing Assistants. More hours spend per patient should can indicate a better facility or it could indicate more complicated situations.

The nursing staff of The Highlands Guest Care Center LLC spends LESS time on average with its residents than the state average and LESS time than the national average for total nursing homes spent per resident.

Type Facility State / National Avg
Registered Nurse (RN)
Hours 0.41 0.36 / 0.65
Case Mix 0.35 0.42 / 0.39
Adjusted 0.46 NA / NA
Licensed Practical Nurse (LPN)
Hours 1.02 1.02 / 0.88
Case Mix 0.71 NA / NA
Adjusted 1.05 NA / NA
Certified Nursing Assistants (CNA)
Hours 1.64 1.93 / 2.21
Case Mix 1.88 NA / NA
Adjusted 1.78 NA / NA
Total Licensed Staff
Hours 1.43 1.38 / 1.53
Physical Therapist (PT)
Hours 0.07 0.06 / 0.07
Total Nursing Homes Spent per Resident on Average
Hours 3.07 3.30 / 3.74
Case Mix 2.94 3.22 / 3.16
Adjusted 3.31 NA / NA

Quality Measures

Quality measures are based both on patient survey information and on the results of actual claims that are filed with CMS. It is not clear what period is covered in the measures.

Desc. Perc. State Avg. / Comparison
Percentage of short-stay residents who were rehospitalized after a nursing home admission (qm521) 26.6% 24.5%
Worse
Percentage of short-stay residents who had an outpatient emergency department visit (qm522) 15.5% 12.2%
Worse
Number of hospitalizations per 1000 long-stay resident days (qm551) 2.8% 1.9%
Worse
Number of outpatient emergency department visits per 1000 long-stay resident days (qm552) 1.2% 1.2%
Worse
Percentage of long-stay residents whose need for help with daily activities has increased (qm401) 37.1% 17.2%
Worse
Percentage of long-stay residents who lose too much weight (qm404) 1.1% 4.9%
Better
Percentage of low risk long-stay residents who lose control of their bowels or bladder (qm405) 58.5% 52.3%
Worse
Percentage of long-stay residents with a catheter inserted and left in their bladder (qm406) 0.7% 1.5%
Better
Percentage of long-stay residents with a urinary tract infection (qm407) 0.5% 1.4%
Better
Percentage of long-stay residents who have depressive symptoms (qm408) 6.3% 5.3%
Worse
Percentage of long-stay residents who were physically restrained (qm409) 0.0% 0.0%
Better
Percentage of long-stay residents experiencing one or more falls with major injury (qm410) 2.5% 3.4%
Better
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (qm415) 97.5% 95.6%
Better
Percentage of long-stay residents who received an antipsychotic medication (qm419) 9.7% 10.1%
Better
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (qm430) 60.9% 83.9%
Worse
Percentage of short-stay residents who newly received an antipsychotic medication (qm434) 0.0% 1.8%
Better
Percentage of long-stay residents whose ability to move independently worsened (qm451) 29.9% 13.4%
Worse
Percentage of long-stay residents who received an antianxiety or hypnotic medication (qm452) 12.4% 22.1%
Better
Percentage of high risk long-stay residents with pressure ulcers (qm453) 2.3% 7.3%
Better
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (qm454) 93.3% 96.1%
Worse
Percentage of short-stay residents who made improvements in function (qm471) 54.6% 66.6%
Worse
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (qm472) 86.7% 77.8%
Better

The Highlands Guest Care Center LLC Violations, Complaints and Fines

These are complaints and fines that are reported by CMS. Some of the data is not very recent, but we have decided to include it here so that you have as much information as possible.

Amount fined in recent period: $28,076.24, Complaints filed: 3

Deficiency Deficiency Date / Date Corrected
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
(Health)
05-16-2019 / 06-27-2019
Keep all essential equipment working safely.
(Health)
05-16-2019 / 06-27-2019
Address subsistence needs for staff and patients.
(Fire Safety)
05-16-2019 / 06-27-2019
Establish policies and procedures for sheltering.
(Fire Safety)
05-16-2019 / 06-27-2019
Establish emergency prep training and testing.
(Fire Safety)
05-16-2019 / 06-27-2019
Establish staff and initial training requirements.
(Fire Safety)
05-16-2019 / 06-27-2019
Conduct testing and exercise requirements.
(Fire Safety)
05-16-2019 / 06-27-2019
Keep aisles, corridors, and exits free of obstruction in case of emergency.
(Fire Safety)
05-16-2019 / 06-27-2019
Provide properly protected cooking facilities.
(Fire Safety)
05-16-2019 / 06-27-2019
Have an alternate power supply for its alarm system.
(Fire Safety)
05-16-2019 / 06-27-2019
Inspect, test, and maintain automatic sprinkler systems.
(Fire Safety)
05-16-2019 / 06-27-2019
Properly select, install, inspect, or maintain portable fire extinguishes.
(Fire Safety)
05-16-2019 / 06-27-2019
Install corridor and hallway doors that block smoke.
(Fire Safety)
05-16-2019 / 06-27-2019
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
(Fire Safety)
05-16-2019 / 06-27-2019
Install smoke barrier doors that can resist smoke for at least 20 minutes.
(Fire Safety)
05-16-2019 / 06-27-2019
Have properly installed electrical wiring and gas equipment.
(Fire Safety)
05-16-2019 / 06-27-2019
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
(Fire Safety)
05-16-2019 / 06-27-2019
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
(Fire Safety)
05-16-2019 / 06-27-2019
Have a battery powered remote alarm panel in a location accessible by operating personnel.
(Fire Safety)
05-16-2019 / 06-27-2019
Ensure proper usage of power strips and extension cords.
(Fire Safety)
05-16-2019 / 06-27-2019
Use approved construction type or materials.
(Fire Safety)
09-29-2020 / 01-03-2021
Inspect, test, and maintain automatic sprinkler systems.
(Fire Safety)
09-29-2020 / 01-03-2021
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
(Fire Safety)
09-29-2020 / 01-03-2021
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
(Health)
12-14-2020 / 01-15-2021
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
(Health)
04-15-2021 / 05-29-2021
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
(Health)
04-15-2021 / 05-29-2021
Have an alternate power supply for its alarm system.
(Fire Safety)
04-15-2021 / 05-29-2021
Have properly installed electrical wiring and gas equipment.
(Fire Safety)
04-15-2021 / 05-29-2021
Have generator or other power source capable of supplying service within 10 seconds.
(Fire Safety)
04-15-2021 / 05-29-2021
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
(Health)
07-24-2021 / 09-06-2021
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
(Fire Safety)
07-07-2022 / 08-06-2022
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
(Fire Safety)
07-07-2022 / 08-07-2022
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
(Fire Safety)
07-07-2022 / 08-07-2022
Install smoke barrier doors that can resist smoke for at least 20 minutes.
(Fire Safety)
07-07-2022 / 08-07-2022
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
(Fire Safety)
07-07-2022 / 08-07-2022
Have generator or other power source capable of supplying service within 10 seconds.
(Fire Safety)
07-07-2022 / 08-07-2022
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
(Health)
07-08-2022 / 08-06-2022
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
(Health)
07-08-2022 / 08-06-2022
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.
(Health)
07-08-2022 / 08-06-2022
Reasonably accommodate the needs and preferences of each resident.
(Health)
12-30-2022 / 01-20-2023

Hospitals Near The Highlands Guest Care Center LLC

Quite often skilled nursing facilities and hospitals work closely together to help patients recover or manage a terminal illness. Hospitals deals with acute care while nursing homes treat patients for a longer period of time. New residents at skilled nursing homes typically come from a hospital and nursing home residents may be readmitted to a hospital if their recovery does not proceed well. (Hospital readmission rates are closely monitored by CMS.) Consequently it is important that you consider which hospitals are near a nursing home which choosing one. Below is a list of hospitals near The Highlands Guest Care Center LLC.

This information is based on the most recent Hospital data. Historical data is not available.

Hospital 5-Star Overall Rating
MEDICAL CITY ARLINGTON
3301 MATLOCK ROAD
ARLINGTON, TX 76015
2
METHODIST RICHARDSON MEDICAL CENTER
2831 E PRESIDENT GEORGE BUSH HIGHWAY
RICHARDSON, TX 75082
2
MEDICAL CITY PLANO
3901 W 15TH ST
PLANO, TX 75075
2
BAYLOR SCOTT & WHITE MEDICAL CENTER-WHITE ROCK
9440 POPPY DR
DALLAS, TX 75218
2
BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE
231 SOUTH COLLINS ROAD
SUNNYVALE, TX 75182
2
METHODIST CHARLTON MEDICAL CENTER
3500 W WHEATLAND ROAD
DALLAS, TX 75237
2
TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL
800 W RANDOL MILL RD
ARLINGTON, TX 76012
2
PARKLAND HEALTH & HOSPITAL SYSTEM
5200 HARRY HINES BLVD
DALLAS, TX 75235
2
BAYLOR UNIVERSITY MEDICAL CENTER
3500 GASTON AVE
DALLAS, TX 75246
3
TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN
1105 CENTRAL EXPRESSWAY NORTH
ALLEN, TX 75013
3
METHODIST DALLAS MEDICAL CENTER
1441 NORTH BECKLEY AVENUE
DALLAS, TX 75203
3
U S M D HOSPITAL AT ARLINGTON L P
801 W INTERSTATE 20
ARLINGTON, TX 76017
3
SANA HEALTHCARE CARROLLTON D/B/A CARROLLTON REGIONAL MEDICAL CENTER
4343 NORTH JOSEY LANE
CARROLLTON, TX 75010
3
TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS
8200 WALNUT HILL LANE
DALLAS, TX 75231
3
MEDICAL CITY LAS COLINAS
6800 N MACARTHUR BLVD
IRVING, TX 75039
3
BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE
6800 SCENIC DR
ROWLETT, TX 75088
3
METHODIST MANSFIELD MEDICAL CENTER
2700 E BROAD STREET
MANSFIELD, TX 76063
3
BAYLOR SCOTT & WHITE MEDICAL CENTER PLANO
4700 ALLIANCE BOULEVARD
PLANO, TX 75093
3
TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO
6200 W PARKER RD
PLANO, TX 75093
3
TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON
3000 N I-35
DENTON, TX 76201
3

Medical Professionals Associated with The Highlands Guest Care Center LLC

These are the doctors who are affiliated with The Highlands Guest Care Center LLC. The data is from the most recent period. Historical data is not available.

  • MANOJKUMAR DOBARIYA ( FAMILY PRACTICE - PREMIER INTERNISTS OF NORTH TEXAS, PLLC )
  • EPHRAIM KENG ( INTERNAL MEDICINE - PREMIER INTERNISTS OF NORTH TEXAS, PLLC )

Detailed Analysis Pages:

Depending on the nursing home, this page can get really long. So, we have also broken up the data onto separate pages to allow you to find what you want more easily. We will keep adding to these pages as we continue to analyze the nursing home database.

CMS Five Star Ratings and Quality Measures for The Highlands Guest Care Center LLC

Five different rating results plus detailed inspection numbers and quality measures for The Highlands Guest Care Center LLC.

Covid Infections at The Highlands Guest Care Center LLC

This report is updated weekly and shows new and historical infection levels.

Nursing Hours Analysis for The Highlands Guest Care Center LLC

How long a nurse spends with a resident can be an important factor in their recovery. This page shows the average nursing hours spent per resident for RNs, LPNs, CNAs, PTs and all licensed staff.

Ownership Details for The Highlands Guest Care Center LLC

A list of all of the registered owners for The Highlands Guest Care Center LLC. This includes direct and indirect owners and managers.

Noted Deficiencies for The Highlands Guest Care Center LLC

A list of all of the deficiencies for the facility. This includes a description, type of deficiency, incident date and when the facility reports that the incident was corrected.

Comparison Ranking of Nearby Skilled Nursing Facilities

How does The Highlands Guest Care Center LLC compare to other skilled nursing facilities? This list shows the competitive set within a 25 mile radius.

Best Nursing Homes in DALLAS, TX

Homes that you should consider. A list ranking the best skilled nursing facilities in DALLAS based on their weighted inspection score as of April 01, 2023.

Worst Nursing Homes in DALLAS, TX

Homes that you avoid if possible. A list ranking the worst skilled nursing facilities in DALLAS based on their weighted inspection score as of April 01, 2023.