Overview
Highland Meadows has a Medicare overall rating of 4 out of 5, above the Texas average of 2.8. It ranks 2nd of 4 nursing homes in Rockwall. It scores best on health inspections (4 of 5) and lowest on staffing (3 of 5).
Residents receive about 3.8 hours of nursing care per day, more than at 83% of nursing homes in Texas (the state average is 3.4 hours). Of that, 0.5 hours come from registered nurses.
Its most recent standard inspection, on May 14, 2026, found 5 health deficiencies, fewer than the Texas average of 9.6. It has no fines on record for the past three years, while 68% of Texas nursing homes have been fined.
Highland Meadows is a for-profit facility with 120 certified beds, caring for about 108 residents on an average day. It accepts both Medicare and Medicaid and has participated since 2015.
Medicare ratings
- Health inspections
- Quality of care
- Staffing
Source: Medicare Care Compare, data as of October 1, 2026.
How it compares nearby
Ranked by Medicare overall rating, then quality, inspection and staffing ratings.
Top 50%
Top 22%
Top 23%
Family reviews
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Inspections and penalties
- Most recent standard inspection
- May 14, 2026
- Health deficiencies cited
- 5
- Complaint-related deficiencies
- 0
- Fines in the last 3 years
- 0
- Payment denials
- 0
- Total penalties
- 0
Staffing
Average hours of care each resident receives per day.
- All nursing staff3.76 hrs
- Registered nurses (RN)0.52 hrs
- Licensed practical nurses (LPN)0.73 hrs
- Nurse aides2.51 hrs
- Physical therapists0.14 hrs
Facility details
- Ownership
- For profit - Limited Liability company
- Certified beds
- 120
- Average residents per day
- 108
- Participates in
- Medicare and Medicaid
- Medicare/Medicaid since
- June 24, 2015
- Inside a hospital
- No
- Continuing care retirement community
- No
- Changed ownership in last 12 months
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes