Highland Meadows

CMS ratings and facility information

Highland Meadows is a Medicare-certified nursing facility in Rockwall, Rockwall County, Texas. CMS data for this profile was updated August 2026. Ratings and facility details can change; confirm current information with CMS and the facility.

CMS overall rating	4 of 5 stars
Health inspection rating	4 of 5
Staffing rating	2 of 5
Quality measures rating	3 of 5
Certified beds	120
Ownership	For profit - Limited Liability company
CMS certification number	676387

Staffing

Total nurse hours per resident day	3.49
RN hours per resident day	0.41
Nurse aide hours per resident day	2.35
Total nursing staff turnover percent	48.2
RN turnover percent	64.3

Resident outcome measures

Measure	Value	Unit	Period
Hospitalizations	2.23	events_per_1000_resident_days	20250101-20251231
Emergency-department visits	1.53	events_per_1000_resident_days	20250101-20251231
Falls with major injury	2.72	percent	2025Q2-2026Q1
Pressure ulcers	0	percent	2025Q2-2026Q1
Urinary tract infections	0.4	percent	2025Q2-2026Q1
Antipsychotic medication use	9.44	percent	2025Q2-2026Q1

Health inspection citations

Survey date	Tag	Citation	Severity
2026-05-14	0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	E
2026-05-14	0695	Provide safe and appropriate respiratory care for a resident when needed.	E
2026-05-14	0761	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.	E
2026-05-14	0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E
2026-05-14	0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D
2025-03-05	0655	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	D
2025-03-05	0693	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.	D
2025-03-05	0758	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 limited.	D
2025-03-05	0880	Provide and implement an infection prevention and control program.	D
2024-02-15	0813	Have a policy regarding use and storage of foods brought to residents by family and other visitors.	E
2024-02-15	0880	Provide and implement an infection prevention and control program.	E

Penalties

No penalties were listed in this CMS data snapshot.

Ownership records

Name	Type	Role
NOCONA HOSPITAL DISTRICT	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST
MEEKINS, GREG	Individual	CORPORATE OFFICER
HACO HEALTH SOLUTIONS LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL
CROCKER, BOBBI	Individual	OPERATIONAL/MANAGERIAL CONTROL
HAWLEY, GRACEN	Individual	OPERATIONAL/MANAGERIAL CONTROL
HACO HEALTH SOLUTIONS LLC	Organization	ADP OF THE SNF
BUI, TONY	Individual	ADP OF THE SNF
CROCKER, BOBBI	Individual	ADP OF THE SNF
HAWLEY, GRACEN	Individual	ADP OF THE SNF
HAWLEY, RUSSELL	Individual	ADP OF THE SNF

Compare nursing homes in Rockwall County, Texas.

Source: Centers for Medicare & Medicaid Services Care Compare data. Data snapshot: August 2026. Read Our Data & Methodology. This directory does not provide medical or legal advice.