Skilled nursing · Dallas, TX

The Highlands Guest Care Center

9009 FOREST LN, Dallas, TX 75243

1 / 5CMS 116 bedsCapacity Apr 2026Inspected
PALMELLE

0

Below median

Federal · State

Serious issues

The Palmelle read

Worth a closer look. The Highlands Guest Care Center carries a Palmelle Clarity Score of 0 out of 100, derived from federal CMS Care Compare data plus Texas state records. Health inspection rating sits at 1-star, staffing at 1-star, quality measures at 3-star. Long-stay antipsychotic prescribing is at 9.0 percent, below the 14 percent national median. Long-stay sedative prescribing is at 15.7 percent, above the 15 percent national median. RN coverage is 0.46 hours per resident per day.

Generated by Palmelle · updated monthly · sources: federal CMS Care Compare, Texas DPH

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In their own words

No operator description yet.

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Services

What they offer.

Levels of care

Skilled nursing

Amenities

Operator has not yet shared amenities

What the data shows

The safety record, by the numbers.

Going right

5-star health inspection

Top federal score on the most recent inspection.

RN hours per resident, daily

This
0.46
National
0.78

Annual nurse turnover

This
No data
National
53%

Worth asking about

Antipsychotic, long-stay

This
9.0%
National
14%

Ask what behaviors the medication targets and what non-medication options were tried first.

Federal CMS + Texas state data

The full inspection record.

Federal CMS ratings

Overall★★★★1 / 5
Health inspection★★★★1 / 5
Staffing★★★★1 / 5
Quality measures★★★★★3 / 5

Staffing

RN hours per resident, daily

This
0.46
Nat
0.78

Total nurse hours / resident, daily

This
3.33
Nat
3.62

Annual nurse turnover

This
No data
Nat
53%

Annual RN turnover

This
No data
Nat
47%

Quality measures · long-stay residents

Antipsychotic

This
9.0%
Nat
14%

Sedative / sleep med

This
15.7%
Nat
15%

Physical restraint

This
0.0%
Nat
1.1%

Falls with major injury

This
0.6%
Nat
1.6%

Penalties & status

Abuse finding on recordSFF CandidateInspection current$47,726 in fines (1)

Identity & licensing

CMS ID675447
OwnershipFor profit - Limited Liability company
ChainIndependent
Beds116
Avg residents78

Citations · last 36 months

  • Flagged by CMS data

    CMS has placed an abuse icon on this facility, indicating a substantiated finding of abuse, neglect, or exploitation of a resident. This is one of the most serious flags CMS assigns.

    From the latest CMS Care Compare reconcile

  • Flagged by CMS data

    CMS has designated this facility as a Special Focus Facility (SFF Candidate). This designation is given to nursing homes with a history of serious quality problems. Only the worst performers in the country receive this designation.

    From the latest CMS Care Compare reconcile

Sources: federal CMS Care Compare, Texas DPH · Last reconciled May 5, 2026

Questions families ask

Common questions.

What is the CMS rating for The Highlands Guest Care Center?

The Highlands Guest Care Center has an overall CMS Care Compare rating of 1 out of 5 stars. It scores 1 of 5 on health inspection, 1 of 5 on staffing, and 3 of 5 on quality measures. The overall rating averages these subscores with health inspection weighted more heavily.

Has The Highlands Guest Care Center been cited for resident harm?

CMS has placed an abuse icon on this facility, indicating a substantiated finding of abuse, neglect, or exploitation of a resident. It has $47,726 in federal fines across 1 penalty on record in the last 36 months. The full record for The Highlands Guest Care Center appears in the record section above.

Does The Highlands Guest Care Center use antipsychotic medications?

9.0 percent of long-stay residents at The Highlands Guest Care Center are on antipsychotic medications, below the 14 percent national median (CMS measure 481). Sedative and sleep-medication use is elevated at 15.7 percent. Medications can be appropriate, but they are also commonly used to manage dementia-related behaviors instead of staffing or non-medication approaches. Worth asking on a tour: what behaviors the medication targets and what non-medication options were tried first.

What is The Highlands Guest Care Center's Palmelle Clarity Score?

The Highlands Guest Care Center has a Palmelle Clarity Score of 0 out of 100, putting it below the national median. The score is a composite of federal CMS and Texas state inspection data. Higher is better.

How can I tour or contact The Highlands Guest Care Center?

The Highlands Guest Care Center is located at 9009 FOREST LN, Dallas, TX 75243. Phone: (972) 783-1771. Tour hours: contact facility for current schedule. If you would like a Palmelle senior placement advisor to compare this facility with two others on your shortlist and call them on your behalf, use Help Me Choose.

Is The Highlands Guest Care Center a special focus facility?

The Highlands Guest Care Center carries special focus status (SFF Candidate) on the federal program that identifies facilities with persistent quality problems.

What does F-689 mean on The Highlands Guest Care Center's record?

F-689 is a federal CMS deficiency code for inadequate supervision resulting in actual resident harm. If The Highlands Guest Care Center has any active citations or CMS conflict flags, they appear with their details in the record section above, along with any operator response.

How does The Highlands Guest Care Center compare to other Dallas skilled nursing facilities?

The Highlands Guest Care Center holds a Palmelle Clarity Score of 0. Browse the full Dallas directory to compare more facilities by score, staffing, and inspection record.

Can Palmelle help with hospital discharge to skilled nursing at The Highlands Guest Care Center?

Yes. Palmelle handles hospital discharge placement and emergency senior placement with a single Placement Specialist owning the case from intake to recommendation. Typical timeline: intake Monday, written recommendation Thursday, follow-up Friday. Call (888) 282-7256 to start, or use Help Me Choose for a comparison report on The Highlands Guest Care Center and two other facilities on your shortlist.

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