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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K4 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D13 | E15 | F14 |
| Minimal | A· | B· | C1 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jul 23, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 14, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 10, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 30, 2025 | Fire safety | Fire Safety Standard | 17 | Potential harm | — | Open → |
| Dec 30, 2025 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Apr 14, 2025 | Health | Health Complaint | 5 | Immediate jeopardy | — | Open → |
| Feb 19, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Oct 10, 2024 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Oct 10, 2024 | Health | Health Complaint, Health Standard | 4 | Potential harm | — | Open → |
| Aug 24, 2023 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Aug 24, 2023 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Apr 14, 2025 | Civil money penalty (fine) | $47,726 | — | 675447|Fine|113782 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K4 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D13 | E15 | F14 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 23, 2026 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jul 30, 2026 | Complaint |
| Jul 14, 2026 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jul 20, 2026 | Complaint |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates 22 facilities.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Nocona Hospital District | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Apr 1, 2018 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Nocona Hospital District | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Apr 1, 2018 |
| The Highlands Guest Care Center LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2018 |
| Denny Gamble | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2018 |
| Otis Gordy | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 11, 2022 |
| Greg Meekins | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Oakmont Guest Care Center 2712 Hurstview Dr, Hurst, TX 76054 CCN 455626 | 161 | Jun 10, 2026 | 492 harm | $29k | |
| Skyline Nursing Center 3326 Burgoyne St, Dallas, TX 75233 CCN 455653Abuse icon |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Presbyterian Village North Special Care Ctr 8600 Skyline Dr, Dallas, TX 75243 CCN 676135 | 0.5 km | 88 | Sep 17, 2025 | 192 IJ | $37k | |
| The Legacy Midtown Park 8280 Manderville Lane, Dallas, TX 75231 CCN 676489 | 2.4 km | 54 | Jun 16, 2026 | 9 | $28k | |
| Avir at the Meadow 8383 Meadow Road, Dallas, TX 75231 CCN 455463 | 2.8 km | 184 | Jul 27, 2026 | 693 IJ2 harm | $36k | |
| Pure Health Transitional Care at Texas Health Pres 8200 Walnut Hill Lane Main 5, Dallas, TX 75231 CCN 676410 | 3.6 km | 49 | Aug 20, 2026 | 73 open | — | |
| Five Points at Lake Highlands Nursing and Rehab 315 East 19th Street, Dallas, TX 75238 CCN 455895 | 5 km | 280 | Aug 20, 2026 | 844 IJ1 harm | $51k | |
| Villages of Lake Highlands 8615 Lullwater Drive, Dallas, TX 75238 CCN 676268 | 6.3 km | 126 | Jul 23, 2026 | 334 IJ1 harm | $29k | |
| Richardson Nursing and Rehabilitation 1111 Rockingham Drive, Richardson, TX 75080 CCN 675109 | 6.3 km | 280 | Aug 19, 2026 | 812 IJ1 open | $8,977 | |
| C C Young Memorial Home 4849 W. Lawther Dr., Dallas, TX 75214 CCN 675592 | 6.3 km | 129 | Jul 8, 2026 | 13 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 675447 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 675447 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Jun 10, 2026 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 20, 2026 | Complaint |
| Dec 30, 2025 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 30, 2026 |
| Dec 30, 2025 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 30, 2026 |
| Dec 30, 2025 | E-0009 | Include a process for Emergency Preparedness collaboration. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 30, 2026 |
| Dec 30, 2025 | E-0024 | Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Feb 13, 2026 |
| Dec 30, 2025 | E-0026 | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Feb 13, 2026 |
| Dec 30, 2025 | E-0030 | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Feb 13, 2026 |
| Dec 30, 2025 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 13, 2026 |
| Dec 30, 2025 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 13, 2026 |
| Dec 30, 2025 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 13, 2026 |
| Dec 30, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 13, 2026 |
| Dec 30, 2025 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 13, 2026 |
| Dec 30, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 13, 2026 |
| Dec 30, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 13, 2026 |
| Dec 30, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 13, 2026 |
| Dec 30, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 13, 2026 |
| Dec 30, 2025 | K-0915 | Have proper power supply for life support equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 13, 2026 |
| Dec 30, 2025 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 13, 2026 |
| Dec 30, 2025 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 10, 2026 |
| Dec 30, 2025 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | C · Minimal Widespread | Corrected Jan 10, 2026 |
| Apr 14, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | K · Immediate jeopardy Pattern | Corrected Apr 16, 2025 | Complaint |
| Apr 14, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | K · Immediate jeopardy Pattern | Corrected Apr 16, 2025 | Complaint |
| Apr 14, 2025 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | K · Immediate jeopardy Pattern | Corrected Apr 16, 2025 | Complaint |
| Apr 14, 2025 | F-0777 | Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. Administration Deficiencies · Administration & records | K · Immediate jeopardy Pattern | Corrected Apr 16, 2025 | Complaint |
| Apr 14, 2025 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 16, 2025 | Complaint |
| Feb 19, 2025 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 28, 2025 | Complaint |
| Feb 19, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 28, 2025 | Complaint |
| Oct 10, 2024 | K-0222 | 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. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 15, 2024 |
| Oct 10, 2024 | K-0271 | Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 15, 2024 |
| Oct 10, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 15, 2024 |
| Oct 10, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 15, 2024 |
| Oct 10, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 15, 2024 |
| Oct 10, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Nov 8, 2024 | Complaint |
| Oct 10, 2024 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 8, 2024 | Complaint |
| Oct 10, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 8, 2024 | Complaint |
| Oct 10, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Nov 8, 2024 | Complaint |
| Aug 24, 2023 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 23, 2023 |
| Aug 24, 2023 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 23, 2023 |
| Aug 24, 2023 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Oct 2, 2023 |
| Aug 24, 2023 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 2, 2023 |
| Aug 24, 2023 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Oct 2, 2023 |
| Aug 24, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Oct 2, 2023 |
| Aug 24, 2023 | F-0825 | Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 2, 2023 |
| Aug 24, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Oct 2, 2023 |
| Aug 24, 2023 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 2, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.31 (case-mix index 1.40).
| Apr 1, 2018 |
| Gamvest Texas LLC | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Jul 1, 2018 |
| Gamvest Texas LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2018 |
| The Highlands Guest Care Center LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 30, 2025 |
| Denny Gamble | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2018 |
| Otis Gordy | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 11, 2022 |
| Ahsan Riaz | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2018 |
| 204 |
| Apr 14, 2026 |
511 open |
| — |
| Advanced Rehabilitation and Healthcare of Bowie 700 W Highway 287 S, Bowie, TX 76230 CCN 455849 | 180 | Feb 27, 2026 | 14 | — |
| Landmark of Plano Rehabilitation and Nursing Cente 1621 Coit Road, Plano, TX 75075 CCN 455861 | 160 | Jan 20, 2026 | 611 harm | $9,240 |
| Grace Care Center of Henrietta 807 W Bois D Arc, Henrietta, TX 76365 CCN 455893 | 60 | Mar 5, 2026 | 683 IJ1 harm | $207k |
| Avir at Burkburnett 406 E Seventh St, Burkburnett, TX 76354 CCN 675035 | 60 | Feb 19, 2026 | 421 IJ2 harm | $65k |
| Greenville Gardens 3500 Park St, Greenville, TX 75401 CCN 675367 | 103 | Aug 13, 2025 | 491 IJ | $16k |
| Nocona Rehabilitation and Care Center 306 Carolyn Rd, Nocona, TX 76255 CCN 675554 | 89 | Feb 13, 2026 | 41 | — |