Nursing homes › Texas › Rambling Oaks Courtyard Extensive Care Community
112 Barnett Blvd, Highland Village, TX 75077 · 9723171174 · 70 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: For profit - Corporation.
Total nurse staffing: 3.67 (Texas median: 3.27). RN hours: 0.59. Weekend total: 3.09. Nursing staff turnover: 61%.
All-time on record: 32 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-01-08 | Keep residents' personal and medical records private and confidential. | E | Health | corrected 2026-02-10 |
| 2026-01-08 | 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. | E | Health | corrected 2026-02-10 |
| 2026-01-08 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Health | corrected 2026-02-10 |
| 2026-01-08 | Provide and implement an infection prevention and control program. | E | Health | corrected 2026-02-10 |
| 2026-01-08 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2026-02-10 |
| 2026-01-08 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2026-02-10 |
| 2026-01-08 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2026-02-10 |
| 2026-01-08 | 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 | Health | corrected 2026-02-10 |
| 2026-01-08 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Health | corrected 2026-02-10 |
| 2026-01-08 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2026-02-10 |
| 2026-01-08 | 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. | D | Health | corrected 2026-02-10 |
| 2025-09-02 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | complaint | corrected 2025-09-03 |
| 2025-09-02 | 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 | complaint | corrected 2025-09-03 |
| 2025-07-30 | Provide safe and appropriate respiratory care for a resident when needed. | D | complaint | corrected 2025-08-01 |
| 2024-10-17 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Health | corrected 2024-11-14 |
| 2024-10-17 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Health | corrected 2024-11-14 |
| 2024-10-17 | Provide safe and appropriate respiratory care for a resident when needed. | E | Health | corrected 2024-11-14 |
| 2024-10-17 | 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 | Health | corrected 2024-11-14 |
| 2024-10-17 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-11-14 |
| 2024-10-17 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-11-14 |
| 2024-10-17 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2024-11-14 |
| 2024-10-17 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2024-11-14 |
| 2024-10-17 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | Health | corrected 2024-11-14 |
| 2024-06-14 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | complaint | corrected 2024-07-11 |
| 2023-09-14 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2023-10-12 |
| 2023-09-14 | 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. | E | Health | corrected 2023-10-12 |
| 2023-09-14 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Health | corrected 2023-10-12 |
| 2023-09-14 | Provide safe and appropriate respiratory care for a resident when needed. | E | Health | corrected 2023-10-12 |
| 2023-09-14 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D | Health | corrected 2023-10-12 |
| 2023-09-14 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2023-10-12 |
| 2023-09-14 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2023-10-12 |
| 2023-09-14 | Provide and implement an infection prevention and control program. | D | Health | corrected 2023-10-12 |
| Date | Type | Amount |
|---|---|---|
| 2024-06-14 | Fine | $21,640 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| VILLA, RICARDO | 5% Or Greater Direct Ownership Interest | Individual | 49% | since 12/19/2019 |
| TGR HEALTHCARE, LLC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 04/16/2020 |
| THOMAS, BRIAN | Direct Ownership Interest | Individual | NOT APPLICABLE | since 04/16/2020 |
| THOMAS, BRIAN | Corporate Officer | Individual | NOT APPLICABLE | since 12/19/2019 |
| VILLA, RICARDO | Corporate Officer | Individual | NOT APPLICABLE | since 12/19/2019 |
| TGR HEALTHCARE, LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 04/16/2020 |
| THOMAS, BRIAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/16/2020 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 676168. Corrections: data@carerecords.org.