Highland Meadows
Strong Medicare quality ratings; families often praise top-tier physical and occupational therapy. Still worth an in-person visit.
based on 93 Google reviews

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What this means for your family
This facility is an excellent choice for patients focused on intensive physical or occupational therapy, as the rehab team is consistently praised for their skill. However, families should be extremely vigilant regarding nursing care, specifically asking about protocols for hygiene, skin integrity, and medication accuracy.
Google Reviews
Google Reviews
93 reviews on Google“Highland Meadows is highly regarded for its exceptional physical and occupational therapy teams, which many families credit with significant recovery milestones. While many reviewers praise the cleanliness and compassionate care, there are serious, recurring allegations regarding nursing neglect, medication errors, and hygiene issues that families should investigate closely.”
Quality Themes
Tap a score for detailsStrengths
- Top-tier physical and occupational therapy
- Clean and well-maintained facility
- Compassionate and attentive rehab staff
- Welcoming and professional administration
Concerns
- Nursing neglect and hygiene issues (mentioned by 3 reviewers)
- Medication management errors (mentioned by 2 reviewers)
- Unresponsive or rude nursing staff (mentioned by 2 reviewers)
- Inconsistent laundry and clothing care (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 99 analyzed
How They Respond to Reviews
The owner provides highly personalized and warm responses to 5-star reviews, often using the reviewer's name and celebrating specific patient successes. For negative reviews, the owner shifts to a more formal, defensive tone, using templated language to defend the facility's reputation and provide context to refute claims.
Questions for Your Tour
- 1We've heard wonderful things about the physical and occupational therapy teams here; how do you tailor rehab plans to help residents regain their independence?
- 2Since we noticed the administration is very engaged in communicating with families, how can we best stay in touch with the nursing team regarding daily updates?
- 3What specific protocols do you have in place to ensure medication is administered accurately and on schedule every day?
- 4How does the nursing staff manage personal hygiene and laundry care to ensure residents always feel clean and comfortable?
- 5In the event of a medical emergency during the night, what is the immediate process for contacting the family and coordinating care?
- 6What kind of daily social activities or group outings do you organize to keep the residents engaged and active in the community?
Personalized based on this facility's data
Key Review Excerpts
“The Physical therapy Director John along with his team Pedro, Mary , Crystal & Carlie are top tier. My Mother after 2 weeks of inpatient rehab was discharged from a broken hip.”
“The facility was always very clean, and the staff very caring. We were fortunate to have her stay at such a great facility.”
“My mom went here briefly after a hip fracture. The nursing staff was not good. They left my mom sitting in her wheelchair and soaked with urine for hours.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
6
measures
8
measures
3
measures
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents who lost too much weight
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Highland Meadows has concerning patterns with 13 deficiencies across 4 surveys, including 4 complaint-triggered violations where families reported issues. Problems span electrical systems (recurring generator issues), infection control, medication management, and resident safety reporting. While all deficiencies show correction dates, the facility struggled with basic safety systems and had serious lapses in notifying families about resident incidents and properly reporting suspected abuse or neglect.
Mar 5, 2025Routine7
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Quality of Life and Care Deficiencies
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.
Pharmacy Service Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jan 31, 2025Complaint2
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Feb 15, 2024Complaint2
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Jan 11, 2023Routine2
Gas, Vacuum, and Electrical Systems Deficiencies
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Ownership & Operations
Who Operates This Facility
Nocona Hospital District
for profit
HACO HEALTH SOLUTIONS, LLC
BOBBI J CROCKER
Ownership & Management
Owners
Nocona Hospital District
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
93 reviews from families & visitors
Official Website
Visit highlandmeadowshealth.com
Medicare data downloads
Original nursing home datasets
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