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Nursing HomeMedicaid Top Rated

Highland Meadows

Strong Medicare quality ratings; families often praise top-tier physical and occupational therapy. Still worth an in-person visit.

1870 John King Boulevard, Rockwall, TX 75032120 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 93 Google reviews

5
4
3
2
1
Highland Meadows Nursing Home in Rockwall, TX — Street View
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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 details
Food7.0Staff7.0Clean8.0ActivitiesN/AMeds3.0MemoryN/AComms6.0ValueN/A

Strengths

  • 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

234'17(4)'19(7)'21(10)'23(4)'25(36)'26(13)

Distribution · 99 analyzed

5
73
4
3
3
0
2
2
1
21

How They Respond to Reviews

80%response rate
Good

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.

Rehab patient's family · 2026★★★★★

The facility was always very clean, and the staff very caring. We were fortunate to have her stay at such a great facility.

Long-term resident's family · 2026★★★★★

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.

Rehab patient's family · 2025☆☆☆☆
Source: 93 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.45hrs
60%
Registered nurses for medical care
Total Nursing
3.77hrs
92%
All nurses + aides combined
Staff Turnover
47%
Lower is better (< 30% = good)
RN Turnover
90%
Lower is better (< 30% = good)

Both 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

Medicare Rating
3/ 5
Better Than Avg

6

measures

Worse Than Avg

8

measures

Mixed Results

3

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility31.0%
Worse than Avg
Here
31.0%
US
15.3%
TX
14.9%
Rockwall
15.7%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility11.1%
Better than Avg
Here
11.1%
US
19.5%
TX
18.4%
Rockwall
16.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility4.2%
Mixed vs Avgs
Here
4.2%
US
12.1%
TX
2.5%
Rockwall
3.3%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

⚖️

Residents who lost too much weight

↓ Lower is better
This Facility10.4%
Worse than Avg
Here
10.4%
US
5.3%
TX
3.2%
Rockwall
2.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility92.1%
Worse than Avg
Here
92.1%
US
93.4%
TX
96.9%
Rockwall
99.3%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility20.7%
Worse than Avg
Here
20.7%
US
19.4%
TX
14.2%
Rockwall
16.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility48.9%
Worse than Avg
Here
48.9%
US
81.8%
TX
89.2%
Rockwall
95.6%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility54.0%
Worse than Avg
Here
54.0%
US
79.7%
TX
88.0%
Rockwall
96.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.1%
Better than Avg
Here
0.1%
US
1.6%
TX
1.5%
Rockwall
1.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies
Well below state avg (9.1)
4 complaint-triggered

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, 2025Routine
7
0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0923Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0655Potential for harm · IsolatedCorrected

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

0693Potential for harm · IsolatedCorrected

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.

0758Potential for harm · IsolatedCorrected

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jan 31, 2025Complaint
2
0580Potential for harm · IsolatedCorrected

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.

0609Potential for harm · IsolatedCorrected

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, 2024Complaint
2
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0813Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Jan 11, 2023Routine
2
0916Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have a battery powered remote alarm panel in a location accessible by operating personnel.

0918Potential for harm · WidespreadCorrected

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

Owner / Operator

Nocona Hospital District

Organization Type

for profit

Management Company

HACO HEALTH SOLUTIONS, LLC

Administrator

BOBBI J CROCKER

Ownership & Management

Owners

Nocona Hospital District

Owner · Organization

100%

Key personnel

Meekins, GregOfficer / DirectorHaco Health Solutions LLCManagerCrocker, BobbiManagerHawley, GracenManagerHaco Health Solutions LLCAdp of the Snf
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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