Rambling Oaks Courtyard Extensive Care Community
Strong Medicare quality ratings; families often praise compassionate and caring nursing staff. Still worth an in-person visit.
based on 19 Google reviews
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What this means for your family
This facility is excellent for residents who thrive on social interaction and a warm, community-oriented atmosphere. However, you should closely monitor staffing levels and communicate frequently with the administrative office, as some families have noted issues with office professionalism and staff burnout.
Google Reviews
Google Reviews
19 reviews on Google“Families can expect a warm, social environment with a highly praised nursing and caregiving staff that focuses on resident engagement through activities like bingo and karaoke. While many praise the compassion of the caregivers, there are significant historical concerns regarding administrative rudeness and potential staffing shortages due to management decisions.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and caring nursing staff
- Engaging social activities and outings
- Welcoming atmosphere for new residents
- Clean and well-maintained facility
Concerns
- Administrative staff rudeness
- Staffing shortages and burnout (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 49 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1We've heard wonderful things about the compassionate nursing staff here; how do you ensure that level of care remains consistent during busy shifts?
- 2What kind of social activities or community outings do you have planned to keep residents engaged and active?
- 3How do you approach communication with families to ensure we are always kept in the loop regarding our loved one's well-being?
- 4Could you tell us more about the dining experience and how much input residents have regarding their daily meals?
- 5In the event of a medical emergency after hours, what is the specific protocol for getting immediate care for a resident?
- 6Since the facility is described as so clean and well-maintained, what is your routine for ensuring the resident's private space stays comfortable and tidy?
Personalized based on this facility's data
Key Review Excerpts
“The staff treats all the residents with LOVE and RESPECT!!! The quality of care my Mother has received since living there for over a year has been top notch!”
“The staff is excellent and truly care about the residents. As a health care provider, I am happy to see the best care at this facility for my patients thanks to the staff.”
“We moved my mom in when she was 99. Must say she wasn’t excited to leave her home but quickly warmed to the wonderful people at Rambling Oaks.”
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
12
measures
3
measures
2
measures
Residents on antipsychotic medication
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 vaccinated for pneumonia
Residents with pressure sores (bedsores)
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has faced ongoing compliance challenges across multiple areas, with families filing four complaint reports that triggered inspections. The most recurring issues involve care planning and resident assessments, medication management, and food safety standards. While all deficiencies show correction dates, problems persist across surveys, particularly with respiratory care, infection control, and dietary services appearing repeatedly from 2022 through 2024, suggesting systemic issues that warrant careful consideration during any visit.
Sep 2, 2025Complaint2
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
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.
Jul 30, 2025Complaint1
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Oct 17, 2024Routine11
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Construction Deficiencies
Use approved construction type or materials.
Egress Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Jun 14, 2024Complaint1
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.
Sep 14, 2023Routine15
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Smoke Deficiencies
Provide properly protected cooking facilities.
Resident Assessment and Care Planning Deficiencies
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Resident Assessment and Care Planning Deficiencies
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
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Jul 28, 2022Routine4
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal Penalties
Fine
Jun 14, 2024
$21,640
Ownership & Operations
Who Operates This Facility
Highland Village Skilled Care, LLC
for profit
TGR HEALTHCARE, LLC
TERESA PARKER
Ownership & Management
Owners
Villa, Ricardo
Owner
Tgr Healthcare, LLC
Owner · Organization
Thomas, Brian
Owner
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
19 reviews from families & visitors
Official Website
Visit txseniorcare.net
Medicare data downloads
Original nursing home datasets
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