The Highlands Guest Care Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 64 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Special Focus Facility (under heightened CMS scrutiny)
- Abuse citation on record
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
Bottom 25% in Texas · Below recommended RN staffing · $53,825 in fines · Special Focus Facility (CMS) · Abuse citation
What this means for your family
While recent tours suggest a beautifully renovated facility with good rehab capabilities, you must proceed with extreme caution. There is a persistent and documented history of serious concerns regarding medication errors, staff neglect, and poor communication with families that has not been resolved in recent reviews.
Google Reviews
Google Reviews
64 reviews on Google“Families considering this facility will find a stark divide between recent positive tours and long-standing, severe allegations of neglect. While some recent visitors praise the renovated rooms and professional rehab therapy, multiple reviewers report critical issues including medication errors, physical/emotional abuse, and significant understaffing.”
Quality Themes
Tap a score for detailsStrengths
- Recently renovated and clean facilities
- Professional rehabilitation therapy gym
- Knowledgeable staff during facility tours
- Friendly and welcoming atmosphere for some residents
Concerns
- Severe understaffing leading to neglect (mentioned by 4 reviewers)
- Unprofessional or rude communication from administration and front desk (mentioned by 5 reviewers)
- Allegations of physical and emotional abuse (mentioned by 2 reviewers)
- Issues with hygiene and unpleasant odors (urine) (mentioned by 3 reviewers)
- Inadequate medication management (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 59 analyzed
How They Respond to Reviews
The owner uses highly repetitive, templated responses for negative reviews, primarily directing users to contact the Administrator via a specific phone number. Positive reviews receive slightly more personalized, though still brief, acknowledgments.
Questions for Your Tour
- 1I noticed the facility has been recently renovated; how do you ensure the cleanliness and freshness of the resident rooms and common areas are maintained daily?
- 2With the professional rehab gym on site, how do you coordinate physical therapy schedules to ensure residents are getting consistent care?
- 3How does the nursing team manage medication administration and double-check accuracy, especially during shift changes?
- 4What is the process for communicating important medical updates or changes in condition to family members to ensure we are always in the loop?
- 5Could you tell me more about the daily dining experience and how you ensure meal quality and variety for the residents?
- 6What kind of social activities or group outings are available to help residents stay engaged and connected with one another?
Personalized based on this facility's data
Key Review Excerpts
“I was able to see their therapy gym, dining services, and was able to inspect a open room. The staff were knowledge and made me feel like I was having an educated decision about my dad moving in or not for his short term rehabilitation.”
“If you need 24/7 assistance on short notice, this is a place where staff will assist you quickly..”
“The building on the outside does look a little dilapidated and it didn't really give the impression of improvement. My family member was there only about 24 hours but gave three descriptions. She wasn't given pain medicine for 18 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
15
measures
1
measures
1
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Residents vaccinated for pneumonia
Residents on antipsychotic medication
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
Families have filed multiple complaints triggering 15 deficiencies, with concerning patterns in resident protection from abuse and neglect, safety hazards, and fire safety systems. Issues span resident rights violations, care planning problems, infection control failures, and building safety defects including fire alarms, sprinklers, and emergency preparedness. While all deficiencies show correction dates, the recurring complaints and repeated fire safety violations across multiple surveys suggest ongoing operational challenges families should carefully evaluate.
Dec 30, 2025Routine19
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Emergency Preparedness Deficiencies
Include a process for Emergency Preparedness collaboration.
Emergency Preparedness Deficiencies
Establish policies and procedures for volunteers.
Emergency Preparedness Deficiencies
Establish roles under a Waiver declared by secretary.
Emergency Preparedness Deficiencies
List the names and contact information of those in the facility.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper power supply for life support equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
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.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Apr 14, 2025Complaint10
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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, appropriate pain management for a resident who requires such services.
Administration Deficiencies
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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, appropriate pain management for a resident who requires such services.
Administration Deficiencies
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Environmental Deficiencies
Keep all essential equipment working safely.
Environmental Deficiencies
Keep all essential equipment working safely.
Feb 19, 2025Complaint2
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 pressure ulcer care and prevent new ulcers from developing.
Oct 10, 2024Complaint4
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Oct 10, 2024Routine5
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.
Egress Deficiencies
Have exits that are accessible at all times.
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
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Aug 24, 2023Routine9
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.
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.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Quality of Life and Care Deficiencies
Provide or get specialized rehabilitative services as required for a resident.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Federal Penalties
Fine
Apr 14, 2025
$47,726
Ownership & Operations
Who Operates This Facility
Nocona Hospital District
for profit
GAMBLE GUEST CARE HEALTH AND REHAB MANAGEMENT LLC
OTIS C GORDY
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
64 reviews from families & visitors
Official Website
Visit highlandsguestcare.com
Medicare data downloads
Original nursing home datasets
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