RAMBLING OAKS COURTYARD EXTENSIVE CARE COMMUNITY
RAMBLING OAKS COURTYARD EXTENSIVE CARE COMMUNITY is a 70-bed nursing home in HIGHLAND VILLAGE, Texas. CMS has certified it for Medicare and Medicaid since 2008-01-24. It averages 45.5 residents a day.
What harm was found in the violations cited at RAMBLING OAKS COURTYARD EXTENSIVE CARE COMMUNITY?
CMS lists 32 health-inspection deficiencies for RAMBLING OAKS COURTYARD EXTENSIVE CARE COMMUNITY, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-01-08.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-01-08 | F0583, F0584, F0755, F0880 | Keep residents' personal and medical records private and confidential. / 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. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide and implement an infection prevention and control program. | E |
| 2026-01-08 | F0558, F0656, F0689, F0693, F0694, F0695, F0761 | Reasonably accommodate the needs and preferences of each resident. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / Provide safe and appropriate respiratory care for a resident when needed. / 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 |
| 2025-09-02 | F0755, F0761 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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 |
| 2025-07-30 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D |
| 2024-10-17 | F0677, F0689, F0695, F0761, F0812, F0880 | Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | E |
| 2024-10-17 | F0641, F0656, F0691 | Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D |
| 2024-06-14 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J |
| 2023-09-14 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2023-09-14 | F0584, F0677, F0695 | 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. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide safe and appropriate respiratory care for a resident when needed. | E |
| 2023-09-14 | F0635, F0656, F0657, F0880 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide and implement an infection prevention and control program. | D |
Why was RAMBLING OAKS COURTYARD EXTENSIVE CARE COMMUNITY fined?
| Date | Type | Amount |
|---|---|---|
| 2024-06-14 | Fine | $21,640 |
How is RAMBLING OAKS COURTYARD EXTENSIVE CARE COMMUNITY staffed?
| Measure | This facility | TX average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.67245 | 3.38539 |
| Total nursing staff turnover (%) | 61.4 | 55.3 |
| Average number of residents per day | 45.5 | 75.8 |
Who owns RAMBLING OAKS COURTYARD EXTENSIVE CARE COMMUNITY?
RAMBLING OAKS COURTYARD EXTENSIVE CARE COMMUNITY is registered with CMS as For profit - Corporation, operates under the legal business name HIGHLAND VILLAGE SKILLED CARE LLC.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | VILLA, RICARDO | since 12/19/2019 |
| DIRECT OWNERSHIP INTEREST | TGR HEALTHCARE, LLC, THOMAS, BRIAN | since 04/16/2020 |
| CORPORATE OFFICER | THOMAS, BRIAN, VILLA, RICARDO | since 12/19/2019 |
| OPERATIONAL/MANAGERIAL CONTROL | TGR HEALTHCARE, LLC, THOMAS, BRIAN | since 04/16/2020 |
| ADP OF THE SNF | TGR HEALTHCARE, LLC, THOMAS, BRIAN | since 03/26/2025 |
Were you or a family member harmed at RAMBLING OAKS COURTYARD EXTENSIVE CARE COMMUNITY?