Continuing Care at Highland Springs

Q: What neighborhood is Continuing Care at Highland Springs in?

Continuing Care at Highland Springs is in the Far North Dallas neighborhood of DALLAS.

Q: Who is the owner of Continuing Care at Highland Springs?

The legal owner and operator of Continuing Care at Highland Springs is Highland Springs, Inc..

Q: Is Continuing Care at Highland Springs in a walkable area?

Continuing Care at Highland Springs has a walk score of 60. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

Q: What is the occupancy rate at Continuing Care at Highland Springs?

Continuing Care at Highland Springs's occupancy is 97%.

Q: Does Continuing Care at Highland Springs operate as a for-profit or non-profit?

Continuing Care at Highland Springs is registered as a non-profit in TX.

Q: How many beds does Continuing Care at Highland Springs have?

Continuing Care at Highland Springs has 44 beds.

Q: Has Continuing Care at Highland Springs had any recent citations?

Continuing Care at Highland Springs has had 11 recently reported citations.

Nursing Home, Assisted Living, Independent Living & Memory Care · Dallas, TX

CMS overall rating

7910 Frankford Road, Dallas, TX 75252 View map

Calculator: See prices in your area

Continuing Care at Highland Springs accepts Medicaid, Medicare, and private pay.

Calculator: See prices in your area

Continuing Care at Highland Springs accepts Medicaid, Medicare, and private pay.

Overview of Continuing Care at Highland Springs

Continuing Care at Highland Springs is a senior living community located in Dallas, Texas. It offers independent living along with additional levels of on-site health care, ensuring residents can enjoy an active lifestyle while planning for future needs. The community features stylish residences, resort-style amenities, and a vibrant lifestyle for seniors aged 62 and older.

Facility Direct Line (972) 656-3500

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to Texas state averages

Total nursing care / resident

5h 16m per day

This facility Texas avg (3h 38m per day)

vs Texas avg

+45%

2 of 6 metrics below state avg

Standout metric Weekend RN is +150% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	1h 3m per day	▲ 144% State avg: 26m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	40m per day	▼ 29% State avg: 57m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 29m per day	▲ 23% State avg: 2h 1m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	3h 56m per day	▲ 32% State avg: 2h 59m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	4m per day	▼ 9% State avg: 4m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	50m per day	▲ 150% State avg: 20m per day · National avg: 28m per day

Capacity and availability

127 days

44-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

Walk Score: 60 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate

97%

Higher than the Texas average: 63.5%

Occupied beds

43 / 44

Average occupied beds in Texas homes 75 beds

Facility TypeType B

StatusLicensed

CountyCollin

CMS Certification Number676329

QualificationNursing

Continuing Care at Highland Springs is legally operated by Highland Springs, Inc..

OwnerHighland Springs, Inc.

Owner NameHighland Springs, Inc

Rehabilitation Services

Nursing Services

No Alzheimer's certification

Pets Allowed

Minimum Age62

Fitness Facilities

Aquatic Spaces

Scenic Walking Trails

Since 2022 · 4 years of data 11 citations 2 inspections

Inspection Scorecard This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2022 vs. Texas state average

Overall vs. TX average

Latest Inspection August 9, 2022 Life Safety

Citations Citations are formal regulatory issues recorded during state inspections.	This Facility	TX Average	vs. TX Avg
Total citations Formal regulatory issues recorded by inspectors across all inspection types.	11	6	This facility has 83% more total citations than a typical Texas assisted living residence (11 vs. TX avg 6).↑ 83% worse
Health citations Citations related to resident care, clinical practices, and day-to-day operations.	6	2	This facility has 200% more health citations than a typical Texas assisted living residence (6 vs. TX avg 2).↑ 200% worse
Life safety citations Citations related to building safety — fire prevention, emergency egress, and similar.	5	6	This facility has 17% fewer life safety citations than a typical Texas assisted living residence (5 vs. TX avg 6).↓ 17% better
Citations per year Average citations per year since 2022.	2.8	1.5	This facility has 87% more citations per year than a typical Texas assisted living residence (2.8 vs. TX avg 1.5).↑ 87% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	TX Average	vs. TX Avg
Inspections with citations Inspections that resulted in at least one regulatory citation.	2	1	This facility has 100% more inspections with citations than a typical Texas assisted living residence (2 vs. TX avg 1).↑ 100% worse

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

August 9, 2022 inspection found six life safety deficiencies, including failure to provide smoke compartmentation, protect cooking operations, and meet electrical system standards.
The facility lacked approved outdoor areas for segregated units and proper locking devices on multiple occasions.
No complaints or enforcement actions were reported despite multiple life safety code violations.

Inspections since 2023

Total health inspections 4

Texas average 7.4

Last Health inspection on Sep 2025

Total health citations

Texas average 25.9

Citations per inspection

3.75

Texas average 3.67

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

13 of 15 citations resulted from standard inspections; and 2 of 15 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)

Critical health citations

100% better than Texas average

Texas average: 2

Serious health citations

100% better than Texas average

Texas average: 0.4

0 critical citations Texas average: 2

0 serious citations Texas average: 0.4

15 moderate citations Texas average: 23

0 minor citations Texas average: 0.4

Citations history (last 3 years)

Nutrition moderate citation Sep 11, 2025

Corrected

Pharmacy moderate citation Sep 11, 2025

Corrected

Care Planning moderate citation Sep 11, 2025

Corrected

Nutrition moderate citation Aug 01, 2024

Corrected

Total staff 91

Employees 90

Contractors 1

Staff to resident ratio 2.22 : 1

50% more staff per resident than Texas average

Avg staff/day 29

Average shift 7.6 hours

6% worse than Texas average

Total staff hours (quarter) 20,164

Nursing staff breakdown

10.3 hours

9.3 hours

7.9 hours

Contractor staffing

18 contractor hours this quarter

Occupational Therapy Assistant: 1

Staff by category


Certified Nursing Assistant	15	0	15	5,249	92	100%	7.9
Medication Aide/Technician	29	0	29	4,558	92	100%	7.1
Registered Nurse	13	0	13	3,024	92	100%	10.3
Licensed Practical Nurse	10	0	10	2,660	92	100%	9.3
Other Dietary Services Staff	2	0	2	720	74	80%	8
Clinical Nurse Specialist	2	0	2	688	61	66%	8
Dietitian	1	0	1	488	61	66%	8
Nurse Practitioner	1	0	1	456	57	62%	8
Occupational Therapy Aide	1	0	1	420	54	59%	7.8
Mental Health Service Worker	1	0	1	416	52	57%	8
Administrator	1	0	1	384	48	52%	8
Physical Therapy Assistant	3	0	3	350	68	74%	4.2
Qualified Social Worker	3	0	3	250	64	70%	3.7
Respiratory Therapy Technician	6	0	6	240	60	65%	2.6
Speech Language Pathologist	1	0	1	227	56	61%	4
Occupational Therapy Assistant	0	1	1	18	19	21%	1
Medical Director	1	0	1	18	12	13%	1.5

15 Certified Nursing Assistant

% of Days 100%

29 Medication Aide/Technician

% of Days 100%

13 Registered Nurse

% of Days 100%

10 Licensed Practical Nurse

% of Days 100%

2 Other Dietary Services Staff

% of Days 80%

2 Clinical Nurse Specialist

% of Days 66%

1 Dietitian

% of Days 66%

1 Nurse Practitioner

% of Days 62%

1 Occupational Therapy Aide

% of Days 59%

1 Mental Health Service Worker

% of Days 57%

1 Administrator

% of Days 52%

3 Physical Therapy Assistant

% of Days 74%

3 Qualified Social Worker

% of Days 70%

6 Respiratory Therapy Technician

% of Days 65%

1 Speech Language Pathologist

% of Days 61%

1 Occupational Therapy Assistant

% of Days 21%

1 Medical Director

% of Days 13%

View All Staffing Data in Dallas

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 17.6

104% worse than Texas average

Texas average: 8.6

Functional decline score 30.2

88% worse than Texas average

Texas average: 16.0

Long-stay resident measures

Above average Texas avg: 4.1

Need for Help with Daily Activities Increased 34.5%

113% worse than Texas average

Texas average: 16.2%

Walking Ability Worsened 37.6%

132% worse than Texas average

Texas average: 16.2%

Low Risk Residents with Bowel/Bladder Incontinence 18.6%

19% worse than Texas average

Texas average: 15.7%

Falls with Major Injury 3.9%

21% worse than Texas average

Texas average: 3.2%

High Risk Residents with Pressure Ulcers 5.6%

25% worse than Texas average

Texas average: 4.4%

Urinary Tract Infection 0.0%

100% better than Texas average

Texas average: 0.8%

Lost Too Much Weight 6.4%

83% worse than Texas average

Texas average: 3.5%

Depressive Symptoms 1.3%

54% better than Texas average

Texas average: 2.9%

Antipsychotic Use 14.9%

90% worse than Texas average

Texas average: 7.9%

Pneumococcal Vaccine 70.8%

27% worse than Texas average

Texas average: 97.3%

Influenza Vaccine 95.5%

In line with Texas average

Texas average: 97.9%

Short-stay resident measures

Above average Texas avg: 3.1

Pneumococcal Vaccine 57.6%

36% worse than Texas average

Texas average: 90.4%

Antipsychotic medication increase 2.1%

47% worse than Texas average

Texas average: 1.4%

Influenza Vaccine 96.4%

10% better than Texas average

Texas average: 88.0%

Falls with major injury 0.0%

100% better than Texas average

Texas average: 0.8%

Ability to care for self at discharge 21.9%

59% worse than Texas average

Texas average: 53.7%

Successful return to home or community 48.6%

In line with Texas average

Texas average: 50.6%

Breakdown by payment type

Medicare

31% of new residents, usually for short-term rehab.

Typical stay 24 days

Private pay

69% of new residents, often for short stays.

Typical stay 5 - 6 months

Total residents 41

Medicare

100% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Continuing Care at Highland Springs from 2013–2023, based on CMS SNF Cost Reports.

Occupancy Rate 96.8% ↑ 3.5pp vs 2022

Net Patient Income -$81.0M ↓ ~$623.9K vs 2022

Payroll Costs $23.7M ↑ ~$2.2M vs 2022

Operating Margin -1,170.1% ↑ 89.6pp vs 2022

Metric	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	35.1%	69.8%	87.9%	93.7%	88.8%	88.0%	88.1%	74.4%	79.7%	93.3%	96.8%
Beds	44	44	44	44	44	44	44	44	44	44	44
Net Income	-$7,671,404	-$1,649,669	-$2,773,033	-$3,140,141	-$6,899,266	-$2,729,748	-$6,734,546	-$57,213	-$7,544,997	-$12,240,297	-$7,521,074
Gross Revenue	$16,803,483	$28,166,271	$6,014,845	$5,866,259	$5,687,695	$5,834,285	$5,730,017	$4,719,269	$5,349,543	$6,403,119	$7,063,322
Operating Expenses	$33,655,560	$30,296,661	$37,295,297	$41,838,003	$50,515,672	$51,931,772	$61,758,249	$58,908,825	$72,744,133	$86,750,411	$87,916,050
Net Patient Income	-$17,221,522	-$2,737,260	-$32,106,704	-$36,778,504	-$45,269,083	-$46,428,155	-$56,222,778	-$53,954,797	-$67,497,163	-$80,369,898	-$80,993,795
Net Patient Revenue	$16,434,038	$27,559,401	$5,188,593	$5,059,499	$5,246,589	$5,503,617	$5,535,471	$4,954,028	$5,246,970	$6,380,513	$6,922,255
Payroll Costs	$9,880,980	$10,277,739	$12,344,524	$12,919,150	$14,443,115	$15,082,755	$16,997,571	$17,667,462	$18,645,476	$21,500,088	$23,679,132
Operating Margin %	-104.8%	-9.9%	-618.8%	-726.9%	-862.8%	-843.6%	-1,015.7%	-1,089.1%	-1,286.4%	-1,259.6%	-1,170.1%
Medicare %	69.0%	53.2%	32.7%	23.5%	26.7%	21.1%	14.1%	8.7%	6.9%	8.6%	5.7%
Medicaid %	0.0%	0.0%	0.0%	0.0%	3.2%	3.1%	1.9%	0.0%	0.0%	0.0%	0.0%
Private %	31.0%	46.8%	67.3%	76.5%	70.1%	75.9%	83.9%	91.3%	93.1%	91.4%	94.3%
Net Patient Revenue/Day	$3,285	$2,460	$368	$335	$368	$390	$391	$413	$410	$426	$445
Cost/Day	$6,728	$2,704	$2,643	$2,773	$3,541	$3,676	$4,364	$4,914	$5,687	$5,789	$5,656
Avg Length of Stay	35.2 days	35.0 days	45.2 days	58.2 days	45.6 days	57.0 days	55.7 days	92.9 days	88.8 days	149.9 days	127.4 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$6.9M

Net patient income

-$81.0M

Nonprofit Nonprofit Corporation

Net patient revenue

$6.9M

Net patient income

-$81.0M

Other income

$73.5M

Payroll costs

$23.7M 342.1% of net patient revenue

Other operating costs

$64.2M

Total costs

$87.9M

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Most new residents arrive under private pay (69% of admissions), and a typical private pay stay runs around 5 - 6 months.

Coverage residents most often arrive under.

Medicare 31%

Private pay 69%

Coverage residents most often leave under.

Medicare 34%

Private pay 66%

15.5 miles from city center Estimated distance in miles from Dallas's city center to Continuing Care at Highland Springs's address, calculated via Google Maps.

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The information below is reported by the Texas Health and Human Services Commission.


Continuing Care at Highland Springs	AL NH IL MC	Dallas (Far North Dallas)	-	44 Facility 44 TX AVG 80 Rank #725 / 988	-	60 Facility 60 TX AVG 41 Rank #293 / 1391	-
The Legacy Midtown Park	AL HC IL MC NH	Dallas (Vickery Meadow)	-	98 Facility 98 TX AVG 80 Rank #376 / 988	-	45 Facility 45 TX AVG 41 Rank #628 / 1391	Studio / 1 Bed / 2 Bed
Christian Care Communities and Services – Mesquite	AL IL MC NH RC	Mesquite	-	180 Facility 180 TX AVG 80 Rank #26 / 988	-	31 Facility 31 TX AVG 41 Rank #914 / 1391	Studio / 1 Bed / 2 Bed
Autumn Leaves	AL NH	Dallas	-	124 Facility 124 TX AVG 80 Rank #178 / 988	B-	58 Facility 58 TX AVG 41 Rank #328 / 1391	-
Presbyterian Village North	AL IL MC NH RC	Dallas (Lake Highlands)	-	88 Facility 88 TX AVG 80 Rank #441 / 988	-	61 Facility 61 TX AVG 41 Rank #269 / 1391	-

Nursing Home Explorer

Community Care for the Aged and Disabled (CCAD)

TX Medicaid CCAD

Age 65+ or disabled

General Texas resident, Medicaid-eligible, care need (not always nursing home level).

Income Limits (2025) ~$2,829/month 300% FBR, individual

Asset Limits $2,000 (individual), $3,000 (couple).

Large state; rural access challenges.

Benefits

Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home aides

Texas Community Care Services

TX CCS

Age 60+

General Texas resident, at risk of decline.

Income Limits ~$2,000/month individual, varies

Asset Limits $5,000 individual

Limited funding; high demand in urban areas.

Benefits

In-home care (3-5 hours/week) Respite (up to 10 days/year) Transportation (~5 trips/month)

Area Agency on Aging (AAA) Services

Texas AAA Services

Age 60+

General TX resident; no income/asset limits.

Income Limits (2025) None; donations encouraged.

Asset Limits Not assessed.

28 AAAs; includes Meals on Wheels in some areas.

Benefits

Meals (~$5-$7/meal) Transportation Homemaker services (~4 hours/week) Respite (~5 days/year) Legal aid

Medicare Savings Program (MSP)

Texas Medicare Savings Program

Age 65+ or disabled

General TX resident, Medicare Part A/B.

Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

Asset Limits $9,430 (individual), $14,130 (couple).

Includes Extra Help for Part D; no waitlist.

Benefits

Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Family Caregiver Support Program (FCSP)

Texas Family Caregiver Support Program

Age —

General Caregivers of 60+ needing care or 55+ caregivers of others; TX resident; 2+ ADLs.

Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year

Asset Limits Not assessed.

High rural demand; includes grandparent caregivers.

Benefits

Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

VA Aid and Attendance (A&A) and Housebound Benefits

Texas VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse

General TX resident, wartime service, ADL help (A&A) or homebound.

Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

Asset Limits ~$155,356 net worth

High veteran population; supports rural/urban needs.

Benefits

Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs

Property Tax Exemption for Seniors

Texas Senior Property Tax Exemption

Age 65+

General TX resident, homeowner (homestead).

Income Limits (2025) None; tax-based eligibility.

Asset Limits Not assessed.

$25,000+ exemption; optional freeze in some counties; saves ~$500-$1,000/year.

Benefits

Tax exemption or freeze (~$500-$1,000/year savings)

Senior Farmers’ Market Nutrition Program (SFMNP)

Texas SFMNP

Age 60+

General TX resident, low-income.

Income Limits (2025) ~$2,322/month 185% FPL

Asset Limits Not assessed.

Vouchers (~$50/season); serves ~20,000 via 28 AAAs.

Benefits

Vouchers (~$50/season) for produce at farmers’ markets

What neighborhood is Continuing Care at Highland Springs in?

Continuing Care at Highland Springs is in the Far North Dallas neighborhood of DALLAS.

Who is the owner of Continuing Care at Highland Springs?

The legal owner and operator of Continuing Care at Highland Springs is Highland Springs, Inc..

Is Continuing Care at Highland Springs in a walkable area?

Continuing Care at Highland Springs has a walk score of 60. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the occupancy rate at Continuing Care at Highland Springs?

Continuing Care at Highland Springs's occupancy is 97%.

Does Continuing Care at Highland Springs operate as a for-profit or non-profit?

Continuing Care at Highland Springs is registered as a non-profit in TX.

How many beds does Continuing Care at Highland Springs have?

Continuing Care at Highland Springs has 44 beds.

Has Continuing Care at Highland Springs had any recent citations?

Continuing Care at Highland Springs has had 11 recently reported citations.

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Continuing Care at Highland Springs

Overview of Continuing Care at Highland Springs

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Staffing & Medical

Memory & Specialized Care

Additional Policies & Features

Amenities & Lifestyle

Contact Continuing Care at Highland Springs

Inspection History

Inspection Scorecard This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Citations Citations are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

15 Certified Nursing Assistant

29 Medication Aide/Technician

13 Registered Nurse

10 Licensed Practical Nurse

2 Other Dietary Services Staff

2 Clinical Nurse Specialist

1 Dietitian

1 Nurse Practitioner

1 Occupational Therapy Aide

1 Mental Health Service Worker

1 Administrator

3 Physical Therapy Assistant

3 Qualified Social Worker

6 Respiratory Therapy Technician

1 Speech Language Pathologist

1 Occupational Therapy Assistant

1 Medical Director

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Facility Characteristics

Programs & Services

Residents Group

CCRC

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Primarily short stays

Admissions

Discharges

Places of interest near Continuing Care at Highland Springs

Calculate Travel Distance to Continuing Care at Highland Springs

Compare Assisted Living around Dallas

Financial Assistance for Assisted Living in Texas

Community Care for the Aged and Disabled (CCAD)

Texas Community Care Services

Area Agency on Aging (AAA) Services

Medicare Savings Program (MSP)

Family Caregiver Support Program (FCSP)

VA Aid and Attendance (A&A) and Housebound Benefits

Property Tax Exemption for Seniors

Financial Assistance for
Assisted Living in Texas