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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 15th out of 289 homes in Texas. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| 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 | ▲ 142% 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.
| 42m per day | ▼ 26% 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 36m per day | ▲ 29% 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.
| 3m per day | ▼ 25% 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.
| 49m per day | ▲ 145% State avg: 20m per day · National avg: 28m per day |
Higher than the Texas average: 63.5%Continuing Care at Highland Springs is legally operated by Highland Springs, Inc..
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
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
| 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 nursing home (11 vs. TX avg 6).↑ 83% worse |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 6 | 2 | This facility has 200% more health citations than a typical Texas nursing home (6 vs. TX avg 2).↑ 200% worse |
|
Life safety citations
Violations related to building safety — fire prevention, emergency egress, and similar.
| 5 | 6 | This facility has 17% fewer life safety citations than a typical Texas nursing home (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 nursing home (2.8 vs. TX avg 1.5).↑ 87% worse |
Inspections
| 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 nursing home (2 vs. TX avg 1).↑ 100% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Texas average 7.4
Last Health inspection on Sep 2025
Texas average 25.9
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.
100% better than Texas averageTexas average: 2
100% better than Texas averageTexas average: 0.4
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
50% better than Texas average
6% worse than Texas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 13 RN Staff are full-time employees. No contractors work on this role.
13
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.3 hoursAssists with medical care and medications.
All 10 LPN Staff are full-time employees. No contractors work on this role.
10
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursHelps with daily care and mobility.
All 15 CNA Staff are full-time employees. No contractors work on this role.
15
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
18 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| 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 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
17.6
104% worse than Texas averageTexas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
30.2
88% worse than Texas averageTexas average: 16.0
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
34.5%
113% worse than Texas averageTexas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
37.6%
132% worse than Texas averageTexas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.6%
19% worse than Texas averageTexas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
21% worse than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
5.6%
25% worse than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
6.4%
83% worse than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
1.3%
54% better than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
14.9%
90% worse than Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
70.8%
27% worse than Texas averageTexas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.5%
In line with Texas averageTexas average: 97.9%
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
57.6%
36% worse than Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
2.1%
47% worse than Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.4%
10% better than Texas averageTexas average: 88.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Texas averageTexas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
21.9%
59% worse than Texas averageTexas average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
48.6%
In line with Texas averageTexas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
31% of new residents, usually for short-term rehab.
69% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
41Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Continuing Care at Highland Springs based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #2 / 297Payroll — State benchmarkedThis home is ranked 2nd out of 297 homes in Texas. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
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.
Add your location
Continuing Care at Highland Springs is located in DALLAS, Texas.
Here are the financial assistance programs available to residents in Texas.
The information below is reported by the Texas Health and Human Services Commission.
| The Legacy Midtown Park |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Dallas (Vickery Meadow) | 98
Facility
98
TX AVG
80
Rank
#379 / 989 | 87.5% | +38% | 5.42 | +1% | +49% | $27.5k | 4 | 1.3 | - | 49 | - |
45
Facility
45
TX AVG
41
Rank
#628 / 1392 | The Legacy Midtown Park Inc | $36.9M | $15.3M | 41.6% | 676489 | ||||
| Autumn Leaves |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Dallas | 124
Facility
124
TX AVG
80
Rank
#180 / 989 | 66.6% | +5% | 4.05 | +35% | +12% | $0 | - | - | - | 88 | B- |
58
Facility
58
TX AVG
41
Rank
#328 / 1392 | Lcs Al Operator Mm LLC | $6.7M | $3.7M | 55.6% | 675830 | ||||
| Ventana by Buckner |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Dallas (Park Cities) | 72
Facility
72
TX AVG
80
Rank
#511 / 989 | 67.4% | +6% | 6.12 | +57% | +69% | $0 | 12 | 2.4 | - | 56 | - |
77
Facility
77
TX AVG
41
Rank
#51 / 1392 | Buckner Senior Living | $31.5M | $12.6M | 39.9% | 676483 | ||||
| Continuing Care at Highland Springs |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Dallas (Far North Dallas) | 44
Facility
44
TX AVG
80
Rank
#727 / 989 | 96.8% | +53% | 5.27 | +87% | +45% | $0 | 15 | 3.8 | - | 43 | - |
60
Facility
60
TX AVG
41
Rank
#293 / 1392 | Matthew Neville | $80.5M | $23.7M | 29.4% | 676329 | ||||
| Christian Care Communities and Services – Mesquite |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Mesquite | 180
Facility
180
TX AVG
80
Rank
#29 / 989 | - | - | 3.66 | +32% | +1% | $36.8k | 16 | 1.6 | 4 | 77 | - |
31
Facility
31
TX AVG
41
Rank
#914 / 1392 | Ccc Mesquite Management LLC | $23.5M | $13.1M | 55.8% | 455617 |
Continuing Care at Highland Springs is in the Far North Dallas neighborhood of DALLAS.
The legal owner and operator of Continuing Care at Highland Springs is Highland Springs, Inc..
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.
Continuing Care at Highland Springs's occupancy is 97%.
Continuing Care at Highland Springs has 44 beds.
Continuing Care at Highland Springs has had 11 recently reported deficiencies.
Yes — there are 8 photos of Continuing Care at Highland Springs in the photo gallery on this page.
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