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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 16th out of 246 homes in Texas.| Staff type | Hours / day | 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 |
|
Total Nursing (Weekend)
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 |
|
RN (Weekend)
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 |
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
31% of new residents, usually for short-term rehab.
69% of new residents, often for short stays.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #2 / 259Payroll — state benchmarkedThis home is ranked 2nd out of 259 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the Texas average: 63.5%Continuing Care at Highland Springs is legally operated by Highland Springs, Inc..
Ways to qualify for care at this community, including accepted programs and payment options.
This facility is certified for eligible Medicaid services.
This facility is certified for eligible Medicare services.
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.
2 with citations
0 without citations
Texas average: 1 inspection with citations
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
Texas average: 6 citations
Texas average: 2 health citations
Texas average: 6 life safety citations
Penalties or interventions imposed by state regulators when facilities do not comply with quality, safety, or regulatory standards.
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Texas average: 1 enforcement action
CONTINUING CARE AT HIGHLAND SPRINGS underwent a comprehensive inspection on August 09, 2022, resulting in 8 state standard violations. Of these, 7 were classified as Life Safety Code deficiencies and 1 was listed under Health Code. The Life Safety Code issues included failures to provide smoke compartmentation where required, protect cooking operations, ensure the building electrical system met codes and standards, provide an approved outdoor area for a segregated unit, and install proper locking devices. These deficiencies were corrected between September 29, 2022, and November 7, 2022. No Health Code violations were listed during this inspection. No enforcement actions were found in relation to these inspections.
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
0
100% better than Texas averageTexas average: 0.4
Issues related to food quality, meal service, and resident's nutritional needs.
Sep 11, 2025
Corrected
Issues related to medication management, including how drugs are stored, administered, and monitored.
Sep 11, 2025
Corrected
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Sep 11, 2025
Corrected
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 01, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
| 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 | 66.6% | +5% | 4.05 | 0% | +12% | 0 | 0 | 0.0 | 0 | 88 | C+ | 58 | Lcs Al Operator Mm Llc | $6.7M | $3.1M | 45.6% | 675830 | ||||
| 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 | 96.8% | +53% | 5.27 | +99% | +45% | 0 | 15 | 3.8 | 0 | 43 | - | - | Neville, Matthew | $80.5M | $21.7M | 26.9% | 676329 | ||||
| Discovery Village At Southlake |
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. | Southlake | 41 | 71.3% | +12% | 3.99 | -33% | +10% | 1 | 16 | 3.2 | 1 | 37 | A+ | 29 | Hcri Tucson Properties Inc | $10.3M | $2.6M | 24.9% | 676351 | ||||
| C C Young Memorial Home | - |
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 | 129 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | C. C. Young Memorial Home | - | - | - | - |
| Juliette Fowler Communities | - |
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 | 30 | 64.2% | +1% | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | 27 | #N/A | $4.6M | $1.2M | 26.2% | 675952 |
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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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
52% better than Texas averageTexas average ratio: 1.51:1
6% worse than Texas averageTexas average: 8.1 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursNo contractors work on this role.
Total hours from contractors
33 contractor hours this quarter
| Certified Nursing Assistant | 15 | 0 | 15 | 5,611 | 91 | 100% | 7.8 |
| Medication Aide/Technician | 28 | 0 | 28 | 4,667 | 91 | 100% | 7.4 |
| Registered Nurse | 14 | 0 | 14 | 3,106 | 91 | 100% | 10 |
| Licensed Practical Nurse | 11 | 0 | 11 | 2,865 | 90 | 99% | 9.4 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 952 | 62 | 68% | 8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 801 | 85 | 93% | 7.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 488 | 61 | 67% | 8 |
| Dietitian | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 477 | 61 | 67% | 7.8 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 384 | 48 | 53% | 8 |
| Physical Therapy Assistant | 4 | 0 | 4 | 335 | 67 | 74% | 3.9 |
| Qualified Social Worker | 3 | 0 | 3 | 264 | 62 | 68% | 4.2 |
| Speech Language Pathologist | 2 | 0 | 2 | 245 | 60 | 66% | 4 |
| Respiratory Therapy Technician | 6 | 0 | 6 | 153 | 55 | 60% | 2 |
| Medical Director | 0 | 1 | 1 | 17 | 12 | 13% | 1.4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 16 | 17 | 19% | 1 |
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.
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.
Historical financial and operational data for Continuing Care at Highland Springs based on CMS SNF Cost Reports.
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