Texas average 7.4
Last Health inspection on Sep 2025

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Rambling Oaks Courtyard Assisted Living Residence is a senior care community in Highland Village, Texas, offering assisted living and rehabilitation services. Managed by Rambling Oaks Courtyard ALR Highland Village LLC, the community has a Type B license in Denton County. This 79-bed community reflects a domestic atmosphere, focusing on personalized attention and resident ease within a community-scale layout.
The most recent HHSC inspection on June 9, 2022, concluded with two findings, which included one health-related infraction and one life safety code issue, both of which are significantly lower than the Texas state averages of 6 total findings and 2 health findings. The life safety matter involved construction standards for hazardous zones and had been previously noted and partially resolved. There are no enforcement actions, and no federal financial penalties have been issued over the last three years. With a record of zero citations per evaluation in comparative data, the community maintains a generally positive regulatory history.
A remarkably thorough selection of features is available for a community of this size, such as three private courtyards, a day room, a sunroom, and a hair salon and barbershop. An ultrasound bath, a dedicated space for physical therapy and wellness, and a classic screened-in porch are among the amenities available, as well as a traditional dining area that focuses on nutritious, home-style cooking. Rehabilitative support is provided, and the memory care wing holds an official Alzheimer’s certification. While administrative offices are open during standard weekday hours, personal care is delivered around the clock.
Rambling Oaks Courtyard Assisted Living Residence is an excellent option for families in the Highland Village and North Dallas region looking for a cozy, residential-style setting that offers both daily assistance and memory care. Its unique features, specifically secured courtyards and the health room, serve older adults who appreciate outdoor access and active recovery.
Rambling Oaks Courtyard Assisted Living Residence is legally operated by Rambling Oaks Courtyard Alr Highland Village Llc.
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.
Citations
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
| 2 | 6 | This facility has 67% fewer total citations than a typical Texas nursing home (2 vs. TX avg 6).↓ 67% better |
|
Health citations
| 1 | 2 | This facility has 50% fewer health citations than a typical Texas nursing home (1 vs. TX avg 2).↓ 50% better |
|
Life safety citations
| 1 | 6 | This facility has 83% fewer life safety citations than a typical Texas nursing home (1 vs. TX avg 6).↓ 83% better |
Inspections
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Inspections with citations
| 2 | 1 | This facility has 100% more inspections with citations than a typical Texas nursing home (2 vs. TX avg 1).↑ 100% worse |
RAMBLING OAKS COURTYARD ASSISTED LIVING RESIDENCE underwent a comprehensive inspection on June 09, 2022, resulting in two state standard violations. The Health Code section of the report listed one violation, which was not corrected by the time of the most recent inspection. In contrast, the Life Safety Code section cited one deficiency that had been previously identified and partially addressed between October 10, 2018, and September 17, 2018. Specifically, the facility failed to ensure hazardous areas were constructed in compliance with licensing standards for assisted living facilities. No enforcement actions were found related to these deficiencies.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsTexas 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.
19 of 26 citations resulted from standard inspections; and 7 of 26 resulted from complaint investigations.
Texas average: 2
Texas average: 0.4
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
No contractors work on this role.
Assists with medical care and medications.
This role is partially covered by contractors.
Helps with daily care and mobility.
This role is partially covered by contractors.
Total hours from contractors
430 contractor hours this quarter
| Certified Nursing Assistant | 19 | 4 | 23 | 4,805 | 92 | 100% | 9.1 |
| Licensed Practical Nurse | 8 | 1 | 9 | 3,856 | 92 | 100% | 10.9 |
| Registered Nurse | 10 | 0 | 10 | 2,125 | 78 | 85% | 9.4 |
| RN Director of Nursing | 3 | 0 | 3 | 1,386 | 64 | 70% | 8.1 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dietitian | 1 | 0 | 1 | 497 | 69 | 75% | 7.2 |
| Mental Health Service Worker | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Physical Therapy Assistant | 3 | 0 | 3 | 460 | 63 | 68% | 7.3 |
| Administrator | 1 | 0 | 1 | 384 | 48 | 52% | 8 |
| Speech Language Pathologist | 3 | 0 | 3 | 375 | 53 | 58% | 7.1 |
| Clinical Nurse Specialist | 0 | 1 | 1 | 88 | 11 | 12% | 8 |
| Qualified Social Worker | 1 | 0 | 1 | 78 | 24 | 26% | 3.2 |
| Feeding Assistant | 0 | 3 | 3 | 77 | 27 | 29% | 2.1 |
| Occupational Therapy Aide | 0 | 2 | 2 | 49 | 13 | 14% | 3.8 |
| Medical Director | 0 | 1 | 1 | 48 | 12 | 13% | 4 |
| Physical Therapy Aide | 1 | 0 | 1 | 26 | 6 | 7% | 4.4 |
| Diagnostic X-ray Services Staff | 0 | 1 | 1 | 26 | 8 | 9% | 3.2 |
| Other Physician | 0 | 2 | 2 | 23 | 11 | 12% | 2.1 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 13 | 4 | 4% | 3.4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 4 | 3 | 3% | 1.3 |
Includes penalties issued in 2024
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 (Data as of Jan 2026)
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jun 14, 2024 · $22K
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
82% of new residents, usually for short-term rehab.
17% of new residents, often for short stays.
1% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Historical financial and operational data for Rambling Oaks Courtyard Assisted Living Residence based on CMS SNF Cost Reports.
Most residents typically stay for a few weeks or months before returning home or moving on.
182.4 miles from city center
Estimated distance in miles from Highland Village's city center to Rambling Oaks Courtyard Assisted Living Residence's address, calculated via Google Maps.
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Rambling Oaks Courtyard Assisted Living Residence is located in HIGHLAND VILLAGE, 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.
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The legal owner and operator of Rambling Oaks Courtyard Assisted Living Residence is Rambling Oaks Courtyard Alr Highland Village Llc.
Rambling Oaks Courtyard Assisted Living Residence has a walk score of 1. Car-dependent. Most errands require a car, with limited nearby walkable options.
Rambling Oaks Courtyard Assisted Living Residence has 79 beds.
Rambling Oaks Courtyard Assisted Living Residence has had 2 recently reported deficiencies.
Yes — there are 8 photos of Rambling Oaks Courtyard Assisted Living Residence in the photo gallery on this page.
Rambling Oaks Courtyard Assisted Living Residence is located at 110 BARNETT BLVD.
(972) 317-7733 will put you in contact with the team at Rambling Oaks Courtyard Assisted Living Residence.
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