Highlands Guest Care Center

    9009 Forest Ln, Dallas, TX 75243
    • Assisted Living
    • Memory Care
    • Skilled Nursing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.13·(70)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.3
    • Staff

      3.1
    • Meals

      1.6
    • Amenities

      2.9
    • Value

      1.0

    Pros

    • Professional physical therapy services
    • Compassionate individual caregivers
    • Welcoming, recently remodeled interiors
    • Private rooms available for short-term rehabilitation
    • Active activities program for long-term residents
    • Accessible therapy gym and rehabilitation equipment
    • Bilingual service and Spanish-language support
    • Attentive kitchen and dining staff at times
    • Visitor-friendly policies and phone access
    • Responsive leadership under new management in some periods
    • Clean, well-decorated common areas in renovated sections
    • Prompt hands-on assistance during certain shifts

    Cons

    • Inconsistent staffing levels and coverage
    • Variable clinical responsiveness and medication administration
    • Poor family and proxy communication processes
    • Inconsistent staff professionalism and conduct
    • Sanitation and odor concerns in some common areas
    • Weak controls over resident belongings and financial safeguards
    • Gaps in transfer, discharge, and hospital-notification coordination
    • Unreliable meal quality and nutritional consistency
    • High staff turnover and low compensation affecting continuity
    • Weekend and night shift performance variability
    • Maintenance and equipment repair delays
    • Language and documentation gaps affecting clinical oversight
    • Insufficient fall-prevention and resident-safety protocols

    Summary of reviews

    The reviews describe a facility with a marked split between strong rehabilitative services and recurring operational weaknesses. The therapy team and specific clinicians receive consistent praise for professional, effective care; several families singled out physical therapy staff and a few individual caregivers for positive interactions. Renovations, attractive decor, private short-term rehab rooms, an accessible therapy gym, and a robust activities program are clear strengths for residents needing rehabilitation or engaging long-term programming.

    At the same time, a number of operational patterns raise concern. Staffing levels and shift coverage are described as inconsistent, with particular shortages noted on nights and weekends. Those staffing gaps appear linked to variable clinical responsiveness — examples include delayed medication administration, slow responses to acute illness, and inconsistent attention to mobility and toileting support. Reviewers also describe inconsistent staff professionalism and tone, which contributes to family frustration and strained communication during care transitions.

    Communication and care-coordination processes are another recurring issue. Families reported difficulty obtaining timely updates from nursing and administration, limited contact with power-of-attorney representatives, and problems with discharge and hospital-transfer notifications. Documentation and chart-review gaps were mentioned in clinical contexts, which compounds concerns about medication timing and clinical oversight. There are also accounts of alleged theft and misuse of resident funds and belongings; these are serious claims that several families said they pursued with external authorities.

    Dining and basic services show mixed performance. Kitchen staff and dining servers are praised in some reports, yet meal quality and nutritional consistency are described as unreliable in others. Maintenance and responsiveness to equipment or room repairs were reported as slow in several accounts, and reviewers described sanitation and odor concerns in particular common areas. Staffing compensation and morale issues were raised as a likely contributor to turnover and inconsistent service delivery.

    Overall, experiences are polarized: some families and residents express high satisfaction — citing compassionate staff, effective therapy, and visible facility improvements — while others describe significant operational lapses affecting safety, communication, and basic care quality. Prospective families should assess current staffing ratios, communication protocols for proxies and hospital transfers, medication-administration safeguards, and controls for resident belongings. Inquire about recent management changes, state inspection outcomes, and what measures are in place to address night/weekend coverage and sanitation standards before making placement decisions.

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    Medicare Ratings

    1·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Highlands Guest Care Center is located at 9009 Forest Ln, Dallas, TX, 75243.

    About Highlands Guest Care Center

    Highlands Guest Care Center in Nocona, Texas, has 116 certified beds with both private and semi-private suites that have been newly remodeled, and those private rooms help residents who want a more comfortable rehab-to-home experience, and while there's a strong clinical team here skilled in wound care, IV antibiotics, and post-surgical care, plus a rehabilitation staff to help folks with recovery, the place has faced some serious problems in the past; inspection reports show 26 total deficiencies, including troubles with safe pain management, accident safety, and protection from abuse or neglect that even amounted to immediate jeopardy for residents' health or safety, and, on top of that, there've been a couple of infection-related deficiencies too, so there's room for improvement when it comes to patient safety. The nurse turnover rate runs high at 65.2%, and the facility provides about 2.91 nurse hours per resident each day, which is something for families to think about, but residents do get 24/7 nursing care and a comprehensive set of services like Dialysis, Medication Management, Long Term Care, Medically Complex Care, Occupational Therapy, Physical Therapy, Skilled Nursing, Speech Therapy, Tracheostomy Care, Traumatic Brain Injury care, Wound Care, and more specialized therapies, so there's a lot they can handle right at the center if someone needs help regaining independence after a hospital stay or just needs ongoing medical support. Highlands Guest Care Center belongs entirely to the Nocona Hospital District and has been managed by The Highlands Guest Care Center LLC since July 2018; it's still affiliated with the hospital district, so there's some sense of local oversight. Amenities like WiFi and arts and crafts activities give a bit of comfort, and the building is laid out to create a cozy, supportive setting for seniors, plus there are smoking areas for residents and visitors, since some folks like that, and the place is known to have responsible and attentive staff, with leadership under a respected administrator named JP, and there's even a long-term care ombudsman in place to help resolve resident complaints confidentially. Staff members shape care around each resident's needs and focus on recovery, well-being, and maintaining quality of life day to day. The general feel aims to be both comfortable and practical, with therapies and services meant to help people feel respected and looked after, but those inspection problems can't be ignored, so families might want to visit and see firsthand whether the environment and services are the right fit.

    People often ask...

    Highlands Guest Care Center offers assisted living, memory care, and skilled nursing.

    There are 5 photos of Highlands Guest Care Center on Mirador.

    The full address for this community is 9009 Forest Ln, Dallas, TX 75243.

    No, Highlands Guest Care Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Texas, the Health & Human Services Commission licenses assisted living and long-term care facilities, conducting health and life-safety visits and complaint investigations.

    License number001cv00000RqSIGAA3
    StatusActive
    Facility typeNursing Facility (snf/nf)
    License classLicensed
    Capacity116 residents
    LicenseeNocona Hospital District
    Care servedSnf/nf
    View the official license record

    Inspection Reports

    3

    Reports

    10

    Citations

    0

    Complaints

    0

    Years

    07 Oct 2026Inspection
    Observed a deficiency where the nursing home area was not free of dangers that cause accidents.
    • —Health Visit
    23 Jul 2026Inspection
    Investigated and found two violations: unnecessary drugs were given to a resident and consent for a psychoactive drug was not obtained.
    • —Health Visit
    • —Health Visit
    06 Apr 2026Life Safety
    Investigated life safety electrical deficiencies; identified failures related to emergency power, lighting, engineering oversight, and fire-resistance standards, with some corrections completed.
    • —Life Safety Code
    • —Life Safety Code
    • —Life Safety Code
    • —Life Safety Code
    • —Life Safety Code
    • —Life Safety Code
    • —Life Safety Code

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Highlands Guest Care Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact Highlands Guest Care Center directly. There is no cost for this service. We are compensated by the community you select.

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