Staffing
CMS publishes a 5-star staffing rating for this facility.
RN staffing was 1.13 hours per resident day in 2026Q1, calculated from CMS PBJ records.
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CONTINUING CARE AT HIGHLAND SPRINGS has 44 certified beds in DALLAS, Texas. The CMS overall rating is 3 of 5, compared with the Texas average of 2.6. The CMS health inspection rating is 2 of 5, compared with the Texas average of 2.8. The CMS staffing rating is 5 of 5. The latest standard health survey on Sep 11, 2025 lists 3 deficiencies, compared with the Texas average of 5.6. CMS records a fine of $29,968 dated Jan 21, 2026. Total nurse staffing is 4.29 hours per resident day in 2026Q1, compared with the Texas average of 3.39.
Independent research from official CMS public records. No paid ranking. No Trust Hub quality score.
Research this nursing home using CMS and federal public records. CMS Certification Number 676329.
At a glance
3 of 5
2 of 5
5 of 5
4 of 5
No attached CMS ownership-change event.
These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.
Quality & care evidence
Staffing, inspections, and fire safety are separate CMS evidence families below.
Ownership & management
Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.
Showing 25 of 40 relationships from CMS/PECOS evidence.
These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.
Ownership change history
No CMS ownership-change event is currently attached to this profile in the Trust Hub research graph. That is not proof that ownership never changed.
Source freshness
Profile generated 2026-11-03. That timestamp is not CMS evidence freshness.
Methodology
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
State regulatory evidence
Texas Health and Human Services Commission is the state source for this license record. It does not replace CMS federal certification, ratings, or certified-bed counts.
Texas Health and Human Services Commission
State regulatory data · checked Aug 2026
CMS designations
This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.
CMS does not currently identify this nursing home as a Special Focus Facility or candidate in the loaded Provider Information extract.
CMS field value: (blank). Observed Aug 1, 2026.
CMS does not currently apply its abuse-icon designation to this facility in the loaded Provider Information extract.
CMS field value: N. Observed Aug 1, 2026.
Enrollment identity
These identifiers come from CMS SNF enrollment records linked to this CCN. They are not a substitute for the CMS Certification Number.
MDS quality measures
These MDS quality measures are individual CMS-published scores. They are not the CMS quality-measure star rating.
MDS source release 2026-08-01.
Fire-safety citations
These are fire-safety citations, not health deficiencies and not a count of fires.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 5-star staffing rating for this facility.
RN staffing was 1.13 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Sep 11, 2025 cited 3 deficiencies.
View inspection evidenceCMS-published records list 99 ownership or control parties.
View ownership evidenceCMS groups this facility with a chain covering 17 facilities across 10 states or territories.
View chain evidenceCMS records show a $29,968 fine in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
20 currently connected nursing homes share this CMS organization identity with OAK INVESTMENT TRUST.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jan 14, 2021
Other facilities connected through this exact CMS organization identity: 0 across TX.
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 20, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2022
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 25, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 25, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2022
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Apr 1, 2023
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Apr 1, 2022
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Apr 1, 2024
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Apr 1, 2018
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Apr 1, 2018
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Dec 1, 2012
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Apr 1, 2022
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Apr 1, 2024
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Apr 1, 2022
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Apr 1, 2025
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Apr 1, 2018
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Apr 1, 2019
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Apr 1, 2023
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Apr 1, 2025
Individual · CORPORATE OFFICER
Association date reported to CMS: Apr 1, 2019
Individual · CORPORATE OFFICER
Association date reported to CMS: Apr 1, 2022
Individual · CORPORATE OFFICER
Association date reported to CMS: Apr 1, 2025
Individual · CORPORATE OFFICER
Association date reported to CMS: Apr 1, 2024
Individual · CORPORATE OFFICER
Association date reported to CMS: Apr 1, 2024
Individual · CORPORATE OFFICER
Association date reported to CMS: Apr 1, 2023
Individual · CORPORATE OFFICER
Association date reported to CMS: Apr 1, 2024
Individual · CORPORATE OFFICER
Association date reported to CMS: Apr 1, 2024
Individual · CORPORATE OFFICER
Association date reported to CMS: Apr 1, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Apr 24, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Apr 17, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Apr 17, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 20, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2014
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 1, 2022
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 23, 2020
Other facilities connected through this exact CMS organization identity: 0 across TX.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 1, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 1, 2024
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 14, 2021
Other facilities connected through this exact CMS organization identity: 0 across TX.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 1, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 23, 2022
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 1, 2022
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jan 14, 2021
Other facilities connected through this exact CMS organization identity: 15 across CO, KS, MA, MD, MI, NJ, PA, TX, VA.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 23.93%
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 24 across AZ, CA, CO, CT, FL, GA, IL, KS, MD, MI, MN, NJ, PA, TN, TX, VA, WA.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 63.74%
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 24 across AZ, CA, CO, CT, FL, GA, IL, KS, MD, MI, MN, NJ, PA, TN, TX, VA, WA.
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 20, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2022
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 25, 2025
CMS classifications: Chain / home office, Management services company
Other facilities connected through this exact CMS organization identity: 17 across CO, FL, KS, MA, MD, MI, NJ, PA, TX, VA.
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 12, 2010
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 12, 2010
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 12, 2010
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 12, 2010
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 24 across AZ, CA, CO, CT, FL, GA, IL, KS, MD, MI, MN, NJ, PA, TN, TX, VA, WA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 24 across AZ, CA, CO, CT, FL, GA, IL, KS, MD, MI, MN, NJ, PA, TN, TX, VA, WA.
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 25, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2022
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Apr 1, 2023
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Apr 1, 2022
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Apr 1, 2024
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Apr 1, 2018
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Apr 1, 2018
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Dec 1, 2012
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Apr 1, 2022
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Apr 1, 2024
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Apr 1, 2022
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Apr 1, 2025
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Apr 1, 2018
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Chain context
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 756 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 17 | 4.2 | 4.8 |
| Mon Jun | 17 | 4.2 | 4.9 |
| Fri May | 17 | 4.2 | 4.9 |
| Wed Apr | 17 | 4 | 4.9 |
| Sun Mar | 17 | 4.1 | 4.9 |
| Sun Feb | 17 | 4.5 | 4.9 |
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Jan 22, 2026)
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
CMS scope/severity K: Pattern; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Jan 22, 2026)
No health-deficiency rows were deterministically linked to this inspection.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 23, 2025)
Ensure that residents are free from significant medication errors.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 23, 2025)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 23, 2025)
No health-deficiency rows were deterministically linked to this inspection.
Reasonably accommodate the needs and preferences of each resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 10, 2024)
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 10, 2024)
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 10, 2024)
PASARR screening for Mental disorders or Intellectual Disabilities
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 10, 2024)
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 10, 2024)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 10, 2024)
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 10, 2024)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 10, 2024)
Ensure services provided by the nursing facility meet professional standards of quality.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Past Non-Compliance (Dec 11, 2023)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Past Non-Compliance (Dec 11, 2023)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Assure that each resident’s assessment is updated at least once every 3 months.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 7, 2023)
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 7, 2023)
Penalties & enforcement
Published fine amount: $29,968.00
Questions to ask
Facility history
7 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
CMS recorded a $46,105 civil monetary penalty.
CMS · Recorded event date · View related evidence
2 deficiencies were recorded. That includes 2 higher-severity deficiencies.
CMS · Recorded event date · View related evidence
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
8 deficiencies were recorded.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 5 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 4.46 | 3.882 |
| RN categories | 1.269 | 0.78 |
Contract staff accounted for 0% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.072 higher than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 4.468 | 1.129 | 0.728 | 1.425 | 0% | 91 |
| 2025Q3 | 4.344 | 1.047 | 0.699 | 1.294 | 0% | 92 |
| 2025Q4 | 4.212 | 1.055 | 0.674 | 1.329 | 0% | 92 |
| 2026Q1 | 4.293 | 1.127 | 0.689 | 1.136 | 0% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Representation claims are reviewed manually. Live profile-management tools are not yet enabled for this facility.
How corrections workSource register
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.