Highland Meadows
1870 John King Blvd, Rockwall, TX 75032
Based on 2026 CMS Data
Official Government Ratings
Health Inspections
Frequency & severity of deficiencies
Staffing Levels
Nurse hours per resident per day
Quality Measures
Clinical outcomes & care quality
Resident Council Active
Active councils indicate resident empowerment and facility transparency.
Vetting This Facility? Get Answers They Don't Volunteer
Free guide: the exact questions to ask Highland Meadows, how to pull the public records (ownership, inspections, penalties), and how to request the info that isn't online — like the medical director.
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Care Quality Indicators
Lower is better
Lower is better
Lower is better
How Highland Meadows Compares
Highland Meadows is a 120-bed for-profit nursing facility in Rockwall, Texas. It holds an overall CMS rating of 4 out of 5 stars, above the Texas average of 2.6 stars. Its strongest area is health inspections (4 stars), while staffing (2 stars) is its weakest. Its rate of high-risk residents with pressure ulcers (0.0%) is below the Texas average of 3.8%, a favorable sign for resident care. With 120 certified beds, it operates near capacity at roughly 93% occupied.
Among the 4 nursing facilities ElderVoice tracks in Rockwall, the local average is 3.3 stars.
By the numbers vs. Texas average
- Long-stay antipsychotic medication use: 9.4% — better than the Texas average of 9.6%.
- Falls with major injury: 2.7% — better than the Texas average of 3.3%.
- High-risk pressure ulcers: 0.0% — better than the Texas average of 3.8% (100% lower).
- Short-stay rehospitalization: 26.1% — worse than the Texas average of 25.7%.
Comparisons use CMS Care Compare data (updated September 5, 2026) measured against Texas averages across 1177 facilities tracked by ElderVoice.
Questions to Ask Highland Meadows
Use these facility-specific questions when calling admissions, touring the building, or comparing Highland Meadows with other nursing homes in Rockwall.
How is Highland Meadows addressing its staffing levels rating?
CMS currently rates this category 2 out of 5 stars, so ask what specific improvements are underway and when the next survey update is expected.
What practices help Highland Meadows keep falls with major injury below the state average?
Falls with major injury is 2.7% here versus 3.3% across Texas. Lower is generally better for this CMS measure.
What practices help Highland Meadows keep high-risk pressure ulcers below the state average?
High-risk pressure ulcers is 0.0% here versus 3.8% across Texas. Lower is generally better for this CMS measure.
How does Highland Meadows maintain staffing when occupancy is high?
The facility reports roughly 93% occupancy across 120 certified beds, so ask how staffing is adjusted during full census periods.
How can a new family connect with existing councils at Highland Meadows?
Active resident or family councils can provide useful context about daily life, responsiveness, and recurring concerns.
What explains Highland Meadows's rating advantage in Rockwall?
Its 4-star overall rating is above the local average of 3.3 stars across 4 facilities. Ask which practices families can observe during a tour.
The Senior Community Around Rockwall
Rockwall sits in Rockwall County, where adults 65 and older make up about 12.2% of the population — a share of seniors in line with Texas as a whole (12.5% statewide). The area's median household income is higher than the state average, reflecting a higher cost of living.
- Residents 65+
- 12,293 (12.2%)
- Median age
- 37.6 years
- Median household income
- $105,956
- Median home value
- $283,000
Demographics for Rockwall County from the U.S. Census Bureau, American Community Survey (ACS) 5-year estimates. Provided as local context for families comparing care options near Rockwall.
Facility Details
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