Rambling Oaks Courtyard Extensive Care Community is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2008-01-24. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (972) 317-1174 or your local Medicaid office to verify current eligibility.

Rambling Oaks Courtyard Extensive Care Community holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 3 out of 5 stars. This is made up of three components: Health Inspection (3★), Staffing (1★), and Quality of Resident Care (5★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 74.8/100, placing it #6042 of 14703 facilities nationally and #371 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Rambling Oaks Courtyard Extensive Care Community receives a reported average of 3 hours 6 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 25 minutes; Licensed Practical Nurse (LPN) — 1 hour 7 minutes; Nurse Aide — 1 hour 34 minutes. On weekends, total nurse staffing is 2 hours 47 minutes per resident per day. The CMS Staffing Rating for this facility is 1 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 55.3%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 1 fine(s) totaling $21,640. 2 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $21,640, and 0 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 86.5 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Rambling Oaks Courtyard Extensive Care Community ranks 6042nd out of 14,703 facilities (composite score: 74.8/100), placing it in the above average nationwide. Within TX, it ranks 371st out of 1,177 nursing homes. For 2026 staffing: total nurse hours rank #12,663 nationally and RN hours rank #10,559 nationally (#453 in TX). Our composite quality score of 74.8/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Highland Village, visit: https://nursinghomesnearme.org/texas/highland-village/