Rambling Oaks Courtyard Extensive Care Community
Nursing Home Facility
112 Barnett Blvd, Highland Village, TX 75077
Rambling Oaks Courtyard Extensive Care Community is a senior care community located in Highland Village, TX. It provides nursing home care and senior living for older adults in the Highland Village area. To learn more or schedule a tour, call (972) 317-1174.
Rambling Oaks Courtyard Extensive Care Community is licensed for 70 beds, about typical for the area, where senior care communities in Denton County average about 87 beds.
Federal reporting puts occupancy at about 65% of its licensed beds, so availability is more likely here than at busier communities nearby.
Medicare rates this community 3 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in January 2026 and recorded 13 deficiencies.
Residents receive about 3.7 hours of nursing care per day on average, including 0.6 hours from a registered nurse. Nursing staff turnover over the past year was about 61%, which is high and can affect continuity of care.
The community is located in Denton County, TX.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 32 problems at Rambling Oaks Courtyard Extensive Care Community. 1 finding involved harm to a resident, including 1 that put residents in immediate danger. 4 came from investigating complaints by residents or families.
In the last three years Medicare fined this home once, a total of $21,640.
Findings from the most recent inspection cycle
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Could cause more than minimal harm, a pattern
Resident Rights
Keep residents' personal and medical records private and confidential.
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Could cause more than minimal harm, a pattern
Resident Rights
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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Could cause more than minimal harm, a pattern
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Could cause more than minimal harm, a pattern
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Reasonably accommodate the needs and preferences of each resident.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Show 5 more
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide safe and appropriate respiratory care for a resident when needed.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
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Could cause more than minimal harm, a pattern
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Could cause more than minimal harm, a pattern
Pharmacy Service
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Rambling Oaks Courtyard Extensive Care Community offers nursing home care and senior living.
Facility details
- Organization type For profit - Partnership
- Beds / units 70
- Occupancy 65%
- Nursing hours per resident/day 3.7
- Annual staff turnover 61%
- Last health inspection January 2026
Resident & family reviews
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