Home›Browse›Texas›Highland Village›Rambling Oaks Courtyard Extensive Care Community

Nursing homeFAID #14546

Rambling Oaks Courtyard Extensive Care Community

112 BARNETT BLVD, HIGHLAND VILLAGE, TX, 75077

(972) 317-1174

70 licensed beds

★★★★★3/5CMS Five-Star overall3/5 health inspections3/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

112 Barnett Blvd

Highland Village, TX 75077

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

676168

Care type

Nursing home

County

Denton

Facility name

Rambling Oaks Courtyard Extensive Care Community

Street address

112 BARNETT BLVD

City / state / ZIP

Highland Village, TX 75077

Phone

(972) 317-1174

About this facility — Rambling Oaks Courtyard Extensive Care Community

Rambling Oaks Courtyard Extensive Care Community is a Medicare/Medicaid-certified skilled nursing facility in Highland Village, Texas. It is licensed for 70 beds — below the median for skilled nursing facilities in Texas (120 beds).

It is one of 1 senior care facility in Highland Village and 1,178 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Rambling Oaks Courtyard Extensive Care Community 45 times across 9 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $21,640 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type

For profit - Corporation

Registered owners & officers

Villa, Ricardo

Direct owner · Officer — 49% stake — since 2019

Tgr Healthcare, Llc

Direct owner · Operational control · Additional disclosable party — since 2020

Thomas, Brian

Direct owner · Officer · Operational control · Additional disclosable party — since 2019

Regulatory standing

Licensed / certified since

2008-01-24

CMS overall rating

3 of 5 stars

Health deficiencies

13 at the last standard inspection

Federal fines

$21,640 total

Last standard inspection

2026-01-08

Nurse staffing

3.7 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$406 per day (≈ $12,340/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

12% Medicaid · 35% Medicare · 54% private/other

Occupancy

61% (fiscal year 2023)

Vs. state median

47% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.

2026-01-08Health inspection11 citations

F-0558

D · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2026-02-10

F-0583

E · No harm found

Keep residents' personal and medical records private and confidential.

Corrected 2026-02-10

F-0584

E · No harm found

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.

Corrected 2026-02-10

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2026-02-10

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-02-10

F-0693

D · No harm found

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.

Corrected 2026-02-10

F-0694

D · No harm found

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2026-02-10

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2026-02-10

F-0755

E · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2026-02-10

F-0761

D · No harm found

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.

Corrected 2026-02-10

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-02-10

2025-09-02Health inspectionComplaint-triggered2 citations

F-0755

E · No harm foundFrom a complaint

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-09-03

F-0761

E · No harm foundFrom a complaint

Corrected 2025-09-03

7 earlier / fire-safety inspections (32 citations)

2025-07-30Health inspectionComplaint-triggered1 citation

F-0695

D · No harm foundFrom a complaint

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-08-01

2024-10-17Health inspection9 citations

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-11-14

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-11-14

F-0677

E · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-11-14

F-0689

E · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-11-14

F-0691

D · No harm found

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Corrected 2024-11-14

F-0695

E · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-11-14

F-0761

E · No harm found

Corrected 2024-11-14

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-11-14

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-11-14

2024-06-14Health inspectionComplaint-triggered1 citation

F-0580

J · Immediate jeopardyFrom a complaint

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-07-11

2023-09-14Health inspection8 citations

F-0584

E · No harm found

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.

Corrected 2023-10-12

F-0635

D · No harm found

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

Corrected 2023-10-12

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-10-12

F-0657

D · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-10-12

F-0677

E · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-10-12

F-0695

E · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-10-12

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-10-12

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2023-10-12

2026-01-08Fire-safety inspection4 citations

K-0211

E · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2026-02-10

K-0222

E · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2026-02-10

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2026-02-10

K-0374

D · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2026-02-10

2024-10-17Fire-safety inspection2 citations

K-0161

E · No harm found

Use approved construction type or materials.

Corrected 2024-11-14

K-0222

E · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2024-11-14

2023-09-14Fire-safety inspection7 citations

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2023-10-29

K-0321

D · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-10-29

K-0324

E · No harm found

Provide properly protected cooking facilities.

Corrected 2023-10-29

K-0372

D · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-10-29

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2023-10-29

K-0741

F · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-10-29

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-10-29

Federal penalties

2024-06-14Fine$21,640

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 676168.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 45 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered