Skilled nursing facility · CMS certification number 676168
RAMBLING OAKS COURTYARD EXTENSIVE CARE COMMUNITY
HIGHLAND VILLAGE, Texas · Medicare and Medicaid · 70 certified beds in Care Compare
In Care Compare’s provider information: Penalties: 2 · Fines: 2 · Fines, total amount: $31,265.00 · Payment denials: 0. The most recent penalty on file: August 9, 2026, Fine, $9,625. Every penalty on file ↓
RAMBLING OAKS COURTYARD EXTENSIVE CARE COMMUNITY: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on January 27, 2026.
- Net patient revenue fell from $5.0M in fiscal year 2023 to $4.8M in fiscal year 2024.
- Its result from service to patients: −$631K (2022), −$157K (2023), −$491K (2024).
- Its cost reports on file run from fiscal year 2008 to fiscal year 2024.
- Since its cost report for fiscal year 2024 was filed on January 27, 2026, 10 changes are listed on this record: a penalty, 2 deficiencies, an owner change and 6 owner changes.
- Its net patient revenue of $4.8M ranks 481st of the 681 nursing facilities in Texas whose latest cost report on file is fiscal year 2024.
- 3 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2024, also report a loss on service to patients.
RAMBLING OAKS COURTYARD EXTENSIVE CARE COMMUNITY: Medicare cost reports
Form CMS-2540-10: every report is settled.
| Form CMS-2540-10 | 2024 · report 1447069 | 2023 · report 1402234 | 2022 · report 1393385 | 2021 · report 1318652 | 2020 · report 1300938 | 2019 · report 1309360 | 2018 · report 1275786 | 2017 · report 1209272 | 2016 · report 1216109 | 2015 · report 1175787 | 2014 · report 1144894 | 2013 · report 1116134 | 2012 · report 1081641 | 2011 · report 1051768 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2024 | January 1, 2023 | January 1, 2022 | January 1, 2021 | April 16, 2020 | January 1, 2019 | January 1, 2018 | January 1, 2017 | January 1, 2016 | January 1, 2015 | January 1, 2014 | January 1, 2013 | January 1, 2012 | January 1, 2011 |
| Period ended | December 31, 2024 | December 31, 2023 | December 31, 2022 | December 31, 2021 | December 31, 2020 | December 31, 2019 | December 31, 2018 | December 31, 2017 | December 31, 2016 | December 31, 2015 | December 31, 2014 | December 31, 2013 | December 31, 2012 | December 31, 2011 |
| Days, where not a full year | — | — | — | — | 259 | — | — | — | — | — | — | — | — | — |
| Processed by CMS | January 27, 2026 | January 14, 2025 | August 28, 2024 | June 7, 2022 | September 23, 2021 | January 25, 2022 | December 10, 2020 | August 21, 2018 | December 17, 2018 | September 8, 2017 | October 19, 2016 | December 22, 2015 | December 4, 2014 | December 9, 2013 |
| Total patient revenue | $6,798,877 | $6,483,384 | $6,238,597 | $4,144,326 | $3,407,144 | $5,490,109 | $5,753,695 | $6,548,903 | $5,930,444 | $5,773,245 | $6,252,716 | $5,742,120 | $5,669,989 | $5,853,070 |
| Contractual allowances and discounts | $2,043,470 | $1,530,275 | $1,463,564 | −$84,152 | $299,116 | $1,223,097 | $1,350,291 | $1,564,756 | $1,778,802 | $1,322,248 | $1,538,463 | $1,695,271 | $1,590,828 | $1,358,666 |
| Net patient revenue | $4,755,407 | $4,953,109 | $4,775,033 | $4,228,478 | $3,108,028 | $4,267,012 | $4,403,404 | $4,984,147 | $4,151,642 | $4,450,997 | $4,714,253 | $4,046,849 | $4,079,161 | $4,494,404 |
| Total operating expenses | $5,246,219 | $5,109,856 | $5,405,910 | $4,396,930 | $3,088,048 | $4,691,371 | $4,635,157 | $4,435,801 | $4,045,940 | $4,545,975 | $5,171,025 | $4,052,935 | $3,911,545 | $4,114,007 |
| Net income from service to patients | −$490,812 | −$156,747 | −$630,877 | −$168,452 | $19,980 | −$424,359 | −$231,753 | $548,346 | $105,702 | −$94,978 | −$456,772 | −$6,086 | $167,616 | $380,397 |
| Total other income | $5,624 | $50,037 | $75,100 | $336,500 | $111,504 | $4,452 | $3,765 | $1,256 | $1,763 | $1,750 | $5,000 | $16,763 | $39,221 | $14,992 |
| Net income after other income | −$485,188 | −$106,710 | −$555,777 | $168,048 | $131,484 | −$419,907 | −$227,988 | $549,602 | $107,465 | −$93,228 | −$451,772 | $10,677 | $206,837 | $395,389 |
| Net income | −$485,188 | −$106,710 | −$555,777 | $168,048 | $131,484 | −$419,907 | −$227,988 | $549,602 | $107,465 | −$93,229 | −$451,772 | $10,677 | $206,837 | $395,389 |
| Total facility beds, all components | 70 | 70 | 70 | 70 | 70 | 70 | 70 | 70 | 70 | 70 | 70 | 70 | 70 | 104 |
| Bed days available, all components | 25,620 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 4,286 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 1,512 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 10,071 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 15,869 | 15,537 | 14,728 | 12,186 | 8,895 | 14,281 | 11,085 | 13,346 | 12,218 | 13,549 | 14,357 | 13,826 | 13,969 | 14,933 |
| Medicare discharges | 105 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 4 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 143 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 252 | 168 | 198 | 173 | 157 | 229 | 227 | 229 | 164 | 145 | 186 | 178 | 210 | 220 |
| Average length of stay, Medicare, in days | 40.82 | 37.39 | 37.28 | 38.61 | 33 | 27.05 | 28.26 | 30.13 | 34.9 | 48.66 | 44.51 | 35.38 | 38.04 | 37.07 |
| Average length of stay, Medicaid, in days | 378 | 1,825 | 376.25 | 1,659 | 378 | 401.25 | 1,286 | 107.2 | 888 | 381 | 1,242 | 802 | 683 | 701 |
| Average length of stay, all patients, in days | 62.97 | 92.48 | 74.38 | 70.44 | 56.66 | 62.36 | 48.83 | 58.28 | 74.5 | 93.44 | 77.19 | 77.67 | 66.52 | 67.88 |
Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.
Form CMS-2540-96: every report is settled.
| Form CMS-2540-96 | 2010 · report 416248 | 2009 · report 386155 | 2008 · report 350657 |
|---|---|---|---|
| Period began | January 1, 2010 | January 1, 2009 | January 24, 2008 |
| Period ended | December 31, 2010 | December 31, 2009 | December 31, 2008 |
| Processed by CMS | August 24, 2011 | August 24, 2010 | July 15, 2009 |
| Net patient revenue | $3,890,098 | $3,005,763 | $2,037,572 |
| Total operating expenses | $3,615,013 | $2,750,511 | $2,114,495 |
| Net income from service to patients | $275,085 | $255,252 | −$76,923 |
| Net income | $275,085 | $255,252 | −$76,923 |
| Total facility beds, all components | 104 | 104 | 104 |
| Total patient days, all components | 14,333 | 10,658 | 11,099 |
| Total discharges, all components | 234 | 178 | 215 |
| Average length of stay, Medicare, in days | 30.28 | 33.09 | 33.8 |
| Average length of stay, all patients, in days | 61.25 | 59.88 | 51.62 |
Net income, fiscal years 2010, 2009, 2008. Checked against the form’s own arithmetic: what that check shows.
RAMBLING OAKS COURTYARD EXTENSIVE CARE COMMUNITY: nurse staffing hours by quarter →
Who owns RAMBLING OAKS COURTYARD EXTENSIVE CARE COMMUNITY, as filed with CMS
Care Compare
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: VILLA, RICARDO (individual), 49%%, since 12/19/2019
- ADP OF THE SNF: TGR HEALTHCARE, LLC (organization), NOT APPLICABLE, since 03/26/2025; THOMAS, BRIAN (individual), NOT APPLICABLE, since 04/16/2020
- CORPORATE OFFICER: THOMAS, BRIAN (individual), NOT APPLICABLE, since 12/19/2019; VILLA, RICARDO (individual), NOT APPLICABLE, since 12/19/2019
- DIRECT OWNERSHIP INTEREST: TGR HEALTHCARE, LLC (organization), NOT APPLICABLE, since 04/16/2020; THOMAS, BRIAN (individual), NOT APPLICABLE, since 04/16/2020
- OPERATIONAL/MANAGERIAL CONTROL: TGR HEALTHCARE, LLC (organization), NOT APPLICABLE, since 04/16/2020; THOMAS, BRIAN (individual), NOT APPLICABLE, since 04/16/2020
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of HIGHLAND VILLAGE SKILLED CARE LLC (enrollment ID O20200428000831).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: BRIAN K THOMAS (individual), 51.00%, since 12/19/2019; RICARDO L VILLA (individual), 49.00%, since 12/19/2019
- ADP OF THE SNF: BRIAN K THOMAS (individual), since 04/16/2020; TGR HEALTHCARE, LLC (organization), since 03/26/2025; No owner named in the filing (individual), since 12/09/2024; No owner named in the filing (individual), since 03/01/2025
- CORPORATE OFFICER: BRIAN K THOMAS (individual), since 12/19/2019
- DIRECT OWNERSHIP INTEREST: BRIAN K THOMAS (individual), 51.00%, since 04/16/2020; TGR HEALTHCARE, LLC (organization), 0.00%, since 04/16/2020
- OFFICER: RICARDO L VILLA (individual), since 12/19/2019
- OPERATIONAL/MANAGERIAL CONTROL: BRIAN K THOMAS (individual), since 04/16/2020; TGR HEALTHCARE, LLC (organization), since 04/16/2020
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: Paused by CMS: BRIAN K THOMAS; RICARDO L VILLA; BRIAN K THOMAS; No owner named in the filing; No owner named in the filing; BRIAN K THOMAS; BRIAN K THOMAS; RICARDO L VILLA; BRIAN K THOMAS.
Private equity company, real estate investment trust and holding company: No: TGR HEALTHCARE, LLC; TGR HEALTHCARE, LLC; TGR HEALTHCARE, LLC.
Changes in ownership
- March 1, 2026, enrollment ownership file; no longer listed: CHRISTOPHER CRAWFORD (W-2 MANAGING EMPLOYEE); first listed: a listing under ADP OF THE SNF with no owner named, associated since March 1, 2025; TGR HEALTHCARE, LLC (DIRECT OWNERSHIP INTEREST), associated since April 16, 2020; TGR HEALTHCARE, LLC (ADP OF THE SNF), associated since March 26, 2025; BRIAN K THOMAS (DIRECT OWNERSHIP INTEREST), associated since April 16, 2020; BRIAN K THOMAS (ADP OF THE SNF), associated since April 16, 2020; BRIAN K THOMAS (OPERATIONAL/MANAGERIAL CONTROL), associated since April 16, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
Recent changes on this record
- August 9, 2026: A penalty was recorded: Fine. NH_Penalties_Oct2026.csv
- August 9, 2026: A deficiency was cited under tag F 0880, scope and severity D. NH_HealthCitations_Oct2026.csv
- August 9, 2026: A deficiency was cited under tag F 0925, scope and severity H. NH_HealthCitations_Oct2026.csv
Inspections of RAMBLING OAKS COURTYARD EXTENSIVE CARE COMMUNITY
- Cycle 1: health January 8, 2026 (13 deficiencies), fire safety January 8, 2026 (4)
- Cycle 2: health October 17, 2024 (12 deficiencies), fire safety October 17, 2024 (2)
- Cycle 3: health September 14, 2023 (9 deficiencies), fire safety September 14, 2023 (7)
Deficiencies cited at RAMBLING OAKS COURTYARD EXTENSIVE CARE COMMUNITY
34 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 6 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0880, infection control: August 9, 2026 (D, from a complaint, corrected August 10, 2026); January 8, 2026 (E, corrected February 10, 2026); October 17, 2024 (E, corrected November 14, 2024); September 14, 2023 (D, corrected October 12, 2023).
- F 0925, environmental: August 9, 2026 (H, from a complaint, corrected August 10, 2026).
- F 0558, resident rights: January 8, 2026 (D, corrected February 10, 2026).
- F 0583, resident rights: January 8, 2026 (E, corrected February 10, 2026).
- F 0584, resident rights: January 8, 2026 (E, corrected February 10, 2026); September 14, 2023 (E, corrected October 12, 2023).
- F 0656, resident assessment and care planning: January 8, 2026 (D, corrected February 10, 2026); October 17, 2024 (D, corrected November 14, 2024); September 14, 2023 (D, corrected October 12, 2023).
- F 0689, quality of life and care: January 8, 2026 (D, corrected February 10, 2026); October 17, 2024 (E, corrected November 14, 2024).
- F 0693, quality of life and care: January 8, 2026 (D, corrected February 10, 2026).
- F 0694, quality of life and care: January 8, 2026 (D, corrected February 10, 2026).
- F 0695, quality of life and care: January 8, 2026 (D, corrected February 10, 2026); July 30, 2025 (D, from a complaint, corrected August 1, 2025); October 17, 2024 (E, corrected November 14, 2024); September 14, 2023 (E, corrected October 12, 2023).
- F 0755, pharmacy service: January 8, 2026 (E, corrected February 10, 2026); September 2, 2025 (E, from a complaint, corrected September 3, 2025).
- F 0761, pharmacy service: January 8, 2026 (D, corrected February 10, 2026); September 2, 2025 (E, from a complaint, corrected September 3, 2025); October 17, 2024 (E, corrected November 14, 2024).
- F 0641, resident assessment and care planning: October 17, 2024 (D, corrected November 14, 2024).
- F 0677, quality of life and care: October 17, 2024 (E, corrected November 14, 2024); September 14, 2023 (E, corrected October 12, 2023).
- F 0691, quality of life and care: October 17, 2024 (D, corrected November 14, 2024).
- F 0812, nutrition and dietary: October 17, 2024 (E, corrected November 14, 2024); September 14, 2023 (F, corrected October 12, 2023).
- F 0580, resident rights: June 14, 2024 (J, from a complaint, corrected July 11, 2024).
- F 0635, resident assessment and care planning: September 14, 2023 (D, corrected October 12, 2023).
- F 0657, resident assessment and care planning: September 14, 2023 (D, corrected October 12, 2023).
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| August 9, 2026 | Fine | $9,625 | 144367 | ||
| June 14, 2024 | Fine | $21,640 | 112953 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
RAMBLING OAKS COURTYARD EXTENSIVE CARE COMMUNITY in Care Compare
- Ownership Type: For profit - Corporation
- Legal Business Name: HIGHLAND VILLAGE SKILLED CARE LLC
- Date First Approved to Provide Medicare and Medicaid Services: 2008-01-24
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Denton
- Telephone Number: 9723171174
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Resident
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 44.8
- Overall Rating: 2
- Health Inspection Rating: 2
- QM Rating: 4
- Long-Stay QM Rating: 4
- Short-Stay QM Rating: 5
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Other nursing facilities in Texas
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- Groveton Nursing Home Groveton
- Kenedy Health & Rehabilitation Kenedy
- LEGACY NURSING AND REHABILITATION CAMERON
- PERMIAN RESIDENTIAL CARE CENTER ANDREWS
- CROWLEY NURSING AND REHABILITATION CROWLEY
Report a figure on RAMBLING OAKS COURTYARD EXTENSIVE CARE COMMUNITY’s record that differs from its CMS file, quoting 676168.