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Rambling Oaks Courtyard Extensive Care Community

112 Barnett Blvd

4.5(61 ratings)· Highland Village average: 4.4

Rambling Oaks Courtyard Extensive Care Community, photo 11 / 5

Quick Facts

Total units
70
Medicare rating
4 of 5

CMS Care Compare

Ownership
For profit, Individual
Certified beds
70
Licensed capacity
Up to 70 residents licensed
Payment options
Private pay option available alongside other arrangements
Staffing ratio noted
About 12-14 patients per CNA or RN

What Families Think

Reviewers consistently praise Rambling Oaks Courtyard for attentive, compassionate nursing staff and a clean, well-maintained facility, describing successful rehab stays, hospice care, and full-time placements. The main recurring criticism involves CNA/RN staffing ratios, and food quality was flagged by at least one family.

The Good

  • Attentive, compassionate nurses and CNAs
  • Facility described as clean and well-maintained
  • Staff responsive during emergencies and after hours
  • Successful rehab and hospice experiences reported
  • Fast move-in arranged within hours

The Bad

  • One report of CNA/RN ratios around 12-14 patients each
  • One report that food wasn't very tasty

AI-generated from reviews and community data.

Rambling Oaks Courtyard Extensive Care Community is a senior living community in Highland Village, Texas offering Skilled Nursing / Long Term Care. Amenities include Restaurant style Dining Room, Gathering / Activity Spaces and Social Activities. Families rate it 4.5 out of 5 across 61 reviews.

About Rambling Oaks Courtyard Extensive Care Community

Rambling Oaks Courtyard Extensive Care Community is a 70-bed skilled nursing and long-term care facility located in Highland Village, Texas. The community serves patients recovering from hospitalization and surgery, those requiring ongoing skilled nursing care, and residents transitioning to full-time residence.

Families consistently praise the nursing and aide staff for attentive, personalized care. Reviewers describe staff members who know residents by name, respond quickly to call buttons, and provide encouragement throughout recovery. The admissions team, particularly staff member Elle, is noted for patience and advocacy during the intake process. Residents highlight the facility's cleanliness and pleasant physical environment, with one family observing that their husband was up and eating at a real dining table the day after arrival, a significant milestone after extended hospitalization. Therapy and activities are mentioned positively, with one reviewer noting the "beautiful therapist/entertainer" who engaged patients in their recovery.

One critical review raised serious concerns about patient safety and staffing oversight during certain shifts, citing incidents that could have been life-threatening. Most other reviews emphasize how the facility "made everything better" for both residents and their families during vulnerable transitions. The facility holds a 4.5-star rating across 61 Google reviews, reflecting predominantly strong family satisfaction with clinical care and staff responsiveness.

Types of Care at Rambling Oaks Courtyard Extensive Care Community

Skilled Nursing / Long Term Care

Amenities

Room Amenities

  • Cable or Satellite TV
  • Emergency Call System
  • Private Bathroom
  • Private Rooms
  • Wheelchair Accessible

Meals & Dining

  • Dietary Accommodations (Gluten-Free, Low / No Sodium, No Sugar, Vegan)
  • Restaurant style Dining Room

Community Amenities

  • 24-Hour Staff
  • Gathering / Activity Spaces
  • Housekeeping
  • Laundry Service
  • Medication Management
  • On-Site Nurse (RN)

Activities

  • Social Activities (Happy Hour, Wine Tasting, Dances, Karaoke)

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Help Me Choose

Reviews of Rambling Oaks Courtyard Extensive Care Community

4.5overall · 61 ratings combined

4.5★ on Google (61)

Zakiyyah & Bobby Crenshaw

Apr 2026

via Google

I couldn’t give 4.5 star so I’ll give the 5 star. The facility is nice, very large, clean (only smells in hallways when rooms are being cleaned out) everyone I went there was hardly any smells. The staff was amazing to my mom. She as a RN herself would assess what’s happening around her and describe things for me to assess going forward. Considering the staffing(the only reason I would give 4.5 star) of 12-14 patients per CNA/RN they did extremely well servicing patients. Again rooms are cleaned pretty well. So whether I pop at 2pm or 6pm I never caught them off guard. Mom complaint was food wasn’t very tasty, but to me that is expected when you come from a home with a daughter who’s a chef. So if you want a place that is safe for your parents where you can rest at night knowing they are in great hands. Send them to Rambling Oaks. It’s worth the distance.

Timothy Newitt

Feb 2026

via Google

My sister was at Rambling Oaks with hospice care. She received the best of care. The nurses and care givers were very attentive and so caring. Everyone at the facility was so friendly and always had a smile on their face.

ELLEN Robberson

Aug 2025

via Google

Mom was in and out of the skilled nursing facility several times after hospitalizations. She passed under hospice care in the facility. Nurse Josephine provided exceptional care and compassion. Aide Jennifer was consistently attentive. They both provided 5 star care.

Shareese Rowland

Aug 2025

via Google

I am so thankful for the staff at Rambling Oaks. Elle moved mountains to arrange for my mom to move in there within 3 hours of my request. Josephine is my mom’s nurse- she has been so kind, patient and helpful. Jennifer has been so positive and sweet as well. The facility is clean, nice, smells good, the staff is so kind, the rooms are large and the food looks really good. Sincerely a caring place about their patients and families. I am so happy we discovered it.

Cindy Moore

Jun 2025

via Google

We love the nurses that take care of my mom on a daily basis. Thank you so much to Florence and Nezzy for all you do. We greatly appreciate it!

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Government Inspection History

6 inspection visits in the last three years, 45 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).

Jan 8, 2026Fire Safety StandardHealth Standard15 citations
  • Have approved installation, maintenance and testing program for fire alarm systems.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 10, 2026

  • Provide and implement an infection prevention and control program.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 10, 2026

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

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 10, 2026

  • 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.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 10, 2026

  • Keep residents' personal and medical records private and confidential.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 10, 2026

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

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 10, 2026

  • 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.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 10, 2026

  • 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 10, 2026

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 10, 2026

  • Reasonably accommodate the needs and preferences of each resident.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 10, 2026

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 10, 2026

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 10, 2026

  • 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 10, 2026

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 10, 2026

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 10, 2026

Sep 2, 2025Health Complaint2 citations
  • 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.

    Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Sep 3, 2025

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

    Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Sep 3, 2025

Jul 30, 2025Health Complaint1 citation
  • Provide safe and appropriate respiratory care for a resident when needed.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 1, 2025

Oct 17, 2024Fire Safety StandardHealth Standard11 citations
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 14, 2024

  • Provide and implement an infection prevention and control program.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 14, 2024

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

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 14, 2024

  • 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.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 14, 2024

  • Use approved construction type or materials.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 14, 2024

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

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 14, 2024

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

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 14, 2024

  • 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.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 14, 2024

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 14, 2024

  • Ensure each resident receives an accurate assessment.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 14, 2024

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 14, 2024

Jun 14, 2024Health Complaint1 citation
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Jul 11, 2024

Sep 14, 2023Fire Safety StandardHealth Standard15 citations
  • Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 29, 2023

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

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 29, 2023

  • Conduct testing and exercise requirements.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 29, 2023

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

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 12, 2023

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

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 12, 2023

  • 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.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 12, 2023

  • Provide properly protected cooking facilities.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 29, 2023

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

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 12, 2023

  • Have properly installed electrical wiring and gas equipment.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 29, 2023

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 12, 2023

  • Provide and implement an infection prevention and control program.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 12, 2023

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 12, 2023

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 29, 2023

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 29, 2023

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 12, 2023

Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.

Frequently Asked Questions

What types of care does Rambling Oaks Courtyard Extensive Care Community offer?

Rambling Oaks Courtyard Extensive Care Community offers Skilled Nursing / Long Term Care.

Where is Rambling Oaks Courtyard Extensive Care Community located?

Rambling Oaks Courtyard Extensive Care Community is located at 112 Barnett Blvd in Highland Village, Texas.

What do families say about Rambling Oaks Courtyard Extensive Care Community?

Reviewers consistently praise Rambling Oaks Courtyard for attentive, compassionate nursing staff and a clean, well-maintained facility, describing successful rehab stays, hospice care, and full-time placements. The main recurring criticism involves CNA/RN staffing ratios, and food quality was flagged by at least one family.

How did Rambling Oaks Courtyard Extensive Care Community do on recent health and safety inspections?

Rambling Oaks Courtyard Extensive Care Community had 6 government inspection visits in the last three years, with 45 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

How can families visit Rambling Oaks Courtyard Extensive Care Community?

Submit the Request Information form on this page to connect with Rambling Oaks Courtyard Extensive Care Community and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.

Work at Rambling Oaks Courtyard Extensive Care Community? Claim this listing to update photos, pricing, and details. It's free.

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