Highlands Guest Care Center: Privacy Violation - TX
The resident, identified in inspection records as Resident 38, wanted to leave the room during the encounter. The door stayed open. The curtain stayed open. RN A provided care anyway.
The Director of Nursing acknowledged what should have happened. During an interview the morning of the inspection, he said the door and privacy curtain to Resident 38's room should have been closed completely and the curtain pulled before care began. He did not dispute that it hadn't been.
What he offered instead was process. Training, he said, was ongoing. Resident rights was one of the topics covered. New hires had gone through skill checks. Every nursing staff member completed an annual evaluation covering nursing skills, knowledge, and competency in respecting residents' rights.
The facility's own written policy, last revised in February 2021, states that all residents are to be treated with kindness, respect, and dignity, and that each resident is entitled to a dignified existence.
The gap between that policy and what happened to Resident 38 is what inspectors documented.
The violation was classified at the lower end of the harm scale, meaning inspectors determined the lapse caused minimal harm or the potential for actual harm rather than serious injury. Only a few residents were found to be affected. But harm classifications in federal inspection reports measure physical consequences. They don't measure what it means to be a person who wanted to leave a room, couldn't, and had no curtain pulled, no door closed, while a nurse worked.
The Director of Nursing's explanation leaned on systems: evaluations, skill checks, annual competency reviews. He described a facility that had processes in place. What the inspection found was a facility where those processes had not reached the moment when a nurse stood in a doorway and chose not to close it.
Resident 38 is not named in the inspection report. Their diagnosis, their length of stay, what kind of care was being provided, whether they said anything in that moment — none of it appears in the record. What the record shows is that they wanted to leave, and that the most basic physical boundary of privacy, a closed door, a drawn curtain, was not given to them.
The Highlands Guest Care Center has 120 certified beds and is located in northeast Dallas. The inspection was conducted on December 30, 2025, and the statement of deficiencies was printed the following August.
Training, the Director of Nursing said, was an ongoing process.
For Resident 38, it was already over.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for The Highlands Guest Care Center from 2025-12-30 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 19, 2026 · Our methodology
THE HIGHLANDS GUEST CARE CENTER in DALLAS, TX was cited for violations during a health inspection on December 30, 2025.
The resident, identified in inspection records as Resident 38, wanted to leave the room during the encounter.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.