Federal inspection record · CMS data as of October 1, 2026
Harker Heights Nursing & Rehabilitation
415 Indian Oaks Dr, Harker Heights, TX · (254) 699-5051
- Certified beds
- 199
- Residents per day
- 137
- Ownership
- For-Profit
- Chain
- Touchstone Communities
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 11, 2002
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
-
Staffing
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Harker Heights Nursing & Rehabilitation carries 174.75 inspection points. That is fewer than 14% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
51 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (3)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
K
Ensure that residents are free from significant medication errors.
-
J
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Quality of Life and Care13E
- E
Provide safe, appropriate pain management for a resident who requires such services.
- E
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Ensure the activities program is directed by a qualified professional.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights8E
- D
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
- E
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.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Reasonably accommodate the needs and preferences of each resident.
Pharmacy Service7F
- D
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.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
- F
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
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.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nutrition and Dietary7F
- F
Dispose of garbage and refuse properly.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning6E
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Freedom from Abuse, Neglect, and Exploitation4D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Infection Control2E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Environmental1D
- D
Have policies on smoking.
Inspection history
2026-04-16
16 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2025-02-07
21 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2023-12-29
14 health deficiencies · 2 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 12 min of nursing staff time a day, 17 min of it from a registered nurse.
This home
3 h 12 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 57% of nursing staff and 67% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$64,760 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-02-07 | Fine | $12,441 |
| 2024-12-05 | Fine | $52,319 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts worse | 2.2 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts worse | 2.9 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.1 pts worse | 93.3% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.3 pts worse | 94.7% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.1 pts better | 3.1% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.3 pts better | 0.0% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.9 pts better | 2.0% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.7 pts better | 11.1% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.5 pts better | 6.3% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3 pts better | 9.9% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.7 pts worse | 17.5% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.0% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.3 pts better | 12.2% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.2 pts better | 1.5% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine18.7 pts worse | 70.0% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visitAbout the same | 12.2% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine16.3 pts worse | 69.1% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission5.2 pts worse | 30.7% | 25.5% | 23.4% |
·
Who owns and runs it
40 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Aegis Therapies, Inc. | Adp Of The SNF · Organization | 0% | 35 facilities |
| Alamo Advisors LP | Adp Of The SNF · Organization | 0% | 8 facilities |
| Apolinar, Adam | Corporate Officer · Individual | 0% | 38 facilities |
| Boening, Christopher | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Boening, Christopher | Adp Of The SNF · Individual | 0% | 9 facilities |
| Campbell, Leslie | Operational/Managerial Control · Individual | 0% | 22 facilities |
| Campbell, Leslie | Adp Of The SNF · Individual | 0% | 22 facilities |
| Carvajal Pharmacy Ltc | Adp Of The SNF · Organization | 0% | 22 facilities |
| Castillo, Lynnea | Operational/Managerial Control · Individual | 0% | 23 facilities |
| Castillo, Lynnea | Adp Of The SNF · Individual | 0% | 23 facilities |
| Fellbaum 2023 Descendants Trust | Adp Of The SNF · Organization | 0% | 4 facilities |
| Fellbaum, Ernest | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 27 facilities |
| Fellbaum, Kelly | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 3 facilities |
| Garcia, Leonardo | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Garcia, Leonardo | Adp Of The SNF · Individual | 0% | 1 facilities |
| H-C Associates, Ltd. | Adp Of The SNF · Organization | 0% | 1 facilities |
| Healthcare Investments - Killeen LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Healthcare Services Group Inc | Adp Of The SNF · Organization | 0% | 30 facilities |
| International Bank Of Commerce | 5% Or Greater Security Interest · Organization | 0% | 7 facilities |
| Jan Studer 2023 Spousal Trust | Adp Of The SNF · Organization | 0% | 4 facilities |
| Kelly Fellbaum 2023 Spousal Trust | Adp Of The SNF · Organization | 0% | 4 facilities |
| Keybank National Association | 5% Or Greater Mortgage Interest · Organization | 0% | 45 facilities |
| Perez, Elizabeth | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Perez, Elizabeth | Adp Of The SNF · Individual | 0% | 1 facilities |
| Plante & Moran Pllc | Adp Of The SNF · Organization | 0% | 65 facilities |
| Sanchez, Delilah | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Sanchez, Delilah | Adp Of The SNF · Individual | 0% | 1 facilities |
| Sehlke, Bryon | Operational/Managerial Control · Individual | 0% | 22 facilities |
| Sehlke, Bryon | Adp Of The SNF · Individual | 0% | 22 facilities |
| Stone, Diana | Adp Of The SNF · Individual | 0% | 3 facilities |
| Studer 2023 Descendants Trust | Adp Of The SNF · Organization | 0% | 4 facilities |
| Studer, Laura | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 3 facilities |
| Studer, Stanley | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 26 facilities |
| The Bryon And Rena Sehlke Living Trust | Adp Of The SNF · Organization | 0% | 12 facilities |
| Touchstone Communities Inc | Adp Of The SNF · Organization | 0% | 23 facilities |
| Touchstone Strategies - Harker Heights LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Touchstone Strategies - Harker Heights LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Trident Health Services Inc | Adp Of The SNF · Organization | 0% | 22 facilities |
| Zurovec, Darrell | Operational/Managerial Control · Individual | 0% | 23 facilities |
| Zurovec, Darrell | Adp Of The SNF · Individual | 0% | 23 facilities |
·
Fire safety
10 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- E
Have an alternate power supply for its alarm system.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- C
Install a fire alarm system that can be heard throughout the facility.
- F
Provide properly protected cooking facilities.
Miscellaneous2F
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
Have simulated fire drills held at unexpected times.
Construction1D
- D
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
Services1D
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
·
Other homes nearby
-
Rosewood Heights
Killeen, TX · Touchstone Communities
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 52 min
- Fines
- $36,576
-
Avir at Killeen
Killeen, TX · Avir Health Group
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 25 min
- Fines
- $65,560
-
Creekside Terrace Rehabilitation
Belton, TX · Fundamental Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 21 min
- Fines
- $13,070