Cycle 1
Health 2025-08-14 · Fire 2025-08-14
4 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Killeen, TX
Rosewood Heights
3-star overall rating with 2-star inspections with $62,745 in total fines with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
5700 E Central Texas Expwy, Killeen, TX
(254) 690-6169
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
64
Certified beds
Average residents
53
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Touchstone Communities
Operator or chain grouping
Approved since
1984-10-12
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
28 facilities
Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.54
Registered nurse staffing · state 0.44 · national 0.68
LPN hours / resident day
1.21
Licensed practical nurse staffing · state 0.95 · national 0.87
Aide hours / resident day
2.20
Nurse aide staffing · state 2.01 · national 2.35
Total nurse hours
3.95
All reported nurse hours · state 3.40 · national 3.89
Licensed hours
1.75
RN + LPN hours · state 1.38 · national 1.54
Weekend hours
3.54
Weekend nurse staffing · state 2.99 · national 3.43
Weekend RN hours
0.29
Weekend registered nurse coverage · state 0.34 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.07 · national 0.07
Adjusted RN hours
0.52
CMS adjusted RN staffing hours
Adjusted total hours
3.80
CMS adjusted total nurse staffing hours
Case-mix index
1.42
Higher values indicate more complex resident acuity
RN turnover
64%
Annual RN turnover · state 52% · national 45%
Total nurse turnover
58%
Annual nurse turnover · state 52% · national 46%
SNF VBP
Value-based purchasing
Program rank
11,118
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
17.96
Composite VBP score used to determine payment impact.
Payment multiplier
0.9819
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.48
Baseline 22.19% · Performance 20.13% · Measure score 3.48 · Achievement 2.8 · Improvement 3.48
Healthcare-associated infections
1.24
Baseline 7.32% · Performance 7.46% · Measure score 1.24 · Achievement 1.24 · Improvement 0
Total nurse turnover
0
Baseline 60.00% · Performance 72.31% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
2.46
Baseline 3.68 hours · Performance 3.78 hours · Measure score 2.46 · Achievement 2.46 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.54% |
10.72%
2.2 pts better
|
No Different than the National Rate · Eligible stays 138 · Observed rate 5.8% · Lower 95% interval 5.54% |
| Discharge to community | 64.16% |
50.57%
13.6 pts better
|
Better than the National Rate · Eligible stays 148 · Observed rate 56.08% · Lower 95% interval 55.65% |
| Medicare spending per beneficiary | 0.94 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 98.2% |
95.27%
2.9 pts better
|
Numerator 109 · Denominator 111 |
| Falls with major injury | 0.9% |
0.77%
0.1 pts worse
|
Numerator 1 · Denominator 111 |
| Discharge self-care score | 54.55% |
53.69%
0.9 pts better
|
Numerator 24 · Denominator 44 |
| Discharge mobility score | 27.27% |
50.94%
23.7 pts worse
|
Numerator 12 · Denominator 44 |
| Pressure ulcers or injuries, new or worsened | 1.8% |
2.29%
0.5 pts better
|
Numerator 2 · Denominator 111 · Adjusted rate 1.74% |
| Healthcare-associated infections requiring hospitalization | 7.46% |
7.12%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 87 · Observed rate 8.05% · Lower 95% interval 4.88% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 104 |
| Staff flu vaccination coverage | 24.06% |
42%
17.9 pts worse
|
Numerator 51 · Denominator 212 |
| Discharge function score | 56.82% |
56.45%
0.4 pts better
|
Numerator 25 · Denominator 44 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 41 · Denominator 41 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 58 · Denominator 58 |
| Resident COVID-19 vaccinations up to date | 4.84% |
25.2%
20.4 pts worse
|
Numerator 3 · Denominator 62 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.2% |
97.1%
0.1 pts better
|
93.4%
3.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.2% · Q2 94.6% · Q3 97.2% · Q4 100.0% · 4Q avg 97.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
97.9%
2.1 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.8% |
3.3%
1.5 pts worse
|
3.3%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 5.4% · Q3 5.6% · Q4 2.8% · 4Q avg 4.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 7.4% |
2.7%
4.7 pts worse
|
11.4%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 8.8% · Q3 12.5% · Q4 8.3% · 4Q avg 7.4% |
| Percentage of long-stay residents who lose too much weight | 3.5% |
3.3%
0.2 pts worse
|
5.4%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 6.9% · Q3 3.6% · Q4 0.0% · 4Q avg 3.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.1% |
18.9%
6.8 pts better
|
19.6%
7.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 13.8% · Q3 14.3% · Q4 11.1% · 4Q avg 12.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.3% |
10.8%
4.5 pts better
|
16.7%
10.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q3 9.1% · 4Q avg 6.3% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 5.8% |
15.4%
9.6 pts better
|
16.3%
10.5 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.3% |
16.1%
2.8 pts better
|
14.9%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 22.6% · Q2 10.7% · Q3 10.7% · Q4 7.7% · 4Q avg 13.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.5%
0.5 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
0.8%
0.8 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.5% |
15.0%
3.5 pts worse
|
19.8%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.3% · Q2 14.6% · Q3 24.0% · Q4 14.2% · 4Q avg 18.5% |
| Percentage of long-stay residents with pressure ulcers | 5.4% |
4.2%
1.2 pts worse
|
5.1%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.2% · Q2 4.4% · Q3 6.1% · Q4 0.0% · 4Q avg 5.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 84.6% |
89.7%
5.1 pts worse
|
81.7%
2.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.9% · Q2 93.6% · Q3 78.2% · Q4 64.7% · 4Q avg 84.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.4% |
12.0%
0.4 pts worse
|
12.0%
0.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.4% · Observed 12.0% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.2% |
1.5%
1.3 pts better
|
1.6%
1.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.1% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.3% |
88.0%
1.3 pts better
|
79.7%
9.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.1% |
25.9%
1.8 pts better
|
23.9%
0.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.1% · Observed 21.7% · Expected 21.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-07-11 · Fire 2024-07-11
5 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2023-06-02 · Fire 2023-06-02
5 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-08-14
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2025-09-15
E · Potential for more than minimal harm
2024-07-11
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-02-28
F · Potential for more than minimal harm
2023-06-02
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-03-04
F · Potential for more than minimal harm
2023-06-02
E6 · Emergency Preparedness Deficiencies
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-03-04
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-08-14
F803 · Nutrition and Dietary Deficiencies
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2025-08-22
E · Potential for more than minimal harm
2025-08-14
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-08-22
J · Immediate jeopardy
2025-04-18
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-04-19
J · Immediate jeopardy
2025-04-18
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-19
D · Potential for more than minimal harm
2024-10-02
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-10-17
D · Potential for more than minimal harm
2024-09-09
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-09-13
D · Potential for more than minimal harm
2024-09-09
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-09-13
J · Immediate jeopardy
2024-07-30
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-07-26
D · Potential for more than minimal harm
2024-07-11
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-07-12
D · Potential for more than minimal harm
2023-10-02
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-10-30
G · Actual harm
2023-06-02
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-07-07
E · Potential for more than minimal harm
2023-06-02
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-07-07
D · Potential for more than minimal harm
2023-06-02
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-08-11
D · Potential for more than minimal harm
2023-06-02
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-07-07
Penalties and ownership
What sits behind the stars
$9,193
2025-04-18
Fine
Fine · fine $9,193
Fine
$16,755
2024-07-11
Fine
Fine · fine $16,755
Fine
$36,797
2023-06-02
Fine
Fine · fine $36,797
Fine
$0
2023-06-02
Payment Denial
Payment Denial · denial start 2023-07-01 · 6 days
6 day denial
Ownership
Uvalde County Hospital Authority
5% Or Greater Direct Ownership Interest · Organization
Apolinar, Adam
Corporate Officer · Individual
Boening, Christopher
Operational/Managerial Control · Individual
Campbell, Leslie
Operational/Managerial Control · Individual
Castillo, Lynnea
Operational/Managerial Control · Individual
International Bank Of Commerce
5% Or Greater Security Interest · Organization
Keybank National Association
5% Or Greater Mortgage Interest · Organization
Landers, Lisa
Operational/Managerial Control · Individual
Sehlke, Bryon
Operational/Managerial Control · Individual
Touchstone Strategies - Killeen LLC
Operational/Managerial Control · Organization
Zurovec, Darrell
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Killeen Nursing & Rehabilitation
Killeen, TX
1-star overall rating with 1-star inspections with abuse icon flag with $125,321 in total fines with 12 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Harker Heights Nursing & Rehabilitation
Harker Heights, TX
2-star overall rating with 1-star inspections with $83,951 in total fines with 14 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#3
Hill Country Heights
Copperas Cove, TX
3-star overall rating with 3-star inspections with $12,356 in total fines with 4 recent health deficiencies
Jump out