Texas › Bell County › Harker Heights
Harker Heights Nursing & Rehabilitation
415 Indian Oaks Dr, Harker Heights, TX 76548
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Harker Heights Nursing & Rehabilitation, in Harker Heights, Texas, is certified for 199 beds under for-profit, corporation ownership and belongs to the Touchstone Communities chain.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 1, staffing 2 and quality measures 4.
Inspectors recorded 49 health deficiencies across the three most recent survey cycles (14, 19, 16 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 24.6 per 100 beds, about the same as the state median of 22.5.
CMS lists 2 penalties in the period covered: fines totalling $65K.
Reported nurse staffing is 3.4 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 55.9%.
Compared with county, state and nation
| Measure | This facility | Bell Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 49 | 28 | 25 | 28.7 |
| Citations per 100 beds | 24.6 | 24.6 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 55.9% | 55.6% | 52.1% | 45.8% |
| Fines listed | $64,760 | $19,240 | $16,801 | — |
County and state figures are medians across facilities (16 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 16 Apr 2026, 7 Feb 2025.
Severity mix: J ×2 K ×1 D ×27 E ×16 F ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 11 Jun 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 12 Jun 2026 |
| 11 Jun 2026 | F0761 | 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 | Complaint investigation | 12 Jun 2026 |
| 17 May 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 18 May 2026 |
| 16 Apr 2026 | F0814 | Dispose of garbage and refuse properly. | F | Standard survey | 17 Apr 2026 |
| 16 Apr 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 17 Apr 2026 |
| 16 Apr 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 17 Apr 2026 |
| 16 Apr 2026 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 17 Apr 2026 |
| 16 Apr 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 17 Apr 2026 |
| 16 Apr 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 17 Apr 2026 |
| 26 Mar 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 27 Mar 2026 |
| 28 Feb 2026 | F0761 | 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 | Complaint investigation | 2 Mar 2026 |
| 18 Nov 2025 | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Complaint investigation | 20 Nov 2025 |
| 16 Sep 2025 | F0926 | Have policies on smoking. | D | Complaint investigation | 17 Sep 2025 |
| 11 Aug 2025 | F0584 | 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 | Complaint investigation | 12 Aug 2025 |
| 3 Jul 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 7 Jul 2025 |
| 3 Jul 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Complaint investigation | 7 Jul 2025 |
| 14 Feb 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | E | Complaint investigation | 17 Feb 2025 |
| 7 Feb 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Standard survey | 10 Feb 2025 |
| 7 Feb 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | F | Standard survey | 10 Feb 2025 |
| 7 Feb 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 10 Feb 2025 |
| 7 Feb 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 10 Feb 2025 |
| 7 Feb 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 10 Feb 2025 |
| 7 Feb 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 10 Feb 2025 |
| 7 Feb 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 10 Feb 2025 |
| 7 Feb 2025 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 10 Feb 2025 |
| 7 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 10 Feb 2025 |
| 3 Feb 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 5 Feb 2025 |
| 5 Dec 2024 | F0760 | Ensure that residents are free from significant medication errors. | K | Complaint investigation | 6 Dec 2024 |
| 5 Dec 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | Complaint investigation | 6 Dec 2024 |
| 5 Dec 2024 | F0680 | Ensure the activities program is directed by a qualified professional. | E | Complaint investigation | 6 Dec 2024 |
| 29 Oct 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 31 Oct 2024 |
| 29 Oct 2024 | F0584 | 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 | Complaint investigation | 31 Oct 2024 |
| 29 Oct 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 31 Oct 2024 |
| 29 Dec 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 31 Jan 2024 |
| 29 Dec 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 31 Jan 2024 |
| 29 Dec 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 31 Jan 2024 |
| 29 Dec 2023 | F0761 | 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 | Standard survey | 31 Jan 2024 |
| 29 Dec 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 31 Jan 2024 |
| 29 Dec 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 31 Jan 2024 |
| 29 Dec 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 31 Jan 2024 |
| 29 Dec 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 31 Jan 2024 |
| 29 Dec 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 31 Jan 2024 |
| 29 Dec 2023 | F0758 | 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 | Standard survey | 31 Jan 2024 |
| 13 Dec 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 13 Dec 2023 |
| 13 Dec 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 14 Dec 2023 |
| 13 Dec 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 14 Dec 2023 |
| 26 Oct 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 24 Nov 2023 |
| 22 Sep 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 19 Oct 2023 |
| 1 Sep 2023 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint investigation | 27 Sep 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 7 Feb 2025 | Fine | $12,441 | |
| 5 Dec 2024 | Fine | $52,319 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 55.9%, RNs 56.3%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 16.6% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.7% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.0% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.0% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 5.9% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Uvalde County Hospital Authority. Chain: Touchstone Communities (25 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Keybank National Association | 5% or greater mortgage interest | NOT APPLICABLE | 05/01/2024 |
| International Bank of Commerce | 5% or greater security interest | NOT APPLICABLE | 05/01/2024 |
| Touchstone Strategies - Harker Heights LLC | Operational/managerial control | NOT APPLICABLE | 05/01/2024 |
| Aegis Therapies, Inc. | Adp of the snf | NOT APPLICABLE | 05/01/2024 |
| Alamo Advisors LP | Adp of the snf | NOT APPLICABLE | 05/01/2024 |
| Carvajal Pharmacy LTC | Adp of the snf | NOT APPLICABLE | 05/01/2024 |
| H-C Associates, Ltd. | Adp of the snf | NOT APPLICABLE | 05/01/2024 |
| Healthcare Investments - Killeen LLC | Adp of the snf | NOT APPLICABLE | 05/01/2024 |
| Healthcare Services Group Inc | Adp of the snf | NOT APPLICABLE | 05/01/2024 |
| Touchstone Communities Inc | Adp of the snf | NOT APPLICABLE | 05/01/2024 |
| Touchstone Strategies - Harker Heights LLC | Adp of the snf | NOT APPLICABLE | 09/01/2025 |
| Trident Health Services Inc | Adp of the snf | NOT APPLICABLE | 05/01/2024 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Bell County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Avir At Temple East | Temple | 138 | 5 | 5 | 4 | 10 | 7.2 | — | 6 Feb 2026 |
| Baylor Scott & White Continuing Care Hospital Skil | Temple | 23 | 5 | 5 | 5 | 1 | 4.3 | — | 21 Aug 2025 |
| Creekside Terrace Rehabilitation | Belton | 126 | 4 | 4 | 2 | 18 | 14.3 | $13K | 8 Jun 2026 |
| Will-O-Bell | Bartlett | 90 | 4 | 4 | 2 | 29 | 32.2 | $8K | 14 May 2026 |
| Avir At Temple West | Temple | 104 | 3 | 3 | 1 | 19 | 18.3 | $7K | 18 Dec 2025 |
| Cornerstone Gardens LLP | Temple | 130 | 3 | 3 | 2 | 15 | 11.5 | $16K | 29 May 2025 |
| Rosewood Heights | Killeen | 64 | 3 | 3 | 2 | 15 | 23.4 | $42K | 17 Apr 2026 |
| Avir At Western Hills | Temple | 120 | 2 | 3 | 1 | 32 | 26.7 | $17K | 11 Jun 2026 |
All 16 facilities in Bell County
Questions and answers
How many deficiencies has Harker Heights Nursing & Rehabilitation been cited for?
49 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Harker Heights Nursing & Rehabilitation been fined?
Yes. CMS lists fines totalling $65K in the period covered.
How does staffing at Harker Heights Nursing & Rehabilitation compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Harker Heights Nursing & Rehabilitation?
It is part of the Touchstone Communities chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Touchstone Strategies - Harker Heights LLC. Individual owners and managers are not listed on this site.
When was Harker Heights Nursing & Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 11 Jun 2026; the most recent standard health survey was 16 Apr 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.