Texas › Bell County › Killeen
Rosewood Heights
5700 E Central Texas Expwy, Killeen, TX 76543
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.
Certified for 64 beds, Rosewood Heights serves Killeen in Bell County, Texas and has taken Medicare and Medicaid residents since 1984.
CMS gives it 3 of 5 stars overall, equal to the Texas median; the health inspection rating is 3, staffing 2 and quality measures 4.
Inspectors recorded 15 health deficiencies across the three most recent survey cycles (3, 6, 6 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 23.4 per 100 beds, about the same as the state median of 22.5.
CMS lists 3 penalties in the period covered: fines totalling $42K.
Reported nurse staffing is 3.8 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 67.6%.
Compared with county, state and nation
| Measure | This facility | Bell Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 15 | 28 | 25 | 28.7 |
| Citations per 100 beds | 23.4 | 24.6 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.8 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 67.6% | 55.6% | 52.1% | 45.8% |
| Fines listed | $42,298 | $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: 14 Aug 2025, 11 Jul 2024.
Severity mix: J ×3 G ×2 D ×7 E ×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 |
|---|---|---|---|---|---|
| 17 Apr 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 24 Apr 2026 |
| 14 Aug 2025 | F0803 | 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. | E | Standard survey | 22 Aug 2025 |
| 14 Aug 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 | 22 Aug 2025 |
| 18 Apr 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | J | Complaint investigation | 19 Apr 2025 |
| 18 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 19 Apr 2025 |
| 2 Oct 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 17 Oct 2024 |
| 9 Sep 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 13 Sep 2024 |
| 9 Sep 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 13 Sep 2024 |
| 30 Jul 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | Complaint investigation | 26 Jul 2024 |
| 11 Jul 2024 | 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 | 12 Jul 2024 |
| 2 Oct 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 30 Oct 2023 |
| 2 Jun 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Standard survey | 7 Jul 2023 |
| 2 Jun 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 7 Jul 2023 |
| 2 Jun 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 11 Aug 2023 |
| 2 Jun 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 7 Jul 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 17 Apr 2026 | Fine | $16,350 | |
| 18 Apr 2025 | Fine | $9,193 | |
| 11 Jul 2024 | Fine | $16,755 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 67.6%, RNs 75.0%; 0 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 | 10.5% | 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 | 4.9% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.4% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 3.3% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.6% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 3.2% | 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 - Killeen 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 |
| Hc-Rw 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 - Killeen LLC | Adp of the snf | NOT APPLICABLE | 08/29/2025 |
| 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 |
| Avir At Western Hills | Temple | 120 | 2 | 3 | 1 | 32 | 26.7 | $17K | 11 Jun 2026 |
| Morada Temple | Temple | 60 | 2 | 2 | 3 | 22 | 36.7 | $15K | 4 Sep 2025 |
All 16 facilities in Bell County
Questions and answers
How many deficiencies has Rosewood Heights been cited for?
15 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Rosewood Heights been fined?
Yes. CMS lists fines totalling $42K in the period covered.
How does staffing at Rosewood Heights compare?
Reported total nurse staffing is 3.8 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Rosewood Heights?
It is part of the Touchstone Communities chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Touchstone Strategies - Killeen LLC. Individual owners and managers are not listed on this site.
When was Rosewood Heights last inspected?
The most recent survey or investigation in the CMS record is dated 17 Apr 2026; the most recent standard health survey was 14 Aug 2025.
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.