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Last checked October 26, 2026 · 2,911 nursing homes and 3,257 assisted living licenses in 5 states · CMS data processed September 1, 2026

Home › Texas › Bell County › Harker Heights Nursing & Rehabilitation

Harker Heights Nursing & Rehabilitation

415 Indian Oaks Dr, Harker Heights, TX 76548 · CMS Certification Number (CCN) 675909

At a glance

CMS overall rating
★☆☆☆☆ 1 of 5
Health inspection citations
51 in the last 3 inspection cycles (3 immediate jeopardy, 0 actual harm, 29 from complaints)
Fire safety citations
10
Fines (last 3 years)
2 fines, total $64,760
Payment denials
0
Most recent standard inspection
April 16, 2026
Official record
Medicare Care Compare page for this facility

Source: CMS Nursing Home Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

CMS star ratings

CMS rates every Medicare- and Medicaid-certified nursing home from 1 to 5 stars. Health inspection stars are relative to other homes in the same state: the top 10% get 5 stars and the bottom 20% get 1 star. CMS says to use the ratings together with other information, including a visit. Technical Users’ Guide

RatingThis facilityTexas averageU.S. average
Overall★☆☆☆☆ 1 of 52.73
Health inspections★☆☆☆☆ 1 of 52.82.8
Staffing★★☆☆☆ 2 of 51.92.9
Quality measures★★★★☆ 4 of 53.73.6
Long-stay quality★★★★☆ 4 of 5Not publishedNot published
Short-stay quality★★★★☆ 4 of 5Not publishedNot published

Averages: CMS State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Health inspections

Inspection cycleStandard survey dateHealth citationsFrom standard surveyFrom complaints
Cycle 1 (most recent)April 16, 20261569
Cycle 2February 7, 202527920

CMS weighted health inspection score: 170.75 (lower is better; it counts citation severity, complaints and repeat revisits). Citations from infection control inspections: 0. How to read these citations

51 health citations across 20 inspection dates, newest first. The letter is CMS’s scope/severity code: A–C means potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, and J–L immediate jeopardy.

July 16, 2026: 2 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 07/17/2026
E F-0676 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 07/17/2026
June 11, 2026: 2 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0761 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.
Pharmacy Service Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 06/12/2026
D F-0677 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 06/12/2026
May 17, 2026: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 05/18/2026
April 16, 2026: 6 citations (Standard)
SeverityTagWhat was citedTypeStatus
F F-0814 Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/17/2026
E F-0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/17/2026
D F-0677 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/17/2026
D F-0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/17/2026
D F-0610 Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/17/2026
D F-0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/17/2026
March 26, 2026: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 03/27/2026
February 28, 2026: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0761 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.
Pharmacy Service Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 03/02/2026
November 18, 2025: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0559 Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 11/20/2025
September 16, 2025: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0926 Have policies on smoking.
Environmental Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 09/17/2025
August 11, 2025: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0584 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.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 08/12/2025
July 3, 2025: 2 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 07/07/2025
E F-0677 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 07/07/2025
February 14, 2025: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0697 Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 02/17/2025
February 7, 2025: 9 citations (Standard + Complaint)
SeverityTagWhat was citedTypeStatus
D F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard Deficient, Provider has date of correction
Corrected 02/10/2025
E F-0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Standard Deficient, Provider has date of correction
Corrected 02/10/2025
D F-0806 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies
Standard Deficient, Provider has date of correction
Corrected 02/10/2025
E F-0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 02/10/2025
F F-0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Standard Deficient, Provider has date of correction
Corrected 02/10/2025
J F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 02/10/2025
D F-0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 02/10/2025
D F-0677 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 02/10/2025
E F-0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 02/10/2025
February 3, 2025: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 02/05/2025
December 5, 2024: 3 citations (Complaint)
SeverityTagWhat was citedTypeStatus
K F-0760 Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 12/06/2024
J F-0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 12/06/2024
E F-0680 Ensure the activities program is directed by a qualified professional.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 12/06/2024
October 29, 2024: 3 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 10/31/2024
D F-0584 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.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 10/31/2024
D F-0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 10/31/2024
December 29, 2023: 10 citations (Standard + Complaint)
SeverityTagWhat was citedTypeStatus
E F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard Deficient, Provider has date of correction
Corrected 01/31/2024
E F-0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Standard Deficient, Provider has date of correction
Corrected 01/31/2024
E F-0761 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.
Pharmacy Service Deficiencies
Standard Deficient, Provider has date of correction
Corrected 01/31/2024
D F-0758 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.
Pharmacy Service Deficiencies
Standard Deficient, Provider has date of correction
Corrected 01/31/2024
E F-0695 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 01/31/2024
D F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 01/31/2024
E F-0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 01/31/2024
E F-0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 01/31/2024
D F-0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
Standard Deficient, Provider has date of correction
Corrected 01/31/2024
D F-0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 01/31/2024
December 13, 2023: 3 citations (Complaint)
SeverityTagWhat was citedTypeStatus
F F-0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 12/13/2023
D F-0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 12/14/2023
D F-0610 Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 12/14/2023
October 26, 2023: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0558 Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 11/24/2023
September 22, 2023: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 10/19/2023
September 1, 2023: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 09/27/2023

Source: CMS Health Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Fire safety inspections

10 fire safety citations across 3 inspection dates
DateSeverityTagWhat was citedStatus
04/16/2026DK-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies
Deficient, Provider has date of correction
Corrected 05/08/2026
04/16/2026DK-0111Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
Construction Deficiencies
Deficient, Provider has date of correction
Corrected 05/08/2026
02/07/2025FK-0918Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Deficient, Provider has date of correction
Corrected 04/09/2025
02/07/2025EK-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies
Deficient, Provider has date of correction
Corrected 04/10/2025
02/07/2025EK-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 04/10/2025
02/07/2025EK-0344Have an alternate power supply for its alarm system.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 03/20/2025
02/07/2025CK-0341Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 03/20/2025
02/07/2025DK-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 04/10/2025
12/29/2023FK-0712Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
Deficient, Provider has date of correction
Corrected 10/01/2024
12/29/2023FK-0324Provide properly protected cooking facilities.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 09/25/2024

Automatic sprinklers in all required areas: Yes. CMS does not count fire safety citations in the health inspection star rating.

Source: CMS Fire Safety Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Penalties

DateTypeFine amountPayment denial
February 7, 2025Fine$12,441—
December 5, 2024Fine$52,319—

Source: CMS Penalties: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Staffing

MeasureThis facilityTexas averageU.S. average
Total nurse staff hours per resident per day3.43.393.86
Registered nurse (RN) hours per resident per day0.420.430.69
LPN/LVN hours per resident per day0.66Not publishedNot published
Nurse aide hours per resident per day2.33Not publishedNot published
Total nurse staff hours per resident per day, weekends3.09Not publishedNot published
RN hours per resident per day, weekends0.31Not publishedNot published
Total nursing staff turnover (%)55.955.345.8
Registered nurse turnover (%)56.3Not publishedNot published
Administrators who have left2Not publishedNot published

Reported hours come from the Payroll-Based Journal (PBJ) staffing data that facilities submit to CMS each quarter.

Source: CMS Provider Information; State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Facility details

Legal business name
Uvalde County Hospital Authority
Ownership type
For profit - Corporation
Chain
Touchstone Communities (25 facilities)
Ownership changed in last 12 months
No
Certified beds
199
Average residents per day
136.9
Participates in
Medicare and Medicaid
Located inside a hospital
No
Continuing care retirement community
No
Resident and family council
Resident
First approved for Medicare/Medicaid
March 11, 2002
County/parish
Bell

Source: CMS Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Owners and managers reported to CMS

38 ownership and management records
NameRoleTypeOwnership %Since
KEYBANK NATIONAL ASSOCIATION5% OR GREATER MORTGAGE INTERESTOrganizationNOT APPLICABLEundefined undefined, NaN
INTERNATIONAL BANK OF COMMERCE5% OR GREATER SECURITY INTERESTOrganizationNOT APPLICABLEundefined undefined, NaN
APOLINAR, ADAMCORPORATE OFFICERIndividualNOT APPLICABLEundefined undefined, NaN
TOUCHSTONE STRATEGIES - HARKER HEIGHTS LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEundefined undefined, NaN
BOENING, CHRISTOPHEROPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
CAMPBELL, LESLIEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
CASTILLO, LYNNEAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
GARCIA, LEONARDOOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
PEREZ, ELIZABETHOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
SEHLKE, BRYONOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
ZUROVEC, DARRELLOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
FELLBAUM, ERNESTINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN
FELLBAUM, KELLYINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN
STUDER, LAURAINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN
STUDER, STANLEYINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN
AEGIS THERAPIES, INC.ADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
ALAMO ADVISORS LPADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
CARVAJAL PHARMACY LTCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
FELLBAUM 2023 DESCENDANTS TRUSTADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
H-C ASSOCIATES, LTD.ADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
HEALTHCARE INVESTMENTS - KILLEEN LLCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
HEALTHCARE SERVICES GROUP INCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
JAN STUDER 2023 SPOUSAL TRUSTADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
KELLY FELLBAUM 2023 SPOUSAL TRUSTADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
PLANTE & MORAN PLLCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
STUDER 2023 DESCENDANTS TRUSTADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
THE BRYON AND RENA SEHLKE LIVING TRUSTADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
TOUCHSTONE COMMUNITIES INCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
TOUCHSTONE STRATEGIES - HARKER HEIGHTS LLCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
TRIDENT HEALTH SERVICES INCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
BOENING, CHRISTOPHERADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN
CAMPBELL, LESLIEADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN
CASTILLO, LYNNEAADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN
GARCIA, LEONARDOADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN
PEREZ, ELIZABETHADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN
SEHLKE, BRYONADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN
STONE, DIANAADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN
ZUROVEC, DARRELLADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN

Source: CMS Ownership: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Check it yourself

Page built from CMS data files processed September 1, 2026 (CMS refreshes monthly). Last checked October 26, 2026. Not a ranking or endorsement.