Harker Heights Nursing & Rehabilitation
Nursing Home · Harker Heights, TX
CMS certification number675909
Contact & location
415 Indian Oaks DrHarker Heights, TX 76548
Bell County
- Phone
- (254) 699-5051
- ZIP code
- 76548 – all care providers
Facility details
- Certified beds
- 199
- Residents per day
- 136.9 (69% occupied)
- Ownership
- For profit - Corporation
- Legal name
- Uvalde County Hospital Authority
- Chain
- Touchstone Communities (25 facilities, avg 2.9★)
- Medicare certified since
- March 11, 2002
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.40 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.42 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 0.66 (state 0.95 · U.S. 0.86)
- Nurse aides
- 2.33 (state 2.00 · U.S. 2.32)
- Weekend total
- 3.09 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 55.9 (state 55.3 · U.S. 45.8)%
- RN turnover
- 56.3 (state 54.6 · U.S. 42.9)%
- Administrators who left
- 2 in the last year
Inspections
- Last standard inspection
- April 16, 2026
- Health deficiencies (last cycle)
- 14.0 (state 9.3 · U.S. 9.3)
- From complaints
- 8
- Citations on record (3 years)
- 49 health · 10 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-06-11 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-12 |
| 2026-06-11 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-12 |
| 2026-05-17 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-18 |
| 2026-04-16 | Dispose of garbage and refuse properly. F0814 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-04-17 |
| 2026-04-16 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-17 |
| 2026-04-16 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-17 |
| 2026-04-16 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-17 |
| 2026-04-16 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-17 |
| 2026-04-16 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-17 |
| 2026-03-26 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-27 |
| 2026-02-28 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-02 |
| 2025-11-18 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. F0559 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-11-20 |
| 2025-09-16 | Have policies on smoking. F0926 · Environmental Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-17 |
| 2025-08-11 | 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. F0584 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-08-12 |
| 2025-07-03 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-07-07 |
| 2025-07-03 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-07 |
| 2025-02-14 | Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-02-17 |
| 2025-02-07 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
J Immediate jeopardy to resident health or safety |
Corrected 2025-02-10 |
| 2025-02-07 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-02-10 |
| 2025-02-07 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-02-10 |
| 2025-02-07 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-02-10 |
| 2025-02-07 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-02-10 |
| 2025-02-07 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-10 |
| 2025-02-07 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-10 |
| 2025-02-07 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-10 |
| 2025-02-07 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-10 |
| 2025-02-03 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-05 |
| 2024-12-05 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2024-12-06 |
| 2024-12-05 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-12-06 |
| 2024-12-05 | Ensure the activities program is directed by a qualified professional. F0680 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-06 |
| 2024-10-29 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-10-31 |
| 2024-10-29 | 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. F0584 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-10-31 |
| 2024-10-29 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-10-31 |
| 2023-12-29 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-01-31 |
| 2023-12-29 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-01-31 |
| 2023-12-29 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-01-31 |
| 2023-12-29 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-01-31 |
| 2023-12-29 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-01-31 |
| 2023-12-29 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-01-31 |
| 2023-12-29 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-31 |
| 2023-12-29 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-31 |
| 2023-12-29 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-31 |
| 2023-12-29 | 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. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-31 |
| 2023-12-13 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2023-12-13 |
| 2023-12-13 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-14 |
| 2023-12-13 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-14 |
| 2023-10-26 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-24 |
| 2023-09-22 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-10-19 |
| 2023-09-01 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-09-27 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
2 penalties in the last three years, including $64,760 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-02-07 | Fine | $12,441 |
| 2024-12-05 | Fine | $52,319 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Keybank National Association (organization) | 5%+ Mortgage Interest · NOT APPLICABLE | |
| International Bank of Commerce (organization) | 5%+ Security Interest · NOT APPLICABLE | |
| Aegis Therapies, INC. (organization) | Administrator · NOT APPLICABLE | |
| Alamo Advisors LP (organization) | Administrator · NOT APPLICABLE | |
| Boening, Christopher (individual) | Administrator · NOT APPLICABLE | |
| Campbell, Leslie (individual) | Administrator · NOT APPLICABLE | |
| Carvajal Pharmacy LTC (organization) | Administrator · NOT APPLICABLE | |
| Castillo, Lynnea (individual) | Administrator · NOT APPLICABLE | |
| Fellbaum 2023 Descendants Trust (organization) | Administrator · NOT APPLICABLE | |
| Garcia, Leonardo (individual) | Administrator · NOT APPLICABLE | |
| H-C Associates, LTD. (organization) | Administrator · NOT APPLICABLE | |
| Healthcare Investments - Killeen LLC (organization) | Administrator · NOT APPLICABLE | |
| Healthcare Services Group INC (organization) | Administrator · NOT APPLICABLE | |
| Jan Studer 2023 Spousal Trust (organization) | Administrator · NOT APPLICABLE | |
| Kelly Fellbaum 2023 Spousal Trust (organization) | Administrator · NOT APPLICABLE | |
| Perez, Elizabeth (individual) | Administrator · NOT APPLICABLE | |
| Plante & Moran Pllc (organization) | Administrator · NOT APPLICABLE | |
| Sehlke, Bryon (individual) | Administrator · NOT APPLICABLE | |
| Stone, Diana (individual) | Administrator · NOT APPLICABLE | |
| Studer 2023 Descendants Trust (organization) | Administrator · NOT APPLICABLE | |
| The Bryon and Rena Sehlke Living Trust (organization) | Administrator · NOT APPLICABLE | |
| Touchstone Communities INC (organization) | Administrator · NOT APPLICABLE | |
| Touchstone Strategies - Harker Heights LLC (organization) | Administrator · NOT APPLICABLE | |
| Trident Health Services INC (organization) | Administrator · NOT APPLICABLE | |
| Zurovec, Darrell (individual) | Administrator · NOT APPLICABLE | |
| Apolinar, Adam (individual) | Corporate Officer · NOT APPLICABLE | |
| Fellbaum, Ernest (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Fellbaum, Kelly (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Studer, Laura (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Studer, Stanley (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Boening, Christopher (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Campbell, Leslie (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Castillo, Lynnea (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Garcia, Leonardo (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Perez, Elizabeth (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Sehlke, Bryon (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Touchstone Strategies - Harker Heights LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Zurovec, Darrell (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Harker Heights Nursing & Rehabilitation?
Harker Heights Nursing & Rehabilitation has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does Harker Heights Nursing & Rehabilitation have?
It has 199 certified beds and cares for about 137 residents per day.
Has Harker Heights Nursing & Rehabilitation been fined?
Yes. CMS lists 2 penalties totaling $64,760 in the last three years.
Who owns Harker Heights Nursing & Rehabilitation?
It is part of Touchstone Communities and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Harker Heights Nursing & Rehabilitation?
(254) 699-5051. The facility is located at 415 Indian Oaks Dr, Harker Heights, TX 76548.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.