Nursing HomeInspections

Rosewood Heights

Nursing home in Killeen, TX

Medicare & Medicaid certified3★ overall (CMS)

Call (254) 690-6169Send a messageMap ↗

Public-record details

Address
5700 E Central Texas Expwy, Killeen, TX 76543
Phone
(254) 690-6169
Listed under
For-profit
Medicare CCN
455503
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
3 of 5
Staffing rating
2 of 5
Quality measures rating
4 of 5
Certified beds
64
Average residents per day
59
Ownership
For-profit, corporation
Legal business name
Uvalde County Hospital Authority
Chain
Touchstone Communities (25 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Oct 12, 1984
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 455503. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 14, 2025. CMS lists 15 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 2, 2023 to Apr 17, 2026): 8 from complaint inspections, 5 at the “actual harm” level or higher, including 3 at “immediate jeopardy”.

InspectionCitationSeverity
Apr 17, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection
G
Actual harm, isolated
Aug 14, 2025Ensure 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.
Nutrition and Dietary
E
Potential for more than minimal harm, pattern
Aug 14, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary
E
Potential for more than minimal harm, pattern
Apr 18, 2025Create 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 · complaint inspection
J
Immediate jeopardy, isolated
Apr 18, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
J
Immediate jeopardy, isolated
Oct 2, 2024Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Sep 9, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated
Sep 9, 2024Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated
Jul 30, 2024Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection
J
Immediate jeopardy, isolated
Jul 11, 2024Develop 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
D
Potential for more than minimal harm, isolated
Oct 2, 2023Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Jun 2, 2023Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 15. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 3 fines totalling $42,298 in the last three years.

Apr 17, 2026Fine: $16,350
Apr 18, 2025Fine: $9,193
Jul 11, 2024Fine: $16,755

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.81 hours
Registered nurse (RN) time per resident per day
0.40 hours
Nurse aide time per resident per day
2.18 hours
Total nurse staffing on weekends
3.37 hours
Nursing staff turnover (yearly)
68%
RN turnover (yearly)
75%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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