Nursing HomeInspections

Harker Heights Nursing & Rehabilitation

Nursing home in Harker Heights, TX

Medicare & Medicaid certified1★ overall (CMS)

Call (254) 699-5051Send a messageMap ↗

Public-record details

Address
415 Indian Oaks Dr, Harker Heights, TX 76548
Phone
(254) 699-5051
Listed under
For-profit
Medicare CCN
675909
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measures rating
4 of 5
Certified beds
199
Average residents per day
137
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
Mar 11, 2002
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 675909. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 16, 2026. CMS lists 49 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 1, 2023 to Jun 11, 2026): 27 from complaint inspections, 3 at the “actual harm” level or higher, including 3 at “immediate jeopardy”.

InspectionCitationSeverity
Jun 11, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 11, 2026Ensure 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…
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
May 17, 2026Safeguard 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
Apr 16, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Apr 16, 2026Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Apr 16, 2026Develop 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
Apr 16, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 16, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		E
Potential for more than minimal harm, pattern
Apr 16, 2026Dispose of garbage and refuse properly.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Mar 26, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		E
Potential for more than minimal harm, pattern
Feb 28, 2026Ensure 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…
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Nov 18, 2025Honor 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 · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 49. 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 2 fines totalling $64,760 in the last three years.

Feb 7, 2025Fine: $12,441
Dec 5, 2024Fine: $52,319

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
3.40 hours
Registered nurse (RN) time per resident per day
0.42 hours
Nurse aide time per resident per day
2.33 hours
Total nurse staffing on weekends
3.09 hours
Nursing staff turnover (yearly)
56%
RN turnover (yearly)
56%
Administrators who left in the past year
2

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.