For profit - Corporation · 199 certified beds · CMS number 675909
Harker Heights Nursing & Rehabilitation, Harker Heights, TX
CMS records 51 health deficiencies at Harker Heights Nursing & Rehabilitation in Harker Heights, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Apr 16, 2026. The highest severity cited is K (immediate jeopardy to resident health or safety). 3 citations were at the immediate jeopardy level. CMS lists 2 fines totaling $64,760 in the last three years.
- 51deficiencies, 3 cycles (TX median 25)
- 15in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $64,760fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Harker Heights Nursing & Rehabilitation as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Harker Heights Nursing & Rehabilitation may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (15 deficiencies)
Standard inspection Apr 16, 2026. CMS counts 15 health deficiencies and 2 fire safety deficiencies in this cycle.
Jul 16, 2026 · Complaint inspection
2 deficiencies, highest E
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 17, 2026
F676 · Maintaining daily living abilities
Requirement cited (CMS): Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 17, 2026
Jun 11, 2026 · Complaint inspection
2 deficiencies, highest D
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 12, 2026
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 12, 2026
May 17, 2026 · Complaint inspection
1 deficiency, highest D
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 18, 2026
Apr 16, 2026 · Standard inspection
6 deficiencies, highest F
F814 · Garbage disposal
Requirement cited (CMS): Dispose of garbage and refuse properly.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Apr 17, 2026
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 17, 2026
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 17, 2026
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 17, 2026
F610 · Investigating and responding to allegations
Requirement cited (CMS): Respond appropriately to all alleged violations.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 17, 2026
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 17, 2026
Mar 26, 2026 · Complaint inspection
1 deficiency, highest E
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 27, 2026
Feb 28, 2026 · Complaint inspection
1 deficiency, highest D
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 2, 2026
Nov 18, 2025 · Complaint inspection
1 deficiency, highest D
F559 · Roommate choice and room-change notice
Requirement cited (CMS): Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 20, 2025
Sep 16, 2025 · Complaint inspection
1 deficiency, highest D
F926 · Smoking policies
Requirement cited (CMS): Have policies on smoking.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 17, 2025
Previous cycle: 20 deficiencies (standard inspection Feb 7, 2025)
Standard inspection Feb 7, 2025. CMS counts 20 health deficiencies and 6 fire safety deficiencies in this cycle.
Aug 11, 2025 · Complaint inspection
1 deficiency, highest E
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 12, 2025
Jul 3, 2025 · Complaint inspection
2 deficiencies, highest E
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 7, 2025
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 7, 2025
Feb 14, 2025 · Complaint inspection
1 deficiency, highest E
F697 · Pain management
Requirement cited (CMS): Provide safe, appropriate pain management for a resident who requires such services.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 17, 2025
Feb 7, 2025 · Standard + complaint inspection
9 deficiencies, highest J
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 10, 2025
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 10, 2025
F806 · Allergies, preferences, and meal substitutes
Requirement cited (CMS): Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 10, 2025
F804 · Palatable, attractive food at safe temperatures
Requirement cited (CMS): Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 10, 2025
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Feb 10, 2025
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Feb 10, 2025
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 10, 2025
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 10, 2025
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 10, 2025
Feb 3, 2025 · Complaint inspection
1 deficiency, highest D
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 5, 2025
Dec 5, 2024 · Complaint inspection
3 deficiencies, highest K
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Dec 6, 2024
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Dec 6, 2024
F680 · Qualified activities director
Requirement cited (CMS): Ensure the activities program is directed by a qualified professional.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 6, 2024
Oct 29, 2024 · Complaint inspection
3 deficiencies, highest D
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 31, 2024
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 31, 2024
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 31, 2024
Earlier cycle: 16 deficiencies (standard inspection Dec 29, 2023)
Standard inspection Dec 29, 2023. CMS counts 16 health deficiencies and 2 fire safety deficiencies in this cycle.
Dec 29, 2023 · Standard + complaint inspection
10 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 31, 2024
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 31, 2024
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 31, 2024
F758 · Psychotropic drug safeguards
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 31, 2024
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 31, 2024
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 31, 2024
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 31, 2024
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 31, 2024
F655 · Baseline care plan within 48 hours
Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 31, 2024
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 31, 2024
Dec 13, 2023 · Complaint inspection
3 deficiencies, highest F
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Dec 13, 2023
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 14, 2023
F610 · Investigating and responding to allegations
Requirement cited (CMS): Respond appropriately to all alleged violations.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 14, 2023
Oct 26, 2023 · Complaint inspection
1 deficiency, highest D
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 24, 2023
Sep 22, 2023 · Complaint inspection
1 deficiency, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 19, 2023
Sep 1, 2023 · Complaint inspection
1 deficiency, highest D
F561 · Making everyday choices
Requirement cited (CMS): Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 27, 2023
Tags cited in more than one inspection
14 tags cited on more than one inspection date at Harker Heights Nursing & Rehabilitation; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F677 Help with daily care | 4 | Jun 11, 2026; Apr 16, 2026; Jul 3, 2025; Feb 7, 2025 |
| F812 Food safety and sanitation | 4 | Jul 3, 2025; Feb 7, 2025; Dec 29, 2023; Dec 13, 2023 |
| F684 Quality of care | 3 | Mar 26, 2026; Feb 7, 2025; Dec 29, 2023 |
| F755 Pharmacy services and a consultant pharmacist | 3 | Apr 16, 2026; Feb 7, 2025; Dec 13, 2023 |
| F761 Drug labeling and secure storage | 3 | Jun 11, 2026; Feb 28, 2026; Dec 29, 2023 |
| F880 Infection prevention and control program | 3 | Feb 7, 2025; Dec 29, 2023; Sep 22, 2023 |
| F550 Dignity and the right to exercise rights | 2 | Feb 7, 2025; Dec 29, 2023 |
| F580 Telling residents and families about changes | 2 | Feb 3, 2025; Oct 29, 2024 |
| F584 Safe, clean, homelike surroundings | 2 | Aug 11, 2025; Oct 29, 2024 |
| F609 Reporting suspected abuse and crimes | 2 | Apr 16, 2026; Oct 29, 2024 |
| F610 Investigating and responding to allegations | 2 | Apr 16, 2026; Dec 13, 2023 |
| F656 Comprehensive person-centered care plan | 2 | Apr 16, 2026; Dec 29, 2023 |
| F689 Accident prevention and supervision | 2 | Feb 7, 2025; Dec 29, 2023 |
| F842 Complete, confidential medical records | 2 | Jul 16, 2026; May 17, 2026 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Feb 7, 2025 | Fine | $12,441 |
| Dec 5, 2024 | Fine | $52,319 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.40 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.42 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 3.09 h
- Nursing staff turnover
- 55.9% (Texas median 52.1%)
- Administrators who left
- 2
- CMS overall rating
- 1 of 5
- Health inspection rating
- 1 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 4 of 5
CMS figures for Harker Heights Nursing & Rehabilitation, copied as published; Texas medians are ours.
Facility details
- Address
- 415 Indian Oaks Dr, Harker Heights, TX 76548
- Phone
- (254) 699-5051
- County
- Bell
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Touchstone Communities
- Certified beds
- 199
- Average residents per day
- 136.9
- In Medicare/Medicaid since
- Mar 11, 2002
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How often do residents who need help get assistance with bathing, grooming, and mouth care? (F677, cited 4 times)
- When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 4 times)
- How does the home make sure doctor's orders are followed consistently across shifts? (F684, cited 3 times)
- How are new medication orders filled, and how quickly can urgent medications arrive? (F755, cited 3 times)
Other nursing homes in Harker Heights and the same chain
- The Heights of Bulverde
Spring Branch · 47 deficiencies - The Enclave
San Antonio · 46 deficiencies - The Heights at Medical Center
San Antonio · 44 deficiencies - Stone Oak Care Center
San Antonio · 40 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.