For profit - Corporation · 64 certified beds · CMS number 455503
Rosewood Heights, Killeen, TX
CMS records 15 health deficiencies at Rosewood Heights in Killeen, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Aug 14, 2025. The highest severity cited is J (immediate jeopardy to resident health or safety). 3 citations were at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 3 fines totaling $42,298 in the last three years.
- 15deficiencies, 3 cycles (TX median 25)
- 3in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $42,298fines, last 3 years
- 3CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Rosewood Heights as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Rosewood Heights may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (3 deficiencies)
Standard inspection Aug 14, 2025. CMS counts 3 health deficiencies and 1 fire safety deficiency in this cycle.
Apr 17, 2026 · Complaint inspection
1 deficiency, highest G
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date Apr 24, 2026
Aug 14, 2025 · Standard 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 22, 2025
F803 · Menus that meet nutritional needs
Requirement cited (CMS): Ensure 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 22, 2025
Previous cycle: 6 deficiencies (standard inspection Jul 11, 2024)
Standard inspection Jul 11, 2024. CMS counts 6 health deficiencies and 1 fire safety deficiency in this cycle.
Apr 18, 2025 · Complaint inspection
2 deficiencies, highest J
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 Apr 19, 2025
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
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Apr 19, 2025
Oct 2, 2024 · 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 Oct 17, 2024
Sep 9, 2024 · Complaint inspection
2 deficiencies, highest D
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 13, 2024
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 Sep 13, 2024
Jul 11, 2024 · Standard inspection
1 deficiency, highest D
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 Jul 12, 2024
Earlier cycle: 6 deficiencies (standard inspection Jun 2, 2023)
Standard inspection Jun 2, 2023. CMS counts 6 health deficiencies and 2 fire safety deficiencies in this cycle.
Jul 30, 2024 · Complaint inspection
1 deficiency, highest J
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
- Past non-compliance (fixed before the inspection), Jul 26, 2024
Oct 2, 2023 · Complaint inspection
1 deficiency, highest D
F657 · Care plan timing and team review
Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 30, 2023
Jun 2, 2023 · Standard inspection
4 deficiencies, highest G
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 Jul 7, 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 Aug 11, 2023
F697 · Pain management
Requirement cited (CMS): Provide safe, appropriate pain management for a resident who requires such services.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date Jul 7, 2023
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 Jul 7, 2023
Tags cited in more than one inspection
2 tags cited on more than one inspection date at Rosewood Heights; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F686 Pressure ulcer prevention and care | 2 | Apr 17, 2026; Jul 30, 2024 (PNC) |
| F755 Pharmacy services and a consultant pharmacist | 2 | Sep 9, 2024; Jun 2, 2023 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Apr 17, 2026 | Fine | $16,350 |
| Apr 18, 2025 | Fine | $9,193 |
| Jul 11, 2024 | Fine | $16,755 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.81 h (above the Texas median of 3.27 h)
- RN hours per resident per day
- 0.40 h (about the same as the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 3.37 h
- Nursing staff turnover
- 67.6% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 3 of 5
- Health inspection rating
- 3 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 4 of 5
CMS figures for Rosewood Heights, copied as published; Texas medians are ours.
Facility details
- Address
- 5700 E Central Texas Expwy, Killeen, TX 76543
- Phone
- (254) 690-6169
- County
- Bell
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Touchstone Communities
- Certified beds
- 64
- Average residents per day
- 58.9
- In Medicare/Medicaid since
- Oct 12, 1984
- 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 are residents who spend a lot of time in bed or a wheelchair repositioned and checked for skin problems? (F686, cited 2 times)
- How are new medication orders filled, and how quickly can urgent medications arrive? (F755, cited 2 times)
- Can a resident or their family review the baseline care plan during the first few days? (F655, cited 1 time)
- How are a resident's goals and preferences written into the care plan? (F656, cited 1 time)
Other nursing homes in Killeen and the same chain
- Avir at Killeen
Killeen · 48 deficiencies - Harker Heights Nursing & Rehabilitation
Harker Heights · 51 deficiencies - The Heights of Bulverde
Spring Branch · 47 deficiencies - The Enclave
San Antonio · 46 deficiencies - The Heights at Medical Center
San Antonio · 44 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.