Harker Heights Nursing & Rehabilitation

CCN 675909 · UVALDE COUNTY HOSPITAL AUTHORITY · For profit - Corporation · TOUCHSTONE COMMUNITIES chain · 199 certified beds · Bell · TX


Harker Heights Nursing & Rehabilitation is a 199-bed nursing home in Harker Heights, Texas. CMS has certified it for Medicare and Medicaid since 2002-03-11. It averages 136.9 residents a day.

What harm was found in the violations cited at Harker Heights Nursing & Rehabilitation?

CMS lists 49 health-inspection deficiencies for Harker Heights Nursing & Rehabilitation, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-06-11.

Survey dateTagDeficiencySeverity
2026-06-11F0677, F0761Provide care and assistance to perform activities of daily living for any resident who is unable. / 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.D
2026-05-17F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2026-04-16F0814Dispose of garbage and refuse properly.F
2026-04-16F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2026-04-16F0609, F0610, F0656, F0677Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable.D
2026-03-26F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E
2026-02-28F0761Ensure 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.D
2025-11-18F0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.D
2025-09-16F0926Have policies on smoking.D
2025-08-11F0584Honor 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.E
2025-07-03F0677Provide care and assistance to perform activities of daily living for any resident who is unable.E
2025-07-03F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D
2025-02-14F0697Provide safe, appropriate pain management for a resident who requires such services.E
2025-02-07F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2025-02-07F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.F
2025-02-07F0550, F0804, F0812Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2025-02-07F0677, F0684, F0806, F0880Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Provide and implement an infection prevention and control program.D
2025-02-03F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D
2024-12-05F0760Ensure that residents are free from significant medication errors.K
2024-12-05F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.J
2024-12-05F0680Ensure the activities program is directed by a qualified professional.E
2024-10-29F0580, F0584, F0609Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2023-12-29F0656, F0684, F0695, F0761, F0812, F0880Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.E
2023-12-29F0550, F0655, F0689, F0758Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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.D
2023-12-13F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2023-12-13F0610, F0755Respond appropriately to all alleged violations. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2023-10-26F0558Reasonably accommodate the needs and preferences of each resident.D
2023-09-22F0880Provide and implement an infection prevention and control program.E
2023-09-01F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D

Why was Harker Heights Nursing & Rehabilitation fined 2 times?

DateTypeAmount
2025-02-07Fine$12,441
2024-12-05Fine$52,319

How is Harker Heights Nursing & Rehabilitation staffed?

MeasureThis facilityTX average
Total nurse staffing hours per resident per day3.399903.38539
Total nursing staff turnover (%)55.955.3
Average number of residents per day136.975.8

Who owns Harker Heights Nursing & Rehabilitation, and what chain is it in?

Harker Heights Nursing & Rehabilitation is registered with CMS as For profit - Corporation, operates under the legal business name UVALDE COUNTY HOSPITAL AUTHORITY and belongs to the TOUCHSTONE COMMUNITIES chain.

RoleOwnerAssociation date
5% OR GREATER MORTGAGE INTERESTKEYBANK NATIONAL ASSOCIATIONsince 05/01/2024
5% OR GREATER SECURITY INTERESTINTERNATIONAL BANK OF COMMERCEsince 05/01/2024
CORPORATE OFFICERAPOLINAR, ADAMsince 08/01/2015
OPERATIONAL/MANAGERIAL CONTROLTOUCHSTONE STRATEGIES - HARKER HEIGHTS LLC, BOENING, CHRISTOPHER, CAMPBELL, LESLIE, CASTILLO, LYNNEA, GARCIA, LEONARDO, PEREZ, ELIZABETH, SEHLKE, BRYON, ZUROVEC, DARRELLsince 03/16/2026
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFFELLBAUM, ERNEST, FELLBAUM, KELLY, STUDER, LAURA, STUDER, STANLEYsince 09/01/2025
ADP OF THE SNFAEGIS THERAPIES, INC., ALAMO ADVISORS LP, CARVAJAL PHARMACY LTC, FELLBAUM 2023 DESCENDANTS TRUST, H-C ASSOCIATES, LTD., HEALTHCARE INVESTMENTS - KILLEEN LLC, HEALTHCARE SERVICES GROUP INC, JAN STUDER 2023 SPOUSAL TRUST, KELLY FELLBAUM 2023 SPOUSAL TRUST, PLANTE & MORAN PLLC, STUDER 2023 DESCENDANTS TRUST, THE BRYON AND RENA SEHLKE LIVING TRUST, TOUCHSTONE COMMUNITIES INC, TOUCHSTONE STRATEGIES - HARKER HEIGHTS LLC, TRIDENT HEALTH SERVICES INC, BOENING, CHRISTOPHER, CAMPBELL, LESLIE, CASTILLO, LYNNEA, GARCIA, LEONARDO, PEREZ, ELIZABETH, SEHLKE, BRYON, STONE, DIANA, ZUROVEC, DARRELLsince 03/16/2026

Were you or a family member harmed at Harker Heights Nursing & Rehabilitation?