Nursing home
Harker Heights Nursing & Rehabilitation
415 Indian Oaks Dr, Harker Heights, TX 76548 · Map
For profit - Corporation · Part of Touchstone Communities (28 facilities) · 199 certified beds
Harker Heights Nursing & Rehabilitation is a Medicare-certified nursing home in Harker Heights, Texas. CMS rates it 2 out of 5 stars overall (2/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.56 hours per resident per day, above the Texas average of 3.40. Its most recent inspection on Feb 7, 2025 cited 14 deficiencies.
- 3 fines totaling $83,951In CMS records: 3 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Harker Heights Nursing & Rehabilitation compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.56 | 3.40 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.37 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.41 | 2.01 | 2.34 | above avg |
| Nursing staff turnover | 65.8% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 14.0 | 9.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 3 fines totaling $83,951, 3 total penalties.
What inspectors found at Harker Heights Nursing & Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Mar 26, 2026 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Feb 28, 2026 · Full report (PDF) - Potential for harm
Honor 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 Deficiencies · Nov 18, 2025 · Full report (PDF) - Potential for harm
Have policies on smoking.
Environmental Deficiencies · Sep 16, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Aug 11, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Jul 3, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jul 3, 2025 · Full report (PDF) - Potential for harm
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Feb 14, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Feb 7, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Feb 7, 2025 · Full report (PDF) - Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Feb 7, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Feb 7, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 415 Indian Oaks Dr
Harker Heights, TX 76548 - CMS certification #
- 675909
- Ownership
- For profit - Corporation
- Certified beds
- 199
- Avg residents/day
- 125.9
- Provider type
- Medicare and Medicaid
- First certified
- 2002-03-11
- Chain
- Touchstone Communities (28 facilities)
- Setting
- Urban
Part of Touchstone Communities
Touchstone Communities operates 28 nursing facilities across the United States. View all Touchstone Communities facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Harker Heights Nursing & Rehabilitation using Google Maps.
Other public records
- Website says Respite stays, transportation
- Workplace safety 1 OSHA workplace safety inspection since 2021, no violations cited
Full public records, with dates and sources
Care and services
From the community’s website
What Harker Heights Nursing & Rehabilitation says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Whether you need short-term care, post-hospital recovery, skilled nursing, long-term care, rehabilitation therapy, dementia support or respite care, we are dedicated to helping you live life to the fullest.
(page, checked Oct 12, 2026) - Provides transportation.
Transportation to doctor appointments
(page, checked Oct 12, 2026) - Apartment types named: private room, semi-private room.
Large private and semi-private rooms (Available)
(page, checked Oct 12, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Jan 6, 2021: referral inspection, partial (health). Case closed Jan 13, 2021. No violations cited. OSHA record. OSHA recorded the employer as Indian Oaks Living Center. Matched by street address; the name OSHA recorded differs from the community's.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Seton Medical Center Harker Heights, Harker Heights. 1.8 miles away, straight line. CMS overall hospital rating: 4 of 5 stars. Location approximate.
- Nearest Medicare nursing home
- Rosewood Heights, Killeen. 4.6 miles away, straight line.
- Nearest home health agency office
- Texmed Home Health Inc, Killeen. 3.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- H-E-B Pharmacy. 0.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 76548 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fresenius Medical Care Harker Heights, Harker Heights, 1.2 miles away, straight line (CMS rating 2 of 5 stars)
Scott & White Killeen Dialysis Center, Killeen, 2.5 miles away, straight line (CMS rating 1 of 5 stars)
Baylor Scott & White Killeen Dialysis West, Killeen, 3.8 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 25 Medicare hospices tell CMS they serve ZIP code 76548.
Heart Of Texas Hospice, office in Killeen, 3.9 miles away, straight line
Embrace Hospice, office in Temple, 15.0 miles away, straight line
Baylor Scott & White Hospice - Temple, office in Temple, 16.1 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Scott And White Clinic, Copperas Cove. 20.7 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane relatively low, inland flooding relatively low, wildfire very low, tornado relatively high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Only cases that look tied to an earlier operator (not shown) |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Harker Heights Nursing & Rehabilitation a good nursing home?
CMS gives Harker Heights Nursing & Rehabilitation an overall rating of 2 out of 5 stars, including 2/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Harker Heights Nursing & Rehabilitation staffed?
Harker Heights Nursing & Rehabilitation reports 3.56 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Harker Heights Nursing & Rehabilitation had inspection problems?
Its most recent CMS inspection cited 14 deficiencies.
How many beds does Harker Heights Nursing & Rehabilitation have?
Harker Heights Nursing & Rehabilitation is certified for 199 beds.