Harker Heights Nursing & Rehabilitation
415 INDIAN OAKS DR, Harker Heights, TX, 76548
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Touchstone Communities
- Certified beds
- 199 · avg 126 residents/day
- Total nursing staff turnover
- 65.8% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 45.5% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $83,951 total
State licensing & capacity
- License number
- 308635
- Service type
- Medicare/medicaid
- Licensed capacity
- 199 beds
- Bed type breakdown
- 19 Medicare-only · 180 Medicaid/Medicare
- Current license effective
- June 1, 2025
- Current license expires
- June 1, 2028
- Initial license date
- July 10, 2002
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Uvalde County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Touchstone Strategies Harker Heights, Llc
- Administrator
- Leonardo Garcia
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Touchstone Communities chain — 28 facilities. Chain-wide average overall rating 2.8 / 5.
Disclosed owners (27 on record)
- Tosha Hamilton
Operational/managerial Control · since 2025
- Touchstone Strategies - Harker Heights Llc
Adp of The Snf · since 2025
- Leonardo Garcia
Operational/managerial Control · since 2025
- Diana l Stone
Adp of The Snf · since 2024
- Aegis Therapies, Inc.
Adp of The Snf · since 2024
- Alamo Advisors lp
Adp of The Snf · since 2024
+ 21 additional owners on the federal record.
Recent change of ownership
June 2022 (3 years ago) · acquired from Indian Oaks Living Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 45)
- D0559·Nov 18, 2025Complaint
Resident Rights Deficiencies
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
- D0926·Sep 16, 2025Complaint
Environmental Deficiencies
Have policies on smoking.
- E0584·Aug 11, 2025Complaint
Resident Rights Deficiencies
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.
- D0812·Jul 3, 2025Complaint
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0677·Jul 3, 2025Complaint
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E0697·Feb 14, 2025Complaint
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
- E0804·Feb 7, 2025Complaint
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D0684·Feb 7, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Federal penalties
By year
- 20251 fine · $12K
- 20241 fine · $52K
- 20231 fine · $19K
Most recent events
- Feb 7, 2025Fine · $12K
- Dec 5, 2024Fine · $52K
- Apr 10, 2023Fine · $19K
Largest single fine on record: $52K.
Fire-safety citations
12 Life-Safety-Code citations on file. Most recent: Feb 7, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Harker Heights Nursing & Rehabilitation is a 199-bed Medicare/Medicaid nursing home in Harker Heights, TX, operated by Touchstone Communities. CMS rates it 2 stars overall, with a 1-star health inspection rating and 2-star staffing rating — though quality-of-care measures rate 5 stars. Three CMS fines total $83,951 since the last inspection cycle. The facility is running at 63% of licensed capacity, with 126 residents on average per day.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars. Each resident receives about 214 minutes of nursing care per day — roughly 27 minutes less than at a 4-star-staffing facility in Texas, a threshold reached by about 32% of Texas nursing homes. RN coverage specifically runs about 22 minutes per resident per day.
About 7 in 10 nursing staff left in the past year — above the 75th-percentile cutoff for Texas, where the median is 50% annual turnover. A long-stay resident will likely cycle through two or more primary caregivers over the course of a year.
One administrator has turned over in the past year. That falls into an elevated pattern relative to typical Texas facilities, though it does not reach the level of two or more departures in a single year.
Three CMS fines total $83,951. The state median for fined facilities in Texas is about $20,699; this total is roughly four times that figure. About 30% of Texas nursing homes have zero fines in the same period.
The facility's quality-of-care measures rate 5 stars — the top tier — for both long-stay and short-stay residents. That rating covers outcomes such as hospitalizations, falls, pressure wounds, and pain management, and applies despite the lower staffing and inspection ratings.
The facility is operating at 63% of its 199 licensed beds, averaging 126 residents per day. That low occupancy, alongside the 1-star health inspection rating and fine totals above, forms a picture worth examining closely.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Health inspection rating of 1 star
CMS gave this facility its lowest possible health inspection rating — ask what specific deficiencies were cited and what corrective steps have been completed since.
Fines totaling nearly $84,000
Three CMS fines totaling $83,951 were issued — ask what each citation was for and whether the underlying issues have been resolved.
7 in 10 nursing staff left last year
Turnover above the 75th percentile for Texas means caregivers change frequently — ask how long the current floor nurses have been in their roles.
63% occupancy in a 199-bed facility
The facility is running well below capacity; ask whether staffing levels and programming are calibrated to the current census or to a fuller building.
Recent administrator change
One administrator turned over in the past year — ask who the current administrator is, how long they have been in the role, and what their background is.
5-star quality measures with lower staffing
Outcome measures rate 5 stars despite 2-star staffing — ask how the facility tracks and sustains those outcomes with current nursing hours.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.