Harker Heights Nursing & Rehabilitation
415 Indian Oaks Dr, Harker Heights, TX, 76548
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Order the reportFederal 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 June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Touchstone Communities
- Certified beds
- 199 · avg 141 residents/day
- Total nursing staff turnover
- 59.2% — higher than most Texas nursing homesTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 52.9% — near the Texas averageTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $64,760 total
Medicare certification
- CMS Certification Number
- 675909
- Certified beds
- 199 beds · avg 141 residents/day
- Ownership type
- For profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Uvalde County Hospital Authority
- Chain affiliation
- Touchstone Communities
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Touchstone Communities chain — 25 facilities. Chain-wide average overall rating 2.7 / 5.
Disclosed owners (27 on record)
- Tosha Hamilton
Adp of The Snf · 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 (4 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 May 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)
- E0684·Mar 26, 2026Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0761·Feb 28, 2026Complaint
Pharmacy Service Deficiencies
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.
- 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.
Federal penalties
By year
- 20251 fine · $12K
- 20241 fine · $52K
Most recent events
- Feb 7, 2025Fine · $12K
- Dec 5, 2024Fine · $52K
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 Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Harker Heights Nursing & Rehabilitationinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.