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Harker Heights Nursing & Rehabilitation, Harker Heights, TX: 1 star rating, fined $64,760 across 2 fines

Harker Heights Nursing & Rehabilitation in Harker Heights, TX is run by Uvalde County Hospital Authority, with no owner listed in the CMS ownership file, is rated 1 of 5 stars by Medicare, and was fined $64,760 across 2 fines in the three years to October 1, 2026. CMS lists 51 health citations from inspections in that time, the latest survey on August 26, 2026, and 3 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Texas
Address
415 Indian Oaks Dr, Harker Heights, TX 76548
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measure rating
4 of 5
Certified beds
199
Residents per day
137 on average
Ownership type
For profit, corporation
Legal business name
Uvalde County Hospital Authority
Chain
Touchstone Communities, 25 facilities
Fines
$64,760 across 2 fines, three years to October 1, 2026
Payment denials
0
Health citations
51, of which 3 with actual harm or immediate jeopardy
Latest survey
August 26, 2026
CMS Certification Number
675909
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
February 7, 2025Fine$12,441Not listeddata.cms.gov
December 5, 2024Fine$52,319Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
August 26, 2026F697Provide safe, appropriate pain management for a resident who requires such services.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 27, 2026data.cms.gov
August 26, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 27, 2026data.cms.gov
July 16, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2026data.cms.gov
July 16, 2026F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2026data.cms.gov
June 11, 2026F761Ensure 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: isolated, no actual harm, potential for more than minimal harmCorrectedJune 12, 2026data.cms.gov
June 11, 2026F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 12, 2026data.cms.gov
May 17, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 18, 2026data.cms.gov
April 16, 2026F814Dispose of garbage and refuse properly.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 17, 2026data.cms.gov
April 16, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 17, 2026data.cms.gov
April 16, 2026F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 17, 2026data.cms.gov
April 16, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 17, 2026data.cms.gov
April 16, 2026F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 17, 2026data.cms.gov
April 16, 2026F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 17, 2026data.cms.gov
March 26, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 27, 2026data.cms.gov
February 28, 2026F761Ensure 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: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 2, 2026data.cms.gov
November 18, 2025F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 20, 2025data.cms.gov
September 16, 2025F926Have policies on smoking.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 17, 2025data.cms.gov
August 11, 2025F584Honor 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: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 12, 2025data.cms.gov
July 3, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 7, 2025data.cms.gov
July 3, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 7, 2025data.cms.gov
February 14, 2025F697Provide safe, appropriate pain management for a resident who requires such services.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 17, 2025data.cms.gov
February 7, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyCorrectedFebruary 10, 2025data.cms.gov
February 7, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 10, 2025data.cms.gov
February 7, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 10, 2025data.cms.gov
February 7, 2025F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 10, 2025data.cms.gov
February 7, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 10, 2025data.cms.gov
February 7, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.F: widespread, no actual harm, potential for more than minimal harmCorrectedFebruary 10, 2025data.cms.gov
February 7, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 10, 2025data.cms.gov
February 7, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 10, 2025data.cms.gov
February 7, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 10, 2025data.cms.gov
February 3, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 5, 2025data.cms.gov
December 5, 2024F760Ensure that residents are free from significant medication errors.K: pattern, immediate jeopardyCorrectedDecember 6, 2024data.cms.gov
December 5, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.J: isolated, immediate jeopardyCorrectedDecember 6, 2024data.cms.gov
December 5, 2024F680Ensure the activities program is directed by a qualified professional.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 6, 2024data.cms.gov
October 29, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 31, 2024data.cms.gov
October 29, 2024F584Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 31, 2024data.cms.gov
October 29, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 31, 2024data.cms.gov
December 29, 2023F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 31, 2024data.cms.gov
December 29, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 31, 2024data.cms.gov
December 29, 2023F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 31, 2024data.cms.gov
December 29, 2023F758Implement 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: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 31, 2024data.cms.gov
December 29, 2023F695Provide safe and appropriate respiratory care for a resident when needed.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 31, 2024data.cms.gov
December 29, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 31, 2024data.cms.gov
December 29, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 31, 2024data.cms.gov
December 29, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 31, 2024data.cms.gov
December 29, 2023F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 31, 2024data.cms.gov
December 29, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 31, 2024data.cms.gov
December 13, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedDecember 13, 2023data.cms.gov
December 13, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 14, 2023data.cms.gov
December 13, 2023F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 14, 2023data.cms.gov
October 26, 2023F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 24, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 22 individual or personal trusts (8 managers, 5 officers, directors or trustees, 9 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Touchstone Strategies, Harker Heights LLCOperational or managerial controlNot listedMay 1, 2024data.cms.gov
International Bank of CommerceSecurity interestNot listedMay 1, 2024data.cms.gov
Keybank National AssociationMortgage interestNot listedMay 1, 2024data.cms.gov
Aegis Therapies, Inc.Additional disclosable partyNot listedMay 1, 2024data.cms.gov
Alamo Advisors LPAdditional disclosable partyNot listedMay 1, 2024data.cms.gov
Carvajal Pharmacy LTCAdditional disclosable partyNot listedMay 1, 2024data.cms.gov
Fellbaum 2023 Descendants TrustAdditional disclosable partyNot listedMay 1, 2024data.cms.gov
H-C Associates, LTD.Additional disclosable partyNot listedMay 1, 2024data.cms.gov
Healthcare Investments, Killeen LLCAdditional disclosable partyNot listedMay 1, 2024data.cms.gov
Healthcare Services Group IncAdditional disclosable partyNot listedMay 1, 2024data.cms.gov
Jan Studer 2023 Spousal TrustAdditional disclosable partyNot listedMay 1, 2024data.cms.gov
Kelly Fellbaum 2023 Spousal TrustAdditional disclosable partyNot listedMay 1, 2024data.cms.gov
Plante & Moran PLLCAdditional disclosable partyNot listedMay 1, 2024data.cms.gov
Studer 2023 Descendants TrustAdditional disclosable partyNot listedMay 1, 2024data.cms.gov
The Bryon and Rena Sehlke Living TrustAdditional disclosable partyNot listedMay 1, 2024data.cms.gov
Touchstone Communities IncAdditional disclosable partyNot listedMay 1, 2024data.cms.gov
Touchstone Strategies, Harker Heights LLCAdditional disclosable partyNot listedSeptember 1, 2025data.cms.gov
Trident Health Services IncAdditional disclosable partyNot listedMay 1, 2024data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.